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International Journal of Surgery Case Reports

Farzaneh Amini Nezhad, Moloud Payab, Sara Nayebandi, Shirin Hasani-Ranjbar
BACKGROUND: Brown tumor may present as uni/multilocular osteolytic lesions with bone expansion, bone pain or pathologic fracture in primary, secondary and tertiary hyperparathyroidism. However, recently, such presentation is rare due to early detection using blood screening techniques before symptomatic bone lesions appear. CASE REPORT: A 65-year-old woman was admitted to our hospital with generalized bone pain and a progressive painless mass in her jaw appeared since 6 months ago...
October 4, 2018: International Journal of Surgery Case Reports
Masood Umer, Javeria Saeed, Nida Zahid
INTRODUCTION: Aggressive fibromatosis or Desmoid fibromatosis is a benign tumor which originated form mesenchymal tissues of the body. This tumor has strong potential of recurrence and infiltration but it does not metastasize to other organs of the body. This case series is focused to determine the treatment outcomes for pediatric patients of aggressive fibromatosis. METHODOLOGY: It is a retrospective case series conducted on 7 patients presented to section of Orthopedics, department of surgery of our institute in Karachi...
October 4, 2018: International Journal of Surgery Case Reports
Yuhki Sakuraoka, Takashi Suzuki, Genki Tanaka, Takayuki Shimizu, Takayuki Shiraki, Park Kyongha, Shozo Mori, Yukihiro Iso, Masato Kato, Taku Aoki, Keiichi Kubota, Hidetsugu Yamagishi
INTRODUCTION: Cystic duct carcinoma is a rare disease, and only 33 cases reported worldwide have completely fulfilled the criteria first established by Farrar in 1951. Here we describe an extremely rare case of early cystic duct carcinoma that fulfilled the Farrar criteria, the papillary tumour protruding into the common bile duct, leading to obstructive jaundice. CASE PRESENTATION: A 76-year-old man visited a clinic with icteric conjunctivae, and was referred to our hospital for investigation of suspected obstructive jaundice...
October 4, 2018: International Journal of Surgery Case Reports
Yuto Hozaka, Hiroshi Kurahara, Yuko Mataki, Yota Kawasaki, Satoshi Iino, Masahiko Sakoda, Shinichiro Mori, Kosei Maemura, Hiroyuki Shinchi, Shoji Natsugoe
INTRODUCTION: Colorectal complications including penetration and perforation in acute pancreatitis often become severe and fatal. Effective drainage is pivotal for successful treatment. We present a case of large retroperitoneal abscess with colonic necrotizing perforation due to severe acute pancreatitis treated with video-assisted retroperitoneal debridement (VARD) in a step-up approach. PRESENTATION OF CASE: A 31-year-old man was admitted to a general hospital with a diagnosis of severe acute pancreatitis...
October 4, 2018: International Journal of Surgery Case Reports
Nafeesah Fatimah, Abubaker Shafiq Ahmed, Muhammad Umar Warraich, Usman Ismat Butt, Qamar Ashfaq Ahmad, Mahmood Ayyaz
INTRODUCTION: Gallstone ileus is a rare presentation of cholelithiasis accounting for around 4% of cases of small bowel obstruction under 65 years of age but rises to 25% in those more than 65 years of age. Most gall stones, if impact in the bowel, are seen to lodge at the ileocecal valve as this is the most narrow part of the bowel. PRESENTATION OF CASE: We present a case of small intestinal obstruction because of a gallstone stuck in the distal jejunum. Patient was explored and one-stage surgery was done i...
October 4, 2018: International Journal of Surgery Case Reports
Raha AlMarzooqi, Loay AlJaberi, Steven Rosenblatt, Thomas Plesec, Eren Berber
INTRODUCTION: Biliary system paragangliomas are rare neuroendocrine tumors of embryonic neural crest origin. The majority is asymptomatic and incidentally found due to gallbladder functional disorders. Herein, we present a non-functional, 2.25 mm focus in the cystic duct, which to our knowledge, is the first reported paraganglioma of the cystic duct. PRESENTATION OF CASE: The patient presented to the Emergency Department complaining of a sudden-onset, right upper abdominal and epigastric pain...
October 1, 2018: International Journal of Surgery Case Reports
Hager Aref, Georges A Abizeid
INTRODUCTION: Schwannoma is a benign encapsulated tumor of the peripheral nervous system which is mainly located in the head and neck. However, axillary Schwannoma is rare. In this article, the author presents an interesting case of a right axillary Schwannoma, where the diagnosis was preoperatively made on a Tru-cut biopsy. CASE PRESENTATION: We report a case of an enlarged right axillary swelling in a sixty-year-old male. Proper radiologic workup was performed...
