International journal of surgery case reports
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Int J Surg Case Rep · Jan 2013
Sinking skin flap syndrome with delayed dysautonomic syndrome-An atypical presentation.
Sinking skin flap syndrome or "syndrome of the trephined" is a rare complication after a large craniectomy, with a sunken skin above the bone defect with neurological symptoms such as severe headache, mental changes, focal deficits, or seizures. ⋯ We reported here a very uncommon case of sinking skill flap syndrome that causes a severe dysautonomic syndrome and worsening the patient condition.
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Int J Surg Case Rep · Jan 2013
Remote contralateral intraparenchymal hemorrhage after overdrainage of a chronic subdural hematoma.
Chronic subdural hematoma (cSDH) is frequently seen by neurosurgeons. Treatment often includes evacuation of the subdural hematoma (SDH) through one or two burr holes and placement of a drain in the subdural space to further evacuate subdural fluid and prevent reaccumulation of blood during the immediate postoperative period. Complications associated with this type of drainage include fluid and blood reaccumulation, tension pneumocephalus, seizures and subdural empyema. ⋯ Subdural drainage should be carefully monitored to avoid overdrainage.
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Int J Surg Case Rep · Jan 2013
Isolated endometriosis causing sigmoid colon obstruction: A case report.
Isolated endometriosis of the intestine causing large bowel obstruction is rare. ⋯ The diagnosis of endometriosis should be entertained when women of childbearing age presents with large bowel obstruction, whether or not the patient has other evidence of the disease.
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Int J Surg Case Rep · Jan 2013
Abdominal aorta as a recipient artery: Using a free latissimus dorsi myocutaneous flap to close hip and pelvic defects.
Free tissue transfer (FTT) is now a common procedure in many surgical centres around the world and it has shown well established results especially in the field of reconstructive surgery. The choice of FTT depends on the size of defect, nature of tissue, length of pedicle and donor site morbidity. Notwithstanding, FTT is complex and always depending on a sufficient recipient vessel. ⋯ Using the abdominal aorta as a recipient arterial vessel seems to be a reliable alternative that should be considered in difficult reconstructive scenarios such as the "vessel-depleted" pelvis.
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Int J Surg Case Rep · Jan 2013
Malign cylindroma of the scalp with multiple cervical lymph node metastasis-A case report.
Cylindromas are usually benign tumors as small, solitary, slow-growing nodules of the scalp, face and trunk. Multiple cylindromas may form a "turban tumors" in the autosomal dominant Brooke-Spiegler syndrome. Malignant dermal cylindromas are very rare. There are few cases of malignant transformation of dermal cylindromas in the literature. We present an unusual case of malign cylindroma of the scalp with multiple metastasis to cervical lymph nodules and also this case is the only case that has the most lymph node metastasis. ⋯ The case reported below is outstanding in literature for being the only case that has the most lymph node metastasis. Although malign transformation of dermal cylindromas is rare, aggressive surgery should be considered with locoregional metastasis of the tumor.