A rare case of parotid acinic cell carcinoma presenting during pregnancy
Introduction: Acinic cell carcinomas (AcCCs) are rare, histologically-diverse salivary gland malignancies. More common in women and those of white race, AcCCs usually present as slowly-enlarging solitary mobile masses, most often in the parotid tail. There are few established risk factors. Hormonal associations have been suggested. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: H.L. Cornwall, L.R. Fraser Source Type: research
Intra-luminal mesh migration causing entero-enteric and entero-cutaneous fistula; A case and discussion of the ‘mesh problem’
We present the case of a patient who developed an entero-enteric and entero-cutaenous fistulae, an abdominal wall collection and an intra-peritoneal inflammatory mass from intra-luminal migration of a synthetic mesh inserted during laparoscopic incisional hernia repair. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: R. Patel, T. Reid, S. Parker, A. Windsor Source Type: research
An unintended consequence of artificial feeding
Aim: Re-feeding syndrome is an under-recognised complication associated with nutritional supplementation following a period of starvation or malnourishment. Prolonged malnutrition leads to protein catabolism and phosphate depletion; introduction of carbohydrate leads to an anabolic state causing large electrolyte shifts, salt and fluid retention which untreated can lead to death. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: M. Hanks Source Type: research
An unusual presentation of pneumomediastinum
A young gentleman presented to A&E with an acute history of neck swelling and a transient episode of chest pain. He was normally fit and well. On examination, he had a visibly distended neck with palpable crepitus extending from neck to torso. He was systemically well. ECG showed widespread concave ST elevation resembling pericarditis. CT neck and chest revealed extensive surgical emphysema along the thoracic wall, extending through the mediastinum, upwards into the neck. No pneumothorax was seen. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: R. Rampuri, Y. Ali, M. Verkerk Source Type: research
Pedicled, innervated vastus lateralis (PIVL) flap for abdominal wall incisional hernia following kidney transplant and its proposed use in large lateralised incisional hernia - A new application for an established technique
Aim: Lateral incisional hernias, including parastomal-hernia, remain an important surgical challenge with the potential for significant morbidity. Current repairs generally rely on the use of mesh with attendant problems of infection (synthetics) and cost(biologics). (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: J. Burke, A. Houtouras, C. Knowles, P. Sadigh Source Type: research
Benign osseous metaplasia of the breast: Case report
Aim: Osseous metaplasia of the breast usually refers to the presence of bone tissue in benign and malignant breast neoplasms. It is a rare, with only a few cases reported in the literature, especially in association with benign lesions. Here we present a case of benign osseous metaplasia of the breast presenting as a breast lump. This is only the second reported case in the literature. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: H. AL-Yami, E. AL-osail, S. Harbi, M. Bubshait Source Type: research
Case report: Open splenectomy for varicella zoster induced spontaneous splenic rupturecase report: Open splenectomy for varicella zoster induced spontaneous splenic rupture
Varicella Zoster is a common childhood infection with complications largely reported in the immunocompromised population. Here we present a case of atraumatic splenic rupture in an adult male secondary to varicella zoster, requiring emergency open total splenectomy. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: M. Sykes, B. Azhar, L. John, S. Bokhari Source Type: research
Acute mesenteric ischaemia: A rare complication of cisplatin chemotherapy
Introduction: Cisplatin is a platinum-based chemotherapeutic agent, widely used in cancer therapies for numerous solid tumours. It is becoming more recognised that a potentially life-threatening complication of cisplatin is accelerated arterial thrombosis occurring in up to 2.03% of patients. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Khosla, L. Kennedy, Y. Abdulaal Source Type: research
Management of a large CBD stone, beyond the scope of ERCP
We present the case of a 77-year-old lady admitted with obstructive jaundice. Magnetic resonance cholangiopancreatography (MRCP) performed identified the presence of a large common bile duct (CBD) stone measuring 50.22 mm by 20.62 mm. Due to the size of the stone it was not possible for removal via endoscopic retrograde cholangiopancreatography (ERCP) or use lithotripsy to aid its removal. Attempts to insert a stent past the stone to drain bile had failed. Thus the stone had to be removed surgically by an open common bile duct exploration. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: A. Gerrard, R. Date Source Type: research
Oesophageal stent causing small bowel obstruction
Description: A 59 year old woman presented with abdominal pain and vomiting. Her past medical history included a T4 N2 M0 infiltrative squamous cell carcinoma of the right upper lobe invading the upper mediastinum, and causing extrinsic compression of the oesophagus. Due to worsening dysphagia she had undergone metallic stent placement 5 months prior to admission. CT scans to monitor response to chemotherapy had shown gradual migration of her stent into the stomach. Plain abdominal x-ray showed the stent to be lying in the pelvis. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: I. Kim, I. Rajendran, A. Jadav Source Type: research
Caecal volvulus, a rare complication of abdominoplasty
Introduction: Caecal volvulus is a rare complication of abdominoplasty with only one published report in 2014. Incomplete rotation of the caecum during embryogenesis predisposes patients to caecal volvulus as there is potential for the mesentery to twist. Additionally, intra-abdominal pressure rises following abdominoplasty, reducing the likelihood of volvulus resolving spontaneously. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. McIntosh, K. Medjoub, S. Sexton, R. Rollett Source Type: research
Supracondylar fractures with a pink hand: Beware the tear!
Aims: Supracondylar fractures of the humerus are common in children (17.9% of all paediatric fractures). A 10-year study demonstrated 10% of these result in vascular injury. Intimal tear leading to brachial artery thrombosis can initially be clinically occult as, at presentation, the vessel may not have occluded. The hand can be pink and well perfused, with or without absent pulses. We aim to demonstrate that close neurovascular observation is necessary even if the hand is pink and well-perfused. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: A. Wallace, E. Lambert, B. Sheridan, I. Hunter Source Type: research
Salmonella infected total hip replacement complicated by a Vancouver C peri-prosthetic fracture; Management, surgical technique, trials and tribulations
We report a sixty-five year old who developed an infected total hip replacement with Salmonella Typhimurium. The patient was managed for ten years with suppressive antibiotics before necessitating a two-stage revision for worsening pain. A first-stage revision was performed with an antibiotic spacer mounted on an Exeter Stem. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: M.Z. Nasser, N. Sharma, P. Shewell Source Type: research
Late presentation of traumatic aortic dissection with a critically ischaemic foot
We present an unusual case where diagnosis was delayed until the patient developed critical ischaemia 3 years later. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: C. McNeill, E. Howie, A. Stewart, I. Hunter Source Type: research
Just a ‘Bleeding Hernia’? A rare case of a sister Mary Joseph Nodule diagnosed in an 83 year-old following presentation to A & E with a painful, bleeding umbilical lesion
This report describes an unusual presentation of advanced malignancy in an 83 year-old. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: F. Malcolm Source Type: research
