Open Access Case Report

A Case Report on Ectopic Breast Tissue in a 24-Year-Old Male

Raiya Mallick, Hajrah Hilal Ahmed, Muhammad Jamaluddin

Asian Journal of Case Reports in Surgery, Page 1-3

Accessory breasts, also known as polymastia, supernumerary breasts, or mammae erraticae, is the condition of having ectopic breast tissue in addition to normal breasts. This may appear with or without nipples or areolae. The condition is more predominately seen in women, and less commonly in males. Even though a majority of the occurrence is completely benign, the condition also has marginal malignant potential.

Here we present a case of a 24-year-old male who presented with bilateral axillary swelling for the last six years. Surgical intervention was done, which proved to be glandular breast tissue on histopathological analysis.

Open Access Case Study

Dual Ectopic Thyroid: A Case Report and Review of Literature

Nurul Syamiza S, Y. L. Tan, Sadhana Mahamad

Asian Journal of Case Reports in Surgery, Page 4-11

The ectopic thyroid gland is a rare clinical entity originates from the failure of the thyroid gland to descend from the foramen caecum to its normal eutopic pre-laryngeal site. It is further uncommon for two distinct ectopic thyroid tissues to be present simultaneously. We present a case of a 35-year-old lady, who has dual ectopic thyroid with symptoms of dysphagia. As the clinical presentations were non-specific following a series of negative investigations, she was treated as functional dyspepsia. The eventual diagnosis was reached only after performing an ultrasound of the neck, contrast-enhanced CT scan, and thyroid scintigraphy. Its management is still controversial; generally surgery is aim to alleviate bothering symptoms of obstruction. Asymptomatic patients are managed with thyroxine supplements, aiming for clinical improvement of symptoms and gland size reduction. This case report will address concerns of managing dual ectopic thyroid.

Open Access Case Study

Umbilical Pilonidal Sinus: Case Report of 2 Cases and Review of Literature

Manas Ranjan Panda, Prajesh Bhuta

Asian Journal of Case Reports in Surgery, Page 12-15

Pilonidal sinus is a chronic and commonly recurrent disorder that is usually seen in the natal cleft in the sacro-coccygeal area although very few cases involving the umbilicus, axilla or interdigital area have also been reported. Although not very rare the cases reported are few and there is no consensus on management. We report 2 cases of umbilical pilonidal sinus in a tertiary care Hospital treated with excision of tract with umbilectomy.

Open Access Case Study

An Obstructed Sliding Hernia Containing Ileum, Caecum and Ascending Colon as Contents: A Rare Case Report

Amritanshu Saurabh, Rohit Chauhan, Vikash Yadav

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

Inguinal hernia repair is one of the most common surgeries performed overall. However, sliding variety is rare with an incidence of less than 5% of all inguinal hernia. Intestinal obstruction is extremely rare with an incidence of 12% of all sliding types of inguinal hernia.

We report a case of 66-year-old male presenting with the history of inability to pass stools, flatus, and painful, large swelling in the right inguino-scrotal region. On right inguinal exploration, an obstructed direct inguinal hernia of sliding variety containing ileum, caecum, and ascending colon as contents with caecum and ascending colon forming the posterior wall of the sac was found. The contents were reduced; posterior wall defect closure along with meshplasty was performed.

Direct inguinal hernia of sliding variety is a rare encounter and such a case presenting in obstruction, is an extremely rare condition of its kind. Care must be taken to prevent inadvertent injury to the bowel. The laparoscopic approach can be used nowadays, if the condition is diagnosed early.

Open Access Case Study

A Case of Parathyroid Adenoma Presenting as Pathological Fracture Neck of Femur

Manohar Sri Vignesh, Robinson Smile

Asian Journal of Case Reports in Surgery, Page 21-27

Parathyroid adenoma is the common etiology for primary hyperparathyroidism which results in hypercalcaemia. Fractures of bone are generally rare and tend to involve the vertebra commonly. Women are affected more than men. We present a 41-year-old female who suffered a pathological fracture of Left Femur and diagnosed with a left solitary parathyroid adenoma. The patient underwent removal of parathyroid adenoma followed by internal fixation of the fractured femur.

A high index of suspicion is required to diagnose parathyroid adenoma in such cases of pathological fractures. An intraoperative assay of PTH and meticulous dissection is required for adequate management of the parathyroid adenoma. Postoperative hypocalcaemia is expected and requires calcium supplements to prevent complications.