ISSN 1941-5923

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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: 2015-01-25

Appendectomy and Resection of the Terminal Ileum with Secondary Severe Necrotic Changes in Acute Perforated Appendicitis

Yuri N. Shiryajev, Nikolay N. Volkov, Alexey A. Kashintsev, Marina V. Chalenko, Yuri V. Radionov

(Department of Faculty Surgery named after Prof. A.A. Rusanov, Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russian Federation)

Am J Case Rep 2015; 16:37-40

DOI: 10.12659/AJCR.892471


Background: Resectional procedures for advanced and complicated appendicitis are performed infrequently. Their extent can vary: cecal resection, ileocecectomy, and even right hemicolectomy. We present a very rare case of appendectomy that was combined with partial ileal resection for severe necrotic changes and small perforation of the ileum.
Case Report: A 19-year-old female patient was hospitalized with right iliac fossa pain and fever 10 days after the onset of symptoms. On laparoscopy, a large mass in a right iliac fossa was found. The ultrasound-guided drainage of the suspected appendiceal abscess was unavailable. After conversion using McBurney’s incision, acute perforated appendicitis was diagnosed. It was characterized by extension of severe necrotic changes onto the ileal wall and complicated by right iliac fossa abscess. A mass was bluntly divided, and a large amount of pus with fecaliths was discharged and evacuated. Removal of necrotic tissues from the ileal wall led to the appearance of a small defect in the bowel. A standard closure of this defect was considered as very unsafe due to a high risk of suture leakage or bowel stenosis. We perform a resection of the involved ileum combined with appendectomy and drainage/tamponade of an abscess cavity. Postoperative recovery was uneventful. The patient was discharged on the 15th day.
Conclusions: In advanced appendicitis, the involved bowel resection can prevent possible complications (e.g., ileus, intestinal fistula, peritonitis, and intra-abdominal abscess). Our case may be the first report of an appendectomy combined with an ileal resection for advanced and complicated appe... read more

Keywords: Abdominal Abscess, appendicitis, Intestine, Small




Published: 2015-01-23

Syndrome of Inappropriate Anti-Diuretic Hormone Secondary to Non-Cirrhotic Primary Hepatocellular Carcino...


Sherif Eltawansy, Johnson Gomez, Kenneth Liss, Noel Nivera, Mark Babyatsky

Am J Case Rep 2015; 16:31-36

DOI: 10.12659/AJCR.892370

Published: 2015-01-21

Aspergillus Flavus Endocarditis of the Native Mitral Valve in a Bone Marrow Transplant Patient


Tolga Demir, Mehmet Umit Ergenoglu, Abdurrahman Ekinci, Nursen Tanrikulu, Mazlum Sahin, Ergun Demirsoy

Am J Case Rep 2015; 16:25-30

DOI: 10.12659/AJCR.892428