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American Journal of Surgical Case Reports最新文献

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Twist of a Lifetime: A Transverse Colon Volvulus 一生的转折横结肠溃疡
American Journal of Surgical Case Reports Pub Date : 2023-11-29 DOI: 10.31487/j.ajscr.2023.04.01
A. Vindal, Ajay Jangid, Jony Kumar
{"title":"Twist of a Lifetime: A Transverse Colon Volvulus","authors":"A. Vindal, Ajay Jangid, Jony Kumar","doi":"10.31487/j.ajscr.2023.04.01","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.04.01","url":null,"abstract":"Transverse colon volvulus is a rare but serious cause of large bowel obstruction, often necessitating urgent surgical intervention to prevent complications such as strangulation and perforation. We present a case of a 55-year-old man who presented with a one-day history of abdominal symptoms. Emergency abdominal computed tomography (CT) revealed transverse colon volvulus, leading to immediate laparotomy and successful detorsion with resection of the affected segment. Postoperative recovery was uneventful, and the patient was discharged in stable condition. This case underscores the importance of prompt diagnosis through imaging, particularly CT, in guiding appropriate therapeutic measures. Additionally, the discussion highlights the rarity of transverse colon involvement, predisposing factors, clinical presentations, and the necessity of surgical intervention, emphasizing the higher mortality rate associated with delayed diagnosis.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139209279","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
Spontaneous Regression of a Poorly Differentiated Hepatocellular Carcinoma: A Case Report 低分化肝细胞癌自发性消退1例报告
American Journal of Surgical Case Reports Pub Date : 2023-09-08 DOI: 10.31487/j.ajscr.2023.03.01
Takahiko Omameuda, Miyato H, Sakuma Y, Sata N, Kawarai Lefor A
{"title":"Spontaneous Regression of a Poorly Differentiated Hepatocellular Carcinoma: A Case Report","authors":"Takahiko Omameuda, Miyato H, Sakuma Y, Sata N, Kawarai Lefor A","doi":"10.31487/j.ajscr.2023.03.01","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.03.01","url":null,"abstract":"Hepatocellular carcinoma (HCC) is the most common histological type of primary liver cancer, and spontaneous regression of HCC is rare. We report the case of a 76-year-old male diagnosed with poorly differentiated HCC that spontaneously regressed. Although the patient did not undergo any treatment or invasive diagnostic tests, such as angiography, before surgery, the resected tumor showed complete necrosis similar to that seen after transcatheter arterial embolization. The main cause of the necrosis in the present case was thought to be the occlusion of nutrient vessels and tumor hypoxia. Tumor hypoxia and immunological reactions are reported to be the main causes of spontaneous HCC regression, although the underlying mechanisms remain unclear. In this case report, we provide additional insights into this phenomenon.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131447418","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
Postoperatory Euglycemic Diabetic Ketoacidosis: A Not So Rare Complication of Sglt2 Inhibitors 术后血糖正常的糖尿病酮症酸中毒:Sglt2抑制剂并不罕见的并发症
American Journal of Surgical Case Reports Pub Date : 2023-06-23 DOI: 10.31487/j.ajscr.2023.02.06
Juliana Gonzalez Londoño, Meritxell Lladó Vilar, Josep Miquel Morales, Anna Baró Serra, Marta Lopez Alabert
{"title":"Postoperatory Euglycemic Diabetic Ketoacidosis: A Not So Rare Complication of Sglt2 Inhibitors","authors":"Juliana Gonzalez Londoño, Meritxell Lladó Vilar, Josep Miquel Morales, Anna Baró Serra, Marta Lopez Alabert","doi":"10.31487/j.ajscr.2023.02.06","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.02.06","url":null,"abstract":"Diabetic ketoacidosis is one of the most well-known complications of diabetes mellitus and is potentially fatal. It is characterized by a state of hyperglycemia (glycemic levels >300mg/dL), associated with metabolic ketoacidosis. It has been described that up to 3% of diabetic ketoacidosis can occur with blood glucose levels below 250 mg/dL, an incidence that has been increased since the introduction of SGLT2-i.