Open Access Case Report

Terrible Triad of the Right Elbow Joint: A Case Report

K. M. Onuoha, I. J. Owolabi, O. A. Alade, I. Adeyinka

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

Terrible triad of the elbow joint is a rare condition that usually follows a traumatic episode to the elbow joint. Classically the components of a terrible triad of the elbow involves posterior dislocation of the elbow joint ,coronoid process fracture and a radial head fracture and generally has poor outcomes .

This case report evaluates a 40 year old man who fell with the right arm extended with associated impaction to the right elbow joint. Clinical examination, X-rays and a three dimensional (3D) CT scan confirmed the diagnosis. He was subsequently counseled and worked up for surgery via Open reduction with K-wire fixation.

Open Access Case Report

Xanthogranulomatous Cholecystitis - An Uncommon Variant

Rajashree S. Purohit, Gauri S. Jadhav, Geet Adhikari, Ravindra S. Patwadkar

Asian Journal of Case Reports in Surgery, Page 10-14

Aim: Xanthogranulomatous cholecystitis is a rare variant of inflammatory disease of gallbladder which is marked by the presence of lipid-laden macrophages along with extensive fibrosis. It is frequently confused with carcinoma of the gallbladder preoperatively on imaging or on gross appearance intraoperatively. Definitive diagnosis is confirmed on histopathological examination. Imaging may shed light on this condition preoperatively but may a time this may present as a histological surprise. Accurate preoperative diagnosis is necessary to avoid radical resection and morbidity in patients.

We discuss here a case of 36-year-old female who presented with abdominal pain. Her CT scan of abdomen showed borderline thickening of gallbladder wall and chronic cholecystitis however on histopathological report was suggestive of xanthogranulomatous cholecystitis.

Open Access Case Report

Cervicothoracic Lymphangioma in an Adult: A Rare Entity

Sourabh Padmanabhan, Y. Mounika Reddy, A. Khabeer, Shobhan Babu

Asian Journal of Case Reports in Surgery, Page 19-22

Background: Lymphangiomas are uncommon benign lymphatic malformations most commonly seen in the head and neck region. Cervical lymphangiomas with intrathoracic extension are very rare clinical entity and comprise only 1% of the cases.

Case Report: We report here a rare case of a 25 year old female, with complaints of a huge soft, cystic fluctuant and transilluminant swelling involving the right side of the neck and chest. On imaging, it revealed a multilocular thoracocervical mass, which was isointense on T1 and hyperintense on T2, occupying right anterosuperior, middle and posterior mediastinum compressing the upper lobe of the right lung and extending supraclavicularly. Patient was managed surgically via multidisciplinary approach. Histopathological examination confirmed the diagnosis of lymphangioma

Discussion and Conclusion: Imaging and histopathological examination play a key role in diagnosis of lymphangiomas. Such extensive lymphangiomas require complete surgical excision and should be performed by experienced surgeons as this is essential to prevent further recurrences.

Open Access Case Study

Beware the Empty Sac. Case of Cryptorchid Testicular Torsion in the Inguinal Canal

Adam Bin Amir

Asian Journal of Case Reports in Surgery, Page 6-9

Undescended testis is a common urogenital disorder whereas testicular torsion is a well-recognized urological emergency. However, torsion of an undescended testis remains a rare clinical entity.

We present a case of torsion of an undescended testis located in the inguinal canal in an otherwise healthy 13-year-old boy who presented with a painful mass in the groin. He underwent pre-operative imaging studies and subsequently surgical exploration which revealed a twisted gangrenous testis. 

Due to the rarity of the condition, the case presented us with diagnostic challenges.

This case highlights the importance of early diagnosis to improve salvage rate of the testis.

Open Access Case Study

Hemothorax Following a Gunshot Wound: Case Report with Review of Literature

Mihir K. Shah, Shivani R. Chaudhary, Llai Barai

Asian Journal of Case Reports in Surgery, Page 15-18

Introduction: Rapid and accurate diagnostic work-up and surgical management is important for retained Foreign Bodies (FB) in the chest wall following a penetrating chest trauma. While hemothorax is very common due to traumatic injuries, not much has been discussed about presenting hemothorax following a case of gunshot wound.

Epidemiology: Blunt chest trauma is more common than penetrating trauma and directly comprises 20 to 25% of trauma deaths [1]. Despite its higher incidence, less than 10% of patients suffering blunt trauma to the thorax require operative intervention, whereas 15 to 30% of patients sustaining penetrating chest injuries will need operative intervention [1].The mortality rate for gunshot wound of the chest varies from 14.3 to 36.8% [2].

Purpose: The purpose of this report is to emphasize the characteristics of penetrating thoracic trauma with special reference to gunshot wounds as well as their early intervention with the review of literature.