Surgery Case Reports最新文献_第5页

Glioblastoma development following stereotactic radiosurgery for an arteriovenous malformation: A case report 立体定向放射手术治疗动静脉畸形后出现胶质母细胞瘤：病例报告

Surgery Case Reports Pub Date : 2024-07-01 DOI: 10.1016/j.sycrs.2024.100047

Mehmet Denizhan Yurtluk , Ganime Çoban , Kerime Akdur , Mehmet Hakan Seyithanoğlu

{"title":"Glioblastoma development following stereotactic radiosurgery for an arteriovenous malformation: A case report","authors":"Mehmet Denizhan Yurtluk , Ganime Çoban , Kerime Akdur , Mehmet Hakan Seyithanoğlu","doi":"10.1016/j.sycrs.2024.100047","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100047","url":null,"abstract":"<div><p>Stereotactic Radiosurgery (SRS) is a non-invasive treatment modality used for various intracranial pathologies including Arteriovenous Malformations (AVMs), high and low-grade gliomas, and brain metastases. This report presents a very rare case of a 29-year-old male who initially presented with headache and insomnia. Subsequent diagnostic investigations revealed a large right temporal lobe AVM that was 45.48 cc in volume, supplied by the superior and inferior truncus of the Middle Cerebral Artery (MCA), as well as anterior and posterior choroidal arteries. The patient underwent volume-staged SRS with a marginal dose of 15 Gy for each stage, conducted in two stages six months apart. The patient achieved near-complete obliteration initially. However, three years later from the last stage presented with a headache that was diagnosed as a subarachnoid hemorrhage, leading to surgical removal of the residual AVM. Subsequently patient presented with seizures and further imaging studies revealed a contrast-bearing mass at the site previously operated. A second operation revealed the mass to be a glioblastoma. Despite chemoradiotherapy patient succumbed to death. Malignant transformations following SRS, although rare, remain one of the most feared and devastating outcomes.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100047"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000471/pdfft?md5=7b5c7384dfd73b7f10b53dcbe70be700&pid=1-s2.0-S2950103224000471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487227","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 management of a littoral cell angioma of the spleen 脾脏沿岸细胞血管瘤的手术治疗

Surgery Case Reports Pub Date : 2024-07-01 DOI: 10.1016/j.sycrs.2024.100045

Lauren K. Storm , Kelly A. Brister , W. Shannon Orr , Wade O. Christopher

{"title":"Surgical management of a littoral cell angioma of the spleen","authors":"Lauren K. Storm , Kelly A. Brister , W. Shannon Orr , Wade O. Christopher","doi":"10.1016/j.sycrs.2024.100045","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100045","url":null,"abstract":"<div><p>Littoral cell angioma is a rare primary vascular tumor of the spleen taking its origin from littoral cells lining the red pulp venous sinuses of the reticuloendothelial system of the spleen. Throughout the literature, most patients report in an asymptomatic manner with littoral cell angioma presenting as an incidental finding on radiological imaging. Due to their rarity, these tumors can pose diagnostic and therapeutic challenges. The accepted strategies for diagnosis, treatment, and surveillance are based off a limited amount of published data. Our case describes a 61-year-old male who presented to the emergency department for gastrointestinal bleed secondary to gastric ulcers. He subsequently had radiological imaging completed which showed a lesion in his spleen that caused concern for malignancy due to the enhancement patterns on magnetic resonance imaging. The patient wished for surgical resection versus ongoing radiological surveillance and underwent a laparoscopic splenectomy. He was discharged post-operative day one without complications. Pathology confirmed littoral cell angioma. The patient was doing well at follow up. This article provides an in-depth review into the diagnosis and management of a littoral cell angioma of the spleen.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100045"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000458/pdfft?md5=fa58c9563474d757c98a8adbaed27f05&pid=1-s2.0-S2950103224000458-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487203","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

Posterior stabilization of C3/C4 vertebrae: A technical case report C3/C4 椎体的后方稳定：技术案例报告

