Surgery Case Reports最新文献

Internal hernia through the foramen of Winslow

Surgery Case Reports Pub Date : 2025-03-31 DOI: 10.1016/j.sycrs.2025.100101

Rebecca L. Schwartz, Jessica E. Taylor

引用次数: 0

Anterior chest wall Dermatofibrosarcoma protuberans extension to the anterior mediastinum: Case report

Surgery Case Reports Pub Date : 2025-03-29 DOI: 10.1016/j.sycrs.2025.100097

Tesfaye Berhe , Sisay Bekele , Getnet Sahale , Enku shiferaw , Degualem Dessie , Tirsit Negash , Abeje b menjeta

{"title":"Anterior chest wall Dermatofibrosarcoma protuberans extension to the anterior mediastinum: Case report","authors":"Tesfaye Berhe , Sisay Bekele , Getnet Sahale , Enku shiferaw , Degualem Dessie , Tirsit Negash , Abeje b menjeta","doi":"10.1016/j.sycrs.2025.100097","DOIUrl":"10.1016/j.sycrs.2025.100097","url":null,"abstract":"<div><h3>Introduction</h3><div>Dermatofibrosarcoma protuberans (DFSP) is a tumor of the subcutaneous tissue that grows slowly and invades locally, rarely spreading to other parts of the body but often recurring after surgery.</div></div><div><h3>Case presentation</h3><div>This case report presents a 59-year-old man with a recurrent, large Dermatofibrosarcoma Protuberans (DFSP) tumor. The tumor had grown significantly, extending from the anterior chest wall into the mediastinum through the foramen of Morgagni and into the left chest cavity, directly invading the left anterior chest wall. The mass was surgically removed, and the resulting chest wall defect was repaired using a latissimus dorsi muscle flap and a split-thickness skin graft. The patient was successfully discharged 10 days after surgery, following the healing of the wound and skin graft.</div></div><div><h3>Clinical discussion</h3><div>DFSPs represent less than 1 percent of all soft tissue tumors. Over 90 % of DFSP tumors have the chromosomal translocation t(17;22). Typically, Mohs micrographic surgery with continuous histological margin control is needed to reduce local recurrence rates. Adjuvant chemotherapy and radiation therapy may be useful.</div></div><div><h3>Conclusion</h3><div>Surgical approaches such as Mohs micrographic surgery or wide local excision with 5 cm negative margins are essential to prevent recurrence and minimize the overall impact of the disease. Mohs micrographic surgery is a specialized technique that aims for complete tumor removal while preserving as much healthy tissue as possible.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100097"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breast abscess with intrathoracic communication 伴有胸腔内沟通的乳腺脓肿

Surgery Case Reports Pub Date : 2025-03-27 DOI: 10.1016/j.sycrs.2025.100098

Hannah Dunlop, Simon Mbarushimana, Kevin Etherson, Palanivelraju Gopalakrishnan

{"title":"Breast abscess with intrathoracic communication","authors":"Hannah Dunlop, Simon Mbarushimana, Kevin Etherson, Palanivelraju Gopalakrishnan","doi":"10.1016/j.sycrs.2025.100098","DOIUrl":"10.1016/j.sycrs.2025.100098","url":null,"abstract":"<div><div>We present a rare case of a breast abscess communicating with the thoracic cavity. This was discovered intra-operatively during incision and drainage of the abscess by the general surgery on-call team because of raised inflammatory markers and pyrexia. A chest x-ray was obtained intra-operatively and chest drain inserted, before transfer to cardiothoracics. The patient was subsequently discharged with no further interventions but failed to attend breast care services for follow up. This case highlights the importance of referring all breast abscesses to acute secondary care for assessment and immediate intervention if required. Onward referral to breast outpatient clinic is only appropriate in patients who are clinically well. It also raises the question of whether further imaging should be undertaken in high-risk patients before surgical intervention of acute breast abscesses. While breast abscesses are typically managed successfully in outpatient settings, rare complications, such as intra-thoracic extension into the intrapleural space, can occur. Irrespective of the underlying aetiology, this case report highlights the importance of considering rare complications in the management of breast abscesses, particularly in patients with a history of systemic upset and atypical symptoms. Prompt diagnosis, interdisciplinary collaboration, and timely surgical intervention are crucial in achieving successful outcomes in such challenging scenarios. Further studies and reports on similar cases will contribute to a better understanding of this rare complication and aid in optimising treatment strategies.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100098"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When surgery isn't the culprit: A case report of barium poisoning mistaken for a post-operative complication

