scholarly journals Appendicular and Caecal Fecalith causing Perforation: A Case Report

2020 ◽  
Vol 58 (224) ◽  
Author(s):  
Rojan Adhikari ◽  
Prashant Simkhada ◽  
Deependra Mandal ◽  
Ashok Kunwar ◽  
Saroj Prasad Dhital
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Histological Examination ◽  
Surgical Management ◽  
Conservative Management ◽  
Intestinal Tract ◽  
Inflammatory Lesion ◽  
Caecal Perforation

Fecalith is a concretion of dry compact feces or hard stony mass of faeces in the intestinal tract. Thoughappendicular fecoliths are commonly encountered, caecal fecoliths are rare entities. Fecoliths areamenable to conservative management with laxatives and enemas but surgical management preventsrecurrence. We present a case of 27 years old male who was diagnosed with acute appendicitis withperitonitis. He was intraoperatively diagnosed as gangrenous and perforated retrocaecal appendixwith multiple small fecaliths and a large fecalith on cecum with perforation. Appendectomy andprimary repair of caecal perforation done. Histological examination of perforated margin confirmedas an inflammatory lesion.

scholarly journals Surgical Management of Necrotizing Sialometaplasia of Hard Palate: A Case Report

2020 ◽  
Vol 03 (12) ◽  
Author(s):  
Indu Palanivel ◽  
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Surgical Management ◽  
Conservative Management ◽  
Hard Palate ◽  
Complete Regression ◽  
Self Healing ◽  
Healing Period ◽  
Necrotizing Sialometaplasia

Necrotizing Sialometaplasia is rare and in the oral cavity it accounts <1% of all biopsied lesion. For decades Necrotizing Sialometaplasia were treated by conservative management as it is a self healing lesion. The progressive healing period was reported from 2 weeks to 3 months in the literature. Is necrotizing sialometaplasia a self-limiting disease? Here we report a case of non-healing necrotizing sialometaplasia which was treated by surgical management. Complete regression of the lesion was evident after the surgical management and no recurrence until two years of follow-up.

A Case Report on the Surgical Management of Subhepatic Perforated Appendicitis: A Rare Presentation

2020 ◽  
Author(s):  
Mumin Hakim ◽  
Rania Mostafa ◽  
Mohammed Al Shehri ◽  
Sherif Sharawy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Female Patient ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Atypical Presentation ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Case Presentation

Abstract Background: Subhepatic appendicitis is an exceedingly rare presentation accounting for 0.01% of Acute appendicitis. It is of prime importance to be aware of various variants and thereby managing such challenging cases accordingly.Case presentation: We present a middle-aged female patient with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy.Conclusions: Surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of literature.

scholarly journals Acute appendicitis with four appendicoliths: a first case report in the English literature

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Patrick Lafleche ◽  
Yagan Pillay
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Surgical Management ◽  
English Literature ◽  
Rare Presentation ◽  
First Case ◽  
Asymptomatic Patients

Abstract This is an extremely rare presentation of multiple appendicoliths in one appendix. Multiple appendicoliths as well as appendicoliths larger than 5 mm have been implicated in severe appendicitis as well as perforation and gangrene of the appendix. There is no known correlation with appendicular malignancy. The controversy arises in the surgical management of asymptomatic patients. There is emerging evidence that justifies an elective appendicectomy in asymptomatic patients.

scholarly journals Surgical management of subhepatic perforated appendicitis: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Mumin Hakim ◽  
Rania Mostafa ◽  
Mohammed Al Shehri ◽  
Sherif Sharawy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Atypical Presentation ◽  
Review Of The Literature ◽  
Middle Aged ◽  
Rare Presentation ◽  
Case Presentation

Abstract Background Subhepatic appendicitis is an exceedingly rare presentation, accounting for 0.01% of acute appendicitis cases. It is of prime importance to be aware of variants and manage such challenging cases accordingly. Case presentation We present a case of a middle-aged Saudi woman with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy. Conclusions The initial diagnosis and surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of the literature.

scholarly journals Post COVID-19 invasive mucormycosis and actinomycosis co-infection: a case report

2021 ◽  
Author(s):  
Neha Mishra ◽  
Venkata Sai Shashank Mutya ◽  
Irfan Ibrahim K. ◽  
Girish Rai
Keyword(s):  
Case Report ◽  
Bone Tissue ◽  
Histological Examination ◽  
Surgical Management ◽  
Gold Standard ◽  
Bacterial Culture ◽  
Beta Lactams ◽  
Necrotic Bone ◽  
Sulfur Granules ◽  
Aggressive Debridement

<p>Actinomyces are commensals of human oropharynx and actinomycosis is considered mainly as an endogenous infection that is triggered by a mucosal lesion. Typically, the disease presents as a slowly progressive painless indurated mass evolving into multiple abscesses with draining sinus tracts sometimes expressing a typical yellow exudate with characteristic sulfur granules. The gold standard of diagnosis is histological examination and bacterial culture of the tissue. Most isolates are susceptible to beta lactams and they are the treatment of choice along with surgical management with drainage of abscesses and excision of recalcitrant fibrotic lesions and debridement of necrotic bone tissue. Here we present a case of 37-year-old male patient who has developed severe COVID-19 infection following which he developed invasive mucormycosis followed by actinomycosis. We postulate that the lymphopenia and the use of immunosuppressants used in treatment of COVID-19 lead to mucormycosis and aggressive debridement used as a strategy in treatment of mucormycosis led to colonization of actinomyces leading to cervicofacial actinomycosis.</p>

scholarly journals Conservative management of bronchopulmonary artery perforation without associated haemothorax occurring at thoracentesis: a case report

2010 ◽  
Vol 92 (5) ◽  
pp. e69-e72
Author(s):  
Yao-Tsung Chuang ◽  
Teng-Fu Tsao ◽  
Chun-Hung Su ◽  
Ming-Cheng Lin
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Surgical Management ◽  
Conservative Management ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Arterial Embolisation ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Pulmonary Artery Perforation

Puncture or laceration of the pulmonary, intercostal, or peripheral vessels is an uncommon, but potentially life-threatening, complication of thoracentesis, which has been reported to result in severe haemothorax in 75% of patients. Damage to these vessels typically requires surgical intervention or intra-arterial embolisation. We report the successful non-surgical management of an unusual case of pulmonary artery perforation without concomitant haemothorax in an 82-year-old man who underwent thoracentesis.

Secondary appendicitis in an adult patient with an ascended testicle – case report

2020 ◽  
Vol 99 (8) ◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Hernia Repair ◽  
Adult Patient ◽  
Inguinal Hernia Repair ◽  
Acute Abdomen ◽  
Histological Examination ◽  
Laparoscopic Appendectomy ◽  
Primary Affection

Acute appendicitis is one of the most common acute abdomen cases. Although many causes have been described in literature, it is mostly primary affection of the appendix that leads to acute appendicitis. A 57-year-old patient was admitted to our department displaying all usual signs of acute appendicitis, both clinical and laboratory. During laparoscopic appendectomy, we found the inflammation of the appendix in this case appeared secondary, originating in a structure located nearby the appendix, strongly resembling a testicle. We performed appendectomy and removed the suspected structure altogether. The patient recovered completely within a week. Subsequent histological examination confirmed that the suspected tissue was indeed a retained testicle causing secondary inflammation of the appendix. As we found out later, this condition probably occurred in the patient secondarily in adulthood, most likely due to inguinal hernia repair undergone during childhood.

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