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Case Reports in Surgery

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https://www.readbyqxmd.com/read/28634566/adhesive-enhanced-sternal-closure-feasibility-and-safety-of-late-sternal-reentry
#1
Aaron J Spooner, Holly E M Mewhort, Lisa M DiFrancesco, Paul W M Fedak
This clinical case report describes sternal reentry performed years after adhesive-enhanced sternal closure using Kryptonite bone cement. This report provides novel data on the late effects of this innovation. We observed that sternal reentry is feasible and safe. The adhesive did not weaken from biodegradation over a period of several years. There was no evidence of adherence to adjacent soft tissues or other nonbony deep mediastinal structures. Surgeons who receive patients who require redoing cardiac surgery after adhesive-enhanced closure with Kryptonite can be reassured that sternal reentry is safe and feasible...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28611931/spontaneous-rupture-of-renal-metastasis-from-hepatocellular-carcinoma
#2
Osamu Kinoshita, Yusuke Ichijo, Masayuki Yoneda, Atsushi Ikai, Tetsuro Yamashita
We report a rare life-threatening case of spontaneous rupture of renal metastasis from hepatocellular carcinoma (HCC) that was managed by emergent transcatheter arterial embolization (TAE). A 76-year-old woman diagnosed with HCC presented with acute back pain in her right side and was transferred to our hospital. Initial enhanced computed tomography revealed retroperitoneal hemorrhage from the right kidney, which was retrospectively diagnosed as a spontaneous rupture of the metastatic renal tumor from the primary HCC...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28607796/acutely-obstructed-airway-resulting-from-complications-of-a-laryngopyocoele
#3
Rosalind Mole, Stephen Hayes, Simon Dennis
Laryngocoeles are rare cystic dilatations of the laryngeal ventricle. Obstruction of its outlet can cause entrapment of mucus and superimposed infection causes a laryngopyocoele. Such presentations, although rare, have potential to cause airway obstruction. A 67-year-old lady presented with a one-week history of hoarseness and shortness of breath. On examination, she was stridulous and had fullness of the left side of the neck. Nasendoscopy revealed large bilateral vocal cord polyps and near-complete glottis obstruction...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28607795/recurrent-lateral-ventricular-enterogenous-cyst-a-report-of-an-extreme-rare-case
#4
Md Shamsuzzaman Mondle, Md Shamsul Alam, Misbah Uddin Ahmad, Md Abdullah Yusuf
The patient was a 45-year-old man with a progressive headache. Evaluation in detail revealed it as a case of left lateral ventricular space occupying lesion (SOL) resembling choroid plexus papilloma. A left parietal craniotomy was done and the lesion was removed completely through intraparietal approach. Surgical removal resulted in complete symptomatic relief. Histopathology revealed that it was a case of the enterogenous cyst. One year after surgery, the patient again experienced the same symptom and the images revealed recurrence of the lesion...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28607794/a-rare-case-of-vasculitis-patched-necrosis-of-cecum-due-to-beh%C3%A3-et-s-disease
#5
Ehsan Shahverdi, Mehdi Morshedi, Faraneh Oraei-Abbasian, Maryam Allahverdi Khani, Roya Khodayarnejad
Isolated cecal necrosis is a rare form of acute ischemic colitis and a rare cause of surgical abdomen. Behçet's disease is a multisystemic autoimmune condition which can induce vasculitis. This can result in cecal necrosis while disease involves colon vessels. We describe a patient with complicated Behçet's disease and ischemic colitis admitted to our hospital. Patient was a 62-year-old female with more accompanying diseases. Histopathologic findings confirmed the diagnosis of ischemic colitis and regarding patient's vision problem and skin lesions, rheumatologic tests were performed which were positive for HLAB5 and HLAB51 suggestive of Behçet's disease; the patient was improved with surgery...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28567322/contralateral-ovarian-metastasis-of-clear-cell-renal-carcinoma-a-rare-case-report-and-review-of-the-literature
#6
Fatih Uruc, Serkan Akan, Aytaç Sahin, Caglar Yildirim, Ahmet Urkmez
Renal cell carcinoma (RCC) constitutes 2-3% of all types of cancers. RCCs metastasize into lungs (50-60%), lymph nodes (36%), bones (30-40%), liver (30-40%), and brain (5%) in respective percentages. RCC rarely metastasizes into ovary. Only 25 cases of ovarian tumor, which metastasized into kidneys, have been presented. In the literature, a kidney-ovary axis has been defined, and its interrelationship begins with embryological life. With this case report, we aimed both to present a very rarely seen metastasis of RCC into contralateral ovary and also to review the literature...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28555171/perforated-duodenal-diverticulum-treated-conservatively-another-two-successful-cases
#7
Jad A Degheili, Mohammed H Abdallah, Ali A Haydar, Ahmad Moukalled, Ali H Hallal
Diverticula of the duodenum proceed those of the colon in respect to frequency of location. Incidence at times of autopsy ranges from 15 to 23%. Despite the fact that more than 90% of duodenal diverticulum cases are asymptomatic, complications if they do occur can be calamitous. Perforation is one of these rare complications. Surgical intervention has always been the mainstay for symptomatic/complicated duodenal diverticula, but with the advancement of imaging, medical treatment, and proper intensive observation, conservative treatment came forth...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28540098/combined-treatment-of-a-gallbladder-volvulus-with-a-common-bile-duct-obstruction
#8
M Laydi, K Charpentier, B Paquette, B Heyd
Gallbladder volvulus is a rare disease and can lead to an acute cholecystitis. We report the case of an elderly woman with a gallbladder volvulus, diagnosed at CT scan and treated by surgery and endoscopic sphincterotomy.
