Open Access Case Report

Neonatal Urinary Outflow Obstruction Requiring Early Circumcision

Durodola Adewumi Ojeniyi, Adeleke Olumide, Alao Michael Abel, Amole Isaac Olusayo, Adesina Adesope

Asian Journal of Case Reports in Surgery, Page 1-5

Aim: To report a rare case of neonatal urinary outflow obstruction warranting early circumcision.

Presentation of Case: We are reporting a case of 36 hour old term male neonate who had early circumcision done on account of acute urinary retention secondary to urinary outflow obstruction.

Discussion: Acute urinary retention from prepucial obstruction is rather a rare entity in neonates. Similarly, circumcision is usually performed within the first several days of life to ensure that the infant is stable.

Conclusion: In cases of reversible urinary obstruction, because the degree and duration of obstruction are the chief determinants of renal dysfunction, early recognition and treatment are the keys to preventing renal loss.

Open Access Case Study

Intramuscular Abdominal Wall Endometriosis away from Caesarean Scar; A Diagnostic Dilemma for Surgeons

Jitendra Kumar Saroj, Britika Prakash, Ajay Kumar Sharma, Hemlata .

Asian Journal of Case Reports in Surgery, Page 1-4

Abdominal wall endometriosis is a very rare disease that usually develops in previous scar from caesarean section normally confined in subcutaneous fatty tissue. Intramuscular abdominal wall endometriosis involves rectus sheath or muscle. In this case abdominal wall endometriosis was intramuscular or musculoperitoneal and “away from previous scar” which created a diagnostic dilemma for surgeon both clinically and radiologically. Fine Needle Aspiration Cytology was not much useful in this case. Due to this diagnostic dilemma, surgeon performed wide surgical excision in this case.

Open Access Case Study

Management of Scrotal Hernia in 6 and 9 Months Old Oudah Rams: A Case Report

Nura Abubakar, Hassan Abubakar Bodinga, Shehu Sidi, A. S. Yakubu, A. A. Abubakar

Asian Journal of Case Reports in Surgery, Page 1-6

Aims: To describe the scrotal hernia in 6 and 9 months old rams and their management case.

Presentation: A 6 and 9months old oudah rams were presented to the large animal unit of the Veterinary Teaching Hospital (VTH), Usmanu Danfodiyo University Sokoto, with the complaint of testicular swelling. The cause of swelling was not certain but one of the rams (9 months old) was initially taken to “non-veterinarian”.  Attempt to correct the hernia by the non-veterinarian failed. The animal was then presented to the hospital. Scrotal hernia was diagnosed on examination and herniorrhaphy was carried out to correct the defect. The animals were hospitalized for postsurgical care management and daily assessment revealed progressive healing of the surgical site until sutures were removed. Animals were discharged 10 days after the surgery and no evidence of recurrence.

Conclusion: This article presents the successful surgical management of scrotal hernia in 6 and 9 months old oudah rams.

Open Access Case Study

Juvenile Nasopharyngeal Angiofibroma: Management Challenges in a Tertiary Health Institution in Sokoto, Northwestern Nigeria

Stanley Baba Amutta, Mohammed Abdullahi, Daniel Aliyu, Kufre Robert Iseh, Sufiyanu Umar Yabo, Joshua Chukwuemeka Okoro, Kabiru Abdullahi, Umar Mohammed

Asian Journal of Case Reports in Surgery, Page 1-8

Aims: To highlight the diagnostic and therapeutic challenges in the management of the patient.

Background: Juvenile nasopharyngeal angiofibroma is a rare, benign, and vascular tumour that occurs almost exclusively in male teenagers. The tumour usually originate in the posterior nasal cavity around the sphenopalatine foramen and nasopharynx. It is characterized by spontaneous, recurrent and life-threatening epistaxis, nasal and nasopharyngeal mass. Also, it is non-infiltrating but could spread into soft tissues, foramina, orbit, intracranial, and regress at secondary sexual maturity. We report a case of a 13-year-old boy with Juvenile nasopharyngeal angiofibroma complicated by upper airway obstruction and highlighted the diagnostic and therapeutic challenges in his management.

Case Report: A 13-year-old Fulani teenager, presented with a one-year history of progressive bilateral nasal blockage, three months history of growth in the mouth, dysphagia, mouth breathing and epistaxis. Physical examination revealed a young boy in apparent respiratory distress, muffled voice, mouth breathing with rhinolalia clausa. Pinkish mass filled the right nasal cavity and nasopharynx. Computerized tomographic scan imaging showed a huge enhancing hyperdense mass occupying the nasopharyngeal, right nasal cavity and oropharyngeal airway. Had excision biopsy via combined lateral rhinotomy and transoral approaches under general anaesthesia. Histopathological studies confirmed the diagnosis of juvenile nasopharyngeal angiofibroma.

Conclusion: The patient had good result with invasive surgical intervention, despite, non-accessibility of CT angiography and embolization.

Open Access Case Study

Stroke Secondary to a Parapharyngeal Pleomorphic Adenoma – Case Report

Peter Appiah-Thompson, Nana Andoh Hanson, Juliana Kwakye Arthur, Grace Amoo-Quaye, Theophilus Adjeso

Asian Journal of Case Reports in Surgery, Page 1-5

Aims: Parapharyngeal Space (PPS) tumours are rare and may present as painless masses only becoming evident because of their mass effect. The diagnosis is more difficult when they do not present with any obvious clinical features. This case report seeks to highlight this type of tumour and the possibility of transoral resection when the lesion is small.

Presentation of Case: We present the case of a parapharyngeal tumour whose mass effect led to a cerebrovascular accident. The lesion was excised piecemeal transorally and the patient is now walking with an improved quality of life. Repeat CT scan showed a normal brain parenchyma and neck.

Discussion: PPS tumours can lead to many consequences thus a high index of suspicion is needed to diagnose and treat them. The type and location of the tumour should guide the type of approach employed.

Conclusion: PPS tumours of the prestyloid area of small size may be excised transorally by gentle and careful dissection.