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Journal of Surgical Case Reports

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https://www.readbyqxmd.com/read/28096327/pneumatosis-coli-causing-pneumoperitoneum
#1
Jennifer M Nishimura, Ted Farzaneh, Alessio Pigazzi
This is a case of a 54-year-old gentleman who presented to an outside hospital emergency department with lower abdominal pain. Computed tomography imaging showed a small amount of intraperitoneal free air and cystic pneumatosis coli. He was admitted, managed conservatively with intravenous antibiotics, and then discharged home after his symptoms improved. Elective laparoscopic sigmoid colectomy was subsequently performed with intraoperative findings of partial sigmoid volvulus and extensive pneumatosis coli of the sigmoid colon...
January 17, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28096326/a-rare-presentation-of-an-acute-appendicitis
#2
Ali Kordzadeh, Bruno Lorenzi, Jiten P Kalyan, Muhammad A Hanif, Alexandros Charalabopoulos
Paraumbilical hernia sac usually contains omentum, bowel loop and rarely appendicular epiploicae, metastatic deposits and vermiform appendix. Presentation of acute appendicitis in a paraumbilical hernia is rare and limited to few case reports in the literature. Herein, we would like to report a case of a successfully treated acute appendicitis presenting in a paraumbilical hernia in an 84-year-old lady with 6-month follow-up.
January 17, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28096325/saphenous-vein-patch-for-correction-of-anomalous-origin-of-the-right-coronary-artery-from-the-left-main-coronary-artery
#3
Obadah F AlQuadan, Moaath M AlSmady, Suhayl S Saleh, Raed A Aqel, Eman T Al-Antary
Anomalous origin of the coronary arteries is a rare congenital heart defect that may lead to disturbed life style, myocardial infarction and sudden death. This report describes a young lady with the right coronary artery arising from the left main coronary artery, which was confirmed by coronary angiography and corrected surgically using saphenous vein patch.
January 17, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28096324/totally-laparoscopic-liver-resection-for-colorectal-metastasis-located-in-segment-7-in-a-patient-with-situs-inversus-totalis
#4
Antonio Giuliani, Paolo Bianco, Germano Guerra, Aldo Rocca, Fulvio Calise
Situs inversus totalis (SIT) is a congenital condition consisting of a mirror image of transposition of the abdominal and thoracic organs occurring in about 1:5000 to 1:10 000 adults. We report on a 60-year-old male with a single colorectal liver metastasis in the Segment 7. The patients underwent a totally laparoscopic sub-segmentectomy. Intraoperative approach on a reverse posterior segment was difficult because of left-sided position of the liver. Postoperative course was uneventful and the patient was discharged after 5 days...
January 17, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28096323/pyoderma-gangrenosum-following-complex-reconstruction-of-a-large-scale-lower-limb-defect-by-combined-parascapular-and-latissimus-dorsi-flap
#5
Tomke Cordts, Amir K Bigdeli, Leila Harhaus, Christoph Hirche, Thomas Kremer, Ulrich Kneser, Volker J Schmidt
A female patient with a critical soft tissue defect after elective knee replacement surgery was transferred to our department for reconstruction. As wounds were rapidly progressing, necrotizing fasciitis was initially suspected but eventually ruled out by histopathological analysis. A 50 × 15 cm defect was then reconstructed by means of a combined Parascapular and latissimus dorsi flap before, a couple days later, the patient developed tender pustules and ulcers involving the flap as well as the donor site...
January 17, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28096322/enterobius-vermicularis-presentation-during-laparoscopic-cholecystectomy
#6
Lachlan Dick, Jonathan Hannay
Enterobius vermicularis infection is uncommon in adults, compared to children, and rarely causes significant illness. Adult infection is usually colonic in nature and found incidentally at colonoscopy. Worm migration to other tissues is rare. We here-in describe the case of a 73-year-old woman found to have biliary tree E. vermicularis-an as yet undescribed site of migration.
January 17, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28096321/synchronous-single-port-access-laparoscopic-right-hemicolectomy-and-laparoscopic-assisted-vaginal-hysterectomy-with-bilateral-salpingo-oophorectomy
#7
Jessica Ybañez-Morano, Andrew C Tiu
Laparoscopic surgery through a single incision is gaining popularity with different stakeholders. The advantages of improved cosmetics, decreased postoperative pain and blood loss continue to attract patients from different surgical fields. Multidisciplinary approach to different surgical entities through a single incision has just been introduced. We report the first case of a synchronous single-port access (SPA) laparoscopic right hemicolectomy and laparoscopic-assisted vaginal hysterectomy with bilateral salpingo-oophorectomy through a single incision above the umbilicus in a 48-year-old female with ascending colon mass and uterine mass with good postoperative outcomes...
