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Case Reports in Surgery

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https://www.readbyqxmd.com/read/29780656/primary-leiomyosarcoma-of-the-colon-a-report-of-two-cases-review-of-the-literature-and-association-with-immunosuppression-for-ibd-and-rheumatoid-arthritis
#1
Jessica S Crystal, Kristin Korderas, David Schwartzberg, Steven C Tizio, Min Zheng, Glenn Parker
Primary leiomyosarcomas (LMS) of the colon are rare and aggressive neoplasms and have been infrequently reported in the literature. These tumors are more aggressive and have poorer prognoses than adenocarcinoma of the colon and are often mistaken as such on initial evaluation. While the former has a clear association with inflammatory bowel disease (IBD), this correlation is not known to exist with LMS and IBD. Nor is there a known link between LMS and the immunosuppression for IBD, despite the known association between malignancy and immunosuppression for other diseases...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29780655/phytobezoar-a-brief-report-with-surgical-and-radiological-correlation
#2
Sameer A Hirji, Faith C Robertson, Grace F Chao, Bharti Khurana, Jonathan D Gates
Gastrointestinal bezoars, collections of incompletely digested material within the alimentary tract, can present as a diagnostic challenge and should be considered in the differential diagnosis and management of small bowel obstruction, ischemic bowel, or bowel perforation. We present a case of a 37-year-old man with a distant history of laparotomy for superior mesenteric artery thrombosis requiring partial small bowel resection of the jejunum who presented with worsening abdominal pain, nausea, vomiting, and hematemesis...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29780654/penile-and-scrotal-strangulation-due-to-metal-rings-case-reports-and-a-review-of-the-literature
#3
Neel H Patel, Ariel Schulman, Jonathan Bloom, Nikil Uppaluri, Michael Iorga, Suraj Parikh, John Phillips, Muhammad Choudhury
Penile and scrotal entrapment from a metal ring placed at the base of the penis is a rare, but important clinical dilemma encountered in urology. Emergent presentation to the urologist, after ring placement far longer than safely practiced, risks ischemic and permanent injury to penile, scrotal, and intrascrotal structures. Treating urologists should be aware of the prevalence of metal ring use, their potential complications, and the surgical approach to their safe removal. We present two patients who were identified at our institution with strangulating injuries of retained penile rings...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29780653/isolated-superior-mesenteric-vein-tumor-thrombus-in-a-patient-with-gastric-cancer
#4
Barış Özcan, Metin Çevener, Ayşegül Kargı, Mustafa Özdoğan, Alihan Gürkan
Tumor thrombus in the portal vein can rarely originate from gastric cancer via hematogenous spread, with only few case reports published in the literature. Isolated superior mesenteric vein tumor thrombus in gastric cancer has not been previously reported. A 61-year-old male patient who had undergone distal gastrectomy and gastroenterostomy for gastric ulcer 20 years ago was diagnosed with an obstructive tumor originating from the gastroenterostomy anastomosis site on upper gastrointestinal endoscopy that was performed for complaints of fatigue, oral feeding problems, and anemia...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29736288/reconstruction-of-the-adult-hemifacial-microsomia-patient-with-temporomandibular-joint-total-joint-prosthesis-and-orthognathic-surgery
#5
Piero Cascone, Valentino Vellone, Valerio Ramieri, Emanuela Basile, Achille Tarsitano, Claudio Marchetti
Background: HFM patients' reconstruction has always been a challenge for maxillofacial surgeons, and numerous reconstructive techniques have been described. Surgical treatment depends on the patient's age and contemplates Temporomandibular Joint (TMJ) reconstruction in conjunction with orthognathic surgery, usually necessary following completion of growth to maximize the functional and esthetic results. Distraction osteogenesis had gained popularity as valid alternative in growing patients, but the two primary methods to reconstruct the TMJs involve the use of autogenous, using free or microvascular bone grafts, or alloplastic graft, but there is no widely accepted method...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29732229/laparoscopic-splenectomy-for-splenic-metastasis-from-primary-lung-carcinoma
#6
Carlos A Lopera, Jean Pierre Vergnaud, Gustavo Matute-Turizo, Salin Pereira-Warr
Introduction: Isolated splenic metastases are a rare finding. Though several primary tumors can produce splenic metastases, including lung carcinoma, there are very few documented cases of isolated splenic metastases from lung carcinoma. This report presents such a case in which the splenic metastasis was removed with laparoscopic splenectomy. Presentation of Case: A 69-year-old woman with a history of lung carcinoma presented with several months of abdominal pain...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29721345/a-midgut-duplication-cyst-lined-by-respiratory-epithelium
#7
Balaji Mahendran, Tim Bracey, Rajesh T Kochupapy
