Open Access Case Report

Ileo-colo-rectal Intussusception Secondary of Cecal Lipoma Simulating Strangulated Rectal Prolapse

Fatimazahra Bensardi, Issam Hamrerras, Abdelillah El Bakouri, Khalid El Hattabi, Abdelaziz Fadil

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

Acute intussusception determines a case of severe occlusive. it is a rare clinical entity in adults. It is most often for small bowel, with a difficult clinical diagnosis, but facilitated by imaging assessment, mainly the abdominal computed tomography CT scan, which permits to make the diagnosis and to find the etiology with certainty. The treatment of intestinal intussusception in adults is always surgical, the use of pathophysiology is necessary for diagnostic confirmation; it is usually secondary to a sub mucosal lipoma. We report the case of a patient admitted in our emergency for an ileal-coeco-colo-rectal invagination prolapsed across the anus, which simulated a strangulated rectal prolapse.

Open Access Case Report

Congenital Small Bowel Syndrome

Saeed Al Hindi, Husain Al Aradi, Noor Al Hashimi, Mohamed Mubarak

Asian Journal of Case Reports in Surgery, Page 6-9

Congenital short bowel syndrome (CSBS) is a rare entity of short bowel syndrome, with only 37 cases reported in literature till this date, with numerous reports of its high morbidity and mortality rate.

We present a case of a 7-week-old boy who presented with abdominal distension, recurrent vomiting, and chronic diarrhea. The diagnosis of CSBS was confirmed by exploratory laparotomy, and was suggested by imaging studies of the abdomen and upper gastrointestinal tract. Post-operatively, the patient was started on total parenteral nutrition for a month, but subsequently passed away as a result of disseminated sepsis.

Open Access Case Report

Visceral Leishmaniasis with Breast Involvement in the Pediatric Population

Saeed Al Hindi, Husain Al Aradi, Noor Al Hashimi, Mohamed Mubarak

Asian Journal of Case Reports in Surgery, Page 16-20

Aims: The aim of the paper is to acknowledge the atypical presentation of Visceral Leishmaniasis (VL) and subsequently tailor the management based on the patient’s characteristics and clinical context, while comparing it to standard practice.

Case Presentation: We report a case of VL in a nine-year old Bahraini girl, presenting with a painful breast cyst. Ultrasound guided fine need aspiration of the cysts revealed the leishmania amastigotes. The patient was treated with complete cyst aspiration and received no further treatment. The patient did well, with no signs of recurrence or disease in the follow-up period.

Discussion: The diagnostic gold standard of VL is direct visualization of the protozoans in specimens acquired from tissue biopsies or aspirations, as is the case with our patient. The first line treatment for VL is intravenous pentavalent antimonials, such as as meglumine antimoniate. However, due to the immunocompetent state of our patient and the asymptomatic presentation, the only treatment was therapeutic aspiration of the cyst.

Conclusion: Ultrasound guided aspiration of the cyst, with regular follow up with breast ultrasound, proved to be an effective method of managing visceral leishmaniasis in our patient.

Open Access Case Report

Cervical Spinal Intramedullary Metastasis of Ovarian Adenocarcinoma: A Case Report

B. Soylemez, U. Ozum, R. Egilmez

Asian Journal of Case Reports in Surgery, Page 21-24

Aim: Ovarian cancer metastasis to the spinal cord is extremely rare. To our knowledge, our case is one of only seventh such cases in the literature.

Case: We present the case of cervical spinal intramedullary metastasis of ovarian adenocarcinoma in a 56-year-old woman who presented with neck pain.

The cervical spinal intramedullary lesion was eradicated with C5-C6-C7 total laminectomy              gross under monitorization somatosensorial evoked potential (SEP) and motor evoked potential (MEP).

The follow-up of the patient, who was operated on in 2017, continues, and there have been no recurrences.

Conclusion: To our knowledge, our case is one of the seventh cases of spinal special cervical intramedullary metastasis of ovarian carcinoma and only the fourth cases with no CNS and external CNS metastasis in the literature.

Open Access Case Study

A Case of Retained Guidewire Spontaneous Emerging from Skin Near Right Knee 8 Months after Central Venous Catheterization

Ram Singh Choudhary, Nimish J. Shah, Abhay Audichya, Rajvee Gohil

Asian Journal of Case Reports in Surgery, Page 10-15

Central venous catheterization is a common utensil used to monitor central venous pressure and administer intravenous fluids.

Retained guidewire is a rare but dreaded complication of intravascular interventions. The majority of cases are identified immediately or shortly after the procedure.

In our hospital a case of 22 years old female patient with symptoms of  knee pain and right lower limb swelling with guide wire emerging out just below right knee joint 8 months after central venous catheterization.

With the help of artery forcep guidewire is slowly withdrawn from the protruding site in operation theatre.

Attention and proper guidance to trainee during procedure are required to minimize such complications as this is a completely preventable complication; a hold on tip of wire is maintained during placement.