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Surgical Case Reports

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https://www.readbyqxmd.com/read/30547242/a-rare-presentation-of-appendicitis-inside-the-femoral-canal-case-report-and-literature-review
#1
Bardia Bidarmaghz, Roderick Cyril Borrowdale, Kasra Raufian
BACKGROUND: Femoral hernia accounts for 3% of all the hernias, and in 0.5-5% of cases, the appendix can migrate through the femoral hernia and is called de Garengeot hernia. It is a very rare condition, and the incidence of appendicitis in this type of hernia is as low as 0.08-0.13%. CASE PRESENTATION: We bring into discussion a case of a 47-year-old female who presented to the emergency department with a painful right-sided groin lump for the past 2 days. After initial resuscitation, a CT scan was requested which showed the presence of inflamed appendix inside the femoral canal...
December 13, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30547236/long-term-outcome-of-a-dilated-cardiomyopathy-patient-after-mitral-valve-surgery-combined-with-tissue-engineered-myoblast-sheets-report-of-a-case
#2
Shigeru Miyagawa, Keitaro Domae, Satoshi Kainuma, Ryouhei Matsuura, Daisuke Yoshioka, Hiroki Hata, Yasushi Yoshikawa, Koichi Toda, Yoshiki Sawa
BACKGROUND: Dilated cardiomyopathy (DCM) is a life-threatening heart muscle disease characterized by progressive heart failure, which often requires left ventricular assist device (LVAD) implantation or heart transplantation (HTx). A tissue engineering strategy using cell sheets for end-stage heart failure has emerged in recent years. CASE PRESENTATION: Here, we describe a 50-year-old DCM patient with severe symptoms of heart failure with severe mitral regurgitation (MR) who was not a candidate for LVAD or HTx...
December 13, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30547235/giant-gastrointestinal-stromal-tumor-of-the-mediastinum-associated-with-an-esophageal-hiatal-hernia-and-chest-discomfort-a-case-report
#3
Ryosuke Fujisawa, Yuji Akiyama, Takeshi Iwaya, Fumitaka Endo, Haruka Nikai, Shigeaki Baba, Takehiro Chiba, Toshimoto Kimura, Takeshi Takahara, Koki Otsuka, Hiroyuki Nitta, Masaru Mizuno, Keisuke Koeda, Akira Sasaki
BACKGROUND: Gastrointestinal stromal tumors (GISTs) grow relatively slowly and without specific symptoms; therefore, they are typically incidental findings. We report a rare gastric GIST in the mediastinum associated with chest discomfort and an esophageal hiatal hernia. CASE PRESENTATION: An 81-year-old woman with chest discomfort was admitted to the hospital, where barium esophagography showed a sliding esophageal hiatal hernia and a tumor of the lower esophagus and gastric wall...
December 13, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30523492/cardiac-tamponade-caused-by-acute-coxsackievirus-infection-related-pericarditis-complicated-by-aortic-stenosis-in-a-hemodialysis-patient-a-case-report
#4
Azumi Hamasaki, Tetsuro Uchida, Atsushi Yamashita, Kentaro Akabane, Mitsuaki Sadahiro
BACKGROUND: Pericardial effusion is observed in the majority of viral pericarditis cases; however, viral pericarditis accompanied by a large effusion resulting in cardiac tamponade is rare. CASE PRESENTATION: Here, we report the case of a 75-year-old hemodialysis patient with acute viral pericarditis complicated by aortic stenosis. The patient was referred with a diagnosis of aortic stenosis and pericardial effusion. The pericardial effusion had increased during the preoperative examinations, and the inflammatory reaction had progressed...
December 6, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30519963/a-case-of-duodenal-hemorrhage-due-to-arteriovenous-malformation-around-a-serous-cystic-neoplasm
#5
Shunsuke Tamura, Yusuke Yamamoto, Yukiyasu Okamura, Teiichi Sugiura, Takaaki Ito, Ryo Ashida, Katsuhisa Ohgi, Nobuyuki Watanabe, Keiko Sasaki, Takashi Sugino, Katsuhiko Uesaka
BACKGROUND: No reports have so far described arteriovenous malformation (AVM) in the pancreas caused by a tumor. We herein report a case of pancreatoduodenectomy for a patient who developed duodenal hemorrhage due to AVM developed around serous cystic neoplasm (SCN) of the pancreas. CASE PRESENTATION: A 79-year-old man was referred to our hospital because of anemia (Hb 7.4 g/dl) and pancreatic head tumor. Computed tomography showed microcystic-type SCN, 87 mm in size, in the pancreatic head...
