Journal of Surgical Case Reports and Reviews最新文献

The Use of the Obstetric Vacuum Extractor for Rotational and Non-Rotational Vaginal Delivery 产科真空抽吸器在阴道旋转和非旋转分娩中的应用

Journal of Surgical Case Reports and Reviews Pub Date : 2023-03-07 DOI: 10.59657/2993-1126.brs.23.012

S. Felis, F. Cremonini, E. Primizia, A. Tomasi

引用次数: 0

A Recurrent Amyand Hernia: Clinical and Therapeutic Particularities with Review of the Literature 复发性淀粉体疝:临床和治疗特点并复习文献

Journal of Surgical Case Reports and Reviews Pub Date : 2023-03-07 DOI: 10.59657/2993-1126.brs.23.009

M. N. Errabi, H. Krimou, A. Kawkabi, M. Menfaa, F. Sakit, A. Choho

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Ileo Colic Intussusception Secondary to Primary Intestinal Tumour: A case report 原发肠肿瘤继发回肠结肠肠套叠1例

Journal of Surgical Case Reports and Reviews Pub Date : 2023-03-07 DOI: 10.59657/2993-1126.brs.23.010

Rashmi Kant Chaudhari, R. Kulkarni, Jignesh Patel

引用次数: 0

An Unknown Complication of a Rare Combination of Intestinal Invagination and Meckel’s Diverticulum Invaginated in An Adult: A Case Report 成人肠内陷合并梅克尔憩室罕见并发症1例报告

Journal of Surgical Case Reports and Reviews Pub Date : 2023-03-07 DOI: 10.59657/2993-1126.brs.23.008

S. Ragazzi, A. Buttafuoco, S. Dipietro

{"title":"An Unknown Complication of a Rare Combination of Intestinal Invagination and Meckel’s Diverticulum Invaginated in An Adult: A Case Report","authors":"S. Ragazzi, A. Buttafuoco, S. Dipietro","doi":"10.59657/2993-1126.brs.23.008","DOIUrl":"https://doi.org/10.59657/2993-1126.brs.23.008","url":null,"abstract":"Introduction: Intestinal invagination is a common pathology amongst children, while it is a rare entity in adults. Invagination is responsible for only 1-3% of adult-onset intestinal obstruction. Meckel’s diverticulum, on the other hand, is the most common congenital anomaly of the gastrointestinal tract. Most of them are asymptomatic; they are recognized when they complicate, and can present with diverticulitis, gastrointestinal bleeding, intestinal obstruction, perforation, or invagination. Invagination with the Meckel’s diverticulum (MD) is a rare cause of chronic abdominal pain in the adults. We wish to present this first case of intestinal invagination and Meckel ‘s diverticulum invaginated. Presentation of case: We report the case of a 17-year-old man who was admitted to the emergency room due to a diffuse abdominal pain. Abdominal CT scan showed intestinal invagination and intestinal obstruction. The exploratory laparoscopy revealed the presence of intestinal invagination and segmental resection of the small intestine was performed. The patient was discharged on the sixteen post-operative day. Discussion: The prevalence of MD is 1 to 4%. Diagnosis is often difficult and delayed because clinical symptoms are not specific and the diagnosis is performed mainly by imaging studies. Intestinal obstruction is a more common complication in adults, whereas in children, bleeding is the more common complication. In our case, the patient had a diffuse abdominal pain with small bowel obstruction. Laparoscopy may be useful for confirming the presence of intestinal invagination, and demonstrating the underlying organic lesion serving as the lead point. Only with the laparotomy we have been able to notice the combination of intestinal invagination and MD invaginated. Conclusion: we aimed to present the role of Meckel’s diverticulum as an initiating factor of illegible invagination, with inversion into the ileum and specifically in our clinical case can cause invagination of itself.","PeriodicalId":117554,"journal":{"name":"Journal of Surgical Case Reports and Reviews","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117128402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IVC Injury at Its Origin 下颌骨损伤的起源

Journal of Surgical Case Reports and Reviews Pub Date : 2022-11-12 DOI: 10.59657/2993-1126.brs.22.001

Mark L. Walker

引用次数: 0

Pulmonary Endarterectomy in a Patient with Heparin-Induced Thrombocytopenia using Pre-Cardiopulmonary Bypass Plasmapheresis and Immunoglobulin Infusion 应用体外循环前血浆置换和免疫球蛋白输注治疗肝素所致血小板减少症患者的肺动脉内膜切除术

Journal of Surgical Case Reports and Reviews Pub Date : 2022-11-12 DOI: 10.59657/2993-1126.brs.22.002

P. Totaro, Marta Sannito, M. De Amici, Cesare Giuseppe Perotti, F. Pulcinelli, Andrea Maria D’armini

{"title":"Pulmonary Endarterectomy in a Patient with Heparin-Induced Thrombocytopenia using Pre-Cardiopulmonary Bypass Plasmapheresis and Immunoglobulin Infusion","authors":"P. Totaro, Marta Sannito, M. De Amici, Cesare Giuseppe Perotti, F. Pulcinelli, Andrea Maria D’armini","doi":"10.59657/2993-1126.brs.22.002","DOIUrl":"https://doi.org/10.59657/2993-1126.brs.22.002","url":null,"abstract":"We report a peculiar case of a 77 years woman affected by chronic thromboembolic pulmonary hypertension (CTEPH) with surgical indication to pulmonary endarterectomy (PEA) but with the concomitant presence of anti-PF4-heparin autoantibodies. Coagulation disorders are frequently associated in patients with CTEPH and therefore full thrombophilic pattern evaluation is completed as standard preoperative protocol in all our patients. In this case, history of chronic thrombocytopenia induced us to extend preoperative evaluation to the presence of anti-PF4-heparin autoantibodies. Once heparin-induced thrombocytopenia was documented, an alternative approach rather than standard cardiopulmonary bypass with systemic heparinization was mandatory. Due to the characteristics of surgical procedure (i.e., prolonged CPB time, possible risk of intraoperative and postoperative bleeding), we decided to adopt plasmapheresis and immunoglobulin infusion before surgery, thus allowing the standard use of heparin in CPB. The patient underwent a successful PEA without complications. Hemodynamic and clinical results are satisfactory after 3 years of follow-up.","PeriodicalId":117554,"journal":{"name":"Journal of Surgical Case Reports and Reviews","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126230398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0