Small bowel metastasis from embryonal rhabdomyosarcoma of the extremity- a case report
We report an unusual case of ileal metastases from an upper extremity rhabdomyosarcoma in a 17-year-old male who presented with abdominal pain during a routine follow-up visit. Laparotomy and ileocecectomy for a perforated ileal mass confirmed metastatic embryonal rhabdomyosarcoma with 1 out of 14 positive lymph node metastases. This case demonstrates that, although rare, intra-abdominal metastases should be considered when patients with a rhabdomyosarcoma present with abdominal complaints.PMID:38450697 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: P Joubert M Mihalik Source Type: research

Successful management of a thoracoabdominal impalement injury
S Afr J Surg. 2023 Nov;61(4):51-52.ABSTRACTA 63-year-old female presented to the hospital with a history of alleged accidental fall onto a rusted iron rod. She was hypotensive but stable. Cooling of the rod while cutting the protruding part was performed as per basic trauma life support (BTLS) access. Following resuscitation, she was re-evaluated clinically and radiologically, and prepared for surgery. The iron rod trajectory was shown on computed tomography (CT) scan to be entering through the left popliteal fossa, then traversing the abdominal cavity with injury to the descending colon and the left dome of the diaphragm....
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: A J Philip D V Sneha N Theckumparampil S Jagdish Source Type: research

Transverse colon volvulus - a case report and literature review
S Afr J Surg. 2023 Nov;61(4):53-55.ABSTRACTTransverse colon volvulus is a rare diagnosis, with less than 100 cases reported up to 2019. The condition is complicated by the absence of characteristic radiological findings and is typically diagnosed intraoperatively. It is a surgical emergency as the condition can lead to bowel necrosis and is associated with a mortality rate of up to 33%. Bowel resection is the treatment of choice, and if a megacolon is present a subtotal colectomy is recommended. Due to the rarity of transverse colon volvulus, limited data is available on the long-term outcome of patients.PMID:38450699 (Sou...
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: L Niksch M Lockwood P L van Rooyen N A Niksch L Lorentz Source Type: research

More than 60 years of Organised Trauma Care: The Johannesburg Trauma Unit at Charlotte Maxeke Johannesburg Academic Hospital
S Afr J Surg. 2023 Nov;61(4):4-6.NO ABSTRACTPMID:38450688 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: M S Moeng K D Boffard Source Type: research

Tutankhamun - Africa's first reported road traffic crash victim?
S Afr J Surg. 2023 Nov;61(4):7-10.NO ABSTRACTPMID:38450689 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: A B van As R Brown Source Type: research

Adverse events associated with the use of indwelling devices in surgical patients
CONCLUSIONS: Morbidity related to IDs in surgical patients is a relatively frequent occurrence. Standardisation of ID insertion and care, staff education, and improvements in communication have been identified as the most important strategies by which we can limit error-associated morbidity in patients with IDs.PMID:38450690 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: H Wain S Wall D L Clarke Source Type: research

The impact of the COVID-19 pandemic on presentation of surgical disease in paediatric patients at a tertiary centre in Cape Town, South Africa
CONCLUSION: Paediatric surgical volumes at our centre decreased during the COVID-19 pandemic. There was evidence of more advanced disease on presentation of inguinal hernias and intussusception and a generalised increased demand for emergency ICU admission.PMID:38450691 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: C Kohler B Banieghbal Source Type: research

Factors influencing outcome in patients with perforated peptic ulcer disease at a South African tertiary hospital
CONCLUSION: The Boey score was a significant predictor of mortality and leak rate in our patients with PPU. Adding age as a variable may improve the ability to predict mortality in our setting, while the impact of gender and ethnicity needs further investigation.PMID:38450692 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: J J Nanack L Ferndale Source Type: research

The incidence and management of complications following stenting of oesophageal malignancies
CONCLUSION: Oesophageal stenting for malignant dysphagia is peri-procedurally safe and effective. Outcomes reported from this South African cohort compare favourably to high-volume international units.PMID:38450693 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: G Teyangesikayi M F Scriba S Viranna E G Jonas G E Chinnery Source Type: research

Technical success of endoscopic stenting for malignant gastric outlet obstruction
CONCLUSION: Technical insertion success rates of primary and salvage duodenal stenting for malignant GOO are on par with international high-volume units. The leading pathology locally is gastric adenocarcinoma, with palliative stenting remaining a feasible and accessible option.PMID:38450694 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: D Tait M F Scriba C Robinson E G Jonas G E Chinnery Source Type: research

Outcomes of complex burn injury patients managed at two primary and one tertiary level burns facilities in the Western Cape province of South Africa - a retrospective review
CONCLUSION: The PLHs showed good outcomes in managing severe burn injuries, although no significant contributors to a positive outcome were identified. Patient- and facility-related factors contributed to positive outcomes at the TBU. Upgrading both the Western Cape's primary level capabilities and the TBU's accessibility and efficiency are necessary to improve burns services.PMID:38450695 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: S W Carolissen W Kleintjes F Gool S Gilbert Source Type: research

HIV associated malignancies presenting as acute pancreatitis: a case series
CONCLUSION: Despite their rarity (< 4%), when HIV-positive patients with low CD4 count and cholestasis present with AP,tumours should be suspected and evaluated by cross sectional imaging and endoscopic ultrasound.PMID:38450696 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: F Madela F Anderson G B Nhlonzi S R Thomson Source Type: research

Small bowel metastasis from embryonal rhabdomyosarcoma of the extremity- a case report
We report an unusual case of ileal metastases from an upper extremity rhabdomyosarcoma in a 17-year-old male who presented with abdominal pain during a routine follow-up visit. Laparotomy and ileocecectomy for a perforated ileal mass confirmed metastatic embryonal rhabdomyosarcoma with 1 out of 14 positive lymph node metastases. This case demonstrates that, although rare, intra-abdominal metastases should be considered when patients with a rhabdomyosarcoma present with abdominal complaints.PMID:38450697 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: P Joubert M Mihalik Source Type: research

Successful management of a thoracoabdominal impalement injury
S Afr J Surg. 2023 Nov;61(4):51-52.ABSTRACTA 63-year-old female presented to the hospital with a history of alleged accidental fall onto a rusted iron rod. She was hypotensive but stable. Cooling of the rod while cutting the protruding part was performed as per basic trauma life support (BTLS) access. Following resuscitation, she was re-evaluated clinically and radiologically, and prepared for surgery. The iron rod trajectory was shown on computed tomography (CT) scan to be entering through the left popliteal fossa, then traversing the abdominal cavity with injury to the descending colon and the left dome of the diaphragm....
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: A J Philip D V Sneha N Theckumparampil S Jagdish Source Type: research

Transverse colon volvulus - a case report and literature review
S Afr J Surg. 2023 Nov;61(4):53-55.ABSTRACTTransverse colon volvulus is a rare diagnosis, with less than 100 cases reported up to 2019. The condition is complicated by the absence of characteristic radiological findings and is typically diagnosed intraoperatively. It is a surgical emergency as the condition can lead to bowel necrosis and is associated with a mortality rate of up to 33%. Bowel resection is the treatment of choice, and if a megacolon is present a subtotal colectomy is recommended. Due to the rarity of transverse colon volvulus, limited data is available on the long-term outcome of patients.PMID:38450699 (Sou...
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: L Niksch M Lockwood P L van Rooyen N A Niksch L Lorentz Source Type: research