Surgery Case Reports最新文献

{"title":"Amyloidosis presenting as a malignancy: Two case reports and key diagnostic clues","authors":"Naveen Kumar Kushwaha ,&nbsp;Laleng Mawia Darlong ,&nbsp;Sunil Pasricha ,&nbsp;Prerna Garg ,&nbsp;Prafull Kumar Gamit","doi":"10.1016/j.sycrs.2024.100079","DOIUrl":"10.1016/j.sycrs.2024.100079","url":null,"abstract":"<div><div>Respiratory amyloidosis manifests in three forms: focal/diffuse tracheobronchial, nodular parenchymal, and diffuse parenchymal. Surgical treatment is typically reserved for localized nodular pulmonary amyloidosis, while bronchoscopic techniques, radiotherapy, and medical therapy are preferred for other forms based on the specific subtype. We present two cases of pulmonary amyloidosis that were initially misdiagnosed as malignant based on cytology and imaging studies, but were later confirmed as amyloidosis following surgical resection. These cases highlight the potential role of surgery in such scenarios, extending its therapeutic value beyond conventional indications, as documented in the literature.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100079"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143156876","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}

{"title":"Pseudoaneurysm in the axillary tail of the breast following stereotactic biopsy: A case report and literature review","authors":"Hanne-Eva van Bremen ,&nbsp;Jorn P. Meekel ,&nbsp;Steven P. Kerssemakers ,&nbsp;Gerwin A. Fransen ,&nbsp;Sandra Muller","doi":"10.1016/j.sycrs.2024.100070","DOIUrl":"10.1016/j.sycrs.2024.100070","url":null,"abstract":"<div><h3>Background</h3><div>Core needle biopsy of the breast is a widely used technique to obtain a specimen for histopathological examination. Stereotactic biopsy occasionally result incomplications such as infection or hematoma. The development of a pseudoaneurysm after breast biopsy; however, is a rare complication.</div></div><div><h3>Case presentation</h3><div>A 56-year-old postmenopausal woman using a vitamin K antagonist presented with a suspicious lesion in the lateral upper quadrant of the right breast, initially classified as BI-RADS 3. After 24 months, an increase in calcification led to reclassification as BI-RADS 4, prompting stereotactic biopsy without periprocedural complications. One month later, the patient presented with continuous swelling accompanied by pain. Ultrasound and Doppler revealed a concentric collection with a to-and-fro waveform, indicating a pseudoaneurysm. Treatment with thrombin injection successfully induced thrombosis. Follow-up at six weeks demonstrated complete regression of the mass without signs of residual blood flow.</div></div><div><h3>Conclusions</h3><div>Thrombin injection appears to be a safe and effective treatment for the occurrence of pseudoaneurysm following stereotactic breast biopsy.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700917","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}

{"title":"Management of perforated jejunal diverticulitis: A case series and literature review","authors":"Tim Baumgartner,&nbsp;Hishaam Ismael,&nbsp;David Young","doi":"10.1016/j.sycrs.2024.100071","DOIUrl":"10.1016/j.sycrs.2024.100071","url":null,"abstract":"<div><div>Small bowel diverticulosis, less common than colonic diverticulosis (incidence 1–2 %), predominantly affects males, and risk increases with age. Approximately 15 % or patients present with complications including bleeding, perforations with peritonitis, or fistulas, and these complications can be fatal with mortality rates as high as 40 % in cases of perforation. While some reports have suggested that patients can avoid surgery with bowel rest and antibiotics, or the use of CT guided aspiration of abscesses related to the disease, this case series examines 5 patients with perforated jejunal diverticulitis at a single institution successfully managed with surgical resection in the emergent and elective settings following recurrence of symptoms. There are limitations to medical management and lifestyle modifications alone, while elective surgical resection is effective in symptom management and risk reduction.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"4 ","pages":"Article 100071"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748782","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}

{"title":"High-grade diffuse large B cell non-Hodgkin lymphoma involving the mucosal hemorrhoid tissue: A case report","authors":"Dima Malkawi,&nbsp;Janet Lee,&nbsp;Micheal Shane McNevin","doi":"10.1016/j.sycrs.2024.100077","DOIUrl":"10.1016/j.sycrs.2024.100077","url":null,"abstract":"<div><div>Non-Hodgkin's lymphomas are a diverse group of immune system cancers that can affect any organ in the body. Few reports describe the development of malignant lymphoma in internal or external hemorrhoids. We present the case of a 67-year-old female with a long-standing history of non-bleeding, prolapsing hemorrhoids, and recent significant weight loss. Following an excisional hemorrhoidectomy, pathological analysis revealed high-grade diffuse large B-cell non-Hodgkin lymphoma (DLBCL) involving the mucosal hemorrhoid tissue. The case underscores the importance of considering malignancy in atypical presentations of common conditions. Treatment for anal canal lymphomas remains uncertain, with medical management generally preferred over surgery. Accurate diagnosis requires histopathologic examination due to the overlap of clinical features with other pathologies.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553341","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}