Surgery Case Reports Pub Date : 2024-07-01 DOI: 10.1016/j.sycrs.2024.100051

Salman Ahmad , Alexandra Echevarria , Hamzah Ahmad , Rohit Verma

{"title":"Posterior stabilization of C3/C4 vertebrae: A technical case report","authors":"Salman Ahmad , Alexandra Echevarria , Hamzah Ahmad , Rohit Verma","doi":"10.1016/j.sycrs.2024.100051","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100051","url":null,"abstract":"<div><p>While there are several approaches to cervical screw fixation surgery, the two most common modes of placement are pedicle and lateral mass screws. Both techniques have their respective complications such as neurological deficits, vascular injury, compromise to bone quality, or chronic postoperative pain. This report suggests a novel technique that utilizes the surgical plan of lateral mass screw insertion with modifications to control for the commonly reported complications associated with it. The procedure illustrated in this report was performed on a patient with a history of spine surgery and persistent neurological deficits. When approaching such patients, it is vital to adjust the screw angulation based on the individual’s anatomy. The modified Roy-Camille technique proposed in this report can be applied to other patients undergoing cervical spine surgery and may yield favorable outcomes with respect to minimizing neurovascular injury and maximizing postoperative recovery. This can be accomplished based on each patient’s unique presentation, individual anatomy, symptomatology, and surgical history.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100051"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000513/pdfft?md5=b62feba1eae71d30415d0b8bc5031e41&pid=1-s2.0-S2950103224000513-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141487226","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

Pigmented villonodular synovitis of knee with concomitant partial tear of anterior cruciate ligament in skeletally immature patient: A case report 骨骼尚未发育成熟的膝关节色素性绒毛状滑膜炎合并前十字韧带部分撕裂：病例报告

Surgery Case Reports Pub Date : 2024-06-28 DOI: 10.1016/j.sycrs.2024.100048

Ilham Pratamanugroho , Kukuh Dwiputra Hernugrahanto

{"title":"Pigmented villonodular synovitis of knee with concomitant partial tear of anterior cruciate ligament in skeletally immature patient: A case report","authors":"Ilham Pratamanugroho , Kukuh Dwiputra Hernugrahanto","doi":"10.1016/j.sycrs.2024.100048","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100048","url":null,"abstract":"<div><p>Pigmented villonodular synovitis (PVNS) is benign but locally aggressive proliferative disorder that affects synovial joint, tendon sheaths, and bursae. PVNS is rare in child, while concurrent Anterior Cruciate Ligament (ACL) tear in PVNS is uncommon finding. Previous study reported ACL tear might be a risk factor in adult PVNS but lack of record for pediatric PVNS. We report a case of uncommon concomitant ACL partial tear in an already rare pediatric PVNS. A nine-year old female with pain and swelling on left knee, occurred intermittent every 2 months for 1 year prior to surgery. There was moderate knee movement restriction with history of fall from bicycle 1 year before surgery. No history of knee instability was reported. X-ray only denote joint swelling, while MRI shows intraarticular bodies suspected synovial chondromatosis with hyperintense signal sign of partial ACL tear. The patient underwent arthroscopic evaluation which exhibit intraarticular hyperemic and hypertrophic synovium with loosening anteromedial ACL bundle. Arthroscopic synovectomy was then performed followed by range of motion training and muscle strengthening rehabilitation program. Post-operative histopathological result confirms PVNS assessment. 1 year follow up post-surgery shows no recurrence of pain or swelling with free movement of left knee joint and no disturbance or instability while walking. In this case, partial ACL tear may contribute as risk factor of PVNS in child. Arthroscopic synovectomy with physical rehabilitation program shows good functional result with no recurrence at 1-year follow up.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100048"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000483/pdfft?md5=43eff0fbd5f71ee29d1965a61f8b685d&pid=1-s2.0-S2950103224000483-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542686","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

Interrupted aortic arch with bicuspid aortic valve stenosis in an adult: A case report. 成人主动脉弓中断伴双尖瓣主动脉瓣狭窄：病例报告

Surgery Case Reports Pub Date : 2024-06-22 DOI: 10.1016/j.sycrs.2024.100044

Timur Lesbekov , Sakhipzhamal Sabirova , Aida Chzhen

引用次数: 0

The role of CT imaging in proposed algorithm for managing post-operative hemorrhage after pancreaticoduodenectomy: case series CT 成像在处理胰十二指肠切除术后出血的拟议算法中的作用：病例系列