\u0000We report the case of a female patient in her seventies, with a history of hypertension, dyslipidemia, ischemic heart disease and type 2 diabetes mellitus treated with insulin, metformin and canagliflozin. \u0000During the post-operative period of an elective surgery, she presented a decreased level of consciousness associated to metabolic acidosis. She was admitted to the ICU and required invasive mechanical ventilation and vasopressors. Euglycemic diabetic ketoacidosis was diagnosed and after treatment, she was discharged with no sequelae.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132609577","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
Hypotension of The Intracranial Circulation with CSF Leakage: A Rare Etiology of Misdiagnosed Orthostatic Headache; Using A Successful Blood Patching Technique: A Case Report and Literature Review 颅内循环低血压伴脑脊液漏:误诊直立性头痛的罕见病因使用一种成功的血液贴片技术:一例报告和文献复习
American Journal of Surgical Case Reports Pub Date : 2023-06-12 DOI: 10.31487/j.ajscr.2023.02.05
Athary Saleem, Saqer Alenezi, Hasan Behbehani, Ayoub Dackson
{"title":"Hypotension of The Intracranial Circulation with CSF Leakage: A Rare Etiology of Misdiagnosed Orthostatic Headache; Using A Successful Blood Patching Technique: A Case Report and Literature Review","authors":"Athary Saleem, Saqer Alenezi, Hasan Behbehani, Ayoub Dackson","doi":"10.31487/j.ajscr.2023.02.05","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.02.05","url":null,"abstract":"Background: Spontaneous intracranial hypotension (SIH) is typically caused by spontaneous spinal leakage of the CSF, with unknown exact etiology, causing CSF volume depletion and craniospinal elasticity alterations. Often, SIH is misdiagnosed condition.\u0000Case Presentation: A 37-year-old female patient, presented with a four-month history of severe headaches. The first attack of headache, which was preseeded by one month of tinnitus, was in the fifth month of pregnancy. Physical examination and laboratory investigations were unremarkable. Brain MRI with and without contrast revealed thick diffuse meningeal enhancement. The MRA and MRV studies were unremarkable. Then, the patient’s headache worsens despite conservative therapy. MRI myelogram revealed a leak from the cervical nerve roots. Once the location of the leak was confirmed, a cervical epidural blood patch was performed successfully. The postoperative period, four days, was uneventful with clinical improvement of the patient’s headache and tinnitus.\u0000Discussion: Spontaneous intracranial hypotension is a challenging event that requires rapid diagnosis and management. Usually, the clinical history is suggestive of SIH diagnosis but still, it is underdiagnosed. Both imaging modalities and diagnostic criteria are important diagnostic tools for SIH. Several treatment modalities are available, including conservative options, epidural blood patches, and surgical intervention.\u0000Conclusion: Targeted epidural blood patch is a valid approach to managing the SIH that has been performed after a failed trial of conservative measures. We report a 37-year-old patient with a 4-month history of severe headaches and tinnitus found to be caused by SIH and managed by a cervical epidural blood patch.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133845088","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
Brown Tumor Secondary to Hyperparathyroidism: A Case Report 继发于甲状旁腺功能亢进的棕色肿瘤1例
American Journal of Surgical Case Reports Pub Date : 2023-05-19 DOI: 10.31487/j.ajscr.2023.02.03
Alharmoodi F, Alsheryani M, Alhajeri L, Alshaikh M, Aby Ali H, Alfelasi M
