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Annals of Medicine and Surgery

Hannah Samuelson, Giovanni Giannotti, Amy Guralnick
Introduction: Adult intussusception is rare, and 90% are due to a lead point secondary to a pathologic condition. Lymphangioma is an uncommon tumor of the lymphatic system and is rarely found within the small bowel. Small bowel lymphangioma causing intussuception in an adult is a rare occurrence, with three very distinct rare pathologies occurring simultaneously. Case description: A 70-year-old male patient with multiple pre-existing pathologies such as advanced ADPKD, multiple persistent tubulovillous colon polyps and colon cancer in situ, was hospitalized due to rapid weight loss of 20 lbs, hematemesis, and abdominal pain...
October 2018: Annals of Medicine and Surgery
Ahmad Mardani, Hajar Ziaei Hezarjaribi, Mahdi Fakhar, Seyed Naser Emadi, Azadeh Rezaei-Rad, Joseph Butore, Ndayikunda Claudete
The knob-associated histidine-rich protein (KAHRP) is an exported parasite protein and the major component of infected erythrocytes by Plasmodium falciparum . P. falciparum histidine-rich protein-1 (PfHRP-1) is docked by KAHRP, which this interaction plays a significant role in cytoadherence of the malaria protozoan to erythrocytes and pathogenicity. The most polymorphic region of the PfHRP-1 is the C-terminal of decapeptide repeat domain (region III). The main objective of this study was to explore the genetic diversity at the region III of KAHRP in P...
October 2018: Annals of Medicine and Surgery
Anwar Hussain, Fahad Mahmood, Andrew D W Torrance, Helen Clarke, Cordelia Howitt, Robin Dawson
Background: The use of abdominoperineal resection (APR) in the management of low rectal cancer has received criticism over high rates of incomplete resection due to tumour involvement at the circumferential resection margin. Extralevator abdominoperineal resection has been advocated as a means of improving complete resection. However, Extralevator abdominoperineal resection can result in increased cost, morbidity and reduced quality of life.This study aims to assess the histological features and long-term outcomes of patients undergoing standard abdominoperineal resection and discusses the potential role of Extralevator abdominoperineal resection in this cohort...
October 2018: Annals of Medicine and Surgery
Robin Som, Nicky Seymour, Sri G Thrumurthy, Sophia Khattak, Shivani Joshi, Paolo G Sorelli
Introduction: Emergency appendicectomy (EA) is a commonly performed operation, with an increasing number of EAs being performed as day-case. The aim of this study is to establish if there is a need for post-operative follow-up and if this could prevent adverse outcomes. Methods: A retrospective analysis of patients who underwent EA at multiple centres over a six-month period was undertaken. They were contacted by telephone and a standardised questionnaire was used to ascertain post-operative outcomes, including duration of analgesia use, duration before return to normal daily activity (ADLs), surgical site infection rates (SSI) and rates of re-presentation to medical services...
October 2018: Annals of Medicine and Surgery
Shohei Matsubayashi, Ritsu Tsujimoto, Makoto Osaki
Introduction: The most cases of excessive femoral anteversion may be asymptomatic, because the he hip joint is a ball joint. However, when the hip, knee, or ankle joint is in a pathological state, excessive femoral anteversion may not be compensated for and induce symptoms. Case report: A 16-year-old female with achondroplasia. Medullary compression by the odontoid process caused right hemiplegia at 10 months after birth and equinus foot concomitantly developed...
October 2018: Annals of Medicine and Surgery
Tika Ram Bhandari, Sudha Shahi, Naveen Mahaseth
Longterm indwelling urethral catheter can cause several complications such as lower urinary tract infections, tissue damage, pain, hemorrhage and encrustation of catheter leading to blockage. A 55- year old male presented with suprapubic pain for three months owing to poorly draining Foley catheter. He had undergone surgery for bladder calculi two and half a years back. He had been discharged with Foley catheter. He did not show up at the hospital for two and half years. The catheter was never changed during this period...