December 5, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30511270/two-cases-of-lobectomy-for-lung-cancer-after-transcatheter-aortic-valve-implantation
#6
Hideki Nagata, Ryu Kanzaki, Takashi Kanou, Naoko Ose, Soichiro Funaki, Yasushi Shintani, Masato Minami, Isamu Mizote, Yasushi Sakata, Koichi Maeda, Toru Kuratani, Yoshiki Sawa, Meinoshin Okumura
BACKGROUND: The age of patients with lung cancer is advancing, and the number of patients with lung cancer who have cardiac diseases is expected to increase. Recently, the rate of transcatheter aortic valve implantation (TAVI) has increased as treatment for aortic stenosis (AS). TAVI is minimally invasive compared with conventional aortic valve replacement. We herein report two patients with lung cancer who underwent lobectomy after TAVI for severe AS. CASE PRESENTATION: Two patients with AS and lung cancer were treated with two-stage surgery of TAVI followed by lobectomy...
December 3, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30478805/acute-median-arcuate-ligament-syndrome-after-pancreaticoduodenectomy
#7
Daisuke Imai, Takashi Maeda, Huanlin Wang, Takahiro Ohmine, Keitaro Edahiro, Makoto Edagawa, Tomoyoshi Takenaka, Shohei Yamaguchi, Kozo Konishi, Shinichi Tsutsui, Hiroyuki Matsuda
BACKGROUND: Median arcuate ligament syndrome (MALS) can cause severe complications after pancreaticoduodenectomy (PD). Most of the reported cases of MALS have been diagnosed perioperatively and can be treated efficiently by interventional radiology or division of the median acute ligament (MAL) fibers. CASE REPORT: A 69-year-old woman underwent PD with resection of the SMV for pancreatic head cancer. Intraoperative exploration showed normal anatomy of the celiac trunk...
November 26, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30478801/primary-intrahepatic-cholangiocarcinoma-with-sarcomatous-stroma-case-report-and-review-of-the-literature
#8
Kyohei Yugawa, Tomoharu Yoshizumi, Yohei Mano, Noboru Harada, Shinji Itoh, Toru Ikegami, Yuji Soejima, Nobuhiro Fujita, Kenichi Kohashi, Shinichi Aishima, Yoshinao Oda, Masaki Mori
BACKGROUND: Hepatic carcinosarcomas, which include both carcinomatous and sarcomatous elements, are uncommon in adults. Although carcinosarcoma in hepatocellular carcinoma is occasionally reported, carcinosarcoma in intrahepatic cholangiocarcinoma (ICC) is an extremely rare ICC variant. Few such cases have been reported in English and no large study of its clinicopathological features exists. CASE PRESENTATION: Here, we report a 60-year-old man with an asymptomatic hepatic B infection who developed hepatic carcinosarcoma from an otherwise normal liver...
November 26, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30478748/necrotizing-fasciitis-of-the-thigh-due-to-penetrated-descending-colon-cancer-a-case-report
#9
Kentaro Sato, Hitoshi Yamamura, Yoshiyuki Sakamoto, Hajime Morohashi, Takuya Miura, Toru Yoshikawa, Akiko Suto, Satoru Tsuruta, Kenichi Hakamada
BACKGROUND: Necrotizing fasciitis (NF) caused by colorectal cancer is rare, and very few cases associated with colon cancer have been reported. We describe the case of a patient with NF in the left thigh due to penetration of descending colon cancer who was treated with one-stage surgical resection without creating a stoma. CASE PRESENTATION: An 80-year-old woman was brought to our hospital complaining of fever and difficulty with body movement. A physical examination showed subcutaneous emphysema from the left lower abdomen to the left femoral region...
November 26, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30456575/laparoscopic-repair-of-an-incarcerated-diaphragmatic-hernia-after-right-hepatectomy-for-hepatic-injury-a-case-report
#10
Shohei Takaichi, Tsuyoshi Takahashi, Soichiro Funaki, Koji Tanaka, Yasuhiro Miyazaki, Tomoki Makino, Yukinori Kurokawa, Makoto Yamasaki, Kiyokazu Nakajima, Meinoshin Okumura, Masaki Mori, Yuichiro Doki
BACKGROUND: Diaphragmatic hernias (DH) are generally classified as either congenital or acquired. Acquired DH are generally of traumatic cause, being a rare complication after hepatectomy. Although repair of a DH can be performed via laparotomy, laparoscopy, or thoracoscopy, the use of laparoscopy is rare after hepatectomy owing to the formation of scar tissue. In this case, we describe our successful attempt at laparoscopic repair of a recurrent DH after hepatectomy. CASE PRESENTATION: A 30-year-old man underwent right hepatectomy for trauma and thoracotomy via the eighth intercostal space, with direct closure of the diaphragm by suturing...
