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Journal of Surgical Case Reports

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https://www.readbyqxmd.com/read/28721194/successful-laparoscopic-repair-of-gastro-gastric-fistula-following-roux-en-y-gastric-bypass-at-harlem-community-hospital
#1
Saqib Saeed, Sara Alothman, Amrita Persaud, Sanjiv Gray, Leaque Ahmed
Gastro-gastric fistula is a communication between the gastric remnant and gastric pouch. It is a rare complication of Roux-en-Y gastric bypass. It is caused by anastomotic leak, marginal ulcers, distal obstruction or erosion from foreign body. In this case report, we are presenting a successful laparoscopic repair of gastro-gastric fistula in a patient who presented with weight gain after initial loss.
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28721193/giant-spontaneous-herniation-of-the-post-pneumonectomy-cavity
#2
Alessandro Tamburrini, Adnan Raza, Aiman Alzetani
Following a pneumonectomy, excessive mediastinal shift can cause rare complications involving the post-pneumonectomy cavity, which can become the seat of herniation of the residual lung and of the heart. We herein report an even more rare event, entailing an impressive herniation of the actual entire post-pneumonectomy cavity through an intercostal space, which developed spontaneously nearly 3 years after surgery. Surgical excision of the hernia sac and repair of the defect with polypropylene mesh provided adequate treatment and good cosmetic results...
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28721192/a-case-report-on-a-rare-anatomic-variant-of-cystic-duct-insertion
#3
Jeffrey J Yu, Michael Morell, John G Lee, David K Imagawa
We report a case a 70-year-old female presenting with abdominal pain who has a cystic duct coursing medial to the common bile duct before anastomosing just proximal to the ampulla. Low medial insertion of the cystic duct is a rare anatomic variant that is easily misidentified on imaging studies and may complicate surgical and percutaneous intervention. It can be identified by pre-operative imaging modalities such as magnetic resonance cholangiopancreatography.
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28721191/small-bowel-obstruction-due-to-mesenteric-abscess-caused-by-mycobacterium-avium-complex-in-an-hiv-patient-a-case-report-and-literature-review
#4
S M Mohar, Saqib Saeed, Alexius Ramcharan, Hector Depaz
Small bowel obstruction in HIV patients is reportedly caused by inflammatory pseudotumor, Kaposi's sarcoma, cryptococcal lymphadenopathy and intestinal tuberculosis. The incidence of Mycobacterium avium complex (MAC) infection in HIV patients is 3% for CD4 cell count of 100-199 /mm(3). MAC causing small bowel obstruction is rarely reported in the literature. We report a rare case of MAC causing mesenteric abscess with small bowel obstruction in a HIV patient with a CD4 cell count of 144 /mm(3). Patient was a 35-year-old HIV-positive male on highly active antiretroviral therapy who presented with partial small bowel obstruction secondary to mesenteric abscess...
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28721190/a-case-of-fatal-internal-jugular-vein-perforation-during-nasogastric-tube-insertion
#5
Katherine A Smith, Jeffrey P Fleming, Robert D Bennett, Andrew A Taitano
Nasogastric tube (NGT) insertion is a routine procedure in the management of surgical patients. We report the second case of internal jugular vein perforation during NGT insertion. A 79-year-old man presented with diffuse abdominal pain secondary to a perforated viscus. Abdominal CT revealed pneumoperitoneum, necessitating emergent exploratory laparotomy. On post-operative Day 7, the patient developed mild abdominal distension and subjective nausea for which NGT placement was ordered for decompression. Tube placement was confirmed by insufflation of air without aspiration of gastric contents...
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28721189/strangulated-gallbladder-caused-by-a-tip-of-the-omentum-attached-to-the-abdominal-wall-a-case-report
#6
Atsushi Kohga, Takuya Okumura, Kenji Suzuki, Kiyoshige Yajima, Kimihiro Yamashita, Jun Isogaki, Akihiro Kawabe, Taizo Kimura
Strangulation of the gallbladder associated with the omentum is extremely rare and, to our knowledge, only two cases have been previously reported. The patient was a 91-year-old female who presented to our emergency room with a chief complaint of upper abdominal pain. Computed tomography imaging revealed a gourd-shaped gallbladder with biphasic appearance divided clearly at the body. In the fundus side, the wall of the gallbladder was oedematous and thickened, while the neck side was intact. On the second day after onset, a laparoscopic cholecystectomy was performed...
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28690778/vacuum-assisted-closure-therapy-after-resection-of-giant-basal-cell-carcinoma-of-the-scalp
#7
Silvia Pereira, Wilson Malta, António Canha, José Polónia
Management of complicated wounds is a challenge in head and neck reconstruction. Although the negative pressure wound therapy or wound vacuum-assisted closure has been widely used in complicated wounds and shows promising results, its application in the head and neck region after reconstruction for the head and neck cancer is rarely presented. A 77-year-old woman underwent a radical resection of an extensive basal cell carcinoma of the scalp and forehead involving the periosteum, where classic reconstruction was difficult, but successfully treated with negative pressure wound therapy...