September 29, 2018: International Journal of Surgery Case Reports
Anne-Marie Dufresne, Rebecca Withers, Jonathan Ramkumar, Shawn Mackenzie, George Melich, Elena Vikis
INTRODUCTION: Transanal minimally invasive surgery (TAMIS) is a valuable surgical option for removal of rectal polyps and early rectal cancers. A potential complication of this technique is abdominal entry if the lesion is located above the peritoneal reflection. We present the first case series describing the use of a laparoscopic stapling device to remove a sessile lesion, and seal the resulting defect simultaneously with full thickness excision of the rectal lesion, avoiding abdominal entry...
September 29, 2018: International Journal of Surgery Case Reports
Mohamed Regal, Mohammed Maamoun Kamel, Hassan Alyami, Emad M Al-Osail
INTRODUCTION: Mediastinal Ectopic Thyroid Gland is a rare entity, accounting for 1% of all mediastinal tumours. Here, we present a rare case of mediastinal mass that was proved to be an ectopic thyroid with normal thyroid function tests and normal thyroid gland in the cervical location. CASE PRESENTATION: A 32-year-old lady had a road traffic accident, with the incidental discovery of a mediastinal mass on chest radiography. Thyroid function tests were normal. CT scans of the neck and chest revealed a large mediastinal mass compressing the trachea from the left side and extending to the superior part of the anterior mediastinum with normal thyroid gland in the cervical position...
September 29, 2018: International Journal of Surgery Case Reports
Nao Shimada, Shiro Miwa, Takuma Arai, Noriyuki Kitagawa, Shingo Akita, Nobuyoshi Iinuma, Keiko Ishii
INTRODUCTION: Pancreatic mixed adenoneuroendocrine carcinoma (MANEC) is a rare tumor. We report herein a case of pancreatic MANEC with cystic features. PRESENTATION OF CASE: A 67-year-old woman presented with jaundice. A CT scan revealed an 18-mm mass at the pancreatic head that obstructed the common bile duct and another 35-mm cystic lesion containing a mural nodule in the pancreatic body, which was suspected to be an intraductal papillary mucinous carcinoma. A biopsy of the head mass led to the diagnosis of adenocarcinoma...
September 23, 2018: International Journal of Surgery Case Reports
Akira Haro, Takatoshi Fujishita, Haruka Nishikawa, Yoshihiro Taguchi, Takuyuki Kouda, Koutaro Kajiwara, Hideki Makino, Takanori Kanematsu, Yumi Oshiro, Hideki Yokoyama
INTRODUCTION: A myelolipoma is a rare benign tumor that is composed of adipose tissue and hematopoietic elements. Myelolipomas most commonly occur in the unilateral adrenal gland. Posterior mediastinal myelolipomas are extremely rare. We herein present a rare case of a multifocal myelolipoma of the mediastinum that gradually enlarged over a 12-year period after surgical resection of an adrenal myelolipoma. This is the first report of multifocal myelolipomas of the posterior mediastinum and adrenal gland...
September 23, 2018: International Journal of Surgery Case Reports
Limael E Rodriguez, Jorge A Sanchez-Vivaldi, Miguel P Velez-Quiñones, Pedro A Torres, Miguel Serpa-Perez, Julio Peguero-Rivera, Jorge L Martinez-Trabal, Felipe Sanchez-Gaetan, Guillermo Bolaños-Avila
INTRODUCTION: In this study we assess the impact of a "rapid imaging protocol" (RIP) on outcomes in patients with suspected acute cholecystitis (AC). METHODS: From January 2017 to January 2018, a prospective cohort study was implemented using a RIP with hepatoscintigraphy (HIDA) or CT scan (first available, goal within 4 h) in patients (n = 52) presenting with highly suspected AC and a clinical feature score of ≥1. For the latter, the following presenting features were scored as follows: 1 point for WBC count ≥10,000 (109 /L), 1...
September 21, 2018: International Journal of Surgery Case Reports
Samer Makki Mohamed Al-Hakkak
INTRODUCTION: The preferred localization of human echinococcosis is the liver and lungs, which account for 85% of cases. Primary musculoskeletal hydatidosis are seldom reported in literature and their incidence is unknown. Primary solitary intramuscular hydatid disease is rare, even in countries in which echinococcosis is endemic and accounts for 1% of all human echinococcosis sites. CASE PRESENTATION: 37-year-old male farmer presented with primary hydatid cyst of the upper medial side of right thigh (Inside adductor magnus muscle) who was managed successfully by preoperative and postoperative dual treatment of albendazole together with surgery...
September 21, 2018: International Journal of Surgery Case Reports
Kenji Kandori, Wataru Ishii, Ryoji Iiduka
INTRODUCTION: Systemic arterial air embolism (SAAE) is a rare but fatal condition, with only a few cases reported, and the detailed etiology underlying SAAE remains unknown. We report a first case of massive SAAE after blunt chest injury, wherein the presence of traumatic air shunt was confirmed by direct observation during surgery. We also summarize our experience with six other SAAE cases. PRESENTATION OF CASE: A 68-year-old woman was admitted in a state of cardiac arrest after a fall...
