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Hydatid disease, if not properly managed, can lead to mortality. Open surgery is preferred and can be a curative approach for multiple and large liver hydatid cysts. Also, regular follow-up is required to detect recurrence., Competing Interests: The author(s) have no conflict of interests to declare., (© 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.)

Key Clinical Message: Early traumatic diaphragmatic rupture diagnosis using radiological investigations and early surgical management is critical to avoid complications., Abstract: Traumatic diaphragmatic rupture (TDR) is a rare presentation reported following blunt trauma due to road traffic accidents. Our case showed the importance of early diagnosis of TDR using radiological investigations. Also, early surgical management is critical to avoid complications., Competing Interests: The author(s) have no conflict of interests to declare., (© 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.)

Wandering spleen is a rare condition and defined as the spleen that is not in its normal anatomical position due to lack or laxity of suspensory ligaments. Etiological factors are congenital and acquired. Splenic torsion, infraction, and rupture are life-threatening complications of wandering spleen. A 14-year-old girl patient presented to the emergency department with severe pain abdomen for 2 days. On physical examination, a large palpable mass in the mid of the abdomen was found, and CECT confirmed it as torsion of wandering spleen. Emergency exploration is done and splenectomy was done due to non-viability of the spleen. The Post-op period was uneventful. Acute torsion of wandering spleen is an extremely rare clinical entity and patient present in an emergency with clinical features of acute abdomen. They may also present with chronic pain abdomen and abdominal mass. Early diagnosis is vital for the preservation of the spleen. Radiological studies have an important role in an accurate diagnosis. Surgery is the gold standard treatment of wandering spleen. Surgery for splenopexy or splenectomy depends on the condition of the spleen during surgery. Timely diagnosis and interventions are crucial to prevent life-threatening complications of wandering spleen., Competing Interests: The authors declare that they have no competing interests.

Hydatid disease is a zoonosis caused by a parasite, Echinococcus granulosus , characterized by a cystic lesion in the liver, lung, or (rarely) in other parts of the body. Typical radiological findings make the diagnosis easy and help the surgeons to plan the management of hydatid disease. We report a case of giant hepatic hydatid cyst in a 12-year-old boy who presented with epigastric swelling and pain for 6 months. Contrast-enhanced abdominal computed tomography findings were highly suggestive of a giant hydatid cyst in the left lateral segment of the liver. Laparoscopic partial pericystectomy was done. The patient was discharged on the fifth postoperative day. The patient took oral albendazole preoperatively and postoperatively. Laparoscopic management of hepatic hydatid cysts is safe and effective. Laparoscopic approach is recommended with good technique and controlled suction of cyst content. Surgery combined with oral antihelminthics is the mainstay of treatment for hepatic hydatidosis., Competing Interests: All authors have no conflicts of interest to declare., (Copyright © 2021 The Journal of Minimally Invasive Surgery. All rights reserved.)

Introduction: The term Gossypiboma is used to describe a retained surgical sponge in body after surgical procedure. It is an infrequent but serious surgical complication which is seldom reported because of the medicolegal implications. It can present within days as a surgical emergency or years after the operation., Case Presentation: We report a case of 30-year-old female who presented in emergency with acute pain abdomen and severe distention of abdomen. She had history of caesarean section 15 days ago at another hospital. On clinical examination and investigation, it appeared like a surgical abdomen. Contrast enhanced computed tomography suspected an intrabdominal Gossypiboma. On exploratory laparotomy there was a lump in left side of abdominal cavity. Retained surgical sponge was removed that confirmed the diagnosis of Gossypiboma., Discussion: Gossypiboma is a real, serious but preventable surgical complication. It affects the patient safety, cost of treatment and may cause mortality if there is delay in diagnosis and treatment. It is commonly seen in emergency and difficult surgeries. Its clinical presentation is extremely variable. It can cause acute surgical abdomen, that needs urgent surgical intervention., Conclusion: Meticulous counts of surgical items with careful inspection of surgical site can lessen these complications. Radio frequency chip identification verification by barcode scanner can reduce the error rate., (Copyright © 2021 The Author. Published by Elsevier Ltd.. All rights reserved.)