January 16, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28096320/streptococcus-gordonii-a-rare-cause-of-prosthetic-joint-infection-in-a-total-hip-replacement
#8
Christopher Fenelon, John G Galbraith, David M Dalton, Eric Masterson
A 69-year-old female with a history of bilateral total hip replacements presented with rigors, fever and sudden onset left groin pain. A pelvic X-ray showed well-fixed implants. Blood results revealed a leucocytosis (white cell count 22.3 × 10(9) l(-1)) and elevated C-reactive protein (211 mg/l). Ultrasound-guided aspiration of her left hip grew Streptococcus gordonii No source infection could be identified apart from a new chronic sinus infection in a left upper incisor. Following a discussion with the patient a 6-week course of intravenous ceftriaxone was started and was successful in normalizing her inflammatory markers...
January 16, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28096319/rotator-cuff-impingement-associated-with-type-iii-acromial-morphology-in-a-young-athlete-a-case-for-early-imaging
#9
James Inklebarger, Giles Gyer, Anand Parkunan, Nikiforos Galanis, Jimmy Michael
Down-sloped or hooked acromion morphologies may cause bony encroachment on the soft tissues of the subacromial space, predisposing to shoulder impingement syndrome. Of the latter, a hooked or Type III acromion (T3A) has also been linked to rotator cuff (RC) pathology. However, as bony acromial impingement is typically thought to occur over the age of 40, its occurrence in younger shoulder athletes presenting with shoulder pain, impingement and RC pathology may be overlooked. This case serves to illustrate the occurrence of T3A in a younger shoulder athlete, and the importance of early imaging in achieving diagnostic accuracy...
January 16, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28069872/primary-ectopic-breast-carcinoma-of-the-axilla-in-a-male-patient
#10
Daniel Ching, Giles Davies
Primary ectopic breast carcinoma in male is very rare. We report a case on a 52-year-old gentleman who presented initially with bilateral lesions in his axilla and after delayed diagnosis the right lesion was confirmed as an ectopic breast carcinoma. We reviewed the literature and discussed the significance of the case.
January 9, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28069871/spontaneous-proximal-ureteric-rupture-secondary-to-ureterolithiasis
#11
Keith Pace, Karl Spiteri, Karl German
We present the case of a 37-year-old lady who presented with severe colicky left sided flank pain associated with vomiting, chills and rigors. A non-contrast Computed Tomography of the Kidney Ureter and Bladder was performed which showed a 2-3 mm stone in the pelvic part of the left ureter. Following 2 days of conservative treatment she was still complaining of increasingly severe pain. A contrast computed tomography of the abdomen was performed which was suggestive of a perforation of the left collecting system...
January 9, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28068648/rare-liver-tumor-symptomatic-giant-von-meyenburg-complex
#12
Yardesh Singh, Shamir O Cawich, Chunilal Ramjit, Vijay Naraynsingh
von Meyenburg complexes are hamartomas that arise from intra-hepatic bile ducts. Symptomatic lesions are uncommon and giant lesions are exceedingly rare. When encountered, they should be excised because there are reports of malignant change in large, symptomatic lesions. We report a case of a symptomatic giant von Meyenburg complex.
January 9, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28069882/linea-arcuate-hernia-disguised-as-pfannenstiel-incision-s-hernia-a-case-report-and-a-systemic-literature-review
#13
Veronica Vincelli, Cesare Marazzi, Alberto Posabella, Aurore Steiger
We report a rare case of a 46-year-old woman 2 weeks after a cesarean section with Pfannenstiel incision, who presented at the Emergency Department with a significant abdominal pain accompanied by two episodes of vomiting. After that a clinical examination and an abdominal computed tomography scan were completed, a visceral herniation through Pfannenstiel incision was suspected. The indication of surgical exploration was clear. Finally, the laparotomy revealed a linea arcuata hernia with a hernia of the small intestine...
January 8, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28069881/cologastric-strictures-what-is-the-best-treatment
#14
Richard Lu, Kimberly Brown, Ikenna Okereke
A 31-year-old gentleman who had undergone an emergent esophagectomy and reconstruction with a colon interposition graft, presented with a long-standing cologastric stricture. He had undergone multiple attempts at endoscopic dilation over multiple decades with little symptomatic relief. He underwent a resection and reconstruction of the anastomosis entirely through an abdominal approach. He did well from surgery and experienced complete symptomatic relief immediately. Complications of colon interposition grafts can occasionally be treated using an abdominal incision only...