September 21, 2018: International Journal of Surgery Case Reports
Pratima Herle, Tushar Halder
INTRODUCTION: Intestinal malrotation refers to a variety of abnormalities which occur between weeks 5-12 of embryological development. Most presentations occur before the first year of life. However, patients persisting beyond this period report chronic abdominal symptoms making it difficult to diagnose. Although uncommon, it is important that emerging surgeons and radiologists are made aware of the diagnosis and management of adult intestinal malrotation cases. PRESENTATION OF CASE: We present the case of a 40 year old patient admitted with subacute abdominal pain on a background of chronic abdominal pain, alternating constipation and diarrhoea requiring several previous hospitalisations and other congenital malformations...
September 18, 2018: International Journal of Surgery Case Reports
Mauricio Daniel Sánchez-Calderón, Diego Ochoa-Cacique, Oscar Medina Carrillo, Ulises García González, Rosa María Vicuña González, Carlos Cesar Bravo Reyna, José Raúl Guerra-Mora
INTRODUCTION: Brown tumors are non-neoplastic, expansive bone lesions that occur only in the setting of hyperparathyroidism. The most usual localization of brown tumors is in mandible, ribs and large bones. In cervical spine, to date, there are only 11 cases reported. The aim of this work is to report the case of a patient with Wegener´s granulomatosis with secondary end stage renal failure who developed a brown tumor in C4 vertebra. PRESENTATION OF CASE: A 25-year-old woman with an history of 2 months of worsening cervicalgia without history of trauma...
September 18, 2018: International Journal of Surgery Case Reports
Toru Imagami, Satoru Takayama, Taku Hattori, Ryohei Matsui, Masaki Sakamoto, Hisanori Kani, Satoshi Kurokawa, Tsuyoshi Fujiwara
INTRODUCTION: Advances in diagnostic techniques and treatment have resulted in an increase in patients with synchronous cancer. Surgical reports of combined laparoscopic and robotic resection for synchronous colorectal and genitourinary cancer are rare. MATERIALS AND METHODS: Between August 2015 and November 2017, three patients underwent combined laparoscopic and robotic surgery for synchronous colorectal and genitourinary cancer in our hospital. RESULTS: Case 1 was a 59-year-old man with synchronous rectal and prostate cancer treated by combined laparoscopic anterior resection and robotic-assisted prostatectomy...
September 18, 2018: International Journal of Surgery Case Reports
Yuhki Sakuraoka, Takashi Suzuki, Gennki Tanaka, Takayuki Shimizu, Takayuki Shiraki, Park Kyongha, Shozo Mori, Yukihiro Iso, Masato Kato, Taku Aoki, Keiichi Kubota, Hidetsugu Yamagishi, Yasukazu Shioyama
INTRODUCTION: Hepatic angiomyolipoma is a rare tumour and is difficult to obtain the accurate diagnosis preoperatively because the imaging features are similar to hepatocellular carcinoma. PRESENTATION OF CASE: We present a case study of an 80-year old woman with a liver tumour measuring 6.2 cm × 6.0 cm. We were able to diagnose the tumour preoperatively as a rare hepatic myomatous angiomyolipoma based on the presence of early venous return evident on angiography and small low-intensity areas corresponding to fat within the tumour revealed by out-of-phase EOB-MRI...
September 17, 2018: International Journal of Surgery Case Reports
Tomoya Matsuo, Sang Yang Lee, Takashi Iwakura, Tomoaki Fukui, Keisuke Oe, Tomoyuki Matsumoto, Takehiko Matsushita, Kotaro Nishida, Ryosuke Kuroda, Takahiro Niikura
INTRODUCTION: Osteopetrosis is a skeletal disorder characterized by increased osteodensity and a remodeling defect. The fragility of dense sclerotic bones may lead to an increased incidence of fractures. Although internal fixation can be performed, technical challenges may be experienced because of the increased bone density. Complications such as delayed union, nonunion, or implant failure may occur postoperatively. PRESENTATION OF CASE: We describe a patient with autosomal-dominant osteopetrosis type 2 who suffered a shaft fracture below a plate of his right femur...
September 17, 2018: International Journal of Surgery Case Reports
Mead Ferris, Christopher Pirko, James Nottingham
INTRODUCTION: The traumatic abdominal wall hernia is a rare injury typically due to a high-energy blunt trauma mechanism. There is a lack of consensus on the appropriate management of these patients. PRESENTATION OF THE CASE: A 43-year-old male was evaluated for a left flank bulge eight months after a motorcycle collision. He was diagnosed with a traumatic abdominal wall hernia at time of injury that was managed non-operatively. He noticed a left flank bulge two months after his collision that progressively worsened in size and in discomfort...
September 17, 2018: International Journal of Surgery Case Reports
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