International Journal of Surgery Case Reports

INTRODUCTION: There have been two cases of congenital diaphragmatic hernia associated with a gastroesophageal duplication cyst documented in the literature, both presented symptomatically in the newborn period. This case is unique given the patient presented in adolescence asymptomatically. PRESENTATION OF CASE: We present a case of a 15-year-old female who initially presented with lower abdominal pain. A CT chest and abdomen was concerning for a moderate to large hiatal vs diaphragmatic hernia and an adjacent 4...

INTRODUCTION AND IMPORTANCE: Patients with pilonidal disease (PD) often undergo wide excision of pilonidal sinuses and flap-based closures. Patients who failed these procedures can have recurrent perianal wounds obscured by hair and unrecognized even by the treating physicians. In this report, we describe a series of pilonidal patients with recurrent disease and perianal wounds. CASE PRESENTATION: Five pilonidal patients with recurrent disease after surgical excision and flap closure were referred to our Pilonidal Care Clinic...

INTRODUCTION AND IMPORTANCE: Chondrosarcomas are rare malignant cartilaginous neoplasms, account for the second most common primary bone tumor. Several surgical approaches for achieving en bloc resection have been mentioned in previous studies. This study aimed to present a rare case of chondrosarcoma involving T4-T6 vertebrae that underwent total spondylectomy. PRESENTATION OF CASE: A 36-year-old male was presented with signs and symptoms of thoracal foraminal stenosis due to mass effect of primary chondrosarcoma arising from the 5th thoracal vertebrae...

INTRODUCTION: Hepatocellular carcinoma is the most common form of primary liver cancer. Intrahepatic cholangiocarcinoma and fibrolamellar carcinoma make up most other cases. The vast majority of intrahepatic cholangiocarcinoma's are adenocarcinoma in nature. Few reports have indicated pure squamous cell or mixed squamous glandular histopathology. PRESENTATION OF CASE: We present the case of a 35-year-old female whose preoperative diagnosis indicated primary keratinizing squamous cell carcinoma (SCC) of the liver...

INTRODUCTION AND IMPORTANCE: Behçet disease is a rare, chronic, multi-systemic inflammatory disease of unknown origin that affects vessels in various organs. It is characterized by multiple clinical manifestations, most prominently oral and genital ulcers. Typically diagnosed in individuals aged 20 to 40 years with a male predominance, Behçet disease poses significant diagnostic and therapeutic challenges. CASE PRESENTATION: We present a case concerning a 26-year-old female who was diagnosed with Behçet's disease nine years ago...

INTRODUCTION AND IMPORTANCE: Coronary-cameral fistulas (CCFs) are the anomalous connection between a coronary artery (CA) and a great vessel or cardiac chamber. About 90 % of CA fistulas are congenital and are related to persistent sinusoids during the embryonic period. Most fistulas originate from the right and left anterior descending CAs. The circumflex CA is rarely involved. CASE PRESENTATION: A 20-year-old male was referred to a tertiary children's heart hospital center due to retrosternal chest pain (CP) and dyspnea on exertion (functional class Ш)...

INTRODUCTION AND IMPORTANCE: Acute rupture of the tibialis anterior tendon and other tendons is an extremely rare injury. It is usually associated with minor trauma in older patients with medical comorbidity. Surgeons must be alert for rupture of these tendons which can complicate a closed tibial fracture. CASE PRESENTATION: A 19-year-old man was transferred to the emergency department with a segmental fracture at the lower third of his tibia. The patient could not actively dorsiflex his right ankle and first toe but was able to dorsiflex other toes actively...

INTRODUCTION: Mammary analogue secretory carcinoma (MASC) of the salivary gland was first described by Skálová et al. in 2010. It is often associated with a translocation, t(12;15)(p13;q25), which results in the fusion gene ETV6-NTRK3. Major salivary glands, primarily the parotid gland, are involved in 70 % of cases of MASC, while small salivary glands are involved in less than 25 % of cases. This report aims to consolidate in unveiling, diagnosing, and managing the rarity of MASC in the minor salivary gland and its existing knowledge and encourage new research on this increasingly important salivary gland malignancy...

INTRODUCTION: Papillary adenomas are very rare benign tumors of the gastrointestinal tract. If manageable, purely endoscopic resection is favored. As an alternative, surgical resection via ampullectomy or pancreaticoduodenectomy can be performed. Often, the depth of infiltration cannot be assessed with sufficient precision, leading to pancreaticoduodenectomy for safety reasons. CASE PRESENTATION: We present the case of a 77-year-old patient in whom a transduodenal papillary resection of a large papillary adenoma was performed, after two unsuccessful endoscopic attempts...

INTRODUCTION: A textiloma or gossypiboma is a retained surgical material in the body after an operation. It may be asymptomatic or revealed by complications such as occlusion, perforation, and fistulization. CASE REPORT: We report a case of intraabdominal textiloma mimicking a mesenteric tumor. The patient has a history of open cholecystectomy. She was referred to our department for the discovery on abdominal computed tomography scan (CT-scan) of a mass in the mesentery...