Surgery Case Reports Pub Date : 2025-03-23 DOI: 10.1016/j.sycrs.2025.100095

Maria Mourão , Raquel Lalanda , Vítor Correia , Filipa Nogueira , Pedro Marques , Olavo Gomes

引用次数: 0

Hypergranulation-induced graft failure in meshed split thickness skin graft: A case report

Surgery Case Reports Pub Date : 2025-02-14 DOI: 10.1016/j.sycrs.2025.100090

Luis Eduardo Rentas , Karla C. Maita , Gustavo Huaman , Sacha Scott , Ricardo Castrellon

{"title":"Hypergranulation-induced graft failure in meshed split thickness skin graft: A case report","authors":"Luis Eduardo Rentas , Karla C. Maita , Gustavo Huaman , Sacha Scott , Ricardo Castrellon","doi":"10.1016/j.sycrs.2025.100090","DOIUrl":"10.1016/j.sycrs.2025.100090","url":null,"abstract":"<div><h3>Objective</h3><div>Meshed split-thickness skin grafts (mSTSG) are frequently used to address skin defects. Effective fixation methods are crucial for optimizing graft integration and minimizing complications. This case report demonstrates the role of negative pressure wound therapy (NPWT) in managing recurrent axillary hidradenitis suppurativa.</div></div><div><h3>Methods</h3><div>A 65-year-old male with recurrent axillary hidradenitis suppurativa underwent mSTSG placement, followed by NPWT to support graft integration. The initial graft failed due to necrotic hypergranulation, necessitating regrafting and personalized postoperative care.</div></div><div><h3>Results</h3><div>Initial graft failure occurred due to necrotic hypergranulation at the graft site. After regrafting, NPWT facilitated granulation tissue formation and enhanced healing. Complications such as hypergranulation required continuous monitoring and intervention. The patient ultimately showed significant clinical improvement with successful graft integration.</div></div><div><h3>Conclusion</h3><div>NPWT can enhance graft survival and wound healing in complex cases of recurrent axillary hidradenitis suppurativa. However, vigilant monitoring is essential to manage complications such as necrotic hypergranulation. Personalized postoperative care and timely interventions are key to overcoming graft failures and achieving optimal outcomes. Tailoring treatment strategies to individual wound healing dynamics is crucial for long-term success.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100090"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical improvement of lead poisoning following extraction of retained bullet fragments

Surgery Case Reports Pub Date : 2025-02-03 DOI: 10.1016/j.sycrs.2025.100092

Ashley Wittmer , Emilia Coffey , Francis Buzad

{"title":"Clinical improvement of lead poisoning following extraction of retained bullet fragments","authors":"Ashley Wittmer , Emilia Coffey , Francis Buzad","doi":"10.1016/j.sycrs.2025.100092","DOIUrl":"10.1016/j.sycrs.2025.100092","url":null,"abstract":"<div><div>Lead poisoning presents with variable symptoms, ranging from asymptomatic cases to significant neurological deficits. This report describes a 39-year-old male with chronic symptoms, including abdominal pain, back pain, and mood changes, 12 years after sustaining a gunshot wound to the thigh with retained bullet fragments. Preoperative serum lead levels were mildly elevated at 5.3 µg/dL. Surgical removal of major bullet fragments was performed with fluoroscopic guidance, minimizing tissue trauma. Postoperatively, the patient experienced substantial improvement in symptoms suspected to be caused by lead exposure, including resolution of abdominal pain and fatigue. Serum lead levels gradually declined to 4.4 µg/dL at seven months post-surgery. This case demonstrates the potential benefits of surgical intervention for retained lead fragments when symptoms are suspected to result from lead toxicity. The intervention led to improvement of the patient’s symptoms and reduced serum lead levels. Further research is warranted to establish guidelines for the optimal management of retained bullet fragments, balancing surgical risks with potential clinical benefits.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100092"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143302060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mesothelioma disguised as a left inguinal hernia: A case report

Surgery Case Reports Pub Date : 2025-02-03 DOI: 10.1016/j.sycrs.2025.100091

Kyra Sage Hunsberger , Burke DeLange

引用次数: 0

Surgical-prosthetic management of an advanced stage IV periodontitis in the aesthetic zone: A case report

