Surgery Case Reports最新文献_第3页

Endoscopic approach for pancreatobiliary involvement in IgG4 related disease IgG4相关疾病胰胆受累的内镜治疗方法

Surgery Case Reports Pub Date : 2024-11-01 DOI: 10.1016/j.sycrs.2024.100072

José De Jesús Herrera-Esquivel, Carlos A. Zacaula-Aguilar, Enrique Cortinez-Encarnación, Ana Karen García-Ávila, José Rodrigo Muñoz-Gutiérrez, Miguel Ángel Domínguez-Varela, Manuel A. Pérez-Turrent

{"title":"Endoscopic approach for pancreatobiliary involvement in IgG4 related disease","authors":"José De Jesús Herrera-Esquivel, Carlos A. Zacaula-Aguilar, Enrique Cortinez-Encarnación, Ana Karen García-Ávila, José Rodrigo Muñoz-Gutiérrez, Miguel Ángel Domínguez-Varela, Manuel A. Pérez-Turrent","doi":"10.1016/j.sycrs.2024.100072","DOIUrl":"10.1016/j.sycrs.2024.100072","url":null,"abstract":"<div><h3>Introduction</h3><div>Immunoglobulin G4-related disease (IgG4-RD) is a rare, systemic autoimmune fibroinflammatory disorder affecting the pancreatobiliary tract, often mimicking malignancies. Diagnosis relies on clinical and histological features, using Mayo Clinic HISORt and Japan Biliary Association criteria.</div></div><div><h3>Case series</h3><div>Two patients with IgG4-RD presented with abdominal symptoms and abnormal liver function tests. Imaging and endoscopic ultrasound (EUS) revealed bile duct stenosis and pancreatic abnormalities. Elevated serum IgG4 levels and histopathological findings confirmed the diagnosis. Both patients responded well to prednisone, showing clinical improvement and normalization of liver function tests.</div></div><div><h3>Discussion</h3><div>IgG4-RD represents a diagnostic challenge due to its diverse manifestations. Accurate diagnosis requires a multidisciplinary approach, incorporating clinical, radiological, serological, and histopathological findings. Early recognition and corticosteroid therapy are crucial for achieving remission.</div></div><div><h3>Conclusion</h3><div>The establishment of diagnostic criteria and advanced imaging techniques has improved the management of IgG4-RD. However, distinguishing it from other biliary disorders remains challenging, necessitating ongoing research and collaboration among medical professionals.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100072"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142572349","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

Acute appendicitis due to extrapulmonary tuberculosis 肺外结核引起的急性阑尾炎

Surgery Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.sycrs.2024.100075

Hamidreza Zamani , Seyed Pedram Kouchak Hosseini , Soheil Bagherian Lemraski , Hojatolah Khoshnoudi , Mohammad Aghaei , Alireza Haghbin Toutounchi

{"title":"Acute appendicitis due to extrapulmonary tuberculosis","authors":"Hamidreza Zamani , Seyed Pedram Kouchak Hosseini , Soheil Bagherian Lemraski , Hojatolah Khoshnoudi , Mohammad Aghaei , Alireza Haghbin Toutounchi","doi":"10.1016/j.sycrs.2024.100075","DOIUrl":"10.1016/j.sycrs.2024.100075","url":null,"abstract":"<div><h3>Introduction and Importance</h3><div>Tuberculous appendicitis is very infrequent, estimated to occur in only 0.1 % of all appendectomies. Appendicular tuberculosis can manifest as either a primary or secondary infection. Primary appendicular tuberculosis is even more uncommon and occurs in the absence of any detectable primary focus elsewhere in the body.</div></div><div><h3>Case Presentation</h3><div>In this report, we present a challenging case of primary tuberculous appendicitis that does not appear to have originated from the lungs. This case highlights the importance of considering tuberculosis in the differential diagnosis of appendicitis, especially in regions where tuberculosis is endemic or in patients with a history of tuberculosis exposure.</div></div><div><h3>Clinical Discussion</h3><div>Diagnosing tuberculous appendicitis can be challenging due to its rarity and the non-specific nature of its symptoms, which often mimic those of more common conditions such as acute appendicitis and because of these non-specific symptoms, tuberculous appendicitis is mostly diagnosed only after surgical intervention.</div></div><div><h3>Conclusion</h3><div>This case underscores the need for a high index of suspicion and thorough diagnostic evaluation in patients with atypical presentations of appendicitis specifically in patients with chronic complaints. Treatment typically involves a combination of surgical intervention to remove the affected appendix and a prolonged course of anti-tuberculous medication to eradicate the infection and prevent recurrence.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100075"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142538058","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

