Appendiceal Mucocele - A Review of Literature with a Case Report

Abstract Background: Appendiceal mucoceles represent neoplastic and non-neoplastic, dilatated, mucus filled appendix vermiformix. Appendectomy is obligatory due to a possible malignancy. It is crucially important to avoid rupturing of the mucocele because it can result in pseudomyxoma peritonei, with high morbidity and mortality. Case Report: We presented a 52-year-old man with pain and palpable mass in the lower right quadrant of the abdomen. The mucocele was removed without a rupture, and the patient was discharged from the surgical department one day after the surgery without a complication. Discussion: The resection must be done very carefully, because the rupture of a mucocele can cause pseudomyxoma peritonei, a very dangerous and often lethal condition. Due to the concern of rupture, we performed the classical resection through laparotomy. Conclusion: It is very important, especially for young, inexperienced surgeons to be aware of this rare diagnosis and perform a surgical intervention according to the guidelines of good clinical practice.

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Ruptured Emphysematous Liver Abscess: An Unusual Presentation in Kochs

Clinics and Practice ◽

10.3390/clinpract11020029 ◽

2021 ◽

Vol 11 (2) ◽

pp. 200-204

Author(s):

Girish D. Bakhshi ◽

Gurpreet Singh ◽

Jessica Shah ◽

Dinesh Pawar ◽

Srinivas Ram ◽

...

Keyword(s):

Case Report ◽

Liver Abscess ◽

Surgical Intervention ◽

Unusual Presentation ◽

Diabetic Patients ◽

High Morbidity ◽

Review Of Literature ◽

Image Guided ◽

Liver Abscesses ◽

Image Guided Intervention

Gas forming liver abscess (GFLA) though rare is seen in diabetic patients. Rupture of such abscesses usually requires surgical intervention. These cases are associated with high morbidity and mortality due to sepsis. Tuberculous liver abscesses are more often silent in presentation. GFLA formed in the background of a tuberculous liver abscess is rare. We present a case of ruptured GFLA with underlying tuberculous pathology in a normoglycemic patient. The abscess was managed by image guided intervention. A brief case report along with review of literature is presented.

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Post-thymectomy myasthenia gravis: a case report and systematic review of literature

BMJ Case Reports ◽

10.1136/bcr-2021-246005 ◽

2021 ◽

Vol 14 (12) ◽

pp. e246005

Author(s):

Louise Gurowich ◽

Gabriel Yiin ◽

Adam Maxwell ◽

Alexandra Rice

Keyword(s):

Systematic Review ◽

Case Report ◽

Myasthenia Gravis ◽

Early Onset ◽

Late Onset ◽

High Morbidity ◽

Review Of Literature ◽

Prompt Treatment ◽

Autoimmune Condition ◽

Anti Acetylcholine

Myasthenia gravis (MG) is an autoimmune condition affecting the neuromuscular junction characterised by weakness and fatiguability, carrying a high morbidity if treatment is delayed. A clear association with thymoma has led to management with thymectomy as a common practice, but MG presenting post-thymectomy has rarely been reported. We present a case of an 82- year-old woman developing fatigue, ptosis and dysarthria 3 months after thymectomy. After a clinical diagnosis of MG was made, she responded well to prompt treatment with prednisolone and pyridostigmine. Her anti-acetylcholine receptor antibody (anti-AChR) subsequently came back positive. Our systematic review reveals that post-thymectomy MG can be categorised as early-onset or late-onset form with differing aetiology, and demonstrated correlation between preoperative anti-AChR titres and post-thymectomy MG. The postulated mechanisms for post-thymectomy MG centre around long-lasting peripheral autoantibodies. Clinicians should actively look for MG symptoms in thymoma patients and measure anti-AChR preoperatively to aid prognostication.

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Tumoral calcinosis, a diagnostic dilemma: a case report

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20203130 ◽

2020 ◽

Vol 7 (8) ◽

pp. 1286

Author(s):

Javed Altaf ◽

Tajamul Rashid ◽

Musharraf Husain ◽

Mohammad Arif ◽

Manzoor Ahmad

Keyword(s):

Renal Failure ◽

Case Report ◽

Chronic Renal Failure ◽

Soft Tissue ◽

Medical Therapy ◽

Surgical Intervention ◽

Tumoral Calcinosis ◽

Diagnostic Dilemma ◽

Biochemical Assessment ◽

Rare Diagnosis

Tumoral calcinosis is a rare diagnosis characterized by deposition of calcium salts in peri-articular soft tissue regions. It is divided into primary and secondary varieties. The primary tumoral calcinosis is further divided into two types; primary hyperphosphatemic type and primary normophosphatemic type. The secondary variety occurs in association with chronic renal failure. Biochemical assessment and typical radiographic features help in diagnosis. Mainstay of treatment for primary variety is surgical. Secondary variety is mainly treated by medical measures. Surgical intervention is reserved for patients who do not respond to medical therapy.