Surgery Case Reports Pub Date : 2024-12-31 DOI: 10.1016/j.sycrs.2024.100087

Samadi Alaa , Kriouach Nada , Er-Raji Samir , El Yamani Amal

{"title":"Surgical-prosthetic management of an advanced stage IV periodontitis in the aesthetic zone: A case report","authors":"Samadi Alaa , Kriouach Nada , Er-Raji Samir , El Yamani Amal","doi":"10.1016/j.sycrs.2024.100087","DOIUrl":"10.1016/j.sycrs.2024.100087","url":null,"abstract":"<div><h3>Background and objective</h3><div>Stage IV periodontitis is a severe form of periodontal disease leading to significant bone resorption, potential tooth loss and masticatory dysfunction. The objective of this article is to show the interest of multidisciplinary management in the treatment of tissue deficits caused by advanced stage IV periodontitis.</div></div><div><h3>Results</h3><div>We report the case of a 29-year-old female patient who lost both upper right incisors due to advanced stage IV periodontitis. Advanced ridge defects caused by periodontitis were managed by two autogenous connective tissue grafts performed in two stages using the pocket technique allowing obtaining a significant increase in height and thickness of the ridge. An associated corrective gingivectomy made it possible to perfect the alignment of the gingival margins and ensure good integration of the future prosthetic rehabilitation.</div><div>A temporary bridge of ovoid pontic design helped guiding post-surgical healing and ensure better distribution of occlusal loads while respecting the adaptive threshold of the weakened periodontal terrain and taking into account the patient's physiological anatomical landmarks thanks to the axiographic recording of the sagittal condylar inclination (SCI). One year after complete healing, definitive restorations were able to be placed combining aesthetics and function.</div></div><div><h3>Conclusion</h3><div>This case report showed that the soft tissue grafting step by step by pouch technique associated with corrective gingivectomy can be considered as an effective therapeutic alternative to guided bone regeneration in the management of advanced ridge defects due to periodontal disease. Additionally, tooth-supported fixed prostheses can lead to better results without the need for implant therapy.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100087"},"PeriodicalIF":0.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disseminated histoplasmosis causing duodenal obstruction in pediatric patient: A case report

Surgery Case Reports Pub Date : 2024-12-26 DOI: 10.1016/j.sycrs.2024.100086

Shivani Kamal , Ayesha Baig , James R. Pierce

{"title":"Disseminated histoplasmosis causing duodenal obstruction in pediatric patient: A case report","authors":"Shivani Kamal , Ayesha Baig , James R. Pierce","doi":"10.1016/j.sycrs.2024.100086","DOIUrl":"10.1016/j.sycrs.2024.100086","url":null,"abstract":"<div><h3>Introduction</h3><div>Histoplasmosis in children with associated bowel obstruction is rare, and its clinical management is based on data and experience on adult patients.</div></div><div><h3>Case report</h3><div>A previously healthy five-year-old girl who recently immigrated to the US from Mexico presented with 5 days of abdominal pain, fever, cough and emesis. On workup, chest x-ray showed diffuse bilateral micro nodules in a miliary pattern, and urine and serum were positive for histoplasma antigen. Barium upper GI series showed distal duodenal obstruction and biopsies taken during endoscopy were positive for histoplasma. Medical therapy with antifungals did not improve the obstruction. On laparotomy, the distal duodenum was obstructed with intrinsic and extrinsic inflammation requiring a diamond duodeno-jejunostomy bypass. Postoperatively, the patient recovered and was discharged home with prolonged antifungals and infectious disease follow up.</div></div><div><h3>Conclusion</h3><div>Our case emphasizes the need for early surgical consultation and careful selection of contrast for luminal imaging. We advocate for an initial attempt at antifungal management to avoid operative treatment during active inflammation and lower surgical risk.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100086"},"PeriodicalIF":0.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Micro-drainage for management of extensive subcutaneous emphysema: A case report

Surgery Case Reports Pub Date : 2024-12-26 DOI: 10.1016/j.sycrs.2024.100085

Majd Oweidat , Iyad Al Jada , Wasef Alhroub , Abdalhakim Shubietah , Mousa Humeedat

引用次数: 0