Asian Journal of Case Reports in Surgery <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> Asian Journal of Case Reports in Surgery en-US Asian Journal of Case Reports in Surgery Taenia Saginata: The Solitary Enemy <p>We report the case of a 62-year-old female patient with no medical or surgical history, admitted for gastric adenocarcinoma. Its extension assessment was negative. She received 3 pre-operative chemotherapy courses and sent for total gastrectomy. Surgical exploration revealed a resectable gastric tumor without hepatic metastasis or peritoneal carcinosis. The enterotomy for restore continuity objectified the fortuitous discovery of a parasite type tænia saginata in the small bowel (Fig. 1). The patient was applied on praziquantel at a dose of 10 mg/kg.</p> <p>Tapeworms are flatworms that can live as parasites in the human gastrointestinal tract. Taenia saginata are the intestinal solitary tapeworms for which humans are the only definitive hosts. She is found in many areas worldwide, but is most common in areas where consumption of undercooked beef is high.&nbsp; Most people colonized with adult T. saginata are asymptomatic; those with symptoms complain of mild abdominal discomfort, loss of appetite, or change in stool pat-tern. Occasionally segments can enter the appendix, common bile duct, or pancreatic duct and cause obstruction. The length of adult worm is usually 5 m; however, it may reach up to 25 m.</p> <p>Taenia infection usually is diagnosed by identifying eggs or proglottids in the stool and cellophane- tape swab to detect eggs as early as about three months after infection. Eosinophilia and elevation of serum IgE may be present. Serological tests are not routinely performed. PCR based methods, providing definite diagnosis and species discrimination. The most complications of taeniasis are including abdominal pain, obstruction, inflammation, and perforation of small bowel, appendix, and colon. The treatment is medical by antiparasitic (or dewormers) praziquantel type.</p> Amine Bachar Taoufik Elabbassi Harouna Bonkoukou Abdoulaye Mohamed Rachid Lefriyekh ##submission.copyrightStatement## 2020-10-20 2020-10-20 1 3 Isolated Complete Cervical Tracheal Transection in Penetrating Neck Injury: A Unique Case <p>Isolated penetrating neck injuries involving cervical trachea are rare. Cervical tracheal transection is life-threatening and may result in immediate death due to asphyxiation. Early recognition and maintenance of the airway followed by definitive repair are essential for survival. We report a 28-year-old male who presented to the emergency department with a penetrating neck injury. He was dyspneic and cyanosed with neck swelling. Air was gushing from the wound. He was immediately shifted to the operating room. Neck wound exploration revealed complete tracheal transection. The distal trachea was identified and controlled with stay sutures. The endotracheal tube was advanced into the distal trachea through an oral route across the 3 cm gap at the level of the suprasternal notch. Crossfield ventilation was achieved to first repair the posterior layer and then the anterior layer after establishing the airway through the oral cavity. End to end anastomosis was achieved with interrupted 3/0 vicryl. The postoperative course was uneventful and the patient was discharged on the 10th day after bronchoscopy.</p> Misauq Mazcuri Usama T. Ahmad Pratikshya Thapaliya Ambreen Abid Nazish Sikander Tanveer Ahmad ##submission.copyrightStatement## 2020-10-20 2020-10-20 4 9 A Strangulated Right Inguinal Hernia Containing the Transverse Colon: An Unusual Case Report <p>A strangulated inguinal hernia is a common diagnosis in patients presenting with a painful groin mass. The sac of inguinal hernia mostly contains omentum or the small bowel. However, It may sometime contain an unusual content that affects surgical management. This is a rare case of strangulated right inguinal hernia containing the transverse colon and its surgical management.</p> Abdulaziz Aldhafar Adel Mohammed Mufeed Alwabari Raghad Aldhafar ##submission.copyrightStatement## 2020-10-24 2020-10-24 10 13 Rare Case of Accidental Ingestion of Tooth Brush: Endoscopic Retrieval <p>Foreign body accidental ingestion of size 20 cm in length in a sane person is a rare phenomenon. We are here presenting a case of 50 year old male patient with accidental ingestion of toothbrush and its endoscopic retrieval with the help of polypectomy snare.</p> Basvaraj Teli Jyoti Taneja ##submission.copyrightStatement## 2020-11-23 2020-11-23 36 39 Pancreatitis Secondary to Primary Hyperparathyroidism Complicating Pregnancy <p><strong>Aim:</strong> To highlight the need for definitive surgical management of a parathyroid adenoma when associated with pancreatitis during pregnancy.</p> <p><strong>Case Description:</strong> 24 year old primi at 28 weeks gestation presented with acute severe pancreatitis which was diagnosed to be secondary to primary hyperparathyroidism. She was first managed medically with calcitonin and then followed by parathyroidectomy during her 31<sup>st</sup> week. She developed pre-eclampsia in spite of parathyroidectomy. The mother and neonate did not suffer any significant morbidity.</p> <p><strong>Discussion:</strong> There is a dearth of information in treating complicated hyperparathyroidism in pregnancy owing to the rarity of such a presentation. There needs to be a consensus regarding its management as most cases reported have significant morbidity and mortality. Medical treatment does not seem to improve this significantly. Advances in surgical methods and the safety of anaesthesia have made surgical management more effective in these antenatal cases.</p> <p><strong>Conclusion:</strong> Pancreatitis secondary to hyperparathyroidism during pregnancy should be treated with surgery and medical management restricted to tide over the acute phase of the disease process.