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Myoepithelial carcinoma or epithelioid sarcoma – A rare diagnosis with poor prognosis. A case report and review of literature

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2018.06.016 ◽

2018 ◽

Vol 49 ◽

pp. 239-243 ◽

Cited By ~ 1

Author(s):

Kristina Khazeni ◽

Hannah LaBove ◽

Breelyn Wilky ◽

Andrew E. Rosenberg ◽

Elizabeth Paulus ◽

...

Keyword(s):

Case Report ◽

Poor Prognosis ◽

Epithelioid Sarcoma ◽

Myoepithelial Carcinoma ◽

Review Of Literature ◽

Rare Diagnosis

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Idiopathic Infected Hydrocele in a Toddler: A Case Report with Review

The Scientific World JOURNAL ◽

10.1100/tsw.2006.371 ◽

2006 ◽

Vol 6 ◽

pp. 2396-2398 ◽

Cited By ~ 2

Author(s):

Jayesh Sagar ◽

Suhas Kumar ◽

D. Mondal ◽

D.K. Shah

Keyword(s):

Case Report ◽

Surgical Intervention ◽

English Literature ◽

Review Of Literature ◽

First Time

Idiopathic infected hydrocele in infants is a rare, but well-documented, entity in English literature; however, occurrence of such a condition in a toddler is not yet documented. Here we report the case of an idiopathic infected hydrocele in a toddler for the first time in English literature. We also discuss a review of literature and demonstrate management of infected hydrocele by antibiotics without any surgical intervention, also for the first time in English literature.

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Pneumoperitoneum, Pneumothorax, and Pneumoretroperitoneum Post Colonoscopy: A Case report and Review of Literature

EMJ Hematology ◽

10.33590/emjgastroenterol/20-00131 ◽

2020 ◽

pp. 102-105

Author(s):

Melissa Kyriakos Saad ◽

Toufic Saber ◽

George Cortas ◽

Elias Saikaly

Keyword(s):

Case Report ◽

Conservative Management ◽

Watchful Waiting ◽

Surgical Intervention ◽

Colonic Perforation ◽

The Other ◽

Review Of Literature ◽

The Real ◽

Other Hand ◽

Real Challenge

Colonic perforation post colonoscopy is rarely seen; however, when coupled with massive pneumoperitoneum in haemodynamically stable patients, a real dilemma for surgeons is created. The decision between watchful waiting versus surgical intervention is the real challenge and while most surgeons will urge for surgical intervention, conservative management on the other hand can be safely applied in selected haemodynamically stable patients.

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Nasal Duplication: A Review of Literature and Case Report

The Cleft Palate-Craniofacial Journal ◽

10.1177/1055665620962674 ◽

2020 ◽

pp. 105566562096267

Author(s):

Chen Shen ◽

Pradip R. Shetye ◽

Roberto L. Flores

Keyword(s):

Case Report ◽

Surgical Intervention ◽

Surgical Reconstruction ◽

Congenital Deformity ◽

Review Of Literature ◽

Aesthetic Outcome ◽

Treatment Protocols ◽

Intervention Patient ◽

Supernumerary Nostril ◽

Presurgical Therapy

Introduction: Nasal duplication is a rare congenital deformity with many subtypes including supernumerary nostril. The challenge of surgical correction is to achieve nasal symmetry and restore nasal airflow. However, there is no defined protocol for treatment, especially with regard to presurgical therapy. Methods: We performed a review of literature of studies reporting on patients with supernumerary nostril to complete this review. We then report on a patient with supernumerary nostril who was treated with nostril expansion therapy prior to surgical intervention. Results: We identified 59 cases of nostril duplication. Because of the rarity of the condition, treatment protocols varied greatly. For our patient, preoperative nasal appliance therapy was implemented for 3 months prior to surgical intervention. Patient was followed-up regularly for 1 year. Discussion: Although literature on nasal duplication is scarce, there is a general agreement that early intervention has psychological, anatomic, and functional benefits to the patient. In our case report, nostril expansion therapy was easy to implement and facilitated surgical reconstruction, resulting in aesthetic outcome and expanded airway 1 year postoperatively.

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