International journal of surgery case reports
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Int J Surg Case Rep · Jan 2013
Paediatric case of a large gastric rupture after a blunt abdominal trauma: Report of a case in a District General Hospital.
Isolated gastric rupture after blunt abdominal trauma is rare. In current literature gastric rupture from blunt abdominal trauma ranges between 0.02% and 1.7%. This document reports the first non-motor-vehicle case of an isolated gastric rapture after blunt abdominal injury, which repaired after early diagnosis and aggressive surgical treatment. ⋯ We present this case report focusing on the paediatric patient to illustrate isolated gastric injury in terms of mechanism of injury, clinical presentation, and immediate surgical management.
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Pulmonary aspergillosis occurs in the parenchymal cavities or ectatic airways. It rarely affects healthy people with an intact immune response. There have been few reports describing an aspergilloma mimicking a lung cancer. ⋯ An aspergilloma presenting a mass shadow on imaging may mimic a lung cancer in healthy people with intact immune response.
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Int J Surg Case Rep · Jan 2013
Delayed primary reconstruction of esophageal atresia and distal tracheoesophageal fistula in a 471-g infant.
Waterston et al. have classified the risk of morbidity in infants with esophageal atresia and tracheoesophageal fistula. However, few cases of esophageal atresia with distal tracheoesophageal fistula in extremely low birth weights infants have been reported. In such infants, the selection of primary reconstruction or staged repair remains controversial. In the present report, we describe the difficulties of perioperative management of such small infants and discuss how to rescue them. ⋯ In the present case, ligation of the tracheoesophageal fistula and esophageal reconstruction should have been performed as soon as possible.
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An obturator hernia is a rare condition but is associated with the highest mortality of all abdominal wall hernias. Early surgical intervention is often hindered by clinical and radiological diagnostic difficulty. The following case report highlights these diagnostic difficulties, and reviews the current literature on management of such cases. ⋯ A high suspicion for obturator hernia should be maintained when assessing a patient presenting with bowel obstruction particularly where intermittent symptoms or medial thigh pain are present. Rapid clinical and appropriate radiological assessment, followed by early surgery is critical to successful treatment.
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Int J Surg Case Rep · Jan 2013
An infected urachal cyst presenting as an acute abdomen - A case report.
An infected urachal cyst is one of a spectrum of presentations of urachal pathology, all of which are rare in adulthood. ⋯ This is a rare but important diagnosis however we recommend that in patients with atypical histories, it should be included in the differential diagnosis.