The preoperative challenge in giant RVOT aneurysms lies in their mass effect on adjacent mediastinal structures. Progressive expansion often results in severe extrinsic compression of the Main Pulmonary Artery (MPA) and distortion of the pulmonary valve apparatus [1]. This will exaggerate problems ...
From a pediatric perspective, primary pectus excavatum repair favors the minimally invasive repair described by Dr. Nuss given the high chest-wall pliability in younger patients [1]. Recurrent cases after childhood Ravitch repairs often presenting in adulthood with rigidity, scar tissue, malunion, and partial ossification of parasternal cartilage ...
Gastric cancer is one of the most common malignancies worldwide. Its early symptoms lack specificity, leading to a low rate of early diagnosis and a poor prognosis [1]. In clinical practice, when patients have multiple chronic diseases, new symptoms are often easily attributed to the existing conditions, resulting in the missed or delayed diagnosis ...
Burn is an acute and complex injury caused by exposure of skin and/or subcutaneous tissues to heat, cold, electricity, radiation, or chemical agents [1]. The clinical outcome may vary depending on the depth of the burn, the extension and the localization of the burn, the causal agent ...
Laparoscopic inguinal hernia repair is increasingly performed because of reduced postoperative pain and faster recovery compared with open surgery. However, carbon dioxide insufflation may lead to specific complications, including subcutaneous emphysema.
Intraperitoneal bladder rupture after blunt abdominal trauma is uncommon and may be missed on initial imaging. We report a middle-aged man who presented in septic shock two days after a seemingly trivial fall. Contrast enhanced CT abdomen demonstrated only intraperitoneal free fluid without solid organ injury.
Zoster sine herpete is a rare form of Varicella-Zoster Virus (VZV) reactivation presenting solely with neurological symptoms without cutaneous lesions, often leading to diagnostic delays and inappropriate interventions.
Metaplastic Breast Carcinoma (MpBC) is a rare histologic variant encompassing less than 1% of invasive breast cancers [1]. It consists of a heterogenous group of tumors displaying metaplasia of the glandular epithelium into squamous and mesenchymal cells.
Foreign bodies within the breast are uncommon and may present diagnostic and management challenges, particularly when non-iatrogenic in origin. Retained airgun pellets are rarely reported and may mimic breast pathology years after the initial injury...
Esophageal injury is a diagnosis associated with a high morbidity and mortality. There has been a push recently for less invasive treatment with endoscopic adjuncts. Endoluminal vacuum assisted closure, E-V.A.C is a promising technique that we have been utilizing since 2022...
Annals of surgical case reports and images is an open access, international, double blind peer reviewed journal publishing articles covering different areas of clinical and medical surgery.
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