Idiopathic fistula between the Gastric tube and the trachea after Laryngo-pharyngo-esophagectomy (LPO) for Carcinoma post cricoid has not been reported in the literature so far. This is the first time we report one such case and its successful repair using Pectoralis Major Muscle Flap (PMMF) and Delto-Pectoral Flap (DPF). The surgical procedure is explained in detail and the various management strategies were discussed.
Amyand's hernia (AH) is an atypical and rare hernia, defined by the incarceration of an appendix, inflamed or not, in a hernial opening of the abdominal wall. Amyand's hernia is a rare disease. Here we present a case of Amyand's hernia and report the clinical presentation, management and compare it to the literature. Knowledge of this rare pathology is essential in order to allow a preoperative diagnosis and rapid and adequate treatment.
Aims: Breakage of the needle while suturing intra-operatively is an uncommon event. The present report concerns a case presented with intra abdominal foreign body (broken curved surgical needle during tubal ligation) which was removed successfully within two hours. Sharing information like this would help to improve the prompt response to such untoward situations.
Presentation of Case: 26 years old female presented with history of Retained Foreign Body (broken needle) when she was undergoing tubal ligation in a primary health centre. The broken needle was found retrieved from the anterior rectus sheath under C-arm guidance within 2 hours with no injuries noted.
Discussion: Surgical sponge is the most common type of retained foreign body followed by other types of gauze, various plastic items/tubing, surgical instrument/retractor, needle, surgical suture material, or surgical specimen unintentionally left in place. Detailed knowledge of risk factors associated with these incidences is critical to effective preventive efforts. In addition to aggressive preventive measures, early detection and retrieval of Retained Foreign Bodies may be associated with better clinical outcomes.
Conclusion: Meticulous counting of instruments including needles and mops (as per guidelines) will help in preventing such accidents. As surgery is a team work, preventing Retained Foreign Bodies is also a team work.
Distant metastasis from primary breast cancer to oral cavity is a very rare entry. Many case reports of lytic bony metastasis have been reported in literature but involvement of only soft tissue of oral cavity is very rare. It may be a diagnostic challenge to clinician if it is the isolated site of distant metastasis. We report a very rare case of breast cancer metastases to oral cavity soft tissue.
The occurrence of a traumatic diaphragmatic hernia is a classic complication of abdominal trauma. Unknown in almost half of the cases during the initial trauma, the diagnosis was made at the time of a complication. The left diaphragmaticdome is the most frequently affected. Tension fecopneumothorax following diaphragmatichernia perforation in the pleural cavityisa rare but particularly aserious complication. A 29-year-old man was admitted for acute intestinal obstruction with respiratory distress. A history of a violent thoraco-abdominal traumatism due to a stabbing injury on the left hemithorax six years before was noted. The chest X-ray showed a medium abundance hydropneumothorax and the thoraco-abdominals can revealed medium abundance effusion in the left hemithorax, with a small intestinehernia and the omentum intrapleural. An emergency laparotomy discovered tension feco pneumothorax secondary to intrathoracic perforation of the small intestine through a left hemidiaphragmd efect. The surgical treatment consisted of reducingthe hernia, pleural drainage, ileostomy and fixing the diaphragmaticd efect. The possibility of diaphragmatic hernia should be kept in mind in case of violent blunt thoraco-abdominal traumatism or basi thoracic wound. In this way, complications such as tension fecopneumothorax that could threaten the functional and vital prognosis may be prevented.
