Open Access Case Report

Inguinal Lymphadenopathy in a Patient with Kimura Disease: A Rare Presentation of a Rare Disease

Tapan Patel, Shivani Patel, Doliya Tejas, Hemin Patel

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

Kimura disease is an extremely rare idiopathic condition. It is a chronic inflammatory disorder typically seen in Asian males in younger age groups. Its classical features include painless lymphadenopathy or subcutaneous swelling usually in head and neck, eosinophilia and raised levels of IgE.  However, our case is of a 45 year old male who presented with right sided inguinal swelling with diagnostic dilemma that was later diagnosed as Kimura disease after invasive histopathological analysis. Here, we have described this case to shed some light on possibility of such presentation of this rare disease.

Open Access Case Report

A Case of Enterolith from Jejunal Diverticulum Leading to Obstruction

Digant Patel, Jagrut Patel, Bhargav Darji, Rutul Shah, Kunj Shah

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

Introduction: Diverticular disease of the small bowel (excluding Meckel’s) is not common and is found mostly in post- mortem examinations, it’s prevalence increases with age. Most of the patients remain asymptomatic and exhibit no symptoms. So the diagnosis is always delayed and found in old aged people. The condition can be complicated by diverticulitis, haemorrhage or perforation [1,2]. The complications of diverticula are life threatening and needs early surgical intervention. Obstruction of small bowel due to formation and extrusion of enterolith is a rare case presentation.

Case Presentation: We reported a case of 75-year old woman who presented to emergency room with symptoms of vomiting ,obstipation, abdominal pain. After performing necessary investigation small bowel obstruction was confirmed. On performing exploratory laprotomy, the gall bladder appeared normal with no stones and no abnormal communication with small bowel so the possibility of a gallstone ileus was eliminated. There were multiple diverticula present in jejunum which is suggestive of enterolith formation from small bowel diverticula and its spontaneous extrusion.

This was a rare case of small bowel obstruction due to enterolith formation.

Open Access Case Report

Spontaneous Enterocutaneous Fistula: An Uncommon Clinical Condition: A Case Report

Abdelillah El Bakouri, El Batloussi Yousra, Majd Abdessamad, Mounir Bouali, Fatimazahra Bensardi, Khalid El Hattabi, Abdelaziz Fadil

Asian Journal of Case Reports in Surgery, Page 13-18

Spontaneous enterocutaneous fistulas are a rare complication, defined by an abnormal communication between the digestive tract and the skin surface giving rise to the exteriorization of digestive fluid through the newly formed fistula path.

The diagnosis is easily raised. Spontaneous enterocutaneous fistulas are diagnosed by a flow of digestive material or fluid from the abdominal wall, scar or drainage hole. This flow, which makes the diagnosis clinically obvious, is sometimes preceded by the formation of a local inflammatory patch around the skin opening.

Our work concerns a patient admitted to the visceral surgical department of the university hospital Ibn Rochd of Casablanca for a spontaneous enterocutaneous fistula. The abdomino-pelvic CT scan objectified a deep intra-abdominal collection and a fistula pathway. The patient was then operated after conditioning. The postoperative follow-up was simple.

Open Access Case Report

An Accidentally Detected Diaphragmatic Hernia with Acute Appendicitis

Mukesh Carpenter

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

Congenital diaphragmatic hernia (CDH) is a childbirth defect of the diaphragm. The most commonly CDH are anterior-retrosternal Morgagni hernias, posterolateral Bochdalek hernias and septum transversum defects and hiatal hernias. Acquired diaphragmatic hernia (ADH) may result of penetrating, blunt and trivial trauma to abdomen. Diaphragmatic hernia may remain asymptomatic in adult’s diagnosis usually become apparent once complications happen or incidentally detected for any other disease. This paper presents a rare case accidentally detected diaphragmatic hernia complicated with acute appendicitis.

Open Access Case Study

Small Bowel Obstruction Secondary to Congenital Peritonel Band in Adults

Khalid El Hattabi, Youssra El Batloussi, Khadija Kamal, Abdelillah El Bakouri, Mounir Bouali, Fatimazahra Bensardi, Abdelaziz Fadil

Asian Journal of Case Reports in Surgery, Page 9-12

Acute intestinal obstruction in adults on a scarred abdomen is a usual etiology to see, but in rare cases, such as ours, intestinal obstruction may result from primary or congenital clamping. We report the case of a 17-year-old patient, without any surgical or traumatic history, presenting for an occlusive syndrome. Imaging revealed thickening of the last ileal loop and surgical exploration found a primitive bridle with no sign of digestive distress.