Surgery Case Reports最新文献_第10页

Surgical-prosthetic management of an advanced stage IV periodontitis in the aesthetic zone: A case report 手术修复术治疗美学区晚期IV期牙周炎1例

Surgery Case Reports Pub Date : 2025-03-01 Epub 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":"2025-03-01","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

Multisite neural tube defects: Management of a complex case and review of theories on neural tube closure 多部位神经管缺损：一例复杂病例的处理及神经管闭合理论综述

Surgery Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-15 DOI: 10.1016/j.sycrs.2024.100083

Ubaid Ullah , Malik W.Z. Khan , Aamina Sher , Hammad Iftikhar , Aizaz Ali , Shandana Ali , Salman Khan , Sajjad Ullah

引用次数: 0

Ruptured gastroepiploic artery aneurysm causing massive intraperitoneal hemorrhage: A case report and literature review 胃网膜动脉瘤破裂致大量腹膜内出血1例并文献复习

Surgery Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-25 DOI: 10.1016/j.sycrs.2024.100084

Marissa Leann Ritter, Tiffany Killblane, David Grantham

{"title":"Ruptured gastroepiploic artery aneurysm causing massive intraperitoneal hemorrhage: A case report and literature review","authors":"Marissa Leann Ritter, Tiffany Killblane, David Grantham","doi":"10.1016/j.sycrs.2024.100084","DOIUrl":"10.1016/j.sycrs.2024.100084","url":null,"abstract":"<div><h3>Introduction</h3><div>Visceral artery aneurysms, including gastroepiploic artery aneurysms, are a rare cause of gastrointestinal bleeding. Gastroepiploic artery aneurysms are usually silent with a high chance of rupture and hemorrhage.</div></div><div><h3>Case</h3><div>We present a case of a man with a ruptured gastroepiploic artery aneurysm following a fall from standing height. On arrival, he was hypotensive with an acute abdomen. Due to hemodynamic instability and a positive FAST exam, an exploratory laparotomy was performed, which revealed pulsatile bleeding at the greater curvature of the stomach and a subserosal hematoma with an active bleeding vessel visible. The gastroepiploic vessels were ligated, and a partial gastrectomy was performed. He recovered well and was discharged after five days.</div></div><div><h3>Discussion</h3><div>Gastroepiploic artery aneurysms are a rare occurrence, most commonly occurring in males over the age of 50. Causes include arterial dysplasia, perivascular inflammation, and trauma. Trauma was likely the cause in this patient’s case. Most gastroepiploic artery aneurysms are asymptomatic. They are usually found incidentally or once complications arise. Patients with ruptured gastroepiploic artery aneurysms usually present with peritoneal signs and shock. All patients with gastroepiploic artery aneurysms should be treated immediately due to the risk of rupture and subsequent complications. A variety of techniques exist to treat these aneurysms.</div></div><div><h3>Conclusion</h3><div>Although visceral artery aneurysms are uncommon, they can be life-threatening. Therefore, it is important to remember them as a potential source of intraperitoneal hemorrhage, even from minor trauma.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100084"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098715","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

Primary aorto-duodenal fistula: A case report and review of literature 原发性主动脉-十二指肠瘘1例报告及文献复习

Surgery Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-07 DOI: 10.1016/j.sycrs.2024.100080

Anubhavv Gupta , Deeksha Kapoor , Ravindra Vats , Suhail Naseem Bukhari , Deep Goel

{"title":"Primary aorto-duodenal fistula: A case report and review of literature","authors":"Anubhavv Gupta , Deeksha Kapoor , Ravindra Vats , Suhail Naseem Bukhari , Deep Goel","doi":"10.1016/j.sycrs.2024.100080","DOIUrl":"10.1016/j.sycrs.2024.100080","url":null,"abstract":"<div><h3>Introduction</h3><div>Aortoenteric fistula (AEF) is a rare condition where abnormal communication exists between the abdominal aorta and any part of the GI tract, most commonly, the third/fourth part of the duodenum. The incidence rate of primary aorto-duodenal fistula (PADF) on autopsy is 0.04 to 0.7 %, and the post-operative incidence rate of a secondary AEF is 0.5 to 2.3 %. An AEF can be diagnosed using either an upper gastrointestinal endoscopy (UGIE) or a contrast-enhanced computed tomography (CECT) angiography of the abdomen, and urgent repair is required by surgical or endovascular means.</div></div><div><h3>Methods</h3><div>We report the case of a 64-year-old gentleman with a bleeding PADF. He was evaluated using UGIE and CT angiography of abdomen and underwent total endovascular repair of the aneurysm.</div></div><div><h3>Discussion</h3><div>PADF is a rare cause of GI bleeding, accounting for only 0.2 % of all GI bleeds. The patient can initially show signs of a herald bleed but can also present with the classical triad of pulsatile abdominal lump, GI bleed, and abdominal pain. Endoscopy should be the initial investigation of choice for a stable patient. A negative EGD does not rule out the possibility of a PADF. CECT abdominal angiography can also be a useful diagnostic modality; some consider it superior to UGIE or aortography.</div></div><div><h3>Conclusion</h3><div>PADF is a rare but life-threatening condition that requires prompt recognition and intervention, either by surgery or endovascular repair.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100080"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143093956","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

Management of perforated jejunal diverticulitis: A case series and literature review 穿孔性空肠憩室炎的治疗：一个病例系列和文献回顾

Surgery Case Reports Pub Date : 2025-03-01 Epub Date: 2024-11-13 DOI: 10.1016/j.sycrs.2024.100071

