Surgery Case Reports最新文献

{"title":"Complete Androgen Insensitivity Syndrome (AIS) in a young female: A rare form of sexual development disorder","authors":"Ayesha Huma ,&nbsp;Hira Waris ,&nbsp;Muhammad Farhan ,&nbsp;Tooba Iqbal ,&nbsp;Mir Ahmad Talha Mustafa ,&nbsp;Ammna Kouser ,&nbsp;Usama Shafiq ,&nbsp;Shahzaib Maqbool ,&nbsp;Zubair Amin","doi":"10.1016/j.sycrs.2024.100037","DOIUrl":"10.1016/j.sycrs.2024.100037","url":null,"abstract":"<div><p>Androgen Insensitivity Syndrome (AIS) is a rare genetic condition affecting individuals with 46 XY genotypes. We present a case of Complete AIS (CAIS) in a 16-year-old phenotypically female patient with primary amenorrhea and bilateral inguinal masses. Despite male karyotype (46XY), physical examination and imaging revealed the absence of Müllerian structures and the presence of testes-like structures. The diagnosis was confirmed through hormone profiling and karyotyping. Management involved multidisciplinary collaboration, including surgical interventions (gonadectomy) and counseling. Early recognition and intervention in CAIS can mitigate psychological distress and optimize outcomes. This case also highlighted the importance of considering AIS in the differential diagnosis of primary amenorrhea, particularly in the presence of inguinal hernias.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100037"},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000379/pdfft?md5=90068e5091c9a162aca08acaa7f8f34d&pid=1-s2.0-S2950103224000379-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391822","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":"Surgical therapy of a Fetal Lung Interstitial Tumor (FLIT) in an infant – A case report and review of surgical considerations","authors":"Jonas Zimmer ,&nbsp;Philippe Grieshaber ,&nbsp;Michael Allgäuer ,&nbsp;Patrick Günther ,&nbsp;Bernd Beedgen ,&nbsp;Helmut Rauch ,&nbsp;Albrecht Stenzinger ,&nbsp;Matthias Gorenflo ,&nbsp;Hauke Winter ,&nbsp;Martin Eichhorn ,&nbsp;Tsvetomir Loukanov","doi":"10.1016/j.sycrs.2024.100038","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100038","url":null,"abstract":"<div><p>Congenital lung masses are rare and their clinical presentation is highly variable. If newborns present with respiratory distress immediately after birth, early surgical therapy can be necessary. Here, we present the case of a newborn with a very large left-sided lung tumor. The severe respiratory compromise warranted surgical resection at the age of 11 days. The surgery was conducted by an interdisciplinary team. Cardiopulmonary bypass was used to maintain hemodynamic stability. The postoperative histopathological workup identified the tumor as a Fetal Lung Interstitial Tumor (FLIT). The patient developed well and is doing fine 15 months after surgery.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100038"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000380/pdfft?md5=b3c2ae9594d3c071183aa141f3343efd&pid=1-s2.0-S2950103224000380-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328450","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":"Brain metastasis originating from papillary renal cell carcinoma: A rare case report and literature review","authors":"Abdul Azis ,&nbsp;Syarif Syarif ,&nbsp;Saidah Rahmat ,&nbsp;Moh. Anfasa Giffari Makkaraka ,&nbsp;Willy Adhimarta ,&nbsp;Faradilla Anwar","doi":"10.1016/j.sycrs.2024.100034","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100034","url":null,"abstract":"<div><p>Papillary Renal Cell Carcinoma (PRCC) being the second most common histological type of Renal Cell Carcinoma (RCC). Although brain metastasis is rare in RCC, it often results in poorer outcomes compared to metastases in other locations. We present a case of brain metastasis originating from PRCC classified as pT1bN0M1. Subsequently, the patient underwent successful cytoreductive nephrectomy and pazopanib therapy as a follow-up systematic treatment. This case highlights the importance of urologists being aware of brain metastases that can develop in PRCC patients, which typically have a poorer outcome.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100034"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000343/pdfft?md5=a5c3c594f716384f947f0b95d1c6e0e5&pid=1-s2.0-S2950103224000343-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328451","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":"Mycetoma affecting hand fingers: 3 Case reports","authors":"Lamine Sarr ,&nbsp;Badara Diop ,&nbsp;Badara Dembélé ,&nbsp;Khalifa Faye ,&nbsp;Mouhamed Daffé ,&nbsp;Alioune Badara Diouf ,&nbsp;Charles Diémé","doi":"10.1016/j.sycrs.2024.100041","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100041","url":null,"abstract":"<div><p>Digital locations of hand mycetoma are rare. They are most often described within the broader context of hand mycetoma. Herein, we report three cases of digital mycetoma.</p><p>Case 1: A 33-year-old patient presenting with a mycetoma of the middle finger evolving for 5 years with osteitis of P1. A trans-P2 amputation was performed.</p><p>Case 2: A 57-year-old patient presenting with a mycetoma of the little finger evolving for 12 years without bone involvement. Management consisted of excision surgery.</p><p>Case 3: A 27-year-old patient presenting with a mycetoma of the ring finger evolving for 7 years with osteitis of P1 and fistula. Extension to the base of the little finger was noted. Digital amputation was refused by the patient.