Cervical aortic arch and epistaxis with bilateral sphenopalatine artery ligation diathermy: A case report
Background: Cervical aortic arch (CAA) is a rare vascular anomaly. It is most commonly recognised as a pulsatile neck mass. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: L. Steele, I. Beegun, B. Silver Source Type: research

Posterior sternoclavicular joint dislocation; Rare but life-threatening
Background: Posterior sternoclavicular joint (PSCJ) dislocation is a rare injury, typically associated with high-force trauma and can result in life threatening complications involving mediastinal structures. Currently, no unanimous diagnostic or management approach exists. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Rozwadowski, A. Kosti, D. West, P. McCann, E. Internullo, T. Batchelor Source Type: research

Malakoplakia of colon in an immunocompromised patient due to steroids and azathioprin for the treatment of recurrent oral ulcers of unknown aetiology and pemphigous vulgaris
Introduction: Malakoplakia is a rare granulomatous condition that develops in immunosuppressed patients.We found it in a grossly normal colon of a patient on immunosuppressive therapy. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: K. Ali, R. Pareek Source Type: research

Platinum based chemotherapy resulting in enteric neurotoxicity? Case Report of a patient mistaken for prolonged postoperative ileus
Introduction: Growing evidence suggests that platinum based chemotherapy affects the enteric nervous system causing gastrointestinal dysmotility long after its cessation. This is perhaps the first case reported of slow gastrointestinal transit caused by oxaliplatin and misdiagnosed for prolonged postoperative ileus. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: I. Noaman, A. Ugwu, C. Kulli Source Type: research

Gallstone in rectum causing mechanical large bowel obstruction: A case report and literature review
An 87 y/o lady initially presented with a fall and urinary retention, with no abdominal pain or symptoms of obstruction. She proceeded to develop mechanical large bowel obstruction 10 days following her admission. CT confirmed the presence of gallstones in the gallbladder and a large laminated calculus in the rectum with colonic distension up to the anal verge. An examination under anaesthetic was performed which confirmed anal stenosis and the presence of a large stone obstructing the anorectal junction with no evidence of malignancy. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: A. Tang, K. Keogh, A. Powell-Chandler Source Type: research

Small bowel diverticular perforation : An uncommon surgical emergency
We present here a case series of five patients with proximal small bowel diverticular perforations managed surgically based on their anatomical locations. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: A.N. Ahmad, A. Shamsiddinova, A. Shrestha, G. Tebala, S. Basu, Bi. Aravind, P. Basnyat Source Type: research

Internal hernia post total gastrectomy with Roux-Y reconstruction for gastric adenocarcinoma
Background: Internal hernia is a serious devastating event. The incidence of internal hernia post gastrectomy with Roux-Y reconstruction for malignancy has not been well defined. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: H. Al-Saadi, H. Malallah, G. Fullarton Source Type: research

Metastatic cholangiocarcinoma to the sigmoid colon - An interesting case
Background: Cholangiocarcinoma is rare and often rapidly fatal. Typically, patients with unresectable disease survive less than 12 months. The outcome of patients with treatable disease that decline surgery is not well established. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: C.L. Bonner, V. Sharma, G. Anees, S.R. Smith Source Type: research

Pneumoparotid: An unusual case of intermittent unilateral cheek swelling
We describe a case of pneumoparotid with no obvious cause and its radiological management. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: T. Paterson, N. Maini, V. Ganesh, L. Newman Source Type: research

Iatrogenic splenic injury following colonoscopy: Case example
We present a case of a patient with splenic rupture less than 24 hours post colonoscopy, who recovered following splenectomy. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: K. Eng, P.H. Tan Source Type: research

Endometrioid adenocarcinoma of rectum, a rare site for extraovarian endometriosis associated cancer
We report a case of endometrioid adenocarcinoma arising from the wall of the rectum. A fifty five year old woman presented with painless rectal bleeding and altered bowel habit. She had previous endometriosis and had underwent total abdominal hysterectomy eight years ago. Physical examination showed no palpable masses and flexible sigmoidoscopy revealed narrowing at the rectosigmoid junction with macroscopically normal looking mucosa. Biopises of this area only showed normal tissue but a CT scan confirmed the presence of a mass within the wall of the rectum and enlarged pararectal lymph nodes suspicious of malignancy, with...
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: S. Sami, R. Schmigylski, K. Nale, S. Whitelaw Source Type: research

CT colonography - A new threat to the spleen?
We present a rare, and previously undocumented, potential complication of CT (computed tomography) colonography. CT colonography is a commonly performed investigation with a relatively low risk of complications. Whilst splenic injury is a well-documented complication after colonoscopy, it has never been documented following CT colonography. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: R. Sehgal, T. Whitehead-Clarke, V. Tudyka Source Type: research

A rare cutaneous presentation of a stage IV T3aM1N1 clear cell renal cell carcinoma
A 69-year-old attended A&E with a 6-week history of a newly-bleeding abdominal lump. An ex-smoker, he was otherwise asymptomatic, with no relevant past medical history. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: E. Osen Source Type: research

An unusual case of a pancreaticoduodenectomy for retroperitoneal leiomyosarcoma of the duodenum presenting as iron deficiency anaemia
Introduction: Primary duodenal malignancies are uncommon and need to be differentiated from tumors arising from surrounding organs like pancreas, bile duct and ampulla. Adenocarcinoma is the most frequently occurring duodenal tumor, however lymphoma, leiomyosarcoma and neuroendocrine tumors have also been reported. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: E.M.M. O'Dwyer, A. Naughton, W.T. Butt, C. Clancy, P. French Ridgway Source Type: research

Spontaneous spinal epidural haematoma: An unusual presentation of foot drop
Acute Spontaneous Spinal Epidural Haematoma (ASSEH) is a rare condition which presents with acute, severe pain localized to the site of the haemorrhage. It may rapidly progress to include severe, progressive neurological deficiency. (Source: International Journal of Surgery)
Source: International Journal of Surgery - July 1, 2018 Category: Surgery Authors: N. Mallya, A. Paynter, S. Pillai, N. Davies Source Type: research