</p> Jithin Jagan Sebastian Alfie J. Kavalakat Sunil K. Menon M. V. Suresh M. K. Aneesh ##submission.copyrightStatement## 2020-11-27 2020-11-27 46 51 Therapeutic Aspect of Foramen Magnum Meningioma an Experience of Sub-Saharan Africa, about One Case and Review of the Literature <p>Meningiomas of the foramen magnum (MFM) are a neurosurgical challenge due to their central and deep location and also their close relationship with the vital vasculonerveous structures that pass through the occipital hole. We report a case of a 62 year old patient complaining about spastic hemiparesis, in whom the clinical exam and Magnetic Resonance Imaging concluded with foramen magnum’s meningioma which presented a therapeutic challenge for us.</p> A. Diop M. Malangu I. Tine S. Diouf B. Lounceny Fatoumata C. Mualaba ##submission.copyrightStatement## 2020-11-30 2020-11-30 52 56 Retained Rectal Foreign Body: A Case Report <p><strong>Background: </strong>Rectal foreign body is not an uncommon presentation in the surgical emergency. Its incidence is increasing especially in the Asian urban population. Patients are embarrassed and reluctant to seek medical care thereby delaying management. They have a varied presentation and depending on the size, position of the foreign object and whether there is rectal perforation or not, different approaches may be chosen to remove it.</p> <p><strong>Case Presentation: </strong>Here, we present a young Indian urban male who came to the emergency with complaints of inability to remove a foreign body that he inserted per rectally. Abdominal x-ray did not reveal a foreign body. Non-Contrast Enhanced Computed Tomography (NCCT) showed a foreign body in the rectum and sigmoid colon. Manual removal via proctoscopy and sigmoidoscopy failed. The patient underwent laparotomy, colostomy and removal of the foreign body with subsequent primary repair of the colotomy. Patient was symptomatically relieved and followed up with abdominal x-ray which showed no air under diaphragm. Patient was discharged on post-operative day-8 &nbsp;(POD-8).</p> <p><strong>Conclusion: </strong>A careful history and physical examination with a high index suspicion of perforation is necessary. A creative approach to removal and appropriate short term follow-up to detect delayed perforation are important in a case of retained rectal foreign body.</p> Viraj Panda Faiz Manzar Ansari ##submission.copyrightStatement## 2020-11-04 2020-11-04 14 21 A Congenital Fronto-ethmoidal Encephalocele in a Female: A Case Report <p>Encephalocele is defined as the protrusion of cranial contents beyond the normal confines of the skull. They may contain meninges (meningocele), brain tissue, and meninges (meningoence-phalocele), or they may communicate with the ventricles (meningoencephalocystocele). We report the case of 39 years old patient with congenital frontoethmoidal encephalocele. Through trans-facial approach resection of nonfunctional brain tissue was performed then the dural defect was repaired. The nasal deformity was corrected using the cement to provide dorsal nasal support from the nasal bones, the orbit's inner walls, to the lateral nasal cartilage. The absence of recurrence marked the patient's follow-up. This case is presented for its rarity.</p> Ouassime Kerdoud Abd El Hamid Jehri Faiçal Slimani Abdessamad Naja ##submission.copyrightStatement## 2020-11-20 2020-11-20 22 27 Neurofibroma Arising in Ectopic Breast Tissue: A Unique Case Report <p>Neurofibromas are benign nerve sheath tumours which occur in the dermis or subcutis with a variable distribution on the body surface. Accessory breast tissue results from incomplete involution of the embryologic mammary ridge. We report a case of a 63-year postmenopausal multiparous woman who presented to our department with a lump in the lower left abdominal quadrant near a supernumerary nipple. An abdominal ultrasound confirmed the presence of a 20mm mass and describes it as a hypo-anechoic neoformation below the accessory nipple in the context of likely breast parenchyma. A large local excision of the lesion was therefore planned. A final histologic diagnosis of neurofibroma arising in accessory breast tissue was made. This case report describes for the first time a case of a neurofibroma arising on ectopic breast tissue.</p> Cammarata Roberto Cammarata Antonio ##submission.copyrightStatement## 2020-11-21 2020-11-21 28 35 Unilateral Condylar Hyperplasia in a Male: A Case Report <p>Mandibular condylar hyperplasia (MHC) is defined as an overgrowth of the mandibular condyle resulting in facial asymmetry and occlusal alterations. It is manifested by pain and temporomandibular dysfunction. When it remains active, the asymmetry and occlusal alterations remain progressive. The etiology of condylar hyperplasia remains uncertain. Elevated condylectomy, joint disc replacement, and orthognathic surgery are surgical methods used to correct and process condylar hyperplasia. We report the case of a 19-year-old man who complained of pain in the right preauricular region. The pain has lasted for about one year, and there was no history of trauma; A diagnosis of mandibular condylar hyperplasia was conducted and treated by superior condylectomy. This case is presented for its rarity.</p> Ouassime Kerdoud Faiçal Slimani ##submission.copyrightStatement## 2020-11-27 2020-11-27 40 45 Nonobstructing Nonrefluxing Congenital Left Giant Megaureter with Ipsilateral Renal Dysplasia in a 6-year-old Male Child: A Case Report and Literature Review <p><strong>Background: </strong>A 6-year-old male child was admitted for lower abdominal mass. USG (Abdomen and pelvis), MCUG, CT-IVP, and MR – Urography diagnosed a left sided nonobstructing and non-refluxing, congenital giant megaureter (CGM) with left renal dysplasia. DTPA scan was suggestive of no visually and quantitatively appreciable function seen in left kidney. At surgery, dilated tortuous left megaureter and small left kidney was found. Left nephroureterectomy was done.</p> <p><strong>Conclusion: </strong>CGM is a rare condition. The physical examination and radioimaging are essential for the diagnosis of CGM. The appropriate treatment methods should be based on patient’s specific condition and investigations.</p> D. K. Shah Kamlesh Soni Krupal M. Patel Shreyansh Patel Renish Padshala Shivani Chaudhary ##submission.copyrightStatement## 2020-11-30 2020-11-30 57 61