{"title":"Brown Tumor Secondary to Hyperparathyroidism: A Case Report","authors":"Alharmoodi F, Alsheryani M, Alhajeri L, Alshaikh M, Aby Ali H, Alfelasi M","doi":"10.31487/j.ajscr.2023.02.03","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.02.03","url":null,"abstract":"Brown Tumors are rare benign tumors that are considered to be the end manifestation of hyperparathyroidism. They can be clinically identified as localized palpable masses in any part of the skeleton. Radiological features vary according to the extent of hyperparathyroidism. In this case report, we present a 24-year-old male on haemodialysis for end stage renal disease, with brown tumor of the mandible and maxillary alveolus as a consequence of longstanding secondary hyperparathyroidism.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116337944","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
Presentation of A Cutaneous Granular Cell Tumor in A 52-Year-Old Man in Remote Australia 澳大利亚偏远地区一名52岁男性皮肤颗粒细胞瘤的报告
American Journal of Surgical Case Reports Pub Date : 2023-05-02 DOI: 10.31487/j.ajscr.2023.02.02
C. Darlington, Catherine B Nortje, Benjamin van Haeringen, Ahmad Hooshyari
{"title":"Presentation of A Cutaneous Granular Cell Tumor in A 52-Year-Old Man in Remote Australia","authors":"C. Darlington, Catherine B Nortje, Benjamin van Haeringen, Ahmad Hooshyari","doi":"10.31487/j.ajscr.2023.02.02","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.02.02","url":null,"abstract":"Granular cell tumors are rare neural crest tumors which predominantly occur in the skin. While most of these tumors are benign, malignant potential exists. Malignant granular cell tumors behave aggressively and are associated with poor outcomes. However, the distinction can be difficult at initial diagnosis. This case describes the presentation of a benign cutaneous granular cell tumor to a remote health service in Northwest Queensland, Australia.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125868613","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
Transanal Evisceration in Rectal Perforation: Typical Presentation of a Rare Condition 经肛门切除直肠穿孔:一种罕见的典型表现
American Journal of Surgical Case Reports Pub Date : 2023-03-30 DOI: 10.31487/j.ajscr.2023.01.05
M. Giambusso, V. Bianchi, G. Altieri, A. Greca, M. D. Grezia
{"title":"Transanal Evisceration in Rectal Perforation: Typical Presentation of a Rare Condition","authors":"M. Giambusso, V. Bianchi, G. Altieri, A. Greca, M. D. Grezia","doi":"10.31487/j.ajscr.2023.01.05","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.01.05","url":null,"abstract":"Transanal evisceration resulting from rectal perforation is a rare but potentially fatal event, if not treated promptly. We describe the case of an elderly woman for which the history of rectal prolapse played a major role in the etiopathogenesis of the event, undoubtedly. A surgical resection of the rectum was performed, with good results and without complications. Early recognition of this condition is necessary in order to treat it promptly with a surgical operation and lower morbidity and mortality rates.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124965518","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
Gallstone Ileus in the Absence of Gallbladder, Rare Etiology of Bowel Obstruction: A Case Report and Literature Review 胆石性肠梗阻，罕见的肠梗阻病因:1例报告及文献复习
American Journal of Surgical Case Reports Pub Date : 2023-03-17 DOI: 10.31487/j.ajscr.2023.01.04
Ali Alenezi, Saqer Alenezi, Athary Saleem, Mohammed Alshamali, Khaled F. Alshammari
{"title":"Gallstone Ileus in the Absence of Gallbladder, Rare Etiology of Bowel Obstruction: A Case Report and Literature Review","authors":"Ali Alenezi, Saqer Alenezi, Athary Saleem, Mohammed Alshamali, Khaled F. Alshammari","doi":"10.31487/j.ajscr.2023.01.04","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.01.04","url":null,"abstract":"Background: Gallstone ileus post-cholecystectomy is extremely rare surgical emergency causing mechanical bowel obstruction. This condition is usually misdiagnosed due to its non-specific clinical features. Radiological investigations are essential to evaluate and diagnose gallstone ileus cases.