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100041"},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000410/pdfft?md5=414e556e678778c5b5c73113ba1ccbe3&pid=1-s2.0-S2950103224000410-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328448","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":"Multi-flap reconstruction for a recurrent giant phyllodes tumor","authors":"Ferri P. David-Paloyo ,&nbsp;Mar Aristeo G. Poncio ,&nbsp;Mario Emmanuel L. Lopez De Leon ,&nbsp;Enrique A. Manalang ,&nbsp;Siegfredo R. Paloyo","doi":"10.1016/j.sycrs.2024.100035","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100035","url":null,"abstract":"<div><p>Few case reports have discussed the incidence and management of giant recurrent phyllodes tumors with borderline to malignant features. We report that of a recurrent case in a 57-year-old female who underwent wide excision with en bloc resection of the 3rd to 7th right anterior ribs and upper abdominal wall. Rigid chest wall reconstruction was achieved using methyl methacrylate and synthetic mesh. This is the first reported case wherein three locoregional flaps, namely the latissimus dorsi, thoracoepigastric and extended external oblique flaps were used to cover a defect measuring 1452 cm² in size. With this combination of flaps, deformity was minimized, and the resultant outcome was aesthetically and functionally acceptable. Reconstructive goals of intrathoracic organ protection, restoration of chest wall rigidity, maintenance of adequate respiratory function and soft tissue closure were achieved. Careful planning and individualized treatment together with multidisciplinary collaboration remains vital in the successful management of large recurrent malignant phyllodes tumors.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100035"},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000355/pdfft?md5=5a952e7b00d7ea6f0bf3697665993bb9&pid=1-s2.0-S2950103224000355-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141325624","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":"Clinical-functional evaluation of a patient undergoing proximal row carpectomy for Kienböck's disease: A literature review and a case report","authors":"Grisell Guadalupe García-Catalán ,&nbsp;Erik Agustín Márquez-Gutiérrez ,&nbsp;Maykel González-Torres","doi":"10.1016/j.sycrs.2024.100039","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100039","url":null,"abstract":"<div><h3>Background</h3><p>Proximal row carpectomy (PRC) is often recommended for advanced-stage Kienböck's disease (KD), although there is no standardized treatment protocol. This study aimed to evaluate the efficacy of the PRC in managing KD.</p></div><div><h3>Methods</h3><p>A literature review and a clinical case study were conducted on a 40-year-old male with stage 3 KD.</p></div><div><h3>Results</h3><p>Postsurgery, the patient reported mild discomfort but significant functional improvement, with the Disabilities of the Arm, Shoulder, and Hand (DASH) score decreasing from 87 to 44. Observations included reduced pain, enhanced wrist trophism, and an expanded range of motion.</p></div><div><h3>Conclusions</h3><p>The PRC demonstrated positive outcomes, including symptom alleviation and functional restoration, supporting its viability as a tailored surgical intervention for KD, improving quality of life and reducing hospital stay.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100039"},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000392/pdfft?md5=16bc9247b856b625354437fd6a991fa0&pid=1-s2.0-S2950103224000392-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328449","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":"Major abdominal surgery under locoregional anesthesia in a patient with primary ciliary dyskinesia: Clinical case","authors":"Filomena Fabiana Di Monte ,&nbsp;Giulia Turri ,&nbsp;Angelo Di Vittori ,&nbsp;Ernesto De Giulio ,&nbsp;Noemi Bicelli ,&nbsp;Giacomo Faccioli ,&nbsp;Ruben Sciortino ,&nbsp;Alessandro Valdegamberi ,&nbsp;Andrea Ruzzenente ,&nbsp;Corrado Pedrazzani","doi":"10.1016/j.sycrs.2024.100032","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100032","url":null,"abstract":"<div><p>Laparoscopic surgery currently represents the standard approach in colorectal cancer. However, it requires general anesthesia and pneumoperitoneum, which may be contraindicated in patients with impaired lung function. We hereby present a case of tailored minimally invasive surgery for an ascending colon cancer in a patient with Primary Ciliary Dyskinesia, situs inversus totalis, and end-stage lung disease. The surgery was conducted through a 13 cm left transverse incision under locoregional anesthesia, and the patient made an uneventful recovery despite her pre-existing comorbidities. This case proves the importance of tailored surgical and anesthesiologic management to provide good oncological outcomes to all cancer patients.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100032"},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295010322400032X/pdfft?md5=55625294c31cd98a69cd14bfa7828710&pid=1-s2.0-S295010322400032X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307801","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":"Multiple congenital bilateral trigger fingers in a 2-year-old child: A case report","authors":"Alejandro Corona-Figueroa ,&nbsp;Francisco Ferreira-Aparicio ,&nbsp;Erika Barlandas-Quintana ,&nbsp;Maykel González-Torres","doi":"10.1016/j.sycrs.2024.100040","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100040","url":null,"abstract":"<div><h3>Background</h3><p>Congenital trigger finger is a rare pediatric condition characterized by a finger fixed in a flexed position due to tendon anomalies. This rare condition involves multiple trigger fingers in children and is not extensively covered in the medical literature.