Surgery Case Reports最新文献_第3页

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

Anterior abdominal wall abscess due to toothpick ingestion: A case report

Surgery Case Reports Pub 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":"2024-12-26","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

Ruptured gastroepiploic artery aneurysm causing massive intraperitoneal hemorrhage: A case report and literature review

Surgery Case Reports Pub 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":"2024-12-25","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

Utilization of autogenous split rib graft for cranioplasty in a child: A case report

Surgery Case Reports Pub Date : 2024-12-25 DOI: 10.1016/j.sycrs.2024.100089

Nauman Shah , Muhammad Salman Farsi , Muhammad Sanaan Noor , Muhammad Maaz Bin Zahid , Yasir Aziz , Muhammad Wasim Sajjad , Azam Jan , Nasir Ali

引用次数: 0

Multisite neural tube defects: Management of a complex case and review of theories on neural tube closure

Surgery Case Reports Pub 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

Traumatic pseudoaneurysm of the superficial left palmar arch: A case report

Surgery Case Reports Pub 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

Robotic thoracoscopic left paratracheal and cervical lymphadenectomy for recurrent esophageal adenocarcinoma: A case report

Surgery Case Reports Pub 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":"2024-12-11","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

Primary aorto-duodenal fistula: A case report and review of literature

Surgery Case Reports Pub 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":"2024-12-07","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

Collision tumor of the pancreas: Extraskeletal Ewing-like sarcoma and solid pseudopapillary tumor

Surgery Case Reports Pub Date : 2024-12-05 DOI: 10.1016/j.sycrs.2024.100078

Naveen Kumar Kushwaha , Pradeep Jaiswal , Nihanthy Sreenath , Peeyush Bhatt

引用次数: 0