Open Access Case Report

Traumatic Giant Pancreatic Pseudocyst in Pediatric Patient: A Rare Case Report

Setiawati Dea Alberta, . Suwardi, Saadhi Ikhdin, Putra Galih Santoso

Asian Journal of Case Reports in Surgery, Page 5-9

Aims: To report cases of pancreatic cysts, the flow of diagnosis, and management of these cases.

Case Description: We reported a case of pancreatic cyst in a 14-year-old boy. The patient presented with a chief complaint of epigastric discomfort for about 4 months accompanied by stomach enlargement. This complaint may be due to a road accident by stomach trauma a year ago. On the physical examination, no tenderness in all abdomen quadrants was found with palpable fixed intra-abdominal mass measuring 18x15 cm. The CT scan examination showed the presence of cystic lesions with defined regular margins intraperitoneally that pushed the intestinal system and abdominal organs posteriorly. Laparotomy Roux-en-Y was performed on the patient. Operation was done without further complication.

Discussion: The boy hit his stomach a year ago, resulting in the symptoms and disorder of the abdomen that started to appear 4 months ago. This disorder can occur due to trauma to the abdomen that causes pancreatic disorders. Pancreatic cyst disorder most common in children with a history of abdominal trauma is pancreatic pseudocyst. The diagnosis confirmed from CT scan findings showed the presence of cystic lesion. Laparotomy Roux-en-Y was chosen as the management of pancreatic pseudocyst. The procedure was chosen due to its high success rate and low risk of complications.

Conclusion: Pancreatic cyst is a rare disorder. Pancreatic pseudocyst most commonly occurs in children due to abdominal trauma. Physical examination showed enlargement in the abdominal region. The diagnosis was confirmed by ultrasound and CT scan. There were many choices of treatment procedures. Laparotomy Roux-en-Y was chosen due to its benefits. The laparotomy procedure was done without any complications.

Open Access Case Study

Pararectal Abscess Masquerading as an Ovarian Cyst: A Case Report

Kavita Khoiwal, Reena Kumari, Anshu Gupta, Debasish Das, Amrita Gaurav, Jaya Chaturvedi

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

Pararectal abscess usually present with severe perianal and/or perirectal pain with or without fever, and features of sepsis. Here, we report a case where pararectal abscess was diagnosed during laparoscopic surgery and initially misdiagnosed as ovarian cyst.

Open Access Case Study

Hemithyroidectomy as a Remedy for an Unusual Complication of Percutaneous Tracheostomy

Mayilvaganan Sabaretnam, Sarrah Idrees, D. Vnssvams Mahalakshmi, P. R. K. Bhargav, Aromal Chekavar, Sapana Bothra Jain, A. K. Verma

Asian Journal of Case Reports in Surgery, Page 10-13

This Case emphasizes the need for thorough clinical examination before any invasive procedure like percutaneous tracheostomy to avoid unexpected complications. Percutaneous tracheostomy is a very safe procedure in critically ill patients. But any procedure can be fraught with complications. Early recognition of complication is the key to successful outcomes.

Open Access Case Study

Amyand’s Hernia: A Rare Occurrence. Report of Two Cases and Literature Review

M. S. Baharudin, Shu Lih Lau, C. Vimal, S. G. Narayana, A. R. Syazwani, M. Vishnu

Asian Journal of Case Reports in Surgery, Page 14-19

A variety of hernias have been encountered for the past centuries. One rare type of hernia is Amyand’s hernia which was originally described by Claudius Amyand (1685-1740) in 1736, a surgeon in St. George’s Hospital, London, England, United Kingdom. It is a condition where the vermiform appendix is trapped within the hernial sac; mostly an incidental finding intraoperatively. We present two cases of right Amyand’s hernia, where both patients presented with right reducible inguinal hernia without signs of incarceration or strangulation. They incidentally diagnosed with Amyand’s hernia intraoperatively. Both patients were treated with hernia reduction and mesh repair without appendectomy. Preoperative diagnosis of Amyand’s hernia remains challenging. Management of this type of hernia should be tailored to each patient individually according to their clinical presentation.

Open Access Case Study

Acute Urine Retention in Women Due to Urethral Cavernous Hemangioma: A Case Report

. Mudib, Setya Anton Tusara Wardaya

Asian Journal of Case Reports in Surgery, Page 20-23

Acute urinary retention due to urethral hemangioma in women is a rare case. Common clinical findings of hemangiomas include lower urinary tract symptoms (LUTS), dysuria, hematuria, urethrorrhagia, and urethral mass. A 78-year-old woman with urinary retention due to thrombotic cavernous urethral hemangioma. On physical examination, a red-blue urethral mass with a smooth surface of 4x3.5x3 cm covering the urethral mouth to the vulva was found. The urethrocystoscopy showed the base of the tumor on the ventral part of the distal urethra. Folley catheter insertion and mass excision were performed. The histopathological diagnosis reveals cavernous hemangioma with thrombus. The patient's postoperative follow-up indicates no complications and recurrences.