International journal of surgery case reports
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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 ReportsLangerhans cell histiocytosis in the adult clavicle: A case report.
Langerhans` Cell Histiocytosis (LCH) is a rare disease involving proliferation of Langerhans-type cells, which shares immunophenotypic and ultrastructural similarities. In this article, we report a case of Langerhans cell histiocytosis in solitary involvement of clavicle of adult male. ⋯ Most of the solitary tumorous lesions in clavicle in adults call for various differential diagnoses. LCH should be considered in the diagnosis of a adult patient with a clavicle mass.
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Int J Surg Case Rep · Jan 2020
Case ReportsDelayed union of a surgically treated fragility fracture of the pelvis: A case report.
There are no universally accepted treatment strategies for fragility fractures of the pelvis (FFPs). The incidence of delayed union or non-union of Type IIIa FFP is still unknown. ⋯ Non-union of the iliac wings is relatively rare following high-energy pelvic ring fractures. The incidence of delayed union or non-union of Type IIIa FFP remains unknown; therefore, careful follow-up of patients who undergo treatment is necessary to reduce the risk of delayed union.
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Int J Surg Case Rep · Jan 2020
Case ReportsDelayed massive hemothorax due to diaphragm injury with rib fracture: A case report.
Delayed massive hemothorax after blunt trauma is rare, although associated with significant morbidity and mortality. In most cases, the intercostal artery is the main bleeding source. We report a rare case of delayed massive hemothorax due to a diaphragm injury with a lower rib fractures. ⋯ Diaphragmatic injury with lower rib fractures can result in delayed hemothorax, requiring thoracotomy.