Publications by authors named "Hassan Sabra"

Background: Mesenteric fibromatosis, is a rare neoplasm arising usually from the bowel mesentery, with intermediate behavior and local invasion potential. They can be sporadic or related to multiple factors contributions. They usually presents as an asymptomatic growth of intraabdominal mass, and can reach a large diameter before symptoms appearance.

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Introduction: A 64-year-old lady was diagnosed with having a klatskin type 3A tumor based on imaging, however, an alternative diagnosis was achieved during surgery.

Presentation Of Case: We present a case of a 64-year-old lady who presented for new-onset jaundice and was diagnosed with type 3A klatskin tumor based on MRCP findings. During surgery, it was revealed that the obstruction was caused by a frank intrabiliary hydatid cyst perforation.

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Background: Splenoptosis is an uncommon disorder defined as the dislodgment of the spleen from its anatomical location in the left hypochondrium to another location in the intraabdominal cavity. This migration is the result of laxity or absence of the ligaments that fix the spleen to surrounding structures. Splenoptosis is either diagnosed after it causes symptoms, or incidentally using different imaging modalities.

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  • The case highlights a 70-year-old man with recurrent giant retroperitoneal liposarcoma, emphasizing its rarity and the importance of review in existing literature.
  • The patient underwent multiple surgeries over a decade for progressively larger tumors, with the final pathology consistently showing well-differentiated liposarcoma.
  • Retroperitoneal liposarcomas are rare tumors that require careful diagnosis via imaging and need complete surgical excision, often involving multiple organs, especially when they grow to a significant size.
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Introduction: Community acquired pneumonia usually presents with typical clinical and radiological signs allowing for a quick diagnosis. Nevertheless, pneumonia can infrequently mimic acute abdominal pathologies, leading to invasive unnecessary procedures.

Presentation Of Case: We report a case of a 44-year-old man, previously healthy, admitted with a diagnosis of a surgical abdomen, investigated with an exploratory laparoscopy after inconclusive imaging and failure of improvement.

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  • The small bowel is critical for nutrition, and a shorter length can lead to malnutrition, often requiring parenteral nutrition.
  • A 59-year-old man with a 35 cm small bowel survived for 32 years without parenteral support, despite significant health challenges.
  • Surgical resection may necessitate temporary parenteral nutrition, but patients can adapt and eventually thrive with less bowel through intestinal adaptation and improved nutrition.
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  • Inguinal hernias are common and typically contain omentum or small bowel, but rare cases can include contents like colorectal cancer, as seen in this patient's case of an incarcerated left inguinal hernia.
  • An 87-year-old man presented with signs of an inguinal hernia, which during surgery revealed a hard mass covering a perforated sigmoid cancer, highlighting the need for careful examination.
  • Surgeons should consider the possibility of underlying colorectal cancer during hernia surgeries and perform oncologic resections when necessary to improve patient outcomes.
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Introduction: A 37-year-old male patient operated for inguinal hernia repair was found to have ectopic adrenocortical tissue in the hernial sac.

Case Presentation: A 37-year-old man was admitted for bilateral inguinal hernia. An uneventful open repair was done, and the resected hernial sacs were sent to pathology.

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