\u0000Case Presentation: A 92-year-old female patient, cholecystomized, presented to our hospital with a one-week history of an acute confusional state, generalized abdominal pain, and vomiting. The physical examination showed a disoriented patient with a distended abdomen and generalized tenderness, especially in the epigastric area. Hyperactive bowel sounds were audible. Laboratory investigations were non-specific. A plain abdominal X-ray was insignificant. The abdominal ultrasound showed marked abdominal gaseous distention. Then, an abdominal CT scan was performed, revealing an impression of gallstone ileus causing small bowel obstruction with no evidence of fistula formation. So, surgical intervention was decided, and an 8-gram gallstone was exteriorized through an enterolithotomy. The postoperative period was uneventful. \u0000Discussion: Gallstone ileus is an unusual entity that often affects elderly females. The clinical features of gallstone ileus include abdominal pain, abdominal distension, nausea, and vomiting. Diagnosis of gallstone ileus relies on imaging and physical examination. Abdominal CT with contrast provides a definitive diagnostic tool. The surgical options to manage the gallstone ileus can be either one or two-staged enterolithotomy. \u0000Conclusion: Due to the rare etiologic origin of the gallstone ileus in post-cholecystectomy cases, we report the case of a 92-year-old female with an acute confusional state and generalized abdominal pain, found to be caused by detected gallstone ileus, lacking evidence of fistula formation.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132239878","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
Bowel Perforation Due to Complicated Jejunal Diverticulitis: A Rare Case Report and Literature Review 复杂空肠憩室炎致肠穿孔1例报告及文献复习
American Journal of Surgical Case Reports Pub Date : 2023-03-16 DOI: 10.31487/j.ajscr.2023.01.03
M. Giambusso, Paolo Mirco, M. D. Grezia, V. Bianchi
{"title":"Bowel Perforation Due to Complicated Jejunal Diverticulitis: A Rare Case Report and Literature Review","authors":"M. Giambusso, Paolo Mirco, M. D. Grezia, V. Bianchi","doi":"10.31487/j.ajscr.2023.01.03","DOIUrl":"https://doi.org/10.31487/j.ajscr.2023.01.03","url":null,"abstract":"Small bowel diverticulosis is a rare and acquired disease usually diagnosed as an incidental radiological finding. We report the case of a 65-year-old man admitted to our Emergency Department with abdominal pain and fever. The CT-scan showed multiple jejunal diverticular eversions and oedema of the surrounding tissues. At urgent laparotomy the radiological finding was confirmed with microperforation of one diverticula. Bowel resection was performed and histology revealed erosive inflammation with ischemic mucosa.\u0000Small bowel diverticula do not require any treatment if asymptomatic, nevertheless cases like this could be life-threatening. Urgent surgical procedure must be the treatment of choice in these patients.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133415049","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
Gallstone Ectopia: A Rare Clinical Entity 胆结石性异位:一种罕见的临床现象
American Journal of Surgical Case Reports Pub Date : 2023-02-24 DOI: 10.31487/j.ajscr.2022.04.05
Audrey L Khoury, Rashmi J. Kumar, A. Merlo, Conner R. Haase, Karyn B. Stitzenberg, Benjamin E. Haithcock
{"title":"Gallstone Ectopia: A Rare Clinical Entity","authors":"Audrey L Khoury, Rashmi J. Kumar, A. Merlo, Conner R. Haase, Karyn B. Stitzenberg, Benjamin E. Haithcock","doi":"10.31487/j.ajscr.2022.04.05","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.04.05","url":null,"abstract":"Gallstone ectopia to the lung is a rare clinical entity. Our case is a 69-year-old man with a history of cholecystectomy complicated by intra-abdominal abscesses and retained gallstone remnants requiring laparoscopic extraction. He presented with hemoptysis and imaging showed multiple calcified lung nodules. There was a concern for gallstone ectopia in the lungs. He underwent a right middle lobectomy via thoracotomy with gallstone extraction. The patient did well postoperatively and was discharged home on postoperative day 4. This case report briefly reviews the literature to determine the timeline for presentation for similar patients, which may be of clinical utility to thoracic surgeons.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121569695","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
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