Cross-leg flap, alternative surgery for post traumatic soft tissue defect of ankle and foot 交叉腿皮瓣，治疗踝关节和足部创伤后软组织缺损的替代手术

Surgery Case Reports Pub Date : 2024-10-21 DOI: 10.1016/j.sycrs.2024.100074

Fadlurrahman Manaf , Azmi Farhadi

{"title":"Cross-leg flap, alternative surgery for post traumatic soft tissue defect of ankle and foot","authors":"Fadlurrahman Manaf , Azmi Farhadi","doi":"10.1016/j.sycrs.2024.100074","DOIUrl":"10.1016/j.sycrs.2024.100074","url":null,"abstract":"<div><h3>Background</h3><div>Soft tissue defects that afflict the ankle and foot are mostly the result of trauma. Large wounds with soft tissue defects, especially in the ankle and foot, are a reconstructive challenge due to the lack of availability of local tissues and recipient vessels.</div></div><div><h3>Case Presentation</h3><div>We report a female with a crush injury of the right foot and a Lisfranc injury due to a motor vehicle accident. The patient had a soft tissue defect 20 × 10 cm2 with bone and tendon exposed. The patient had a fasciocutaneous flap from the posteromedial of the distal contralateral leg for soft tissue reconstruction. Both legs were stabilized with a cast. The cross-leg flap was separated from the donor site three weeks later, and K-Wire was removed. Flap evaluation was good, and the patient resumed normal gait and activity without any stiffness of joints related to the flap or cast.</div></div><div><h3>Discussion</h3><div>Reconstruction of soft tissue defects in the ankle and foot is a challenge for surgeons due to the paucity of local and regional tissues and associated vessel injuries. Cross-leg flap can be suitable alternative option. In this case, we use medially based fasciocutaneous perforator cross-leg flap, based on the posterior tibial artery perforators. Cross-leg flaps are less technically demanding, and the probability of reexploration is lower than in free flaps. The cross-leg flap has the disadvantage of prolonged immobilization and uncomfortable resting positions.</div></div><div><h3>Conclusion</h3><div>Cross-leg flap can be alternative solution for covering large soft tissue defects in ankle and foot with its advantages and disadvantages.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100074"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528580","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

Innovative approaches to cage reconstructions in orthopedic limb surgery: Advances and insights with two cases 矫形肢体手术中笼重建的创新方法：两个病例的进展和启示

