Open Access Case Report

The Ectopic Accessory Thyroid: About A Case

Taoufik Elabbassi, Amine Bachar, Mohamed Ouchane, Mohamed Rachid Lefriyekh

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

The Thyroid ectopic is a rare embryologic malformation that is defined by the presence of thyroid tissue outside of its normal position, the accessory thyroid with a thyroid gland in place is exceptional.

We report a case of an elderly patient operated on for a heteromultinodular goitre with the incidental per-operative discovery of an ectopic accessory thyroid nodule in the anterior mediastinum.

Open Access Case Study

Unusual Cause of Colonic Occlusion: Large, Twisted Ovarian Cyst Compressing the Sigmoid Colon

Abdelilah Elbakouri, Amine Bachar, Abdessamad Elazhary, Khalid Elhattabi, Fatimazahra Bensardi, Abdelaziz Fadil

Asian Journal of Case Reports in Surgery, Page 5-8

Bowel obstruction is a common complication of advanced ovarian cancer and is rarely described in benign cystic lesions. We report a case of colon obstruction secondary to torsion of a large benign ovarian cyst.

Case presentation: A 25-year-old woman without antecedents was admitted to hospital for sigmoid colon occlusive syndrome. A CT scan revealed a large cyst probably of ovarian origin, resulting in compression of the sigmoid colon. After conditioning, we performed an exploratory laparotomy, revealing a twisted and necrotic right ovarian cyst compressing the recto-sigmoid hinge with its root. A straight adnexectomy was made, the histological findings confirmed the presence of a benign functional ovarian cyst. The hospital stay was uneventful and the symptoms of bowel obstruction were resolved immediately. Torsion of an ovarian cyst is not described as a cause of colon obstruction so far in the medical literature.

Open Access Case Study

Rare and Unusual Presentation of a Hydatid Cyst: A Case Report

Abdelilah Elbakouri, Amine Bachar, Ahmed Ballati, Khalid Elhattabi, Fatimazahra Bensardi, Abdelaziz Fadil

Asian Journal of Case Reports in Surgery, Page 9-14

Hydatid cyst is a parasitic disease that is widespread in different parts of the world. It affected both sexes equally and was more seen in young persons. The liver and lung are the organs most affected by the parasite. Cardiac localization is rare but severe. A pericardial location without cardiac damage is exceptional. Echocardiography is a preferred and efficient modality for the diagnosis of cardiac hydatidosis, it was the initial modality for the diagnosis in all patients. Serologic tests are a helpful supplement but false-negative results were possible. Surgical excision was performed in the vast majority of cases. Albendazole was used for preoperative sterilization and post operative period up to six months to prevent recurrence. We report the observation of a patient with a hydatid cyst with ruptured hepatic localization in the pericardium revealed by a pericardial effusion syndrome.

Presentation of the Case: A 25-year-old patient with no previous history, admitted with progressive pericardial effusion syndrome with palpation of an epigastric mass. The chest X-ray showed cardiomegaly, the thoracoabdominal CT scan showed a hydatid cyst of the left lobe of the liver probably ruptured in the pericardium. The ECG showed a micro-voltage and the echo heart rate indicated a pericardial effusion of medium abundance. Hydatid serology was positive. The patient had a hydatid cyst dome resection of the left lobe with drainage and emptying of the pericardium. Patient died in a board of septic shock. The pericardial localization of hydatid cyst without cardiac involvement is exceptional and potentially fatal.

Open Access Case Study

Isolated Congenital Lip Sinuses Mimicking Vermillion Cleft of the Lower Lip: Report of a Rare Case and Review of Management Strategies

Sneha Pendem

Asian Journal of Case Reports in Surgery, Page 15-18

Isolated congenital lip sinus (ICLS) is one of the rarest congenital deformities seldom reported in the literature. The clinical presentation is extremely variable ranging from isolated single lip pit in the midline to deep sinuses, rarely presenting as fistulous tracts opening into the lower lip or alveolus.  The management often includes surgical excision but may be associated with secondary aesthetic deformities that may range from obvious scars to mucous retention cysts. The aim of this paper is to report one such case of ICLS and discuss in detail best management strategy and also describe their prognostic significance.

Open Access Case Study

Voluminous Pseudomyxoma of the Thigh Secondary to a Mucinous Tumor of the Appendix

B. Daif, A. Elkarouachi, R. Boufettal, S. R. El Jai, D. Erguibi, F. Chehab, M. Nabih, M. Fadili

Asian Journal of Case Reports in Surgery, Page 19-24

A 55 year old woman came to our structure for a swelling of the anterior-internal side of the right thighthat has been evolving for 5 years; creating a taut, firm and slightly painful arch. Soft tissue MRI and abdominal CT scan showed an oblong lesion extending from the right flank to the middle third of the right thigh, the lesion is well limited lobulated with liquid signal. It is extended between the abdomen and the right thigh via the right Psoas and Pectine muscles to infiltrate the anteromedial aspect of the right thigh between the adductors while remaining peripheral, the vascular axes are free. A diagnosis of Pseudomyxoma retroperitonei, probably of appendicular origin, was suspected. An exploratory laparotomy with right hemicolectomy and evacuation of retroperitoneal gelatinous ascites and evacuation of the thigh collection through an incision on the inner side. Pathological examination confirmed the diagnosis of an appendicular mucinous tumour with retroperitoneal pseudomyxoma.