ISSN 1941-5923


Welcome to the American Journal of Case Reports

Clinical case reports are an invaluable first-hand source of evidence in medicine and a tool most often used in practice to exchange information and generate a more expanded search for evidence. In addition to the “evidence of what happened”, single or multiple cases are an important basis for further and more advanced research on diagnosis,  treatment effectiveness, causes and outcomes of disease. However limited their... read more

Published: 2014-11-28

Surgical Resection and Scarification for Chronic Seroma Post-Ventral Hernia Mesh Repair

Vasileios Vasilakis, Kristin Cook, Dorian Wilson

(Department of General Surgery, Morristown Memorial Hospital, Morristown, USA)

Am J Case Rep 2014; 15:526-529

DOI: 10.12659/AJCR.891346

Background: The aim of this report is to present a new surgical approach in the definitive management of challenging cases of abdominal wall seroma following herniorrhaphy with mesh.
Case Report: We describe the case of a 56-year-old male with a 4-year history of a complex abdominal wall seroma. He had undergone fluid aspiration twice without success. On physical examination, the mass was supraumbilical and measured 15×10 cm. Computer tomography (CT) scan revealed a complex encapsulated formation overall measuring 10.1×17.3×17.3 cm in AP, transverse, and craniocaudal dimensions, respectively. In this case complete resection was not safe due to the anatomic relationship of the posterior aspect of the pseudocapsule and the mesh. Intraoperatively, the anterior and lateral aspects of the pseudocapsule were resected and an argon beam was used to scarify the residual posterior pseudocapsule and prevent recurrence. This technique was successful in preventing reaccumulation of the seroma.
Conclusions: Capsulectomy and scarification of the remnant pseudocapsule is an acceptable and safe surgical option for complex chronic abdominal wall seromas.

Keywords: Abdominal Wall, Hernia, Ventral, SEROMA

Published: 2014-11-27

Rheumatoid Arthritis-Associated Corneal Ulceration with Superimposed Infection by Methicillin-Resistant S...

Gurpinder Singh, Vincent Bryan Salvador, Arindam Bagchi, Racheal Tushabe, Adriana Abrudescu

Am J Case Rep 2014; 15:523-525

DOI: 10.12659/AJCR.891127

Published: 2014-11-25

A Rare Case of β-hCG Production by a Solitary Fibrous Tumor of the Pleura

Irfanali Rajabali Kugasia, Mohammad Alkayem, Jigar B. Patel

Am J Case Rep 2014; 15:518-522

DOI: 10.12659/AJCR.891171