Chaudhry Aqeel, A. Cheema, Fahad G. Alradei, Thabet Y Alghazal, A. A. Shaer, Yousif A Al Qahtani, Burair Al Jassas, Benish Razaq, I. Chaudhry
{"title":"A Modified Reconstruction Technique of Chest Wall after Radical Resection of Chondrosarcoma Underlying the Breast","authors":"Chaudhry Aqeel, A. Cheema, Fahad G. Alradei, Thabet Y Alghazal, A. A. Shaer, Yousif A Al Qahtani, Burair Al Jassas, Benish Razaq, I. Chaudhry","doi":"10.31487/j.ajscr.2021.01.01","DOIUrl":"https://doi.org/10.31487/j.ajscr.2021.01.01","url":null,"abstract":"Chest wall tumors are uncommon and include a variety of Cartilaginous, bony, and soft tissue lesions. The \u0000clinical presentation varies from asymptomatic to chest pain or ulcerating chest mass. Retro mammary \u0000chondrosarcoma of the chest wall can present as a painless breast mass and may be mistaken for a breast \u0000tumor. A careful clinical examination and relevant investigations are a cornerstone to plan an appropriate \u0000surgical procedure.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131329300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A “Floating Glenoid” after a Reverse Total Shoulder Arthroplasty: A Case Report with Literature Review","authors":"S. Bell, M. Christmas, Jennifer A. Coghlan","doi":"10.31487/j.ajscr.2021.01.02","DOIUrl":"https://doi.org/10.31487/j.ajscr.2021.01.02","url":null,"abstract":"A shoulder replacement for cuff tear arthropathy was the original indication of the reverse total shoulder \u0000arthroplasty (rTSA). However, over time, this particular concept of shoulder arthroplasty has found new \u0000indications for other pathologies such as complex proximal humeral fractures and irreparable rotator cuff \u0000tears with rotator cuff arthropathy. Retensioning of the deltoid muscle is a vital step during this procedure \u0000in order to restore active elevation however, this can be potentially problematic since it results in anatomical \u0000changes and often times increases the stress forces across the acromion. We experienced a rare case of an \u000084-year-old female presenting with an extensive fracture resulting in a “floating glenoid” after reverse total \u0000shoulder arthroplasty via a deltopectoral approach. In our case, the patient presented with gradual onset pain \u0000in the posterior shoulder with point tenderness over the acromion, which worsened during active joint \u0000movement. The patient was definitively managed with surgical removal of the glenoid implants and \u0000conversion to a hemiarthroplasty. While there are existing strategies for preventing fractures of this nature, \u0000further research is still necessary to establish best management guidelines of these fracture complications \u0000associated with rTSA in order to achieve optimal outcomes.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128324924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ferrari Luca, Cestaro Giovanni, Meinero Piercarlo, Fasolini Fabrizio, M. D. Monti
{"title":"Video Assisted Anal Fistula Treatment (VAAFT) for Treating a Complex Posttraumatic Anal Fistula: Case Report","authors":"Ferrari Luca, Cestaro Giovanni, Meinero Piercarlo, Fasolini Fabrizio, M. D. Monti","doi":"10.31487/j.ajscr.2020.04.05","DOIUrl":"https://doi.org/10.31487/j.ajscr.2020.04.05","url":null,"abstract":"Introduction: Anal fistula is an abnormal pathway that connects the anorectal tract to the perianal skin. The\u0000Park’s classification describes four different types of anal fistulas depending on their links with the sphincter\u0000apparatus. In this paper, we report an interesting case of post-traumatic complex trans-sphincteric fistula\u0000treated with VAAFT procedure.\u0000Case Presentation: A 60-year-old-male patient, from an accidental fall, developed a gluteal abscess with a\u0000high trans-sphincteric anal fistula and a secondary tract leading to a large second abscess located in the right\u0000ischiorectal fossa. An abscess incision was done, and a draining seton was placed in another Institution. The\u0000patient came to our Hospital and underwent surgery using Video Assisted Anal Fistula Treatment (VAAFT)\u0000procedure.\u0000Conclusions: VAAFT is an effective and safe procedure for complex anal fistula, even when they have a\u0000post-traumatic origin.