{"title":"A stepwise treatment of gastrobronchial fistula after laparoscopic sleeve gastrectomy: A case report\"","authors":"Behrouz Keleidari ,&nbsp;Koorosh Parchami ,&nbsp;Erfan Sheikhbahaei ,&nbsp;Mohammad ghayoomi","doi":"10.1016/j.sycrs.2024.100076","DOIUrl":"10.1016/j.sycrs.2024.100076","url":null,"abstract":"<div><div>Bariatric surgery has quickly emerged as one of the most effective treatments for obesity in the world and is mostly known as a safe and effective method; however, in some cases, it may lead to life-threatening complications. One of these complications is fistula, which may result in high mortality and morbidity. The treatment methods for this condition have been subject to ongoing discussion, ranging from endoscopic procedures to surgery. However, the outcome of each approach remains uncertain for both patients and surgeons. A 21-year-old man presented with pulmonary symptoms such as cough, pleuritic chest pain, and fever two months after laparoscopic sleeve gastrectomy and in further investigations, the diagnosis of gastrobronchial fistula (GBF) was confirmed. The treatment of the patient was based on endoscopic procedures and prioritizing minimally invasive methods over surgical interventions.</div><div>The treatment approach that is recommended for patients with GBF is the stepwise method, in which the next step is performed according to the patient's condition. Also, the treatment was based on minimally invasive procedures like endoscopic-based methods, also it is advisable to avoid conducting invasive treatments such as surgical procedures until the patient has shown a response to either non-invasive or minimally invasive treatments.</div></div><div><h3>Conclusion</h3><div>The key finding of this case report emphasizes that in situations of acute or unstable conditions or even if there is still hope for treatment, it's better to avoid invasive procedures. Rather, opting for non-invasive or minimally invasive treatments is favored to stabilize the patient's clinical or lab parameters, or to maintain a steady and consistent weight. Therefore, it is advisable to refrain from or delay surgical and invasive procedures during the acute stages or when a GBF is newly diagnosed, allowing the patient to attain a more stable clinical condition and use surgical approaches as a complementary choice besides minimally invasive procedures.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100076"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553340","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}

{"title":"Corrigendum to “Thrombectomy under deep hypothermic circulatory arrest (DHCA) for renal cell carcinoma with atrio-caval thrombus” [Surg Case Rep: Adv Tech 2 (2024) 1-4, 100036]","authors":"Eduardo R. Bautista ,&nbsp;Pocholo Carlo R. Bernardo ,&nbsp;Tricia Angela G. Sarile ,&nbsp;Czarlo M. Dela Victoria ,&nbsp;Mary Grace G. Gana ,&nbsp;Ana Melissa F. Hilvano-Cabungcal ,&nbsp;Ferri P. David-Paloyo ,&nbsp;Siegfredo R. Paloyo","doi":"10.1016/j.sycrs.2024.100063","DOIUrl":"10.1016/j.sycrs.2024.100063","url":null,"abstract":"","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100063"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705075","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}

{"title":"Endoscopic approach for pancreatobiliary involvement in IgG4 related disease","authors":"José De Jesús Herrera-Esquivel,&nbsp;Carlos A. Zacaula-Aguilar,&nbsp;Enrique Cortinez-Encarnación,&nbsp;Ana Karen García-Ávila,&nbsp;José Rodrigo Muñoz-Gutiérrez,&nbsp;Miguel Ángel Domínguez-Varela,&nbsp;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}

{"title":"Acute appendicitis due to extrapulmonary tuberculosis","authors":"Hamidreza Zamani ,&nbsp;Seyed Pedram Kouchak Hosseini ,&nbsp;Soheil Bagherian Lemraski ,&nbsp;Hojatolah Khoshnoudi ,&nbsp;Mohammad Aghaei ,&nbsp;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}

{"title":"Cross-leg flap, alternative surgery for post traumatic soft tissue defect of ankle and foot","authors":"Fadlurrahman Manaf ,&nbsp;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}

{"title":"Innovative approaches to cage reconstructions in orthopedic limb surgery: Advances and insights with two cases","authors":"Halil Ibrahim BULUT ,&nbsp;Erhan OKAY ,&nbsp;Tolga ONAY ,&nbsp;Enes KANAY ,&nbsp;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}