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Perforated solitary mid-rectal diverticulum diagnosed with colonoscopy: a case report and literature review
(Oxford University Press (OUP), 2025-12-24)
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Avramoski, Vladimir
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Gjinoska, Klaudia
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Kostovska, Irena
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Stoicovski, Emil
Rectal diverticulum is an exceedingly rare clinical entity, typically occurring as a solitary lesion or, less frequently, as up to three diverticula. Its development is often associated with underlying conditions such as obstructive defecation syndrome, rectal malignancy, pelvic floor weakness, chronic rectal impaction, obesity, or infection-related muscular atrophy. Although uncommon, rectal diverticulitis represents a surgical emergency requiring timely recognition and management. In this case, a female patient presented with rectal bleeding and secondary anemia. During the clinical course, the patient developed pelvic sepsis secondary to rectal diverticulitis. Appropriate surgical intervention, combined with antimicrobial therapy and supportive management, led to a favorable outcome. Rectal diverticulitis is a rare but potentially life-threatening condition. Awareness of this entity and early diagnosis are essential to prevent severe complications such as perforation and pelvic sepsis. This case highlights the importance of considering rectal diverticulum in the differential diagnosis of lower gastrointestinal bleeding and pelvic infections.
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A giant desmoid tumor of the abdominal wall presented as a panniculus morbidus: case report and literature review
(Oxford University Press (OUP), 2025-12)
Kocevski, Zhivorad
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Jović, Goran
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Grujevski, Viktor
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Stoicovski, Emil
The abdominal wall's desmoid-type fibromatosis (desmoid tumor) is a rare, locally aggressive mesenchymal tumor with no potential for distant metastases. It can occasionally grow to a considerable size, leading to diagnostic confusion and presenting as a challenging surgical problem. This is a case of a giant desmoid tumor of the abdominal wall, which manifested as a panniculus morbidus (apron belly), thus causing an adult-acquired buried penis and reduced quality of life.
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Giant (complex) inguinal hernia in female patient left untreated for 40 years: a case report
(Oxford University Press (OUP), 2024-11)
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Gjinoska, Klaudia
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Kocevski, Zhivorad
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Stoicovski, Emil
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Mitrev, Zan
A giant inguinal hernia is a rare clinical presentation in patients refusing hernia repair for different reasons during a long period. The appearance is remarkable, and the preoperative preparation and the surgery itself might be challenging. They can present in an emergency (hernia incarceration) or elective setting. Most of the patients are male, but exclusions exist. This is a rare case of a female patient with a giant inguinal hernia left untreated for 40 years.
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Unexpected intraoperative finding of a hyalinizing cholecystitis in a patient with gallbladder calculi
(Oxford University Press (OUP), 2024-10)
Gjinoska, Klaudia
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Stoicovski, Emil
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Mitrev, Zan
Hyalinizing cholecystitis is a rare subtype of chronic cholecystitis in which the gallbladder tissue is replaced with hyaline sclerosis, more or less, and has a characteristic intraoperative appearance. Preoperative diagnosis is hard to establish. The entity is strongly associated with gallbladder carcinoma. Therefore, the pathologist should perform a thorough microscopic analysis. We present a case of an unusual intraoperative finding in a male patient with chronic cholecystitis which was proved to be a hyalinizing cholecystitis.

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