Surgery Case Reports Pub Date : 2024-06-21 DOI: 10.1016/j.sycrs.2024.100042

Jessie S. Frank , Alexander S. Thomas , Michael D. Kluger

{"title":"The role of CT imaging in proposed algorithm for managing post-operative hemorrhage after pancreaticoduodenectomy: case series","authors":"Jessie S. Frank , Alexander S. Thomas , Michael D. Kluger","doi":"10.1016/j.sycrs.2024.100042","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100042","url":null,"abstract":"<div><h3>Background</h3><p>Post-pancreatectomy hemorrhage (PPH) is among the most severe complications after pancreaticoduodenectomy. Gastroduodenal artery pseudoaneurysm rupture may prove fatal without expeditious invasive treatment, while other causes of PPH can often be treated medically. Pseudoaneurysms may be effectively managed with endovascular stenting or angioembolization techniques. CT imaging allows for non-invasive evaluation prior to intervention but may delay treatment and result in false-negatives.</p></div><div><h3>Materials and methods</h3><p>Patients who developed PPH after pancreaticoduodenectomy at a high-volume institution over a 24-month span were included. Perioperative factors and clinical management data were analyzed to examine management and imaging utility.</p></div><div><h3>Results</h3><p>Twelve patients (thirteen bleeds) were evaluated. Six were extraluminal and suspicious for pseudoaneurysm rupture. Three of these bleeds were preceded by sentinel events. Obtaining CT imaging prior to interventional radiological management delayed treatment by a mean of 6.7 h. Four bleeds were treated with endovascular therapy. These were successful interventions without bleed recurrence.</p></div><div><h3>Conclusions</h3><p>Based on the current findings and limited relevant literature, this manuscript presents recommendations for managing PPH as developed by interdepartmental consensus between surgery and interventional radiology.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100042"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000422/pdfft?md5=1eb6cbd3d68040f4f5a6854310b76712&pid=1-s2.0-S2950103224000422-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478874","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 rare form of schwannomatosis on the volar surface of the hand and wrist: A case report 一种罕见的手部和腕部伏面分裂瘤病：病例报告

Surgery Case Reports Pub Date : 2024-06-21 DOI: 10.1016/j.sycrs.2024.100046

Muge Kirac , Abdullah Burak Kara , Halil Ibrahim Bulut , Gulcin Basdemir , Danyal Gumus , Korhan Ozkan

{"title":"A rare form of schwannomatosis on the volar surface of the hand and wrist: A case report","authors":"Muge Kirac , Abdullah Burak Kara , Halil Ibrahim Bulut , Gulcin Basdemir , Danyal Gumus , Korhan Ozkan","doi":"10.1016/j.sycrs.2024.100046","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100046","url":null,"abstract":"<div><h3>Background</h3><p>Schwannomas, which are also known as neurilemomas, constitute the most common type of peripheral nerve tumors. These tumors can grow slowly and occur as painless swellings over the course of several years before their diagnosis. The aim of this report is to present a case of a very rare plexiform schwannoma originating from second digital nerve and multiple schwannomas from third and fourth digital nerves and palmar cutaneous branch of median nerve with emphasis given on differential diagnosis and treatment strategy.</p></div><div><h3>Case Presentation</h3><p>A 15-year-old patient presented with soft tissue masses on the volar surface of the hand, initially diagnosed as benign nerve sheath tumors. Surgical excision was performed twice, preserving nerves and tendons. Recurrence occurred, and subsequent biopsy confirmed benign nerve sheath tumors. Microscopic examination revealed multinodular/plexiform schwannoma in the larger lesion and simple schwannomas in others, leading to a diagnosis of multiple schwannomatosis. All surgeries resulted in intact sensory and motor function.</p></div><div><h3>Conclusion</h3><p>Surgical treatment can be curative and effectively employed for concomitant schwannoma tumors. Nevertheless, with careful planning and execution, surgery remains a promising option for patients with concomitant schwannomas. Further research and long-term follow-up studies are needed to fully understand the outcomes and refine the techniques used in these surgical treatments.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100046"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295010322400046X/pdfft?md5=27dc5ce426aeb54f4d0c1a19d306d828&pid=1-s2.0-S295010322400046X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478877","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

Metastatic follicular carcinoma to the thoracic wall 3 years post thyroidectomy for colloid adenomatous goiter 胶样腺瘤性甲状腺肿甲状腺切除术后 3 年胸壁转移性滤泡癌

