Incidental discovery of goblet cell carcinoid, a rare appendiceal malignancy case report.

Goblet cell carcinoid (GCC) tumor is a rare appendiceal carcinoma that has had several names throughout its history. Often found incidentally on pathology following an appendectomy, treatment includes a right hemicolectomy and possible adjuvant chemotherapy. Survival rate has been shown to be correlated with the histological features. Here, we report a 45-year-old African American male who presented with signs and symptoms consistent with acute appendicitis, but was ultimately diagnosed with GCC. After undergoing a right hemicolectomy, he continues to undergo long-term surveillance with his oncologist. Due to the rarity of this tumor, we describe the history of GCC and our recommendations for surgical and long-term management.

A rare presentation of delayed traumatic lumbar hernia after motor vehicle collision.

Traumatic abdominal wall hernia is defined as protrusion of bowel or an abdominal organ through a disruption of musculature and fascia following a severe blunt trauma. We report a case of a patient who had a delayed presentation of a traumatic, superiorly located paralumbar hernia months after the initial admission.

Septic shock due to candida and disseminated herpes simplex virus-1 (HSV1) after elective spinal surgery in an immunocompromised patient with chronic HSV1 infection.

Herpes simplex virus is an infection that can result in a variety of symptoms ranging from blistering or ulcers to severe, systemic manifestations. We report a case of patient who underwent elective spinal surgery and developed invasive herpes as well as candidiasis postoperatively without any direct evidence of immunosuppression.

A unique case of mid-tendonpalmaris longus muscle - dissection presentation and literature review

The palmaris longus (PL) muscle is one of five muscles that originates from the common flexor tendon, which attaches at the medial epicondyle of the humerus, and has its own insertion distally into the palmar aponeurosis. Although the PL contributes minimal biomechanical function, its wide anatomic variation can produce pathologies in the forearm and wrist such as median nerve entrapment. The present work describes a unique case of a PL distally migrated muscle belly with wide tendon both proximal and distal not noted in other anatomical or surgical reference materials. Here-in, the current case is compared to previously re-ported PL variations and their documented frequencies by region and ethnicity. Key findings include several studies showing Caucasian populations with greater than 25% frequencies of absent PL, compared to 4-6% in African regions. Potential explanations for this finding include evolutionary adaptations associated with manual labor and need for increased grip strength. In addition, the considerations of abnormal PL in surgical procedures inclusive of challenges in graft procedures that might present with such anatomic variations of the PL are examined

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