Surgery Case Reports Pub Date : 2024-10-21 DOI: 10.1016/j.sycrs.2024.100073

Halil Ibrahim BULUT , Erhan OKAY , Tolga ONAY , Enes KANAY , Korhan OZKAN

{"title":"Innovative approaches to cage reconstructions in orthopedic limb surgery: Advances and insights with two cases","authors":"Halil Ibrahim BULUT , Erhan OKAY , Tolga ONAY , Enes KANAY , Korhan OZKAN","doi":"10.1016/j.sycrs.2024.100073","DOIUrl":"10.1016/j.sycrs.2024.100073","url":null,"abstract":"<div><h3>Background</h3><div>Limb tumors, though rare, pose significant challenges to surgical management due to their impact on limb function and quality of life. Effective treatment requires precise tumor resection alongside advanced reconstructive techniques to restore limb function, particularly in cases of compromised bone healing. Titanium cages, traditionally used in spinal surgeries, have recently gained attention for their potential in limb reconstruction within orthopedic oncology, offering a novel approach to managing complex bone defects.</div></div><div><h3>Case Presentation</h3><div>This retrospective case series presents two patients treated with titanium cages for limb reconstruction following tumor resection.</div><div>Case 1: A 53-year-old female with a solitary plasmacytoma of the femur experienced a pathological fracture and nonunion after initial treatment. A titanium cage was employed to bridge the resected bone segment, leading to successful callus formation at the six-month follow-up and restored limb function.</div><div>Case 2: A 31-year-old female with a giant cell tumor and hemangioma of the foot underwent en bloc resection followed by reconstruction using a vertebral cage and iliac corticospongious graft. Six months postoperatively, the patient had resumed full weight-bearing with no complications.</div></div><div><h3>Conclusion</h3><div>Titanium cages offer a promising solution for limb reconstruction in patients with tumors, particularly for large bone defects where traditional methods may be inadequate. This case series demonstrates successful outcomes in limb preservation and functional recovery using titanium cages. Their use in the adult population shows potential for broader application in orthopedic oncology, warranting further clinical investigation.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100073"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142528581","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

Compartment syndrome following self-injection of hydrocarbon: A case series 自行注射碳氢化合物后的隔室综合征：病例系列

Surgery Case Reports Pub Date : 2024-09-07 DOI: 10.1016/j.sycrs.2024.100069

Giovanni De Nobili, Severino Cericola, Vincenzo Casolino, Simone Di Russo, Erika Peca, Rossana Percario, Roberta Dimalio, Gauro D'Urbano, Paolo Panaccio

{"title":"Compartment syndrome following self-injection of hydrocarbon: A case series","authors":"Giovanni De Nobili, Severino Cericola, Vincenzo Casolino, Simone Di Russo, Erika Peca, Rossana Percario, Roberta Dimalio, Gauro D'Urbano, Paolo Panaccio","doi":"10.1016/j.sycrs.2024.100069","DOIUrl":"10.1016/j.sycrs.2024.100069","url":null,"abstract":"<div><h3>Background</h3><p>Hydrocarbon products are generally used by drug addict patients in attempt to emulate drug effects or as a means of self-harm. These substances can be assumed through inhalation or by intravenous or intramuscular injection. When hydrocarbons are injected intramuscularly into the limbs, they can cause the compartment syndrome, necessitating surgical intervention.</p></div><div><h3>Cases series</h3><p>We describe a series of three cases in which compartment syndrome developed following hydrocarbon intramuscular injection of hydrocarbons and was successfully treated with urgent fasciotomy. The cases involve three young men who injected gasoline or diesel fuel in their arms and legs. In each case, urgent fasciotomy was necessary to evacuate the intramuscular collection that was rapidly expanding. The three patients were then discharged from our Surgical Department with no complications and were followed up in outpatient visits.</p></div><div><h3>Conclusion</h3><p>Intramuscular hydrocarbon injection can mainly lead to compartment syndrome and tissue necrosis. In the three cases we have reported, urgent fasciotomy successfully prevented ischemic damage to the limbs and facilitated the drainage of toxic substances, thereby preventing patient’s systemic poisoning and septic lethal consequences.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100069"},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000690/pdfft?md5=52d51200834ccef7afe4f6be25574608&pid=1-s2.0-S2950103224000690-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163042","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

Surgical aortic root replacement in a patient with midaortic syndrome 中主动脉综合征患者的主动脉根部外科置换术

