International journal of surgery case reports
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Despite reported poor sensitivity and specificity, plain abdominal radiographs have a role in the investigation of suspected appendicitis. ⋯ Careful assessment of plain abdominal films in suspected appendicitis is encouraged not just for exclusion of other causes of pain but also in the possible detection of an inflamed appendix.
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Int J Surg Case Rep · Jan 2013
Delayed presentation of perisplenic abscess following arterial embolization.
Splenic abscess formation is a rare but significant complication that may occur after non-operative management (NOM) of a blunt splenic injury (BSI). we describe an unusual case of perisplenic abscess formation nearly 4 months after splenic artery angioembolization for a grade III splenic laceration. ⋯ Formation of a perisplenic abscess may occur several months after NOM of a blunt splenic injury. Prompt surgical management and antibiotic therapy are critical to avoid life-threatening complications.
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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.
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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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Int J Surg Case Rep · Jan 2013
Oral malignant melanoma detected after resection of amelanotic pulmonary metastasis.
Solitary pulmonary metastasis from oral malignant melanoma is very rare. ⋯ Oral malignant melanoma was very rare, but oral cavity should be examined when the pulmonary nodule was diagnosed as malignant melanoma.