Surgery
Peer-reviewed articles on general surgery, surgical procedures and perioperative care.
Articles from ASIDE Cardiovascular, ASIDE Case Reports, ASIDE Gastroenterology, ASIDE Health Sciences and ASIDE Internal Medicine, newest first.
Articles
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Pseudomyxoma Peritonei Masquerading as Decompensated Cirrhosis: A Diagnostic Challenge with Surgical Management in a Resource-Limited Setting in Tanzania
Pseudomyxoma peritonei (PMP) is a rare syndrome of mucinous ascites that often mimics common conditions such as decompensated cirrhosis. Diagnostic delays are frequent, especially in resource-limited settings where advanced imaging and histopathology are unavailable. A…
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Proximal Duodenal Obstruction After Adult Ladd Procedure Diagnosed by Endoscopy: A Case Report
Intestinal malrotation is a congenital anomaly commonly occurring in infancy, with adult presentation being rare. The Ladd procedure is the standard treatment for symptomatic malrotation; however, postoperative complications in adults, including obstruction of the second portion…
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Pseudogallbladder Appearance on Ultrasonography After Cholecystectomy and Left Hemihepatectomy: A Postoperative Biliary Imaging Pitfall Clarified by MRCP
Accurate identification of postoperative biliary anatomy following hepatobiliary surgery can be challenging because normal anatomical landmarks are altered. A 75-year-old woman who had undergone cholecystectomy and left hemihepatectomy four months earlier for intrahepatic bile…
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Late-Onset Mesh Migration Following Hernia Repair: Two Cases of Enteric Fistulization
Mesh migration is a rare but serious late complication of hernia repair, often presenting years or even decades after implantation. Its clinical manifestations are nonspecific, making diagnosis challenging and frequently delayed until advanced complications occur. We report two…
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Hypoxemia After Inferior Atrial Septal Defect Repair Due to Iatrogenic Diversion of Inferior Vena Cava to Left Atrium: A Case Report
Iatrogenic diversion of the inferior vena cava (IVC) into the left atrium (LA) is a rare but serious complication of surgical atrial septal defect (ASD) repair, particularly in inferior or low-lying defects. When echocardiography is inconclusive, cross-sectional imaging can be…
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Periprosthetic Joint Infection in Egypt: A Narrative Review of the Current Landscape and Knowledge Gaps
Background: Periprosthetic joint infection (PJI) is one of the most serious complications of total joint arthroplasty (TJA). This review synthesizes the available local evidence of PJI in Egypt to identify the current landscape and knowledge gaps in the Egyptian healthcare…
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Cellular Neurothekeoma with Atypical Histologic Features in the Thigh: A Case Report
Neurothekeoma is a rare, benign neoplastic process that most commonly presents on the head and neck of young adults. We report a case of cellular neurothekeoma in a middle-aged woman with a thigh lesion showing histologic features that closely mimicked malignant tumors…
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Internal Herniation Beneath an Omphalomesenteric Band Arising from Meckel’s Diverticulum: A Rare Case Report of Small Bowel Obstruction in A Six-Year-Old Child
Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal tract and is usually asymptomatic, making preoperative diagnosis difficult in children. We report a 6-year-old boy with a 4-5-day history of progressively worsening periumbilical abdominal pain…
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Kidney Transplantation in a Patient with Smoldering Multiple Myeloma: A Case Report and Narrative Literature Review
Chronic kidney disease and end-stage kidney disease are frequently observed in patients with plasma cell dyscrasias, including monoclonal gammopathy of undetermined significance, smoldering multiple myeloma, and multiple myeloma, although kidney failure is not always directly…
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Fish-Bone Migration to the Liver Causing Hepatic Abscess: A Scoping Review of Published Cases (2015–2025)
Background: Foreign body ingestion is common; however, migration of an ingested fish bone into the liver with subsequent abscess formation is rare, frequently presents with nonspecific abdominal symptoms, and poses a diagnostic challenge in routine clinical practice, often…
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Spontaneous External Jugular Vein Pseudoaneurysm: A Case Report
Jugular venous pseudoaneurysm represents an exceedingly rare vascular abnormality and may present as an atraumatic neck mass. We report the clinical presentation, imaging findings, operative management under local anesthesia, anticoagulation strategy, and follow-up of a patient…
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War Injuries of External Male Genitalia: A Prospective Single-Center Study from the General Military Hospital, Sana’a, Yemen (2022–2024)
Background: War-related external male genital injuries are uncommon but clinically significant, often coexisting with severe pelvic, vascular, and musculoskeletal trauma and causing potential long-term functional, cosmetic, and psychological effects. Methods: This prospective…
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ERCP Timing in Gallstone Disease: A Meta-Analysis of One-Stage versus Two-Stage Strategies
Background: Cholecystocholedocholithiasis involves gallbladder and bile duct stones. Standard two-stage care involves ERCP followed by cholecystectomy, whereas single-stage intraoperative ERCP may streamline treatment. We performed a meta-analysis comparing stone clearance…
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Demographic Factors of Colorectal Cancer (CRC) Patients with Paralytic Ileus Among Adults in the United States: A Retrospective Study for Mortality Trends
Background: Paralytic ileus is a serious postoperative complication among individuals with colorectal cancer (CRC). Although mortality trends for CRC and paralytic ileus have been described separately, long-term national patterns involving both conditions have not been examined…
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Infective Endocarditis with Severe Aortic Regurgitation Complicated by Type A Aortic Dissection in a Tricuspid Aortic Valve: A Case Report
Infective endocarditis (IE) is a severe infection of the endocardial surface, most commonly affecting cardiac valves. Aortic dissection (AD) is a rare but life-threatening complication of IE. We report a case of IE with severe aortic regurgitation (AR) complicated by Type A AD…
