Open Access Case Study

Sudden Painful Loss of Vision – Exquisite Case of Tolosa Hunt Syndrome

Sauradeep Dass, Saranya Thangavel, Sunil Kumar Saxena, Shashikant A. Pol, Lokesh Kumar

Asian Journal of Case Reports in Surgery, Page 1-5

Tolosa Hunt Syndrome is a painful ophthalmoplegia with periorbital or hemi cranial pain plus ipsilateral oculomotor nerve palsy with or without oculo-sympathetic paralysis. Many causes can lead to painful ophthalmoplegia like inflammatory, infective, neoplastic, vascular, etc. Various investigations need to be done to rule out the organic causes of painful ophthalmoplegia. Here we would like to report a case of Tolosa Hunt Syndrome in a 45-year-old female who was presented to our hospital with history of retro orbital pain followed by sudden loss of vision. Computed Tomography and Magnetic Resonance Imaging showed features suggestive of Tolosa Hunt Syndrome and she was treated with high dose steroids. The patient responded well to high dose steroids showing significant improvement in both vision and retro orbital pain.

Open Access Case Study

Exudative Ascites after Laparoscopic Cholecystectomy with Hysterectomy: Mystery Unsolved??

Pratik Biswas, Vishakha Kalikar, Roy Patankar

Asian Journal of Case Reports in Surgery, Page 11-13

Laparoscopic surgeries are known to have their own set of complications. We report the case of a middle-aged lady who developed ascites of unknown origin, immediately, following laparoscopic cholecystectomy and hysterectomy. Though most cases are attributed to unidentified bowel, biliary tree, urinary tract and lymphatic system injuries, after reviewing medical literature, we found a few case reports pointing towards allergic reaction to co2, glutaraldehyde or electrocautery and formaldehyde being rare causes of ascites following laparoscopy.

Open Access Case Study

Aorto-Oesophageal Fistula; A Rare Cause of Acute Upper Gastrointestinal Bleeding. A Case Report

H. K. R. Sanjeewa, S. R. Hulathduwa

Asian Journal of Case Reports in Surgery, Page 14-17

Aorto-oesophageal fistula is a considerably rare but potentially fatal cause for upper gastro-intestinal bleeding. Mortality is high due to delayed diagnosis, delayed treatment due to limited facilities at the first contact health care centres and the possibility of re-bleeding even after successful initial treatment. The classic clinical picture has 3 symptoms termed Chiari’s triad which include mid thoracic pain, sentinel arterial haemorrhage and exsanguination. Diagnosis could be made by the clinical picture alone. Most investigations aimed at diagnosis have low specificity and sensitivity. The most frequently used test is upper GI endoscopy for diagnostic as well as treatment purposes. Definitive treatment is left thoracotomy and fistula repair. This is a case report of a 61-year-old male who died due to aorto-oesophageal fistula even after upper GI endoscopy had been performed.

Open Access Case Study

Ingestion of Foreign Bodies: When Surgery Become Urgent

Abdelillah El Bakouri, El Batloussi Yousra, Azhary Fadwa, Mounir Bouali, Fatimazahra Bensardi, Khalid El Hattabi, Abdelaziz Fadil

Asian Journal of Case Reports in Surgery, Page 18-22

Foreign body ingestion (FBI) is a serious event that can be life-threatening or lead to significant sequelae. We report the observation of a 40-year-old patient, , who presented to the emergency room with chest pain, intermittent cough and exertional dyspnea, 4 hours after accidentally swallowing his plastic denture. The clinical examination was without abnormalities. Chest X-ray showed a foreign body in the stomach. Several attempts at endoscopic extraction were made, without success. The standard radiography can be useful for visualizing radio-opaque FB or by indirect signs. The recourse to endoscopy for diagnostic and therapeutic purposes may be essential.

Open Access Original Research Article

An Unusual Case of Inguinal Hernia: Herniation of an Enlarging Bladder by Enterocystoplasty

Oussama Lafkih, Zineb Abbad El Andaloussi, Hind Arbouni, Abdellatif Siwane, Houria Tabakh, Najwa Touil, Omar Kacimi, Nabil Chikhaoui

Asian Journal of Case Reports in Surgery, Page 6-10

Bladder hernia is relatively rare (1 -4%), the diagnosis is often intra-operative. However, the Retrograde Cystography, the Excretory Urography, and the CT scan have proved their efficiency in diagnosis. We report the case of a 70-year-old patient with urogenital tuberculosis who had undergone bladder enlargement with enterocystoplasty. Currently the patient has a swelling in the folds of the groin, associated with disorders of the lower urinary tract. The CT scan confirmed the presence of a bilateral inguinal hernia, with bladder content in the left one.