Duplication cysts are an uncommon finding. Majority of these cases are found in the region of the midgut, and many have been reported in literature. However, there has been only one previous case of a midgut duplication cyst lined by respiratory epithelium. This is a rare pathology, of which very little is known about. The pathophysiology of these cases is also difficult to explain. We aim to present a case of a midgut duplication cyst in a paediatric patient, who had other abnormalities as well. We also aim to offer a hypothesis for this case...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29713558/effect-of-4dryfield-%C3%A2-ph-a-novel-adhesion-barrier-on-recurrence-of-intestinal-adhesions-after-extensive-visceral-adhesiolysis
#8
Gerhard Blumhardt, Matthias Haas, Stefanie Polte
Background: Adhesions occur after up to 97% of abdominal interventions causing chronic pain, infertility, and intestinal obstruction. Various concepts to prevent adhesions have been presented but mostly either have low efficacy or are not applicable in resective intestinal surgery or incomplete hemostasis. In this retrospective one-center clinical trial, the course of patients with extensive abdominal adhesiolysis and application of a recent starch-based formulation, 4DryField PH (4DF), is analyzed...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29692941/pancreatic-hydatid-cyst-causing-acute-pancreatitis-a-case-report-and-literature-review
#9
Bayan Alsaid, Maryam Alhimyar, Fadi Rayya
Hydatidosis is a public health problem in endemic countries. Hydatid cysts are located usually in the liver and the lungs. Primary pancreatic hydatid cyst is in unusual location and rarely causes acute pancreatitis. In this paper, we report a case of a 34-year-old man who admitted with recurrent acute pancreatitis. Following the preoperation investigations, the primary impression was a pancreatic pseudocyst. During surgery, a primary hydatid cyst was detected in the pancreas measuring 35 × 20 × 15 cm. The treatment consisted of evacuation and external draining of the cyst...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29686923/leiomyoma-of-the-round-ligament-of-the-uterus-mimicking-inguinal-hernia
#10
Ioulia Maria Christodoulou, Argiris Angelopoulos, Petros Siaperas, Argyrios Ioannidis, Andreas Skarpas, Antreas Tellos, Georgios Velimezis, Ioannis Karanikas
Masses of the round ligament of the uterus are uncommon. Leiomyomas are the most common of them, followed by mesothelial cysts and in some cases endometriosis. The exact incidence is not known, but most cases are frequently encountered during the fertility age. Leiomyomas are benign tumors, which can present as hernias, lymph nodes, or other inguinal masses. Surgical excision is the appropriate treatment. We are presenting a case of a 47-year-old female patient who was admitted to the hospital with a left inguinal mass...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29686922/endolumenal-vacuum-therapy-and-fistulojejunostomy-in-the-management-of-sleeve-gastrectomy-staple-line-leaks
#11
Kyle Szymanski, Estrellita Ontiveros, James S Burdick, Daniel Davis, Steven G Leeds
Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery performed for morbid obesity. Leaks of the vertical staple line can occur in up to 7% of cases and are difficult to manage. Endolumenal vacuum (EVAC) therapy and fistulojejunostomy (FJ) have separate documented uses to heal these complicated leaks. We aim to show the benefit of using EVAC with FJ in the treatment of LSG staple line leaks. The patient presented with an LSG chronic leak. EVAC therapy was initiated but failed to close the fistula after 101 days...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29682390/hydatid-cyst-of-the-adrenal-gland-is-radical-surgery-necessary-for-recurrent-hydatid-disease
#12
Sami Akbulut, Mehmet Yilmaz
Hydatid cyst disease caused by E. granulosus is a zoonotic disease that may involve many body tissues and organs, mainly liver. Adrenal glands are rarely involved even in regions where hydatid cyst disease is endemic. A limited number of studies have been reported on adrenal gland involvement by hydatid cyst disease. Herein, we aimed to report a recurrent case of adrenal hydatid cyst that was misdiagnosed as a hepatic hydatid cyst. A 16-year-old boy with a history of partial cyst excision and evacuation for perforated adrenal hydatid cyst disease three years ago presented to our outpatient clinic with nonspecific abdominal pain...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29682389/blunt-pancreatic-injury-in-major-trauma-decision-making-between-nonoperative-and-operative-treatment
#13
Christopher Ull, Sebastian Bensch, Thomas Armin Schildhauer, Justyna Swol
Blunt trauma injuries to the pancreas are rare but are associated with significant overall mortality and a high complication rate. Motor vehicle collisions are the leading cause of blunt pancreatic trauma, followed by falls, and sports injuries. We discuss the decision-making process used during the clinical courses of 3 patients with life-threatening blunt pancreatic injuries caused by traumatic falls. We also discuss the utility of the American Association for the Surgery of Trauma Organ Injury Scale (AAST-OIS), which provides a system for grading pancreatic trauma...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29682388/granulomatosis-with-polyangiitis-localized-in-the-greater-omentum
#14
Ryuji Komine, Takashi Kobayashi, Hiro Uehara, Keisuke Minamimura, Kazuhiko Mori, Toru Hirata, Atsushi Shimizu, Masaya Mori
