Open Access Case Report

A Case Report of a Mucoid Cyst of the Penis

Bheru Singh Hariyawat, Subhash Kumar Bakolia, Yogesh Kumar, Amit Kurra, Navaratna Sharma

Asian Journal of Research in Surgery, Page 13-17

Penile cysts are benign tumors that are incredibly rare. It can be difficult to make a clinical or pathological diagnosis of them. There have only been around 200 cases of this reported in the literature. Even though the most of them are present from birth and asymptomatic, they usually don't become apparent until adolescence or maturity. These disorders seldom impair sexual function. This case involves a 57-year-old man with a 2.5 cm nodule on the prepuce (ventral surface) that developed two years ago and affected his ability to perform sexual acts. After cutting out the lesion, a penile mucoid cyst was discovered by histological investigation. The patient's sexual function had returned to normal at the six-month checkup, and there had been no recurrence.

Open Access Case Report

Occlusion of the Central Retinal Artery Complicating a Thrombosed Abdominal Aortic Aneurysm: An Exceptional Complication

Belfaiza Soukaina, Mouzari Yassine, Reda Karim, Oubaaz Abdelbar

Asian Journal of Research in Surgery, Page 18-21

We report the case a patient who presented a sudden decrease in visual acuity of the right eye secondary to an occlusion of the central retinal artery. In addition, the patient complained of intense abdominal pain for which a CT scan was performed and it revealed a thrombosed aneurysm of the abdominal aorta so the diagnosis retained is occlusion of the central retinal artery complicating a thrombosed aneurysm of the abdominal aorta .Occlusion of the central retinal artery (CRAO) is a very rare vascular pathology. It is often secondary to cardiovascular pathology but it can also be a complication of a distant vascular anomaly, hence the interest of an exhaustive etiological diagnosis and the elimination of vascular emergencies such as thrombosed aneurysms of an artery whatever its location such as abdominal or thoracic aorta , especially in the presence of warning signs. The scientific interest of our case is that the occlusion of the central artery of the retina is rare and exceptionally can complicate a thrombosed aneurysm of the abdominal aorta which is a vital emergency.

Open Access Case study

Giant Pancreatic Pseudocyst Complicating Twin Pregnancy with Spontaneous Resolution: Case Report

Abdelilah El Bakouri, Abderrahmane Lamnaouar, Khalid Jamaleddine, Mounir Bouali, Khalid Elhattabi, Fatimazahra Bensardi, Abdelaziz Fadil

Asian Journal of Research in Surgery, Page 8-12

Pancreatic pseudocyst during pregnancy is a rare pathology whose management lacks of hindsight, with only 10 cases reported in the literature since 1980. Spontaneous resolution in 11 to 16% of cases has been described in the literature.

We report a case of giant pseudocyst of the pancreas during pregnancy spontaneously resolving.

A 19-year-old pregnant female presented with giant pancreatic pseudocysts which was managed conservatively, evolving towards a spontaneous resolution after delivery.

Open Access Original Research Article

Antibiotic Treatment of Uncomplicated Acute-appendicitis in Children

Refaat A. Sanad, Ahmed M. Elsharaby, Mohammed G. Khirallah, Akram M. Elbatarny

Asian Journal of Research in Surgery, Page 1-7

Objective: To evaluate the safety and outcome of antibiotic treatment of uncomplicated acute appendicitis in children. Our main outcomes were the response to conservative treatment, complications during this treatment and short-term recurrence of appendicitis in initial responders to treatment.

Methods: We used antibiotics instead of surgery to treat 70 children aged 4-18 years who were diagnosed with acute uncomplicated appendicitis (AUA). Those not responding or who show deterioration were shifted to appendectomy. We followed up our cases who had successful NOM for any relapse at one week, 6 weeks, 3months then 6months.

Results: The success rate of NOM in our series was 84.3%. Most cases showed improvement of both clinical & laboratory findings on 2nd day of management. Eleven cases (15.7 %) failed NOM and were operated laparoscopically. Readmission for cases who had a relapse occurred in 3 cases, one case relapsed after 6 weeks of discharge, and was operated by laparoscopy. Another 2 cases were readmitted with after 3 months. They were managed conservatively again, and responded to NOM.

Conclusion: Using antibiotic management of AUA among children aged 4-18 years, proved to be safe, effective and have a low rate of complications. It reduced the negative appendectomy rate to 1.43%. It is associated with a low relapse rate within 6 months and significantly reduces the treatment cost.

Open Access Original Research Article

Surgical Treatment of Keloids in the Ear: Prospective and Randomized Study Comparing Direct Surgical Excision vs. Keloid Fillet Flap

Daniel Sundfeld Spiga Real, Vanderlei Salvador Bagnato

Asian Journal of Research in Surgery, Page 22-33

Introduction: Keloids and hypertrophic scars are characterized by abnormal responses to the healing process and involve intense production and deposition of collagen and glycoproteins in the dermis, resulting in the development of a pathological scar. To compare the techniques for keloid resection preserving the epidermis and superficial dermis, Keloid Fillet Flap (KFF), with direct surgical excision treatment for resecting all the scars with primary closure.

Methods: The design of the study was a prospective and randomized study in a single-center with patients who had keloids in the auricular area. All of the participant patients were randomly divided into two groups: direct surgical excision-RC (n = 36 patients); and the group Keloid Fillet Flap-KFF (n = 37 patients). In both groups, neoadjuvant treatment of infiltration with triamcinolone 20 mg/ml until the end of the clinical activity of the keloid was performed, and the treatments were followed by the adjuvant treatment of 10 sessions of Beta Ray Therapy.

Results: The present study enrolled 73 patients, of which 37 comprised the KFF group and 36 the RC group. Following the use of the scar measuring scales to define the recurrence rate, our study demonstrated a recurrence rate of the total sample of 62%, with the KFF group presenting a rate of 76% and the RC group presenting a rate of 40%. In the KFF group, the mean volume of the recurrent lesions was 56 cm3, versus 13.25 cm3 in those that did not recur. In the RC group, the mean volume was 57 cm3 in the recurrent lesions and 1.6 cm3 in the non-recurrent lesions. These volumetric differences were statistically significant (p 0.05), that is, the volume of relapses is much higher than that of non-relapsed ones.