Othmane Bourouail, A. Rahali, Elmustapha Halim, Abdelkarim Laalou, Aziz Elfadili, Njoumi Noureddine, A. Elhjouji, A. Zentar, A. Aitali
{"title":"An Iatrogenic Hepato-Peritoneal Hydatidosis Revealed at the Stage of Abdominal Cutaneous Fistula: A Case Report","authors":"Othmane Bourouail, A. Rahali, Elmustapha Halim, Abdelkarim Laalou, Aziz Elfadili, Njoumi Noureddine, A. Elhjouji, A. Zentar, A. Aitali","doi":"10.26420/austinsurgcaserep.2023.1058","DOIUrl":"https://doi.org/10.26420/austinsurgcaserep.2023.1058","url":null,"abstract":"Hydatidosis is a parasitic disease caused by the development of the larval form of Echinococcus granulosus, it is a significant public health problem in Morocco due to its frequency and the severity of some of its complications. Hepato-peritoneal hydatidosis is a rare serious condition, with a high risk of recurrence and significant morbidity and mortality. The peritoneal localization is most frequently iatrogenic caused by a previous hydatidosis surgery; the revelation by external abdomino-parietal fistulization makes it more uncommon. The large laparotomy surgery excision is the chosen treatment. Furthermore, to prevent possible recurrence a long-term antiparasitic therapy should be implemented. In our case, it was an intra-abdominal hydatid contamination due to the iatrogenic intraperitoneal rupture of the hepatic hydatidosis. This condition was revealed at the stage of cutaneious abdominal fistulization. The abdominal CT scan showed both positive and topographic diagnosis. our therapeutic strategy associated a large laparotomy surgery and antiparasitic medical treatment. The secondary peritoneal hydatidosis caused by iatrogenic trauma is rare but constitute a serious problem with short free recurrence disease and a high risk of morbi-mortality. This case illustrates the potential complication of hydatid cyst surgery, and the latency of the peritoneal localization.","PeriodicalId":414573,"journal":{"name":"Austin Surgery Case Reports","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139350491","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 Pelvis Hydatid Cyst Disease Presenting with Perforated Peptic Ulcer Symptoms","authors":"T. H., S. K, Haghdoost A, Ghaffari R","doi":"10.26420/austinsurgcaserep.2021.1045","DOIUrl":"https://doi.org/10.26420/austinsurgcaserep.2021.1045","url":null,"abstract":"Introduction/Objective: Hydatid parasitic infection in humans can be caused by the parasite Echinococcus. Hydatid cysts form mainly in the liver and lungs. Cysts can rarely be found in other organs. Hydatid cyst in the pelvis can be secondary to rupture of the hydatid cyst in the spleen or kidneys. Primary pelvic hydatid cysts are very rare. Complications and symptoms of hydatid cyst depend on its location. Surgery is the basis of treatment for hydatid cysts.","PeriodicalId":414573,"journal":{"name":"Austin Surgery Case Reports","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116912180","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":"Multiple Primary Intracranial and Spinal Juvenile Xanthogranuloma: A Case Report","authors":"Almanea Ak, Alqazlan Ms, Bardisi Mm, A. F., A. W.","doi":"10.26420/austinsurgcaserep.2021.1043","DOIUrl":"https://doi.org/10.26420/austinsurgcaserep.2021.1043","url":null,"abstract":"Juvenile Xanthogranuloma (JXG) is a rare histiocytic disorder that belongs to the non-Langerhans cell histiocytosis family. It commonly occurs in the skin of young children, particularly the head and neck region. Occasional cases with extracutaneous involvement have been described. However, involvement of the central nervous system without cutaneous lesions is extremely rare. We present a case of an 11-year-old male child with multiple intracranial and spinal JXGs. At 30 months follow up, after administration of chemotherapy, the patient had passed away. The broad clinical spectrum of JXG and the morphological resemblance to other histiocytic lesions prompt a cautious approach for the diagnosis. Immunohistochemically, those lesions were positive for CD68 and negative for S100 and CD1a. A revised classification for histiocytosis was recently proposed, based on the underlying molecular characteristics. The diagnosis of extracutaneous or disseminated JXG with MAPK-activating mutation or ALK translocations was considered as Erdheim-Chester disease. However, our study did not fit into the proposed classification due to the absence of BRAF-V600E gene mutation and ALK gene rearrangement. Chemotherapy with or without radiotherapy has been suggested as treatment options for unresectable central nervous system lesions.","PeriodicalId":414573,"journal":{"name":"Austin Surgery Case Reports","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133804824","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}
I. Bunjaku, N. Gjonbalaj, B. Lenjani, P. Rashiti, B. Krasniqi, G. Bunjaku, M. Bunjaku
{"title":"Osteochondroma-Cases Presentation","authors":"I. Bunjaku, N. Gjonbalaj, B. Lenjani, P. Rashiti, B. Krasniqi, G. Bunjaku, M. Bunjaku","doi":"10.26420/austinsurgcaserep.2020.1033","DOIUrl":"https://doi.org/10.26420/austinsurgcaserep.2020.1033","url":null,"abstract":"Definition: Developmental osseous anomaly resulting in exophytic outgrowth on surface of bone. Osteochondromas account for about 12% of bone tumors. In morphologic view we separate as pedunculate and sessile form. Clinical are usually painless for a few years, the pain appear when nerves and blood vessels are touched by osseous growth. The diagnosis id done using x-ray, CT, MRI, Ultrasound, angiography, scintigraphy bone scan and histological examination. X-ray is first method of examination and gives us a many information about bone pathology. Later we can evaluate bone pathology with other methods. Conclusion: In this case, we have described a patient 15 year old with pain and limited movements. We used X-ray, CT, MRI, Scintigraphy and histological results for lesion assessment. After these results our patient is operated by orthopedist. In Histopathology department, they take material of surgery and the result was osteochondroma. Finally, we want to say that early diagnosis is very important to except malign transformation or nerves and blood vessels complitations.","PeriodicalId":414573,"journal":{"name":"Austin Surgery Case Reports","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126288817","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":"Pilonedal Fistulae; Three in One Technique for Surgical Management Three Case Reports","authors":"A. Elsaady","doi":"10.26420/AUSTINSURGCASEREP.2019.1028","DOIUrl":"https://doi.org/10.26420/AUSTINSURGCASEREP.2019.1028","url":null,"abstract":"Pilonidal sinus is well-recognized chronic inflammatory condition, mostly in sacrococcygeal area. Pilonedal fistula is a rare variety of pilonidal sinus with extension of the disease to the anal canal. Three cases of pilonidal fistula were reported. Endo-anal ultra sound was done in the three cases. It demonstrated that the disease opened in anal canal at dentate line at 6 th . O`clock. All patients started at sacorcoccygeal area then extended to the anal canal. The connection to the anal canal makes the conservative treatment unreliable in these cases. The management is very challenging because of many factors including; the sphincter, liability of contamination & recurrence, as well as long time for healing and complain from the size of the wound. The study provides three in one technique for better results and less patients suffering. It entails meticulous excision of the fistula and closure of the wound by three different methods; closure in layer proximally, marsupialization in the middle part and left open (fistulotomy) in the distal anal part. The cases reported short time of healing of approximately forty days, good sphincter function and no recurrence. This method of closure seems to be good & promising method in dealing with such special entity but need more case to be evaluated well.","PeriodicalId":414573,"journal":{"name":"Austin Surgery Case Reports","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116809802","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}