</p></div><div><h3>Methods</h3><p>We examined a 2-year-old boy with multiple trigger fingers present since birth. Surgical release of the A1 pulleys was performed.</p></div><div><h3>Results</h3><p>Surgery resulted in normal finger function at the one-year follow-up.</p></div><div><h3>Conclusions</h3><p>Although rare, congenital trigger finger is treatable in children. Adaptive and timely interventions can significantly improve outcomes and reduce disability. This case highlights the importance of early and effective treatment strategies.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100040"},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000409/pdfft?md5=d06878cc34721fbb9f9382c98a4a7acd&pid=1-s2.0-S2950103224000409-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307802","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":"Inguinal lymphangioma in an adult patient mimicking an irreducible inguinal hernia: A case report","authors":"Fatima M. AlSinan ,&nbsp;Abdulsalam M. Aljoaib ,&nbsp;May S. Alkhaldi ,&nbsp;Abdulaziz A. Alghazwi ,&nbsp;Mohammed A. Almohammed Ali","doi":"10.1016/j.sycrs.2024.100030","DOIUrl":"10.1016/j.sycrs.2024.100030","url":null,"abstract":"<div><h3>Introduction</h3><p>Lymphangiomas are rare benign vascular malformations of the lymphatic system. They are usually located in the head, neck, and axilla and are typically present during the first two years of life. A few cases of inguinal lymphangioma have been reported in adults.</p></div><div><h3>Case presentation</h3><p>We report a 35-year-old male who presented with left groin swelling for a one-year duration associated with on and off pain. On examination, he had soft, irreducible left inguinal swelling with positive cough impulse and no tenderness on palpation. Ultrasound (US) and magnetic resonance imaging (MRI) were done for him, showing a well-defined lobulated cystic lesion located between subcutaneous and deep fascia measuring around 6.5 × 4.2 × 8.1 cm with multiple internal septations. The lesion shows Low signal intensity in the T1 weighted image and high signal intensity in the T2 weighted image. 97 % alcohol was injected under US guidance and aspirated after 30 min. The swelling significantly decreased in size clinically and radiologically during the follow-up.</p></div><div><h3>Clinical discussion</h3><p>Lymphangioma rarely occurs in the inguinal region, presenting a diagnostic challenge as it mimics various inguinal conditions. Differential diagnoses include inguinal hernia, hydrocele of the cord, lymphadenopathy, or hematoma. Imaging is used to determine the size, invasion, relation to surrounding structures, and extension to the abdominal cavity. MRI is the diagnostic modality of choice in non-emergency settings. Complete surgical excision is the gold standard for the management with the lowest risk of recurrence. Alternative non-surgical treatment options have been used successfully in poor surgical candidates. Different sclerosing agents have been used with low complications and rates of recurrence. Ethanol is a widely available sclerosing agent, and it was used with no recurrence or side effects during the follow-up period.</p></div><div><h3>Conclusion</h3><p>Surgeons should have a high index of suspicion when investigating any inguinal mass, considering such a rare presentation as part of the differential. Sclerotherapy is an effective treatment for lymphangioma and should be considered as an alternative modality in non-surgical candidates.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100030"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000306/pdfft?md5=1335dce7f6c87559ae4428915dec4c5d&pid=1-s2.0-S2950103224000306-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141276831","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":"Multidisciplinary approach to a complex duodenal obstruction: From duodenal atresia to superior mesenteric artery syndrome","authors":"Bigyan B. Mainali ,&nbsp;Craig Follette ,&nbsp;Thomas Pranikoff ,&nbsp;Andrew M. Nunn","doi":"10.1016/j.sycrs.2024.100028","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100028","url":null,"abstract":"<div><p>We present a 21yo female with a nausea, vomiting, and weight loss. Her history was remarkable for duodenal atresia repair as an infant. Following extensive evaluation, she was found to have progressive dilation of the proximal duodenum and loss of motility without obstruction (megaduodenum) which eventually lead to substantial weight loss resulting in superior mesenteric artery (SMA) syndrome. Given her symptomatic presentation, she was offered surgery and underwent a lateral duodenal tapering procedure and division of the ligament of Treitz and duodenal derotation (Strong procedure). Through the collaborative efforts of gastroenterology, pediatric surgery, radiology, and acute care surgery, she now has excellent functional status, has gained weight, and is asymptomatic. This case serves as an important example that congenital anomalies are a lifelong consideration when caring for patients</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100028"},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000288/pdfft?md5=195e0a401635ab3320f73e49828a49c8&pid=1-s2.0-S2950103224000288-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249422","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}