Surgery Case Reports Pub Date : 2024-09-07 DOI: 10.1016/j.sycrs.2024.100064

Mesut Engin , Abdulkerim Özkan , Ufuk Aydın , Yusuf Ata

{"title":"Surgical aortic root replacement in a patient with midaortic syndrome","authors":"Mesut Engin , Abdulkerim Özkan , Ufuk Aydın , Yusuf Ata","doi":"10.1016/j.sycrs.2024.100064","DOIUrl":"10.1016/j.sycrs.2024.100064","url":null,"abstract":"<div><h3>Background</h3><p>Midaortic syndrome is a rare condition characterized by the narrowing of the abdominal aorta. In this article, we present a 32-year-old male patient who was incidentally diagnosed with midaortic syndrome, and whose severe aortic regurgitation and ascending aortic dilatation were successfully treated with the Bentall procedure.</p></div><div><h3>Case report</h3><p>A 32‐year‐old, male patient was admitted to the emergency department with the complaint of chest pain and dyspnea for 3 months. His medical history was notable for diabetes, hypertension (12 years), and hyperthyroidism. Coronary angiography was normal. Ascending aortic dilatation and interrupted abdominal aorta were revealed with computed tomographic angiography (CTA). The Bentall procedure was performed with median sternotomy.</p></div><div><h3>Conclusion</h3><p>Our case is the first patient in the literature who had Midaortic Syndrome and underwent the Bentall procedure. Additionally, our patient had extremely poor left ventricular functions (LVEF = 20 %). One of the important problems that could occur in this patient was the need for an intra-aortic balloon pump (IABP) for CPB weaning.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100064"},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000641/pdfft?md5=bcb88e9577d8c27eacce3c2d4f7f9681&pid=1-s2.0-S2950103224000641-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163051","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

A 24-kilogram retroperitoneal liposarcoma surgical management: A case report 重达 24 千克的腹膜后脂肪肉瘤手术治疗：病例报告

Surgery Case Reports Pub Date : 2024-09-06 DOI: 10.1016/j.sycrs.2024.100066

Hesameddin Eghlimi , Amirhassan Rabbani , Hamidreza Movahedi , Tala Tabrizi , Iman Bhia

{"title":"A 24-kilogram retroperitoneal liposarcoma surgical management: A case report","authors":"Hesameddin Eghlimi , Amirhassan Rabbani , Hamidreza Movahedi , Tala Tabrizi , Iman Bhia","doi":"10.1016/j.sycrs.2024.100066","DOIUrl":"10.1016/j.sycrs.2024.100066","url":null,"abstract":"<div><p>Sarcomas are diverse malignant tumors originating from soft tissues (STS) or bones, with STS being more prevalent. Liposarcoma is the most common type of STS, typically arising in the extremities and retroperitoneum. This case report discusses the management of a rare, giant retroperitoneal liposarcoma (RL) in a 47-year-old man presented with significant abdominal enlargement, post-pharyngeal discharge, and urinary dribbling. Medical history included an inguinal hernia and smoking. Diagnosis through imaging (sonography, CT, MRI) and biopsy confirmed a well-differentiated liposarcoma encasing the left kidney and compressing abdominal organs. The tumor measured 53 × 47 x 20 cm and weighed 24 kg. Surgical management included complete tumor excision, left nephrectomy, iliac artery repair, colectomy, and lymph node dissection. The management of RL is challenging due to its size and proximity to vital organs. Complete surgical resection is crucial for recurrence-free survival. Preoperative radiotherapy can aid in achieving negative margins by defining target volumes and reducing irradiation of adjacent tissues. Chemotherapy is reserved for high-grade tumors with metastatic potential. This report highlights the complexities of managing giant RL, underscoring the importance of thorough surgical planning, multidisciplinary collaboration, and assessing potential adjunct therapies to improve patient prognosis.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100066"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000665/pdfft?md5=6db48f451d8804285712baddc3e63bc2&pid=1-s2.0-S2950103224000665-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163053","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

Laparoscopic excision in patient with retroperitoneal schwannoma: A case report 腹膜后分裂瘤患者的腹腔镜切除术：病例报告

