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American Journal of Surgical Case Reports最新文献

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Case Report of Cerebral Venous Sinus Thrombosis Complication after Microvascular Decompression Surgery in the Inactive Phase of Ulcerative Colitis 溃疡性结肠炎不活跃期微血管减压术后脑静脉窦血栓形成1例报告
American Journal of Surgical Case Reports Pub Date : 2023-01-19 DOI: 10.31487/j.ajscr.2022.04.06
Kentaro Watanabe, Ande Fachniadine, Fumiaki Maruyama, K. Kostadin, Y. Murayama
{"title":"Case Report of Cerebral Venous Sinus Thrombosis Complication after Microvascular Decompression Surgery in the Inactive Phase of Ulcerative Colitis","authors":"Kentaro Watanabe, Ande Fachniadine, Fumiaki Maruyama, K. Kostadin, Y. Murayama","doi":"10.31487/j.ajscr.2022.04.06","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.04.06","url":null,"abstract":"Background: The risk of thrombosis is high in patients with Ulcerative Colitis. The main location of thrombosis is in the extremity and pulmonary vein. Cerebral venous thrombosis is a rare location for thrombosis with high mortality. One of the risk factors for developing thrombosis is in association with surgery, especially during an active phase of Ulcerative Colitis (UC), and very few studies report cases occurring during the inactive phase. Hence, it is important for the surgeon to understand the risk of thrombosis, especially of cerebral sinus thrombosis in the Ulcerative Colitis patient. \u0000Case: We are presenting a fatal complication in a male patient of 62, who had sagittal sinus thrombosis and multiple intra-cranial hemorrhages in both frontal lobes 3 weeks after microvascular decompression surgery for hemifacial spasm.\u0000Conclusion: The risk of cerebral venous sinus thrombosis is higher in Ulcerative Colitis patients, especially in those who undergo surgery regardless of its type. Careful peri-operative assessment and treatment related to thromboembolism prevention are important to reduce complications in such cases.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115139201","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
Conservative Management of Streptococcus pyogenes Sternoclavicular Septic Arthritis 化脓性链球菌胸锁感染性关节炎的保守治疗
American Journal of Surgical Case Reports Pub Date : 2022-12-19 DOI: 10.31487/j.ajscr.2022.04.03
SangMin Kim, Evert A. Sugarbaker, M. Marshall
{"title":"Conservative Management of Streptococcus pyogenes Sternoclavicular Septic Arthritis","authors":"SangMin Kim, Evert A. Sugarbaker, M. Marshall","doi":"10.31487/j.ajscr.2022.04.03","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.04.03","url":null,"abstract":"We present a case of sternoclavicular septic arthritis (SCSA) in a 50-year-old female who presented to the emergency room with abdominal pain and vomiting after a bout of pharyngitis. Subsequent SCSA was diagnosed and treated with antibiotics. Strep pharyngitis could be a risk factor for SCSA in healthy patients, and conservative management may be adequate in treating strep A SCSA, depending on the patient’s risk factors and presentation. Our report reveals the necessity for establishing meaningful measures in staging and management to minimize risks of unnecessary harm.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131986824","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
A Novel Negative Pressure Therapy Technique to Manage a Colo-Cutaneous Fistula following Emergency Aortic Surgery 一种新的负压治疗技术处理急诊主动脉手术后的结肠-皮瘘
American Journal of Surgical Case Reports Pub Date : 2022-12-13 DOI: 10.31487/j.ajscr.2022.04.02
M. Barry, Dooley C
{"title":"A Novel Negative Pressure Therapy Technique to Manage a Colo-Cutaneous Fistula following Emergency Aortic Surgery","authors":"M. Barry, Dooley C","doi":"10.31487/j.ajscr.2022.04.02","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.04.02","url":null,"abstract":"Negative pressure wound therapy (NPWT) is a well-established technique for managing the open abdominal wound. The decision to intentionally leave an abdominal incision open may be required in the aftermath of surgery for intra-abdominal sepsis or where there is concern regarding abdominal compartment syndrome (ACS). Untreated ACS following elective, or emergency abdominal aortic aneurysm repair (AAA) is associated with mortality rates of up to 60% [1]. Management of the open abdomen, particularly in obese patient, is challenging and labour-intensive. The aim of wound management in this setting is to contain drainage, manage the peri-wound skin and facilitate closure of the wound. This case report discusses the successful management of a complex abdominal wound in a morbidly obese patient complicated by a colo-cutaneous fistula following emergency abdominal aortic aneurysm repair.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128182112","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