Tim Baumgartner, Hishaam Ismael, David Young

引用次数: 0

Traumatic pseudoaneurysm of the superficial left palmar arch: A case report 外伤性左掌浅弓假性动脉瘤1例

Surgery Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-11 DOI: 10.1016/j.sycrs.2024.100081

Charles Petrus Theron, Collen Sandile Nkosi , Lyndon Grant Biddulph

引用次数: 0

Anterior abdominal wall abscess due to toothpick ingestion: A case report 牙签误食致前腹壁脓肿1例

Surgery Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-26 DOI: 10.1016/j.sycrs.2024.100088

Doğuş Can Ekdal , Ahmet Akmercan , Tevfik Kıvılcım Uprak

{"title":"Anterior abdominal wall abscess due to toothpick ingestion: A case report","authors":"Doğuş Can Ekdal , Ahmet Akmercan , Tevfik Kıvılcım Uprak","doi":"10.1016/j.sycrs.2024.100088","DOIUrl":"10.1016/j.sycrs.2024.100088","url":null,"abstract":"<div><div>Ingestion of foreign bodies represents a common clinical emergency, especially in pediatric and geriatric populations. In the majority of cases, ingested foreign objects pass through the gastrointestinal tract without incident and are expelled without causing symptoms. However, complications can arise depending on the size, shape, and structure of the ingested item. A 53-year-old male with a history of diabetes, hypertension, chronic obstructive pulmonary disease, and obesity was admitted to the hospital due to recurrent subcutaneous abscesses and cellulitis in the right upper quadrant of the anterior abdominal wall. The patient's medical history reveals several times of abscess puncture in the same area. The patient underwent subcutaneous abscess drainage under local anesthesia, and toothpick material fixed to the subcutaneous tissues was detected. Following the removal of the toothpick, debridement of the wound was performed, and the patient was discharged with antibiotherapy. No recurrence was noted during the follow-up outpatient clinic visit three months later. This case report highlights the rare and complex complication of subcutaneous migration following foreign body ingestion, leading to recurrent subcutaneous abscesses. The exact pathogenesis of foreign body migration is not fully understood, but it is probable that the toothpick penetrates the subcutaneous fatty tissue from the transverse colon segment near the anterior abdominal wall, leading to the spontaneous closure of the colonic fistula tract. The foreign body was detected in radiological imaging in approximately 42.6 % of cases. A high level of clinical suspicion and a thorough patient history are essential for the identification of radiolucent foreign bodies.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100088"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098717","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

Hypergranulation-induced graft failure in meshed split thickness skin graft: A case report 网状裂皮移植中颗粒过多导致的移植失败1例报告

Surgery Case Reports Pub Date : 2025-03-01 Epub 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":"2025-03-01","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

Amyloidosis presenting as a malignancy: Two case reports and key diagnostic clues 淀粉样变表现为恶性肿瘤：两例报告和关键诊断线索

Surgery Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-02 DOI: 10.1016/j.sycrs.2024.100079

Naveen Kumar Kushwaha , Laleng Mawia Darlong , Sunil Pasricha , Prerna Garg , Prafull Kumar Gamit

引用次数: 0

Robotic thoracoscopic left paratracheal and cervical lymphadenectomy for recurrent esophageal adenocarcinoma: A case report 机器人胸腔镜下左气管旁颈部淋巴结切除术治疗复发性食管腺癌1例

Surgery Case Reports Pub Date : 2025-03-01 Epub Date: 2024-12-11 DOI: 10.1016/j.sycrs.2024.100082

Irene S. Zuin , Junya Kitadani , Jessie A. Elliott , Nadia Haj Mohammad , Jan E. Freund , Jelle P. Ruurda , Richard van Hillegersberg

{"title":"Robotic thoracoscopic left paratracheal and cervical lymphadenectomy for recurrent esophageal adenocarcinoma: A case report","authors":"Irene S. Zuin , Junya Kitadani , Jessie A. Elliott , Nadia Haj Mohammad , Jan E. Freund , Jelle P. Ruurda , Richard van Hillegersberg","doi":"10.1016/j.sycrs.2024.100082","DOIUrl":"10.1016/j.sycrs.2024.100082","url":null,"abstract":"<div><h3>Background</h3><div>Despite advancements in surgical techniques and perioperative care, approximately 50 % of patients treated with curative esophagectomy for esophageal cancer will develop recurrence. To date, there is an absence of guidelines for the management of regional lymph node recurrence, reflecting a lack of quality data in the literature.</div></div><div><h3>Case presentation</h3><div>We present the case of a 59-year-old female who experienced an oligometastatic recurrence involving the level 2 L left paratracheal and level III left cervical nodal stations, after previous perioperative chemotherapy and minimally invasive esophagectomy for esophageal adenocarcinoma four months earlier. The patient was treated with robotic-assisted paratracheal and cervical lymphadenectomy using the Da Vinci XI system. Postoperatively, the patient recovered uneventfully, and short-term follow-up demonstrated no residual disease.</div></div><div><h3>Discussion</h3><div>This case highlights the complexity of managing recurrent esophageal cancer and the potential role of robotic surgical strategies in improving patient outcomes in the context of oligometastatic recurrence. Additionally, it underscores the need for further research to refine surgical techniques and case selection, and to establish guidelines for the treatment of recurrent esophageal cancer.</div></div><div><h3>Conclusion</h3><div>Robotic-assisted lymphadenectomy represents a feasible option for managing locoregional recurrence of esophageal adenocarcinoma in select cases. Multidisciplinary team involvement remains critical to individualized treatment planning.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100082"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098711","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