Surgery Case Reports Pub Date : 2024-09-06 DOI: 10.1016/j.sycrs.2024.100065

A. Nouri , M. Bouziane , Y. Ghaddou , A. Bensaad , A. Fadil , K. Sair , Y. Mahdi , B. El Khannoussi

{"title":"Laparoscopic excision in patient with retroperitoneal schwannoma: A case report","authors":"A. Nouri , M. Bouziane , Y. Ghaddou , A. Bensaad , A. Fadil , K. Sair , Y. Mahdi , B. El Khannoussi","doi":"10.1016/j.sycrs.2024.100065","DOIUrl":"10.1016/j.sycrs.2024.100065","url":null,"abstract":"<div><p>Schwannomas are rare benign tumours that develop on the cranial or spinal nerves. They are often asymptomatic and discovered by chance following pelvic pain. MRI provides a positive diagnosis of the tumour, showing T1 hyposignal, T2 hypersignal, and heterogeneous contrast enhancement. An angioscanner and a uroscanner in the preoperative phase are useful to assess the relationship with neighbouring structures.</p><p>The ideal treatment for schwannomas is complete excision with negative margins, even if it requires the sacrifice of neighbouring organs, given the risk of malignancy and the possibility of recurrence.</p><p>We present a case of a retroperitoneal schwannoma located at the L5-S1 space, diagnosed by MRI following pelvic pain. The treatment involved a laparoscopic transabdominal excision, with a normal postoperative follow-up.</p><p>The aim of this case report is to aid different medical teams in the management of schwannomas and to highlight the advantages of the laparoscopic anterior approach for retroperitoneal tumours compared with laparotomy.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100065"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000653/pdfft?md5=f1a5b1b8bc646f04fbc019abb7c35e71&pid=1-s2.0-S2950103224000653-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163054","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

Rare presentation of pilomatrixoma as a fungating breast mass: Case report and literature review 罕见的真菌性乳房肿块--乳头状瘤病例报告和文献综述

Surgery Case Reports Pub Date : 2024-09-04 DOI: 10.1016/j.sycrs.2024.100067

Samantha B. Esposito , Claudia B. Perez

引用次数: 0

Beyond mere appendicitis: A case report on an unforeseen diagnosis of appendiceal schwannoma 不仅仅是阑尾炎阑尾裂孔瘤意外诊断的病例报告

Surgery Case Reports Pub Date : 2024-09-04 DOI: 10.1016/j.sycrs.2024.100068

William Markey , Jian Blundell , Cameron Law , Ross Warner

{"title":"Beyond mere appendicitis: A case report on an unforeseen diagnosis of appendiceal schwannoma","authors":"William Markey , Jian Blundell , Cameron Law , Ross Warner","doi":"10.1016/j.sycrs.2024.100068","DOIUrl":"10.1016/j.sycrs.2024.100068","url":null,"abstract":"<div><h3>Introduction</h3><p>Appendiceal schwannomas are a rare diagnosis, with little evidence to guide management and follow-up. There are currently no case reports focusing on follow-up for appendiceal schwannomas after complete surgical resection.</p></div><div><h3>Presentation of case</h3><p>A 64-year-old female presented to the emergency department, febrile, with migratory right iliac fossa pain and focal peritonism, consistent with acute appendicitis. The diagnosis was supported by a computed tomography scan and she underwent a laparoscopic appendicectomy. Histopathology was reported as acute appendicitis associated with a schwannoma at the appendiceal base. The patient underwent a colonoscopy six weeks after her initial surgery with no abnormal findings. Following multidisciplinary team discussion it was decided that no further follow up was required.</p></div><div><h3>Discussion</h3><p>There are only 15 case reports of appendiceal schwannomas in the literature. As a result, the management and follow up in this case was guided from evidence reported in studies of other schwannomas elsewhere in the gastrointestinal tract, standard management of benign appendiceal lesions and MDT discussion. One retrospective single-centre cohort study of histopathology records collected over a 20 year period showed that in 44 patients with GI schwannomas, there was no malignant transformation or recurrence during a mean follow up period of 5.0 ± 4.31 years (Singh et al., 2022). Based on this study there is a very low risk of malignant transformation associated with these lesions.</p></div><div><h3>Conclusion</h3><p>Based on limited published data resection remains the mainstay of management of appendiceal schwannomas. Colonoscopy is recommended to exclude any underlying lesion or synchronous pathology.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100068"},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000689/pdfft?md5=bdb8e8bd4e9f8d8a71e2cfeaf8df1592&pid=1-s2.0-S2950103224000689-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163052","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