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127990918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Omental Infarction: A Review of 3 Cases","authors":"Naveed Abbas, Salman E. Ahmed, S. Kaimkhani","doi":"10.31487/j.ajscr.2020.04.03","DOIUrl":"https://doi.org/10.31487/j.ajscr.2020.04.03","url":null,"abstract":"Omental infarction is an unusual cause of abdominal pain presenting in both adults and children; though it\u0000is rare in both [1, 2]. The difficulty is in the initial diagnosis where it can present in a number of different\u0000ways and may mask an underlying surgical condition [3, 4]. Most cases are managed without surgery,\u0000however; continuing or worsening pain may push a surgical approach. We present 3 cases of omental\u0000infarction, all with characteristic radiological findings. One had accompanying radiological features of acute\u0000appendicitis, another continued abdominal pain and the third with symptoms responding well to analgesia.\u0000The first and second patients required laparoscopic intervention, while the third was managed\u0000conservatively.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125588139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Bahar, Modaresi Mohammadreza, Amiri Shakiba, Najdi Fatemeh, Movahedi Jadid Merisa, Aghabarari Mojtaba, G. Maryam
{"title":"Investigating the Role of Open Lung Biopsy in Diagnosing the Type of Chronic Lung Disease in Children","authors":"A. Bahar, Modaresi Mohammadreza, Amiri Shakiba, Najdi Fatemeh, Movahedi Jadid Merisa, Aghabarari Mojtaba, G. Maryam","doi":"10.31487/j.ajscr.2020.03.09","DOIUrl":"https://doi.org/10.31487/j.ajscr.2020.03.09","url":null,"abstract":"Objective: This study was conducted for the practical use of biopsy in the diagnosis of chronic lung disease\u0000and the guidance of risks and benefits.\u0000Design of Study: We studied 64 children with chronic lung disease who underwent open lung biopsy in 5\u0000years at the Children's Medical Center .\u0000Results: Biopsy results were diagnostic in 57 cases (89.1%) and non-diagnostic in 7 cases (10.9%). The\u0000biopsy determined the type of mass in all cases where a possible diagnosis of lung mass or thoracic wall\u0000was made. In 37 cases (57.8%) the diagnosis was changed and the exact diagnosis was determined. The\u0000main side effects (including pneumothorax, hemothorax, pyothorax, and pleural effusion) were 50% (32\u0000cases), the most common of which were pneumothorax and pleural effusion, with a total of more than 87%\u0000of these major complications. 22 patients (34.4%) required intubation. 24 patients (37.5%) were admitted\u0000to the ICU after surgery. The death occurred in only one case, who was a 3-month-old boy with a disorder\u0000of INR and suffering from acute respiratory distress syndrome. There was no mortality that could be directly\u0000related to surgery.\u0000Conclusion: Open lung biopsy is a gold standard for the histological diagnosis of chronic pulmonary disease\u0000in children and plays an important role in the treatment of children with chronic pulmonary diseases.\u0000However, serious and common side effects of this method should be considered","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130857739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Damage Control Laparotomy for Severe Typhoid Fever: A Case Report","authors":"A. Nuno, Mokhtar Eltair, T. Agarwal","doi":"10.31487/j.ajscr.2020.03.07","DOIUrl":"https://doi.org/10.31487/j.ajscr.2020.03.07","url":null,"abstract":"Persistent intra-abdominal sepsis is a challenging complication of abdominal typhoid with a high mortality\u0000and difficult to manage. Delayed perforations following initial operative intervention is one of the rarer\u0000complications of this disease, causing wound breakdown and open abdomen, resulting in fistula. We\u0000present the management of a rare case, which presented with multiple perforations and multiple organ\u0000system dysfunction then complicated post-operatively with multiple fistula and open abdomen.\u0000","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122534682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Management of Enteroatmospheric Fistula and Floating Ileostomy: Would Eaken Wound Pouch Be the Answer? A Case Report","authors":"A. Sinha, A. Nuno, Mokhtar Eltair","doi":"10.31487/j.ajscr.2020.03.05","DOIUrl":"https://doi.org/10.31487/j.ajscr.2020.03.05","url":null,"abstract":"Enterocutaneous and enteroatmospheric fistulas are the most challenging complications of abdominal sepsis\u0000to deal with a high mortality. This is even more challenging with a stoma in an open abdomen. In the setting\u0000of chronic granulomatous inflammation like abdominal tuberculosis or inflammatory bowel disease,\u0000recovery is prolonged and management involves multidisciplinary care. We present a rare case that was a\u0000complication of tuberculous peritonitis.