November 19, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30446858/gigantic-mammary-paget-s-disease-of-a-very-elderly-woman
#11
Kenichi Shibata, Shintaro Nozu, Takayuki Tanaka, Wataru Kimura
BACKGROUND: Recently, surgical stress due to breast cancer has been reduced, more so for elderly patients. However, an expanded resection is still required in some situations. CASE PRESENTATION: We present a case of a 90-year-old woman with a 15 × 15 cm2 erythema and localized skin ulceration with hemorrhage in her right breast. A punch biopsy indicated mammary Paget's disease. Computed tomography showed that the tumor was only located on the surface of the breast with no metastasis, including of the axillar lymph nodes...
November 16, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30446840/resected-thymic-large-cell-neuroendocrine-carcinoma-report-of-a-case
#12
Hiromitsu Domen, Yasuhiro Hida, Masaaki Sato, Haruka Takahashi, Tatsuru Ishikawa, Yosuke Shionoya, Midori Hashimoto, Kaoru Nishiyama, Yuma Aoki, Kazuho Inoko, Syotaro Furukawa, Kazuomi Ichinokawa, Hidehisa Yamada
BACKGROUND: Thymic large cell neuroendocrine carcinoma (LCNEC) is extremely rare. The detailed clinical features of thymic LNCECs remain unknown. CASE PRESENTATION: A 90-year-old man with a history of diabetes mellitus, chronic renal failure, and an abdominal aortic aneurysm underwent computed tomography for follow-up, which showed an anterior mediastinal tumor, measuring 31 mm × 28 mm in diameter. Magnetic resonance imaging showed an iso-intensity mass on T1-weighted images and high intensity on T2-weighted images...
November 16, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30426313/two-cases-of-radiation-associated-angiosarcoma-of-the-breast
#13
Yuki Nomoto, Yuko Kijima, Yoshiaki Shinden, Munetugu Hirata, Yuka Eguchi, Heiji Yoshinaka, Ikumi Kitazono, Tsubasa Hiraki, Akihide Tanimoto, Shoji Natsugoe
BACKGROUND: The incidence of radiation-associated angiosarcoma (RAA) of the breast has been increasing, and its prognosis is reportedly poor. It is important to remove tumor tissues completely to prevent recurrence. CASE PRESENTATION: We report two cases of patients with RAA of the breast. Both patients had a nodule in their remaining breast a few years after undergoing breast-conserving surgery and radiation therapy for breast cancer. The nodules were diagnosed as angiosarcoma by skin biopsy and open biopsy, respectively...
November 13, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30406473/a-case-of-radiation-associated-angiosarcoma-after-breast-cancer
#14
Nanae Horisawa, Yayoi Adachi, Masataka Sawaki, Masaya Hattori, Akiyo Yoshimura, Naomi Gondo, Haruru Kotani, Ayumi Kataoka, Kayoko Sugino, Makiko Mori, Mitsuo Terada, Yuri Ozaki, Hiroji Iwata
BACKGROUND: Radiation-associated angiosarcoma (RAAS) is a rare subtype of secondary angiosarcoma that is characterized by rapid proliferation and extensive tissue infiltration. Although various treatments for RAAS (such as surgery, chemotherapy, and radiation therapy) have been reported, there is no consensus as to which approach is the best. CASE PRESENTATION: A 76-year-old woman presented with right breast cancer (T1N0M0, stage I) 9 years ago. She had undergone breast-conserving surgery and sentinel lymph node biopsy and was receiving adjuvant chemotherapy and radiation therapy for the malignancy...
November 7, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30406329/indocyanine-green-fluorescence-navigated-laparoscopic-metastasectomy-for-peritoneal-metastasis-of-hepatocellular-carcinoma-a-case-report
#15
Yoshihiro Miyazaki, Masanao Kurata, Yukio Oshiro, Osamu Shimomura, Kazuhiro Takahashi, Tatsuya Oda, Nobuhiro Ohkohchi
BACKGROUND: Indocyanine green (ICG) can selectively accumulate in primary hepatocellular carcinoma (HCC) and its extrahepatic metastases. ICG fluorescence imaging is an extremely sensitive intraoperative tool for detecting HCC foci and can be used to detect impalpable tumors in laparoscopic surgery. Here, we report a case of a 75-year-old man who underwent peritoneal metastasis resection of HCC using a laparoscopic near-infrared imaging system and ICG fluorescence-navigated surgery. CASE PRESENTATION: A 75-year-old man was referred to our department for peritoneal metastasis resection of HCC...