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28690777/hemangiopericytoma-of-the-thoracic-spine-a-case-report
#8
Luen Shaun Chew, Xinguang Julian Han, Kheng Kooi Tan, Manish Mahadeorao Bundele
Hemangiopericytoma (HPC) has been described to be aggressive and potentially a malignant tumour. We report a rare case of a 63-year-old Chinese male who presented with primary intradural extramedullary HPC of the thoracic spine. The main presenting complaint was gradual progression of back pain, associated with paraparesis and sensory deficit of lower limbs. He had MRI thoracolumbar with contrast which showed T9 lesion compressing on spinal cord and oedema, he was then operated upon and histopathology report confirmed a thoracic spine HPC...
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28690776/pilomatrixoma-located-on-the-cruris-an-uncommon-localization
#9
Ismail Burak Atalay, Izzet Korkmaz, Safak Gungor
Pilomatrixoma is a benign tumor of hair follicle matrix cells. The majority of all pilomatrixomas were reported to affect the head-neck region and rarely the upper extremity. We present a case of left-leg pilomatrixoma, which is a extremely rare localization, in a 10-year-old boy.
July 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28702168/familial-spontaneous-splenic-rupture-in-a-patient-with-idiopathic-splenomegaly-report-of-a-case
#10
Ilsalien S Bakker, Rutger J Hissink, Hendrik M Schaap
Spontaneous splenic rupture in a healthy individual is a rare phenomenon. This article reports on a patient with an uneventful medical history, presenting with atraumatic splenic rupture. Three family members of the patients experienced the same in the past.
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28702167/clostridium-perfringens-s-necrotizing-acute-pancreatitis-a-case-of-success
#11
Rita Castro, Joana Mendes, Luís Amaral, Rui Quintanilha, Tiago Rama, António Melo
The authors report a case of a 62-year-old man with upper abdominal pain with few hours of onset and vomits. The initial serum amylase was 2306 U/L. The first CT showed signs of a non-complicated acute pancreatitis. He suffered clinical deterioration and for this reason he was admitted on the intensive care unit where he progressed to multiple organ failure in <24 h. A new CT scan was performed that showed pneumoperitoneum and pneumoretroperitoneum. He underwent an exploratory laparotomy and pancreatic necrosectomy and vacuum pack laparostomy were performed...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28702166/venous-occlusion-test-applied-to-the-tributaries-of-the-superior-mesenteric-veins-of-the-pancreas-head-infiltrated-by-tumor
#12
Enio Campos Amico, José Roberto Alves, Samir Assi João, Joafran Alexandre Costa de Medeiros, Rogério Lacerda Sousa
A 64-year-old white woman presented with cholestatic jaundice, weight loss and a solid lesion in the pancreas head. At multislice computed tomography, a superior mesenteric vein (SMV) and one of it tributaries showed signs of tumor infiltration. At surgery, a venous occlusion test applied to the infiltrated tributary of the SMV showed immediate venous congestion in two-thirds of the distal small intestine. No reconstruction attempt was made due to the small size of the vessel. A biliodigestive anastomosis and lymph node biopsy was performed...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28702165/single-stage-reconstruction-for-buccal-mucosa-tumor-resection-including-the-labial-commissure-using-a-facial-artery-musculomucosal-flap-and-a-vermilion-advancement-flap
#13
Akiko Sakakibara, Kousuke Matsumoto, Takumi Hasegawa, Tsutomu Minamikawa, Takahide Komori
Resection of buccal mucosa tumors may occasionally involve the labial angle and peripheral skin. Reconstruction is required when the resection involves more than one-third of the lip. We describe a single-stage reconstruction using a facial artery musculomucosal (FAMM) flap and a vermilion advancement flap after buccal mucosa resection including the labial angle. A 62-year-old woman with carcinoma in situ of the buccal mucosa underwent tumor resection. The resection included the right labial angle and peripheral skin...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28702164/a-case-of-an-anomalous-biliary-tract-diagnosed-preoperatively
#14
Jun Kataoka, Toshikatsu Nitta, Yoshihiro Inoue, Masato Ota, Tomo Tominaga, Kensuke Fujii, Hiroshi Kawasaki, Takashi Ishibashi
We describe a 48-year-old man with cholecystolithiasis whose preoperative magnetic resonance cholangiopancreatography (MRCP) scan showed that the right accessory hepatic duct branching from the cystic duct dominated an anterior segment of the right hepatic lobe. We observed the right accessory hepatic duct using intraoperative cholangiography, and we were able to perform laparoscopic cholecystectomy without injuring it. He had no complication after discharge, and a drip-infusion cholangiography-computed tomography (DIC-CT) scan demonstrated that the right accessory hepatic duct was intact, and it dominated an anterior segment of the right hepatic lobe...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28698794/robotic-right-segmental-hepatectomy-for-the-treatment-of-a-giant-hepatic-hemangioma-a-case-report