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28536666/acute-torsion-of-appendicular-mucocele
#9
Farshid Ejtehadi, James Brooks, Hebah Hassan Ali, Vardhini Vijay
We present the case of an 81-year-old man with a known appendicular mucocele who presented to the emergency department with acute abdominal pain. A CT scan showed a change in orientation of the previously seen ovoid mass with surrounding fat stranding suggesting torsion. An emergency laparotomy with appendicectomy and resection of the caecal pole was performed. We discuss the findings and histopathology.
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28529813/difficult-management-of-a-double-lumen-endotracheal-tube-and-difficult-ventilation-during-robotic-thymectomy-with-carbon-dioxide-insufflation
#10
Yuki Sugiyama, Kunihiro Mitsuzawa, Yuki Yoshiyama, Fumiko Shimizu, Satoshi Fuseya, Takashi Ichino, Hiroyuki Agatsuma, Takayuki Shiina, Ken-Ichi Ito, Mikito Kawamata
Robotic surgery with carbon dioxide (CO2) insufflation to the thorax is frequently performed to gain a better operative field of view, although its intraoperative complications have not yet been discussed in detail. We treated two patients with difficult ventilation caused by distal migration of a double-lumen endotracheal tube (DLT) during robotic thymectomy. In the first case, migration of the DLT during one-lung ventilation (OLV) occurred after CO2 insufflation to the bilateral thoraxes was started. Oxygenation rapidly deteriorated because dependent lung expansion was restricted by CO2 insufflation...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28503338/infrarenal-infected-aortic-aneurysm-caused-by-streptococcus-pyogenes
#11
Floryn Cherbanyk, Markus Menth, Bernhard Egger, Véronique Erard
Infectious aneurysm is a rare entity associated with significant morbidity and mortality. Current knowledge on pathogenesis, outcome, diagnosis, management, and follow-up remains debatable. We report the case of a patient with Streptococcus pyogenes aneurysm who was successfully treated with a homograft implant and discuss microbiological characteristics, diagnostic methods, and treatment options currently available for this serious disease.
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28487807/acute-pancreatitis-with-splenic-infarction-as-early-postoperative-complication-following-laparoscopic-sleeve-gastrectomy
#12
Aleksandr Kalabin, Vishnu R Mani, Ankita Mishra, Hector Depaz, Leaque Ahmed
Obesity is becoming a global health burden along with its comorbidities. It imposes tremendous financial burden and health costs worldwide. Surgery has emerged as the definitive treatment option for morbidly obese patients with comorbidities. Laparoscopic sleeve gastrectomy is performed now more than ever making it imperative for physicians and surgeons to recognize both the common and the uncommon risks and complications associated with it. In this report we describe a rare early life-threatening postoperative complication following laparoscopic sleeve gastrectomy...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28487806/synchronous-carotid-bifurcation-endarterectomy-and-retrograde-kissing-stenting-of-the-innominate-and-left-common-carotid-artery-in-a-patient-with-a-bovine-aortic-arch
#13
Alessandro Robaldo, Guido Carignano, Alberto Balderi, Claudio Novali
Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a "bovine" aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. This case supports the feasibility, safety, and efficacy of a combined carotid bifurcation endarterectomy and retrograde kissing stenting of common carotid arteries with cerebral protection after evaluation of radiological, anatomical, and clinical parameters...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28487805/squamous-cell-carcinoma-originating-from-a-crohn-s-enterocutaneous-fistula
#14
Bogdan Protyniak, Travis Shutt, Russell Farmer
Purpose. Squamous cell carcinoma (SCC) developing within fistulae and chronic wounds in patients with Crohn's disease is a rare phenomenon with few reported studies in the literature. Clinical suspicion for SCC in Crohn's disease patients with chronic painful fistulae is low, leading to delayed diagnosis and treatment. We present a patient with long-standing Crohn's disease complicated by malignant degeneration of an enterocutaneous fistula tract. Methods. Workup with MRI, CT, and fistulogram revealed a 7 × 3 cm fistulous connection between a loop of small intestine and the patient's perineum...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28487804/exploring-a-third-confirmed-case-of-hemoperitoneum-following-open-inguinal-hernia-repair-caused-by-sampson-artery-hemorrhage