October 2018: Annals of Medicine and Surgery
Giulio Illuminati, Bruno Perotti, Giulia Pizzardi, Rocco Pasqua, Gianpaolo Prezioso, Monica Schiratti, Alberto Angelici
Introduction: Adenocarcinoma of the cardia synchronous with other intraabdominal neoplasms is very rare. We report the case of a Siewert type II adenocarcinoma of the cardia synchronous with an adenocarcinoma of the sigmoid both treated simultaneously by transjatal oesophago-gastrectomy and anterior resection of the sigmoid. Case report: A 62 year-old male was admitted for a progressing dysphagia and weight loss. Oesophago-gastric fibroscopy detected an adenocarcinoma of the cardia extending to the distal 2 cm of the esophagus (Siewert typeII)...
October 2018: Annals of Medicine and Surgery
Loay M AlJaberi, Alaa Eddin K Salameh, Raha M Almarzooqi, Mohammed F Emar, Rafiq Salhab
Introduction: Appendiceal injuries following a blunt abdominal trauma are rare. Upon literature review, several cases have been reported to develop appendicitis following blunt abdominal trauma, but total transection of the appendix is extremely rare. Case presentation: Our case involves a 24-year-old male restrained driver who was involved in a motor vehicle accident. He had bruising corresponding to the pattern of the seatbelt, the 'seatbelt sign', on admission...
October 2018: Annals of Medicine and Surgery
S Ray, N N Mehta, A Golhar, S Nundy
Post hepatectomy liver failure (PHLF) comprises of a conundrum of symptoms and signs following major hepatic resections. The pathophysiology essentially revolves around disruption of the normal hepatocyte regeneration and disturbed liver homeostasis. Prompt identification of the pre-operative predictors of PHLF in the form of biochemical parameters and imaging features are of paramount importance for any hepatic surgeon and forms the cornerstone of its management. Treatment revolves around a goal-directed resuscitation of the systemic organ failure...
October 2018: Annals of Medicine and Surgery
Toshikatsu Nitta, Jun Kataoka, Masato Ohta, Kensuke Fujii, Yuko Takashima, Yoshihiro Inoue, Takashi Ishibashi
Purpose: This paper presents an overview of the surgical strategy for patients with suspected gallbladder carcinoma (GBC), including incidental GBC cases, preoperatively or intraoperatively, as well as their outcomes. Methods: Between April 2009 and December 2017, 529 patients underwent cholecystectomy for gallbladder disease at our hospital. Both intraoperative and postoperative histological examinations of the excised gallbladder facilitated the diagnosis of GBC...
September 2018: Annals of Medicine and Surgery
Habib Noorbhai, Aslam Noorbhai
The medical and surgical professions have dominated the health sciences for the past few centuries. As these disciplines evolve with practice, new methods, research, and the cost implications for both the healthcare practitioner and patient have increased substantially. The practice of medicine and other health science occupations have also evolved over the years due to the escalation of various diseases and mortality rates. It is however common knowledge that inadequate lifestyles coupled with a lack of movement; inadequate diet and mindsets have contributed to this debilitating epidemic we are currently plagued with...
September 2018: Annals of Medicine and Surgery
Luciano Zogbi, Carla Vitola Gonçalves, Victor Felipe Tejada, Daiane Martins, Fabine Karam, Sílvia Machado Dos Santos, Roberta Raseira Caldeira, Gisele Zanetti Senhorin, Susi Lauz
Introduction: Malignant ovarian germ cell tumors (MOGCTs) are rare malignancies with an incidence of about 0.5/100,000. They account for less than 5% of all ovarian tumors, of which 32.8% are dysgerminomas, the female analogue of seminomas. These tumors occur in all age groups, with peak incidence below the age of 20 years in women. Aim: To describe the case of a bilateral ovarian dysgerminoma treatment with 11-year follow-up. Methods: Case report with details regarding clinical history, surgical treatment, chemotherapy and follow up...
September 2018: Annals of Medicine and Surgery
Edoardo Guida, Enrica Verzotti, Daniela Codrich, Federica Pederiva, Massimo Di Grazia, Jurgen Schleef
Introduction: A fast surgical treatment is the gold standard when a testicular torsion is diagnosed.However, an early diagnosis of torsion may not be feasible in case of torsion associated with undescended testis in the patients affected by cerebropalsy. Case presentation: A Bolivian 16 year old male with acquired cerebropalsy and spastic neuromuscular disease was admitted to our Institute for a right inguinal swelling observed by the father in the morning. Indeed, the father had reported that the swelling had may be started two days before without pain or any other symptoms apparently...
