A rare cause of small bowel perforation: A metastatic lesion from squamous cell carcinoma of the tongue.

Background: Metastatic lesions from head and neck tumours to the small bowel are extremely rare, and metastasis from tongue squamous cell carcinoma in particular has been reported only twice in the English literature.

Case Presentation: A 76 year-old lady diagnosed with a loco-regionally advanced tongue squamous cell carcinoma but deferred surgical resection. Seven months later after her diagnosis, she presented with generalized abdominal pain, due to image-proven viscous perforation, thus taken for emergent exploratory laparotomy, where the perforation was found at the distal ileum, which was resected, and a primary side to side anastomosis was done.

First tracheal ring fracture in a complex thyroid surgery.

Introduction: Tracheal injury is a rare complication of thyroidectomy that endocrine surgeons might face during or after the surgery. It accounts for less than 1 % of all thyroidectomy complications.

Case Presentation: A 48-year-old who presented with hyperthyroidism signs and symptoms, diagnosed with Graves' disease.

Primary hyperparathyroidism.

Primary hyperparathyroidism is a common endocrine disorder caused by overactivation of parathyroid glands resulting in excessive release of parathyroid hormone. The resultant hypercalcemia leads to a myriad of symptoms. Primary hyperparathyroidism may increase a patient's morbidity and even mortality if left untreated.

When patients call their surgeon's office: an opportunity to improve the quality of surgical care and prevent readmissions.

Background: Little is known about care coordination and communication with outpatient endocrine surgery patients. This study evaluated phone calls between office nurses and surgical patients to identify common issues addressed and their effect on patient care.

Methods: Qualitative analysis of preoperative and postoperative phone conversations between office nurses and endocrine surgery patients.

Kidney Disease Improving Global Outcomes guidelines and parathyroidectomy for renal hyperparathyroidism.

Background: Patients with end-stage renal disease develop hypocalcemia, resulting in secondary hyperparathyroidism (SHPT). No clear criterions exist to aid in surgical decision making for SHPT. The 2009 Kidney Disease Improving Global Outcomes (KDIGO) guidelines provide target ranges for serum calcium, phosphate, and parathyroid hormone (PTH) levels in patients with end-stage renal disease.