#15
Jordan Hebert, Manoj Jagtiani, Alexander Hsu, David Schmelzer, Fred Wolodiger
Hemoperitoneum is a rare complication of open inguinal hernia repair. This is the third reported case of this complication attributed to the same bleeding source: Sampson's artery. Sampson's artery courses along the round ligament of the uterus in the inguinal canal of females, originating from the arcade formed between the uterine and ovarian arteries. Usually obliterated in postembryonic development, this artery can persist in some adult female patients. Disruption of Sampson's artery can lead to hemoperitoneum following ligation of the uterine round ligament during open inguinal hernia repair in females...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28473939/enterocutaneous-fistula-secondary-to-stump-appendicitis
#16
Nelson Agostinho, Harinder K Bains, Franko Sardelic
The management of appendicitis with appendicectomy is very common in surgical practice. A recognised complication of appendicitis and appendicectomy is the formation of an enterocutaneous fistula. We present the case of a seventy-five-year-old woman who presented with an appendicocutaneous fistula on the background of an open appendicectomy performed sixty years prior to presentation.
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28465856/transmesenteric-internal-herniation-leading-to-small-bowel-obstruction-postlaparoscopic-radical-nephrectomy
#17
G A Cuthbert, L T Teo
Internal herniation following laparoscopic surgery is rare. We present a case of small bowel obstruction secondary to internal herniation in a 76-year-old male patient. Presentation was on postoperative day 28 following transperitoneal laparoscopic radical left nephrectomy for suspected renal carcinoma. The herniation was through a defect in the large bowel mesentery identified at exploratory laparotomy. To date, 10 cases of internal herniation following laparoscopic nephrectomy have been described in the literature...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28465855/emergent-minimally-invasive-esophagogastrectomy
#18
Thomas Fabian, Dorothy Chiaravalle, Jeremiah Martin
Introduction. Esophageal perforation in the setting of a malignancy carries a high morbidity and mortality. We describe our management of such a patient using minimally invasive approach. Methods. An 83-year-old female presented with an iatrogenic esophageal perforation during the workup of dysphagia. She was referred for surgical evaluation immediately after the event which occurred in the endoscopy suite. Minimally invasive esophagectomy was chosen to provide definitive treatment for both her malignancy and esophageal perforation...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28458941/intestinal-obstruction-in-a-patient-with-sclerosing-encapsulating-peritonitis
#19
Oday Obaid, Dawood Alhalabi, Mohamed Ghonami
Sclerosing encapsulating peritonitis (SEP) is a rare disorder that is characterized by encapsulation of bowel loops by thick fibrinogenous case. Most patients present with vague abdominal symptoms. It is challenging to diagnose the condition preoperatively. Surgical management is preserved for patients with small bowel obstruction with no improvement on conservative measures or for those with signs of bowel ischemia (Li et al., 2014; Habib et al. 2011). Herein, we discuss the clinical signs and symptoms, the radiological features, the surgical management, and outcome of SEP based on a patient who underwent surgery in our hospital...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28458940/primary-small-bowel-gist-presenting-as-a-life-threatening-emergency-a-report-of-two-cases
#20
Safi Khuri, Hayim Gilshtein, Abd-Alkarim Darawshy, Hany Bahouth, Yoram Kluger
Gastrointestinal stromal tumor (GIST) is a rare stromal neoplasm, which represents the most common mesenchymal tumor of the gastrointestinal tract. It is characterized by indolent clinical symptoms, although it can present as a life-threatening emergency. Herein, we present two cases of primary small bowel GIST treated at our department. A 68-year-old female patient presented to our emergency department with a diffuse abdominal pain of acute onset. Imaging studies revealed a mass at proximal jejunum, with a nearby free air and fluid...
2017: Case Reports in Surgery
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