#15
Christoforos Efthimiadis, Aristeidis Ioannidis, Marios Grigoriou, Konstantinia Kofina, Michael Lazaridis, Christoforos Kosmidis
Hemangioma is the most common benign hepatic tumor. We present the case of a patient with a giant symptomatic hemangioma, treated with segmental liver resection using the Da Vinci Robotic System. A 38-year-old woman presented to our surgical out-patient Department complaining about abdominal discomfort and recurrent episodes of acute abdominal pain. CT-scan and MRI imaging of the abdomen revealed the presence of a giant hepatic hemangioma (>5 cm) involving segments VI and VII. Robotic right segmental hepatectomy was performed...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28698793/wide-rectal-duplication-cyst-in-an-adult-resected-by-anterior-approach-efficacy-and-recurrence
#16
Michela Ceriotti, Giorgia Saccomani, Francesca Lacelli, Giovanni E Saccomani
Alimentary tract duplications are uncommon congenital abnormalities usually diagnosed and treated in childhood. Rectal involvement is extremely rare. We report the case of a 22-year-old female who presented with chronic abdominal and perianal pain; feeling of rectal fullness. Workup revealed a rectal duplication cyst. The patient underwent a complete transabdominal excision of the cyst: an hybrid laparoscopic and laparotomic technique was adopted. The hybrid isolated anterior abdominal approach is safe and feasible even for the treatment of wide rectal duplication cysts...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28698792/complete-cricotracheal-transection-due-to-blunt-neck-trauma-without-significant-symptoms
#17
Reza Ershadi, Asghar Hajipour, Mohamadrahim Vakili
Laryngotracheal injuries are relatively rare but their mortality rate is fairly high. Complete disruption of trachea is extremely rare and a systematic approach is needed for early diagnosis and favourable outcome. The patients symptoms and physical signs do not necessarily correlate with the severity of the injuries and this case report highlights it. This is a case report of 25-year-old man who arrived to the emergency department 8 h after a motor accident in which a rope was wrapped around his neck. Because of the good general and respiratory condition of the patient on admission, the pathognomonic signs of laryngeal injury were not noticed...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28698791/first-reported-case-of-paratesticular-seminoma-in-a-postpubertal-cryptorchid-testis
#18
Imad Elhajjar, Khalid Sayyid, Anas Mugharbil, Houssam Khodor Abtar
Cryptorchidism is a very common anomaly, affecting 2-4% of male infants and is more common in premature infants. The long-term outcome despite orchidopexy still remains problematic and controversial with a risk of developing cancer 5-10 times greater than normal. Paratesticular tumors are mostly benign and very rare in children however malignant paratesticular tumors do arise, the most common being rhabdomyosarcoma. Primary paratesticular seminoma is extremely rare by itself and in most cases is associated with foci of seminoma within the testis...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28685017/traumatic-diaphragmatic-rupture-with-underlying-lung-laceration-and-tension-pneumoperitoneum
#19
Zexi Allan, Calvin Peng, Raaj Chandra
Tension pneumoperitoneum is commonly caused by gastrointestinal perforation and pulmonary causes are extremely rare. We present a case of a 47-year-old male post motor vehicle accident with a suspected left-sided haemopneumothorax on initial chest x-ray. CT of the chest post chest tube insertion showed a left-sided diaphragmatic rupture and an extensive diaphragmatic hernia. While en-route to the operating theatre, the intubated patient developed tension pneumoperitoneum with positive pressure ventilation and required immediate surgical intervention and repair...
June 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28685016/incarcerated-congenital-transmesenteric-hernia-in-an-adult-a-case-report
#20
Sam Alhayo, Preet Gosal, Anthony Shakeshaft
Transmesenteric hernia is a rare cause of bowel obstruction and strangulation. It can be due to iatrogenic injury, trauma, inflammatory and less likely congenital. We present a case of true congenital transmesenteric hernia in a 26-year-old male with no previous surgical history or trauma. The patient presented acutely with no prior symptoms. Investigations provided limited information towards the diagnosis of the hernia, but suggestive of mid-gut volvulus. Emergency laparotomy was performed to find >75% of small bowel herniating through a proximal jejunal mesenteric defect leading to incarceration and early strangulation...
June 2017: Journal of Surgical Case Reports
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