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Inflammatory granulomas often develop in surgical scars due to the presence of foreign bodies, such as sutures. These granulomas are called Schloffer's tumors. Here, we report a case of heterotopic ossification(HO) in an appendectomy scar that formed an inflammatory granuloma following HO infection. A 90-year-old woman was referred to our hospital with a chief complaint of a painful mass in the right lower quadrant of her abdomen. She had a history of acute appendicitis, for which she underwent an appendectomy approximately 70 years previously. Imaging studies demonstrated a tumor containing a linear-shaped agent located in the abdominal wall under the surgical scar where the appendectomy was performed. She was then diagnosed with Schloffer's tumor, for which she underwent surgical resection. However, histopathological examination revealed that the tumor was a fibrous connective tissue mass with a lamellar bone inside.
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http://dx.doi.org/10.1093/jscr/rjac370 | DOI Listing |
BMJ Case Rep
September 2025
Surgical, Nottingham University Hospitals NHS Trust-City Campus, Nottingham, Nottinghamshire, UK.
Familial Mediterranean fever (FMF) is an autosomal recessive auto-inflammatory disorder that primarily affects individuals of Mediterranean, Middle Eastern and South Asian origin . We report the case of a male patient in his late 20s who was diagnosed with FMF at the age of 17 years. Prior to the diagnosis, he underwent two unnecessary surgical interventions due to recurrent episodes of acute abdominal pain-an appendectomy, followed 3 years later by a negative exploratory laparotomy for suspected adhesive small bowel obstruction (SBO).
View Article and Find Full Text PDFWorld J Surg
August 2025
Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Children in high-resource countries enjoy the short- and long-term benefits of the laparoscopic approach when appendectomy is necessary. Children in resource-limited settings may not have the same opportunity, in part due to cost restraints related to the expense of the laparoscopic equipment required. This study describes a novel approach for the laparoscopic appendectomy which is lower in cost than the standard three trocar approach and could be utilized in lower resource areas.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2025
Department of General Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Introduction: The enteroliths are stones of the intestines that may form along the passage of the gastrointestinal tract, especially within the ileum. Their clinical and radiological presentations vary, often leading to misdiagnosis. They may result in delayed complications like intestinal obstruction.
View Article and Find Full Text PDFLangenbecks Arch Surg
July 2025
Fortius Clinic, 66 Wigmore St, W1U 2SB, London, UK.
Surgical site infections (SSIs) remain a clinically significant complication in laparoscopic abdominal surgery, particularly in clean-contaminated procedures such as appendectomy and cholecystectomy. This review examines the findings of the NOVOTILAC LAC trial, a multicentre, double-blind, randomised controlled study evaluating the efficacy of chlorhexidine-coated sutures in reducing SSIs. Although the primary endpoint-30-day SSI rate-did not reach statistical significance, secondary outcomes, including post-operative pain, scar satisfaction, and quality of life, offer a broader perspective on patient recovery.
View Article and Find Full Text PDFAm J Case Rep
July 2025
Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
BACKGROUND Depressed abdominal scars resulting from childhood surgical interventions, such as appendectomies, often result in aesthetic and functional impairments due to dermal tissue deficiencies and adhesions to the anterior rectus sheath. Traditional methods, including subcision and fat grafting, have limitations in addressing extensive, adherent scars. This report describes a 22-year-old woman with a post-appendectomy depressed scar and outlines an innovative reconstructive approach involving scar tissue release, abdominal wall reinforcement, bilayered adipofascial flaps, and a W-plasty suturing.
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