January 8, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28069880/repair-of-a-bowel-containing-scrotal-hernia-with-incarceration-contributed-by-femorofemoral-bypass-graft
#15
Gaurav Sharma, Jonathan A Schouten, Kamal M F Itani
The rising use of endovascular techniques utilizing femoral artery access may increase the frequency with which surgeons face the challenge of hernia repair in reoperative groins-which may or may not include a vascular graft. We present a case where a vascular graft contributed to an acute presentation and complicated dissection, and review the literature. A 67-year-old man who had undergone prior endovascular aneurysm repair via open bilateral femoral artery access and concomitant prosthetic femorofemoral bypass, presented with an incarcerated, scrotal inguinal hernia...
January 8, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28064245/conservative-management-of-migrated-percutaneous-endoscopic-colostomy-tube
#16
Thomas J G Chase, Joshua Luck, Lauren S Harris, Gareth Bashir
A 68-year-old male nursing home resident presented following dislodgement of a percutaneous endoscopic colostomy (PEC) tube originally sited to prevent recurrent sigmoid volvulus. Computed tomography demonstrated tube migration into the lumen of the recto-sigmoid junction, where it remained for 12 days before passing spontaneously. During this period, the patient remained asymptomatic; the residual colocutaneous fistula functioned as a decompressive valve. Originally, the patient was due to be discharged with early flexible sigmoidoscopy follow-up...
January 6, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28064244/recurrence-of-an-intra-articular-osteoid-osteoma-of-the-great-toe-a-case-report-and-review-of-the-literature
#17
Josep Torrent, Alberto Bailez, Jordi Asuncion
Osteoid osteoma (OO) is a benign tumor that it is not generally seen in the foot and even less frequently in the phalanx (2-4%). The diagnosis when its location is intra-articular is a challenge and often delayed because the symptoms mimic a real arthritis. We report a clinical case involving a 16-year-old male patient who complained of persistent pain of the interphalangeal joint (IPJ) of the left hallux. A juxta-articular OO of the condyle of the proximal phalanx was identified. The patient underwent surgery that included tumor removal preserving the articular cartilage...
January 6, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28064243/meckel-s-diverticulitis-a-rare-entity-of-meckel-s-diverticulum
#18
Chee S Wong, Leanne Dupley, Haren N Varia, Darek Golka, Thu Linn
Meckel's diverticulum is the most common congenital abnormality of the small intestine that results from incomplete closure of the vitelline (omphalo-mesenteric) duct. This true diverticulum, ~2 ft from the ileocecal valve commonly found on the anti-mesenteric border of the ileum, is benign and majority asymptomatic. Diagnosis challenges arise when it became inflamed or presented in following ways, for example, haemorrhage (caused by ectopic pepsin-and hydrochloric acid-secreting gastric mucosa), intestinal obstruction (secondary to intussusception or volvulus) or the presence of diverticulum in the hernia sac (Littre's hernia)...
January 6, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28044002/abdominal-wall-type-i-complex-regional-pain-syndrome-treated-effectively-with-peripheral-nerve-field-stimulation-a-case-report
#19
Linqiu Zhou, Henry Chou, Eric Holder
Chronic abdominal wall pain is a well-documented complication of abdominal surgery. However, abdominal wall complex regional pain syndrome (CRPS) is a rare medical condition. We present a case of abdominal wall CRPS and its treatment with peripheral nerve field stimulation (PNfS). A 34-year-old female presented with right periumbilical pain for 2 years. She developed burning, sharp and stabbing pain with allodynia (extremely sensitive to wind and light touch) and erythema or pallor 2 weeks after an exploratory appendectomy...
January 2, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/28044001/resection-of-giant-mediastinal-liposarcoma-via-%C3%A2-shape-incision
#20
Wei Huang, Ge Ning Jiang
Primary mediastinal liposarcomas are extremely rare conditions often resected through standard median sternotomy or lateral thoracotomy. However, the management of a very huge mediastinal tumor involving hemithorax through these two common surgical approaches is always challenging. Herein, we report a case of applying median sternotomy with a sternum transection plus a right fourth intercostal thoracotomy ('⊣ shape' incision) to resect a giant primary anterior mediastinal liposarcoma extending into the whole right thorax...
January 2, 2017: Journal of Surgical Case Reports
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