September 2018: Annals of Medicine and Surgery
Phong Jhiew Khoo, Ken Leong Tay, Atiqah Al-Aqilah Jamaluddin, Durkahshinii Gunasaker
Introduction: We present a case of broken peripheral intravenous catheter/cannula (PIVC), a well-known, underreported complication of PIVC placement. The fractured cannula could have resulted in intravascular foreign body retention, which is usually iatrogenic. Presentation of case: In this case, we conceded that both iatrogenic and self-infliction were culpable. The intoxicated, aggressive patient forcefully removed the inserted cannula after repeated attempts by medical personnel to place it...
September 2018: Annals of Medicine and Surgery
Derrick Acheampong, Shanice Guerrier, Valentina Lavarias, David Pechman, Christopher Mills, William Inabnet, I Michael Leitman
Background: Unplanned postoperative reintubation (UPR) is a marker for severe adverse outcomes following general and vascular surgery. Study design: A retrospective analysis of 8809 adult patients, aged 18 years and older, who underwent major general and vascular surgery at a large single-center urban hospital was conducted from January 2013 to September 2016. Patients were grouped into those who experienced UPR and those who did not. Univariate and multivariate regression analyses were used to identify predictors of UPR, and association of UPR with adverse postoperative outcomes...
September 2018: Annals of Medicine and Surgery
Alessandro Rabufetti, Marcello Augello, Alexander Husner, Georges Ghazal, Christoph Sebastian Leiggener
Introduction: Orocutaneous fistulae of dental origin are uncommon but well documented in the literature. This condition is often misdiagnosed because of the multiplicity of manifestations and the atypically presentation of the condition. Dental symptoms are rare. This makes diagnosis and treatment a challenging process. Presentation of a case: A 67-year-old patient presented in the emergency room with an abscess in the parotid area. After incision and drainage the patient developed a non-healing fistula in the region of the parotid...
September 2018: Annals of Medicine and Surgery
Nawaf Sulaiman Alogayyel, Mohamed Dhafer Aldawodi, Bandar Ahmed, Ayman H Jawadi
Introduction: Shoulder dislocation is the most common type of all joints dislocations. It occurs when there is separation in the glenohumeral joint. Posterior dislocation accounts for less than 4% of all shoulder dislocations. In fact, it is misdiagnosed in 60-79% of the patients in the initial presentation. In children a posterior shoulder dislocation is usually caused by a congenital anomaly or in those who have ligamentous laxity. Traumatic posterior shoulder dislocation without fracture of the proximal humeral epiphysis in children is very rare, and only few cases have been reported...
September 2018: Annals of Medicine and Surgery
Sara Shahrestani, Hanh Minh Tran, Henry C Pleass, Wayne J Hawthorne
Background: Immunosuppression in transplant patients increases the risk of wound complications. However, an optimal surgical approach to kidney and pancreas transplantation can minimise this risk. Materials and methods: We performed a systematic review and meta-analysis to examine factors contributing to incisional hernia formation in kidney and pancreas transplant recipients. Bias appraisal of studies was conducted via the Newcastle-Ottawa scale. We considered recipient factors, surgical methods, and complications of repair...
September 2018: Annals of Medicine and Surgery
Derrick Acheampong, Shanice Guerrier, Valentina Lavarias, David Pechman, Christopher Mills, William Inabnet, Percy Boateng, I Michael Leitman
Background: Cardiac events (CE) following surgery have been associated with morbidity and mortality. Defining risk factors that contribute to CE is essential to improve surgical outcomes. Study design: This was a retrospective study at a large urban teaching hospital for surgery performed from 2013 to 2015. Adult patients (≥18 years) that underwent general and vascular surgery were analyzed. Patients were grouped into those who experienced postoperative CE and those who did not...
September 2018: Annals of Medicine and Surgery
Sepher Lalezari, Courtney R Hanak, Thomas Husted
Introduction: Hiatal hernia is rare after transhiatal esophagectomy occurring in less than 2% of patients [5]. Due to the rare incidence of hiatal hernias after transhiatal esophagectomy overlooking this differential in a symptomatic patient can be problematic. Patients can presents with recurrent pneumonia, complaints of reflux, and in the case presented small bowel obstructions. Surgery has been the mainstay of treatment for symptomatic hiatal hernias. This case report poses that nonoperative management is a viable treatment option for patients with complicated hiatal hernias after transhiatal esophagectomy...
September 2018: Annals of Medicine and Surgery
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