Surgery Case Reports Pub Date : 2024-06-21 DOI: 10.1016/j.sycrs.2024.100050

Jesyl Gagto , Felix Lukban , Franz Michael Magnaye , Emmanuel Limpin

{"title":"Metastatic follicular carcinoma to the thoracic wall 3 years post thyroidectomy for colloid adenomatous goiter","authors":"Jesyl Gagto , Felix Lukban , Franz Michael Magnaye , Emmanuel Limpin","doi":"10.1016/j.sycrs.2024.100050","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100050","url":null,"abstract":"<div><h3>Introduction</h3><p>Metastasis to the sternum from Follicular Thyroid Carcinoma (FTC) is rare. Only a handful of cases can be found in literature. Delayed metastasis to the bone has been reported but in a setting of a known thyroid primary.</p></div><div><h3>Case report</h3><p>This is a case of a 51-year-old female, presenting with an anterior chest mass in the background of previous right thyroid lobectomy with isthmusectomy for multinodular colloid adenomatous goiter. Multiple attempts to establish tissue diagnosis were not conclusive, hence outright surgical resection was pursued. She underwent partial sternectomy to include the manubrium sterni and the costochondral junctions of the first and 2nd ribs bilaterally, frozen section and completion thyroidectomy. She also underwent segmental resection of the right 12th rib, phrenicorrhaphy, tube thoracostomy. Subsequently, radioactive iodine therapy was given as part of her definitive treatment.</p></div><div><h3>Discussion</h3><p>Radical chest wall excision in the form of sternectomy or rib resection together with reconstruction is not the preferred treatment of choice in prior literature for the management of metastatic thyroid carcinoma. However, recent advances in thyroid carcinoma studies have proposed this approach to decrease the burden of the disease as well as improve relapse free survival.</p></div><div><h3>Conclusion</h3><p>Though unconventional, surgical management for metastatic follicular thyroid carcinoma</p><p>provides a viable option to improve the patient’s quality of life. However, further research on its clinical behavior and potential targeted therapies is still needed.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100050"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000501/pdfft?md5=f5e710d13d7050f64a6c36ca5122d03a&pid=1-s2.0-S2950103224000501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478878","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 treatment of a bleeding hepatocellular adenoma: A case report 出血性肝细胞腺瘤的手术治疗：病例报告

Surgery Case Reports Pub Date : 2024-06-21 DOI: 10.1016/j.sycrs.2024.100049

Abdellah Nouri, Ahmed Bensaad, Youssef Ghaddou, Abdelaziz Fadil, Khalid Sair

{"title":"Surgical treatment of a bleeding hepatocellular adenoma: A case report","authors":"Abdellah Nouri, Ahmed Bensaad, Youssef Ghaddou, Abdelaziz Fadil, Khalid Sair","doi":"10.1016/j.sycrs.2024.100049","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100049","url":null,"abstract":"<div><h3>Background</h3><p>Hepatocellular adenomas are benign liver tumors often associated with risk factors such as oral contraception (OC) in young women of childbearing age. Complications include the risk of hemorrhage and malignant transformation.</p></div><div><h3>Case report</h3><p>Our surgical ward included a 28-year-old patient with 4 gestures and 4 parts under estroprogestative (OC), conditions who presented with sudden-onset abdominal pain in the right hypochondrium without recent trauma, fever (38.5°), and no weight loss.</p><p>The patient had a conscious, blood pressure reading of 100/60 mmHG. Abdominal examination revealed tenderness in the right hypochondrium. An abdominal CT scan revealed a subcapsular hematoma of the liver associated with probable lesion of segment VI.</p><p>Hepatic RMI showed a well-limited hepatic lesion of segment VI VII, with a heterogeneous signal in T1 T2, moderate enhancement with gadolinium measuring 73 * 68 * 80, and a large subcapsular hematoma of the liver.</p><p>Resection of segment VI was performed. Microscopic examination confirmed the diagnosis of hepatocellular adenoma.</p></div><div><h3>Conclusion</h3><p>Here, we report the case of a patient with a bleeding hepatocellular adenoma who was treated by surgical resection. the aim of this case report is to show the management of hepatic bleeding adenomas larger than 5 cm.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100049"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000495/pdfft?md5=e09787fe97ab3fc452d4587294ac6ed4&pid=1-s2.0-S2950103224000495-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478876","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

Porto colic fistula: A case report of incidental discovery during CT imaging 波托结肠瘘：CT 造影中意外发现的病例报告

Surgery Case Reports Pub Date : 2024-06-16 DOI: 10.1016/j.sycrs.2024.100033

Yazan M.S. Dibas , Amal Obeid , Muath Melhem , Muayad Salman , Mohammed Maree , Mohammad Abushamma

引用次数: 0