Asian Journal of Case Reports in Surgery 2020-09-16T06:41:57+00:00 Asian Journal of Case Reports in Surgery Open Journal Systems <p style="text-align: justify;"><strong>Asian Journal of Case Reports in Surgery</strong> aims to publish case reports related to all aspects of surgery.&nbsp;The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.&nbsp;</p> Gossypiboma - Rare Cause of Rectovaginal Fistula: A Case Report 2020-09-11T05:47:12+00:00 Neeraj Saxena Rohit Chauhan Tayod Kumar Choudhary <p>Gossypiboma is the term used when a surgical sponge is left unknowingly in the patient’s body after a surgical procedure. It is a grave but preventable complication of surgery which can lead to serious medico-legal complications. It may either present early with/without lump formation or may remain asymptomatic for a long time with only vague symptoms. However, gossypiboma leading to the formation of a rectovaginal fistula is extremely rare.</p> <p>We report a case of a 40-year lady who presented with vague pain abdomen and passage of stools and flatus per vagina. She had a history of total abdominal hysterectomy eight months back done at an outside hospital. A computed tomography (CT) revealed a retained surgical sponge and a fistulous tract between the rectum and vagina. Exploratory laparotomy was done at our institution and the surgical sponge was extracted from a mass comprising of distal ileum and sigmoid colon. Bowel continuity was restored with an ileal diversion.</p> 2020-09-11T00:00:00+00:00 ##submission.copyrightStatement## Zone 2 Extensor Tendon Gap Reconstruction: A Case Report 2020-09-16T06:41:57+00:00 Pradeoth Mukundan Korambayil <p>Post traumatic loss of segment of the tendon of extensor expansion Zone 2 level is common in crush injury of the hand. Extensor tendon zone 2 level forms the inherent part in the dynamics of extensor expansion mechanism. When a segmental loss occurs, usually the reconstruction of the tendon is done with autogenous Palmaris longus tendon. In this particular clinical scenario, we found juncturae tendinum between the middle and the ring finger could be used effectively for reconstruction of zone 2 extensor tendon, due to its structural similarity. The outcome following surgery was reasonable. Post operatively hyperbaric oxygen therapy was given to improve the survival of crushed tissue.</p> 2020-09-16T00:00:00+00:00 ##submission.copyrightStatement##