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Malrotation with Midgut Volvulus Beyond Infancy Requiring an Extensive Ileal Resection: A Case Report
Midgut malrotation is a congenital anomaly resulting from abnormal rotation and fixation of the midgut during embryogenesis. It can be complicated by volvulus and intestinal obstruction. It rarely presents after the first year of life, which makes it a diagnostic challenge. A…
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Extrapelvic Endometriosis of the Rectus Abdominis Muscle After Cesarean Section: A Case Report
Abdominal wall endometriosis is an uncommon form of extra-pelvic endometriosis that typically develops in association with prior uterine surgery, particularly cesarean delivery. Among its variants, isolated involvement of the rectus abdominis muscle is exceedingly rare and may…
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Dexmedetomidine as an Adjuvant to Ropivacaine in Thoracic Paravertebral Block: A Systematic Review with Meta-analysis
Background: One of the ongoing challenges in thoracic surgeries, especially video-assisted thoracoscopic surgery (VATS), is effective postoperative pain management. The thoracic paravertebral block (TPVB) using ropivacaine provides targeted analgesia but suffers from a limited…
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Robotic Versus Laparoscopic Hysterectomy for Extremely Large Uteri: A Systematic Review
Introduction: Hysterectomy for very large uteri is technically challenging and often requires open surgery. Minimally invasive approaches, such as robotic and laparoscopic techniques, provide alternatives, but their comparative safety and effectiveness for extremely large uteri…
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Portal Venous Gas Following Laparoscopic Rectal Surgery: A Case Report of Internal Herniation without Bowel Necrosis
The presence of free air (pneumatosis) in the main and intrahepatic portal veins generally indicates acute mesenteric ischaemia, often accompanied by bowel necrosis. Internal herniation (IH) is a rare but serious complication of laparoscopic rectal surgery, where the mesenteric…
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Esophageal Stenting and Endoscopic Vacuum Therapy for Esophageal Defects: A Systematic Review and Meta-Analysis
Background: Spontaneous esophageal perforation, particularly Boerhaave syndrome, is a life-threatening condition associated with high morbidity and mortality. Traditional surgical management is increasingly being supplemented by minimally invasive approaches, including…
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Annular pancreas in adults presenting as chronic pancreatitis and duodenal obstruction: A review of literature and a rare case report
Background: Annular pancreas is a rare congenital anomaly with an estimated incidence of 3.4 per 1,00,000 live births. It is more commonly diagnosed in infants. Its occurrence in adults is exceptionally rare but clinically significant, as seen in our case, where it presented as…
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Epidemiological Assessment of Risk Factors for Inguinal Hernia Among Male Patients in Iraq: A Case-Control Study
Introduction: Inguinal hernia is one of the most common surgical conditions, particularly among males. Despite its prevalence, limited regional data exist on the associated risk factors in Iraq. This study aimed to identify socio-demographic, lifestyle, and clinical risk factors…
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A Systematic Review and Meta-Analysis of Liver Transplant Outcomes in Lean Versus Non-Lean Metabolic Dysfunction-Associated Steatotic Liver Disease Patients
Introduction: Metabolic dysfunction-associated steatotic liver disease (MASLD) is a prevalent hepatic disease with metabolic dysfunction-associated steatohepatitis (MASH) as its severe necro-inflammatory subtype. At present, it is the second leading cause of liver transplant. A…
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Evaluating Biliary Complications in Jaundiced Patients with Alcohol-Related Hepatitis: A Retrospective Study
Introduction: This study aims to differentiate whether jaundice in patients with alcoholic hepatitis (AH) is due to alcohol-related liver disease or underlying biliary pathology, including choledocholithiasis, primary sclerosing cholangitis, primary biliary cholangitis, benign…
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An Unusual Case of Disseminated Hydatid Disease: A Laparoscopic Wonder
Human echinococcosis, caused by Echinococcus tapeworms, is a zoonotic disease in which ingested eggs of the tapeworm form cysts in the organs known as Hydatid cysts. These cysts are commonly found in the Liver and lungs, but in rare cases, they can also be found in the spleen…
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Epiploic Appendagitis Following Blunt Abdominal Trauma: A Case Report with Literature Review
Epiploic appendagitis (EA) is a rare and self-limiting cause of acute abdominal pain resulting from ischemia due to torsion or venous thrombosis of epiploic appendages. It often mimics more common conditions, such as diverticulitis or appendicitis, leading to misdiagnosis and…
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Hybrid Schwannoma of the Nasal Cavity: A Rare Case Report with Literature Review
Sinonasal schwannomas are extremely rare, comprising only 4% of all head and neck schwannomas. Their atypical location and nonspecific symptoms often result in delayed diagnosis. This case highlights a rare hybrid schwannoma in the right nasal cavity of a young female…
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Challenges and Infectious Complications in Living Donor Liver Transplantation in Egypt: A Comprehensive Review
Background: Living donor liver transplantation (LDLT) is a crucial therapeutic option for patients with end-stage liver disease in Egypt, where deceased donor grafts are scarce. This study aims to investigate the challenges and infectious complications associated with LDLT in…
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Efficacy and Safety of Penehyclidine Hydrochloride in Postoperative Nausea and Vomiting Prevention: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Introduction: Postoperative nausea and vomiting (PONV) is a common complication following anesthesia. Penehyclidine hydrochloride (PHC), an anticholinergic medication, selectively inhibits the M1 Muscarinic and M3 Muscarinic receptors involved in the nausea and vomiting…
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Volvulus of Left Descending Colon: A Case Report and Systematic Review
Colonic volvulus has been described as the third most common cause of intestinal obstruction worldwide, with sigmoid volvulus representing more than 70% of all colonic volvulus. The descending colon is an atypical location for volvulus, with only a few documented cases in the…