\u0000","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125186013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gastric Outlet Obstruction: An Unusual Hernia","authors":"Naveed Abbas, S. Kaimkhani","doi":"10.31487/j.ajscr.2020.02.09","DOIUrl":"https://doi.org/10.31487/j.ajscr.2020.02.09","url":null,"abstract":"An 85-year-old male presented to the emergency with recurrent acute vomiting, abdominal distension and\u0000long standing constipation. Background history was significant for a large, incarcerated inguinoscrotal\u0000hernia and congestive cardiac failure. Computed tomography scan showed non-dilated large bowel loops\u0000along with part of the gastric antrum and omentum in the hernial sac. He was managed conservatively with\u0000bowel rest as he refused decompression. He settled well on conservative management and was started on\u0000light diet after 48 hours with progressive upgrading of food to which he showed good tolerance. He also\u0000resumed normal bowel movements during the same time. During his admission he was managed by\u0000Cardiology for congestive cardiac failure. He was discharged home with instructions and education about\u0000findings to both patient and carers and for follow up to discuss possible endoscopy.\u0000","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121202635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Synovial Sarcoma of Vena Cava Inferior in a Child: an Unusual Presentation","authors":"Indr Tamulien, J. Rascon, Martynas Monkevicius","doi":"10.31487/j.ajscr.2020.02.04","DOIUrl":"https://doi.org/10.31487/j.ajscr.2020.02.04","url":null,"abstract":"We present a case of 3-year-old boy with monophasic synovial sarcoma which invaded the right atrium,\u0000encircled vena cava inferior and dislocated femoral arteries. A tumor excision surgery was performed under\u0000deep hypothermic circulatory arrest. The recommended treatment for this type of tumors is radical excision,\u0000but since it was impossible to remove the whole tumor radiotherapy and chemotherapy was initiated. The\u0000patient is followed-up every 6 months and is, 6 years after the surgery, in long-term remission with no signs\u0000of disease progression.\u0000","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125387608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Fotiadou, A. Iliadis, A. Kalakonas, A. Tentes, C. Hristakis, D. Kyziridis
{"title":"Cytoreductive Surgery Combined with Hyperthermic Intraperitoneal Intraoperative Chemotherapy (Hipec) for Recurrent Squamous Cell Carcinoma of the Pancreas","authors":"A. Fotiadou, A. Iliadis, A. Kalakonas, A. Tentes, C. Hristakis, D. Kyziridis","doi":"10.31487/j.ajscr.2020.02.02","DOIUrl":"https://doi.org/10.31487/j.ajscr.2020.02.02","url":null,"abstract":"Background/Aims: Squamous cell carcinoma of the pancreas is a rare entity and its histogenesis is not\u0000adequately understood. Surgical resection is the only potentially curative option. Recurrent local-regionally\u0000pancreatic carcinomas are usually inoperable and are treated with palliative intent. The purpose of the study\u0000is to present the treatment strategy of a recurrent squamous cell pancreatic carcinoma with peritoneal\u0000carcinomatosis.\u0000Case Report: A 49-year-old man with local-regional recurrent squamous cell pancreatic carcinoma\u0000underwent complete (CC-0) cytoreductive surgery (CRS) and hyperthermic intraoperative intraperitoneal\u0000chemotherapy (HIPEC). In a 6-month time he underwent secondary CRS+HIPEC for regional recurrence.\u0000Despite treatment with adjuvant systemic chemotherapy the patient died 12 months after the initial CRS\u0000with osseous metastases.\u0000Conclusions: A reliable prognosis for recurrent squamous cell pancreatic carcinoma is impossible despite\u0000complete cytoreduction in combination with HIPEC and systemic chemotherapy.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124685866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}