Granulomatosis with polyangiitis (GPA) is known as anti-neutrophil cytoplasmic antibody- (ANCA-) associated small vessel vasculitis and typically manifests as pulmonary-renal syndrome, but the disease is not limited to pulmonary or renal systems. The inflammation can involve whole body organs. In addition, the ANCA titer does not always become positive. Here, we describe the case of a 91-year-old man who presented with umbilical pain and fever of unknown origin. Only the increased computed tomography value of the greater omentum suggested intra-abdominal inflammation; however, serological examinations, including the ANCA level, could not reveal the focus or cause of symptoms...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29682387/surgical-management-of-encapsulating-peritoneal-sclerosis-a-case-report-in-kidney-transplant-patient
#15
R Shahbazov, M Talanian, J L Alejo, F Azari, A Agarwal, K L Brayman
Introduction: Encapsulating peritoneal sclerosis (EPS) is a clinical syndrome of progressive fibrotic change in response to prolonged, repetitive, and typically severe insult to the peritoneal mesothelium, often occurring in the setting of peritoneal dialysis (PD). Clear guidelines for successful management remain elusive. We describe the successful surgical management of EPS in a 28-year-old male s/p deceased donor kidney transplant for end-stage renal disease (ESRD) secondary to focal segmental glomerulosclerosis (FSGS)...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29670802/isolated-right-sided-posttraumatic-diaphragmatic-hernia
#16
Ibrahim Amadou Magagi, Oumarou Habou, Harissou Adamou, Ousseini Adakal, Mahamoud Omid Ali Ada, Hellé Moustapha, Habibou Abarchi
Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities. Traumatic diaphragmatic rupture is a rare clinicopathological entity. We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects. A 10-year-old boy was admitted to the emergency surgical department with thoracic trauma following pedestrian accident. At admission a haemothorax was suspected and treated by pleural drainage...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29670801/nonoperative-management-of-multiple-penetrating-cardiac-and-colon-wounds-from-a-shotgun-a-case-report-and-literature-review
#17
Paula M Jaramillo, Jaime A Montoya, David A Mejia, Salin Pereira Warr
Introduction: Surgery for cardiac trauma is considered fatal and for wounds of the colon by associated sepsis is normally considered; however, conservative management of many traumatic lesions of different injured organs has progressed over the years. Presentation of the Case: A 65-year-old male patient presented with multiple shotgun wounds on the left upper limb, thorax, and abdomen. On evaluation, he was hemodynamically stable with normal sinus rhythm and normal blood pressure, no dyspnea, or abdominal pain...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29670800/tubular-duplication-of-the-midgut-presenting-with-acute-abdomen-and-hematochezia-a-case-report-from-northern-tanzania
#18
Ayesiga M Herman, David Msuya, Mwemezi Kaino, Hilary Shilanaiman, Joachim Magoma, Christian Issangya, Jay Lodhia, Murad Tarmohamed, Jeremia Pyuza, Patric Amsi, Alex Mremi, Ronald Mbwasi, Nuru Letara
Enteric duplication is one of the rare malformations affecting the small intestine more than the other parts of the gastrointestinal tract. It poses a challenge in diagnosis due to nonspecific symptoms that may mimic other pathologies. Furthermore, the management options including total resection, mucosal striping, and internal drainage of the duplicate depend on the presentation of the patient, site, and length of the involved bowel. We present the first documented case of enteric duplication in Tanzania, a 3-year-old male, who was found to have a 90 cm long jejunoileal duplicate...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29670799/a-modified-technique-for-laparoscopic-spleen-preserving-distal-pancreatectomy
#19
Andreas Papatriantafyllou, Theodoros Mavromatis, Theano Demestiha, Dimitrios Filippou, Panagiotis Skandalakis
Spleen preserving laparoscopic distal pancreatectomy is considered as first choice operation for symptomatic benign or small malignant lesions located at the body or tail of the pancreas. The two main surgical techniques that have been proposed and widely adopted for spleen preserving laparoscopic distal pancreatectomy are the Warshaw and Kimura techniques. A novel modified approach for laparoscopic spleen preserving distal pancreatectomy is presented. The technique was initially performed in a 57-year-old female patient with mucinous cystadenoma...
2018: Case Reports in Surgery
https://www.readbyqxmd.com/read/29666746/unusual-life-threatening-pneumothorax-complicating-a-ruptured-complex-aspergilloma-in-an-immunocompetent-patient-in-cameroon
#20
Bernadette Ngo Nonga, Bonaventure Jemea, Angele O Pondy, Daniel Handy Eone, Marie Claire Bitchong, Olivier Fola, Atems Nkolaka, Gilles Martin Londji
An aspergilloma is a well-recognized lesion of the lung caused most of the time by the fungus Aspergillus fumigatus . Its main complication is hemoptysis and has been very rarely associated with tension pneumothorax. We present the case of a 47-year-old man with a history of treated and healed tuberculosis, which was successfully managed in our service for a ruptured right upper lobe complexed aspergilloma, complicated by a massive and tension pneumothorax. The patient underwent thoracotomy and lung resection with quick recovery...
2018: Case Reports in Surgery
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