Author - ahmed

Nipple Sparing Mastectomy with Primary Implant plus axiliary dissection (Sep. 2019)

Case 1Case 2Review of literature Nipple-Sparing Mastectomy and Direct-to-Implant Breast Reconstruction. Colwell AS1, Christensen JM. Author information 1 Boston, Mass. From the Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School. Abstract Breast reconstruction following mastectomy has evolved to preserve the native skin and nipple of the breast and create a natural-appearing reconstruction in 1 or 2 surgeries. Nipple-sparing procedures appear to be oncologically safe with low risks of cancer recurrence. In our series of 2,182 nipple-sparing mastectomies, there was no development or [...]


Case presentation Forty ‐ one‐year‐old female with obesity (body mass index 40.2 kg/m2), hypertension, and sleep apnea underwent an elective laparoscopic sleeve gastrectomy. She had no symptoms suggesting the presence of a gastric tumor and preoperative upper endoscopy was normal (Fig.1 ). During surgery, a 3 cm polypoidal mass was found on the distal posterior surface of the stomach (Fig. 2). Intraoperative esophagogastroscopy was done and it was normal. It was resected along with the gastric specimen, and histopathology showed epitheloid cells with [...]


Case Presentation A 28 year-old-female patient with weight regain after failed laparoscopic gastric plication done by another surgeon one year ago. Her last body mass index was calculated as 39.8 kg/m2.. Laparoscopic sleeve gastrectomy was planned as a redo surgery. A plicated stomach with increased wall thickness of the greater curvature was seen. After adhesiolysis between the plicated part of stomach and the surrounding omental tissues plus removal of suture thread of the plication, laparoscopic sleeve gastrectomy was performed. She was discharged on the [...]

Choleduchocele (Type 3B choleduchal cyst) masquerading as Duodenal duplication cyst (June 2019)

Case Presentation A 3-year-old boy was admitted to the  hospital for acute abdominal pain associated with vomiting and fever. Although his symptoms disappeared quickly with anti-infectious therapy, he  had repeated episodes of abdominal pain frequently in the following 6 months; the pain lasted for several minutes and alleviated spontaneously. At that time, he  showed no other symptoms, and his  physical examination and serum chemistry levels were normal. At first admission the ultrasound examination revealed paradoudenal cyst most probably duplication cyst; confirmed [...]

If You Remove Mesh For Any Reason, Do You send to Pathology or send to the Trash (May.2019)

Review of Literature Clinical Value of Hernia Mesh Pathology Evaluation Presented at the Annual Scientific Meeting of the American College of Surgeons Southern California Chapter, Santa Barbara, CA, January 2019. Negin Fadaee, AA , Laura Mazer, MD, Rajeev Sharma, MD Isabel Capati, RN, BSNd , Bonnie Balzer, MD, PhDc , Shirin Towfigh, MD, FACSd,∗,’Correspondence information about the author MD, FACS Shirin TowfighEmail the author MD, FACS Shirin Towfigh Background Hernia mesh removal is growing in demand. Meanwhile, there is no standard for handling the mesh specimen or [...]

Retrothyroidal intramuscular haemangioma (Feb.2019)

Case presentation A 16  years old female presented in private clinic with 5×3 cm painless mass in Left anterior triangle of neck. On clinical examination the mass was firm fixed and didn’t move with swallowing. Ultrasound examination showed 5x3x2 cm vascular swelling in left anterior triangle posterior to the left thyroid lobe. Thyroid gland was normal. The mass was just behind thyroid lobe mimicking parathyroid mass. Thyroid function test was normal. Serum calcium and parathyroid hormone were within normal. Provisional diagnosis of parathyroid [...]

The 15th Whipple’s operation by the same surgical team (Jan 2019)

Whipple’s pancreaticodoudenectomy for ampullary carcinoma Case presentation Sixty eight years old male patient referred by the gastroenterologist { Dr Muslim Al Khafagi }, as a case of ampulla tumor for Whipple’s operation. The patient diagnosed by abdominal US , abdominal CT scan, and ERCP ampulla biopsy plus CBD plastic stent. The histopathology of endoscopic biopsy was adenocarcinoma. The tumor was resectable and neither vascular invasion nor distal metastasis was detected. The patient has non relevant past medical history and negative past [...]

Unusual presentation of type IV Choledochal cyst in 8 years old boy (Des. 2018)

Case presentation Eight years old boy referred by the gastroenterologist { Dr Muslim Al Khafagi }, as a case of type IV choledochal cyst for surgical intervention. He was presented with upper GI bleeding and anemia three weeks before referral. He was treated conservatively and emergency OGD was done for him and revealed HAEMOBILIA. Abdominal US and MRI plus MRCP were done. Diagnosis of choledochal cyst was made and referred for operative management. The gastroenterologist thought about possibility of heterotopic gastric [...]