Facilitating heart transplantability in an end-stage heart failure patient with brain abscess and infected left ventricle assist device-A unique case report.

Introduction: Heart transplantation is the desired therapy in end-stage heart failure (HF) and in patients with left-ventricular assist devices (LVAD) suffering from life-threatening complications on device. Comorbidities are frequent in end-stage HF and may refrain the patient from being listed for heart transplantation such as infections making surgery impossible.

Presentation Of Case: We report the first case of a patient with proven LVAD system infection who additionally suffers from a brain abscess that made listing for heart transplantation impossible, leaving this patient no apparent treatment option.

Simultaneous laparoscopic cholecystectomy and transabdominal preperitoneal hernioplasty: two case reports evaluate the safety and surgical complications.

The safety of combining transabdominal preperitoneal (TAPP) hernioplasty and cholecystectomy in one laparoscopic surgery is still for many years questionable. We report two cases describing the safety and discussing the main concerns regarding the complications. As there are only few cases discuss this kind of combination, we aim to further clarify this subject to provide the best practice for our patients.

Penetrating abdominal injuries during the Syrian war: Patterns and factors affecting mortality rates.

Background: A large number of innocent Syrians were injured or killed during the years of war. This retrospective study investigates the differences in patterns of injury and factors affecting the mortality rate in 324 patients coming to Damascus Hospital with penetrating abdominal trauma, and illustrates the difficulties of diagnosis and decision making in crisis situations.

Methods: A retrospective study was registered from patient's records between October 2012 and June 2013 in Damascus Hospital.

A case report of laparoscopic cholecystectomy in situs inversus totalis: Technique and anatomical variation.

Bachground: Since the first laparoscopic cholecystectomy report in situs inversus totalis in 1991, the safety of this procedure has still been questionable. A few surgeons were preferred to perform an open cholecystectomy due to technical difficulties as well as various anatomical varieties that can be faced during surgery.

Case Presentation: We report a case report of a 50 years old patient came with epigastric pain that radiated to her left shoulder, intermittent nausea, vomiting and bloating after some meals.

Rare manifestation of endometriosis causing complete recto-sigmoid obstruction: A case report.

Intoduction: Endometriosis is a disease in which endometrial epithelium implanted outside the uterus. Although the endometrial tissue can implant anywhere, the most common places are the ovary and pelvic peritoneum. We present a rare case of recto-sigmoid endometriosis that causes a complete large bowel obstruction in a non-reproductive age woman who came with no specific symptoms of endometriosis and the diagnosis was made after surgical resection.