I have done this, and as Mr B more or less said, unless its a really great case, it isn't worth the trouble. I used an older, very heavily-constructed fulltower server case that appealed to me. I rewired the whole front panel, but had to construct a power button. I bought heavy guage sheet aluminum and made a new back panel from the PSU to the slots, and cut the AT pattern slots out. As I had a rather battered ATX case, I cut the slot panel off it and used it for the modification. I then had to correctly site the motherboard to align with the slots, and epoxy standoffs to the case. everything ended up turning out well, but if I hadn't had a lot of the stuff I needed already, it would have turned into an expensive proposition. It was very time-consuming, and I don't think I'd do it again.