International journal of surgery case reports
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Int J Surg Case Rep · Jan 2020
Case ReportsMediastinal lymph node metastases in lung cancer presenting as pure ground-glass nodules: A surgical case report.
Generally, lung cancer representing as Ground-glass nodules is associated with an early stage and good prognosis. However, we herein report a rare case of pure ground-glass nodules with mediastinal lymph node metastases. ⋯ Adenocarcinoma appearing as pure Ground-glass nodules is associated with early stage lung cancer and a good prognosis. However, the findings in our patient indicate the importance and necessity of evaluating the mediastinal lymph nodes for metastases intraoperatively.
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Int J Surg Case Rep · Jan 2020
Case ReportsPericarditis with cardiac tamponade - A misleading complication of appendicitis: A rare case report.
As severe complication of appendicitis as effusive pericarditis is a rare phenomenon. Taking into consideration open access data in a 50-year period we perceived three pediatric cases with pericarditis as a complication of appendicitis. ⋯ This report is aimed to be a reminder of serious life-threatening complications after a common abdomen condition - appendicitis.
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Int J Surg Case Rep · Jan 2020
Case ReportsRapidly fatal outcome of Covid-19 after successful emergency surgery during pandemic outbreak in Northern Italy.
A pandemic outbreak of novel coronavirus, named SARS-CoV-2 and responsible of Coronavirus Disease 2019 (COVID-19), has rapidly spread from China to Europe, being Northern Italy the first focus outside Asia. Little is known about the evolution of SARS-CoV-2 infection in patients undergoing surgery. ⋯ Persistent hyperleucocytosis and increased CRP serum level in spite of uneventful postoperative course were the only, aspecific markers of an ongoing SARS-CoV-2 infection before symptoms' onset, and should be considered in future clinical practice in order to adopt the prompt and appropriate patient management and limit COVID-19 contagion in surgical units.
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Fournier's gangrene (FG) is caused by a variety of causes, but FG led by rectal cancer is rare. ⋯ Prompt clinical diagnosis and urgent surgical management are crucial for patient's favorable outcome. The patient in our case study could be recovered by a combined modality therapy we provided.
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Int J Surg Case Rep · Jan 2020
Case ReportsProstate tuberculosis complicated by huge prostatic abscess: A rare case report from Nepal.
Prostatic tuberculosis is one of the rarest findings in clinical practice and associated prostatic abscess is even scarce, described in literatures. We present a rare case of prostatic tuberculosis complicated by huge prostatic abscess. ⋯ Trans-urethral loop drainage is a safe treatment modality for patients presenting with prostatic abscess followed by anti-tubercular therapy if histopathology findings are suggestive of granulomatous lesions.