November 7, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30382419/spontaneous-perforation-of-meckel-s-diverticulum-in-an-adult-female-with-literature-review
#16
Andrew A Fraser, Douglas D Opie, James Gnecco, Beshoy Nashed, David C Johnson
BACKGROUND: Perforated Meckel's diverticulum is a rare complication of an already rare disease process, which often mimics a perforated appendix on presentation and diagnosis. The majority of case reports for perforation involve either a foreign body or fecalith. CASE PRESENTATION: We report the case of a 54-year-old female who initially presented at another institution with signs and symptoms of acute appendicitis and underwent appendectomy with a drain left in place...
November 1, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30343419/diagnosis-of-incarcerated-intramesosigmoid-hernia-aided-by-multiplanar-reconstruction-images-of-multidetector-computed-tomography-a-case-report
#17
Hideki Nagano, Takanori Goi, Seiichi Taguchi, Takayoshi Tsubaki, Hidemasa Uematsu
BACKGROUND: Internal hernia is a rare cause of intestinal obstruction, and sigmoid mesocolon hernia is an extremely rare form of this condition. Among sigmoid mesocolon hernias, intramesosigmoid hernia is the least frequent subtype. We described a case of intramesosigmoid hernia through the orifice on the right leaf of the mesosigmoid with an incarcerated ileum of 6 cm in length without strangulation. This case was diagnosed by multidetector computed tomography with multiplanar reconstruction images and treated without resection of the small intestine in a 52-year-old man with characteristic diagnostic images...
October 20, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30315431/perforation-of-the-esophagus-due-to-thermal-injury-after-laparoscopic-radiofrequency-ablation-for-hepatocellular-carcinoma-a-case-for-caution
#18
Taishi Yamane, Katsunori Imai, Naoki Umezaki, Takanobu Yamao, Takayoshi Kaida, Shigeki Nakagawa, Yo-Ichi Yamashita, Akira Chikamoto, Takatoshi Ishiko, Hideo Baba
BACKGROUND: Several reported complications associated with radiofrequency ablation for liver tumors are due to thermal damage of neighboring organs. We herein report a first case of esophageal perforation due to thermal injury of laparoscopic radiofrequency ablation (RFA). CASE PRESENTATION: A 75-year-old woman was treated repeatedly with RFA (percutaneous and laparoscopic) and transcatheter arterial chemoembolization for hepatocellular carcinoma. One week after laparoscopic RFA for recurrent HCC located in segment 2 of the liver, dysphagia and thoracic pain occurred...
October 10, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30284069/a-rare-solitary-fibrous-tumor-in-the-ischiorectal-fossa-a-case-report
#19
Kazuhiko Morikawa, Shinsuke Takenaga, Koichi Masuda, Asami Kano, Takao Igarashi, Hiroya Ojiri, Kaoru Ueda, Mamoru Ishiyama, Nei Fukasawa
BACKGROUND: A solitary fibrous tumor (SFT) is a rare mesenchymal tumor that occurs mostly in pleural sites, and an SFT occurring in the ischiorectal fossa is extremely rare. Because of the rarity, there are few reports detailing an SFT in the ischiorectal fossa. CASE PRESENTATION: A pararectal tumor was incidentally found in a 42-year-old man during a routine medical examination. The patient had no symptoms and no previous medical history. In the physical examination, a smooth-margined and hard elastic mass was felt, and in a digital rectal examination, the rectal mucosa appeared normal...
October 3, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/30269236/a-complete-response-to-capecitabine-and-oxaliplatin-chemotherapy-in-primary-duodenal-carcinoma-with-liver-and-nodal-metastases-a-case-report
#20
Seita Hagihara, Tetsunosuke Shimizu, Yoshihiro Inoue, Mitsuhiro Asakuma, Fumitoshi Hirokawa, Kohei Taniguchi, Michihiro Hayashi, Kazuhisa Uchiyama
BACKGROUND: Primary duodenal adenocarcinoma (PDC) is a rare and lethal disease, and cases with nodal or distant metastasis have a poor prognosis. There are several reports of unresectable duodenal adenocarcinoma responding to systemic chemotherapy. However, there is little data on conversion surgery for PDC with distant metastasis. CASE PRESENTATION: We report a 55-year-old man with unresectable PDC with liver and nodal metastases responding to systemic chemotherapy with capecitabine and oxaliplatin (XELOX)...
September 29, 2018: Surgical Case Reports
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