INTRODUCTION AND IMPORTANCE: Cloacal exstrophy (CE) is defined as a complex anomaly that affects the urogenital and intestinal tracts. It is the most serious form of anomaly that is described within the so-called exstrophy-epispadias complex. These malformations usually present a challenge in the management of particular conditions, as most of these forms require multiple surgeries, resulting in the use of multidisciplinary approaches, including reconstructive urologists, pediatric surgeons, orthopedic surgeons, endocrinologists, pediatricians, psychologists and nutritionists...

INTRODUCTION AND IMPORTANCE: This study aimed to assess the effectiveness of surgical intervention in treating traumatic diaphragmatic rupture accompanied by pleural empyema resulting from radiofrequency ablation for renal cell carcinoma. CASE PRESENTATION: A 72-year-old female patient underwent radiofrequency ablation at our institution's urology department to address a 4-cm tumor in the left upper kidney detected during routine health screening. Subsequently, the patient experienced persistent fever from the 5th day post- procedure...

INTRODUCTION AND IMPORTANCE: Tuberculosis is re-emerging globally, including in Morocco. Common iliac artery aneurysms induced by tuberculosis are very rare and severe due to the risk of infection and hemorrhage, making treatment choice crucial. Only a few cases have been reported in the literature. CASE PRESENTATION: In this article, we report a new case involving a 54-year-old man admitted to the emergency department of the university hospital for skin necrosis in the groin area with a pulsating mass in front and altered general condition, associated with night fevers that led to a chest X-ray revealing miliary tuberculosis...

INTRODUCTION: Gossypiboma is retained surgical swab following any surgical procedure. Its diagnosis is usually difficult because of variable and nonspecific clinical symptoms. It is a serious but preventable surgical event. It continues to occur despite considerable patient safety efforts. CASE PRESENTATION: A forty-eight-year-old female patient presented with worsening abdominal pain, decreased appetite, and constipation associated with severe lower urinary tract symptoms...

INTRODUCTION: Gastrointestinal tuberculosis (TB) is a rare condition, but it poses significant diagnostic and management challenges, especially in immunocompromised individuals. This case report discusses the diagnostic complexities and therapeutic strategies for managing gastrointestinal TB in an HIV-positive patient, emphasizing the importance of considering TB in differential diagnoses. CASE PRESENTATION: A 33-year-old male with no significant medical history presented with a five-day history of severe abdominal pain, initially epigastric and later localized to the right lower quadrant (RLQ)...

INTRODUCTION AND IMPORTANCE: Arytenoid dislocation, typically manifested as hoarseness and coughing when drinking, is a rare perioperative scenario, with an incidence rate of 0.009 %-0.097 % and endotracheal intubation under general anesthesia being the most common cause. However, arytenoid dislocation caused by a laryngeal mask airway (LMA) is extremely rare. CASE DESCRIPTION: Herein, a 53-year-old female patient was admitted for a "right breast lump" and scheduled for "unilateral mastectomy with ipsilateral axillary sentinel lymph node biopsy" under general anesthesia...

INTRODUCTION AND IMPORTANCE: Nutcracker syndrome (NCS) is a rare condition characterized by left renal vein compression and presents with diverse clinical manifestations. This case series study aims to evaluate the clinical presentations and outcomes of patients with NCS and varicocele. CASE PRESENTATION: We reviewed the cases of four male patients, aged 15 to 19 years, who presented with recurrent and grade 3 varicocele after varicocelectomy. All patients reported pain in the hypogastric, flank, or groin areas...

INTRODUCTION: Rigid bronchoscopy is an effective tool for the management of pediatric airway foreign bodies. However, it is not exempt from complications that can be fatal, such as pneumothorax. CASE PRESENTATION: A 20-month-old child was admitted to our department after inhaling a foreign body (peanut). Immediately after removal of this foreign body, the child presented with a pre-arrest state with right auscultatory silence. Pneumothorax was suspected and aspirated, and cardiopulmonary resuscitation was performed...

INTRODUCTION AND IMPORTANCE: Mucinous cystic neoplasms (MCNs) of the liver are rare precancerous lesions, accounting for less than 5 % of all hepatic cysts. The coexistence of MCNs with idiopathic granulomatous hepatitis is exceedingly uncommon and lacks documentation in the existing literature. CASE PRESENTATION: A 43-year-old Tunisian woman with no significant medical history presented with persistent right hypochondrium pain. Clinical examination revealed a palpable mass in the right hypochondrium...

INTRODUCTION AND IMPORTANCE: Ureteric stump syndrome [USS] is a series of febrile recurrent lower abdominal pain, urinary tract infections, and hematuria that sometimes present with empyema as a rare complication. The ureteric stump is left after ureteric re-implantation due to an impacted stone at the Vesical-ureteric junction [VUJ], or after nephrectomy of a non-functional kidney due to a distal stone; the ureteral stump forms a source of infection to the urinary bladder, in addition to long-term obstructive stones left at the ureteric stamp...