Surgical Management of Pelvic Organ Prolapse in a Woman with Right Pelvic Kidney 女性右盆腔肾盆腔器官脱垂的手术治疗
American Journal of Surgical Case Reports Pub Date : 2022-09-09 DOI: 10.31487/j.ajscr.2022.03.01
W. Chong
{"title":"Surgical Management of Pelvic Organ Prolapse in a Woman with Right Pelvic Kidney","authors":"W. Chong","doi":"10.31487/j.ajscr.2022.03.01","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.03.01","url":null,"abstract":"A thorough knowledge of both normal and variant abdominopelvic anatomy is important to the surgeon treating patients with pelvic organ prolapse and pathology in the pelvis. Knowledge of the location of the kidney and ureters is mandatory in treating women with pelvic organ prolapse and a pelvic kidney. This case report describes surgical management for a woman with the right pelvic kidney and symptomatic pelvic organ prolapse.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132649689","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
Soft Tissue Reconstruction Strategy of Spontaneous Calcaneal Fracture in a Patient with Diabetic Penetrating Foot Ulcer 糖尿病足溃疡自发性跟骨骨折的软组织重建策略
American Journal of Surgical Case Reports Pub Date : 2022-09-07 DOI: 10.31487/j.ajscr.2022.02.03
M. De Monti, A. Torre, Laura De Pellegrin, Marta Teglas
{"title":"Soft Tissue Reconstruction Strategy of Spontaneous Calcaneal Fracture in a Patient with Diabetic Penetrating Foot Ulcer","authors":"M. De Monti, A. Torre, Laura De Pellegrin, Marta Teglas","doi":"10.31487/j.ajscr.2022.02.03","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.02.03","url":null,"abstract":"Background: Spontaneous pathologic fractures of the calcaneum in diabetic patients are rarely described in the literature. The pathologic fractures following osteomyelitis represent a possibly limb-threatening condition and if associated with a concomitant calcaneal ulcer, they present defiance for the surgeon and furthermore an outstandingly challenging condition to handle. \u0000Methods: A 61-year-old diabetic female patient on insulin therapy has been treated for a penetrating foot ulcer. In sequence the following procedures were carried out: Negative pressure wound therapy with instillation and dwell time (NPWTi-d), Negative Pressure Wound Therapy (NPWT), arterial percutaneous angioplasty (PTA), calcanectomy and temporary arthrodesis, application of Dermal Regeneration Template (DRT) and transplantation of microfractured autologous adipose graft (LIPOGEMS®), treatment of residual dehiscence with physical cold plasma (kINPen®MED). \u0000Results: The patient completely healed within 20 months and was able to walk without further aids. \u0000Conclusion: The authors point to the promptness within the treatment of pathologic calcaneal fractures, whether throughout the usage of technical devices targeting the reduction of the bacterial load and stimulation of healthy tissue, like in NPWTi-d and kINPen®MED. The use of a dermal regeneration template followed by skin grafting enriched with autologous microfractured adipose tissue (LIPOGEMS®), therefore represents today the most advanced regenerative surgical procedures.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133993800","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
Recurrent Cholangiocarcinoma: Case Report and Literature Review 复发性胆管癌1例报告及文献复习
American Journal of Surgical Case Reports Pub Date : 2022-08-30 DOI: 10.31487/j.ajscr.2022.03.02
R. Wakim, Adham Alkadri, S. Ghattas, Kamal Abi Mousleh, Ribal Abi Hadeer, Youssef Mahfouz, Georges Sakhat, Marwan M. Haddad
{"title":"Recurrent Cholangiocarcinoma: Case Report and Literature Review","authors":"R. Wakim, Adham Alkadri, S. Ghattas, Kamal Abi Mousleh, Ribal Abi Hadeer, Youssef Mahfouz, Georges Sakhat, Marwan M. Haddad","doi":"10.31487/j.ajscr.2022.03.02","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.03.02","url":null,"abstract":"Conventionally, patients with recurrent cholangiocarcinoma have been treated palliatively, most often with supportive care only. Since intrahepatic cholangiocarcinoma (I-CCA) is an uncommon malignancy, treatment guidelines for I-CCA therapy have a low level of support, and guidelines for the treatment of recurrence are particularly challenging to establish. While a surgical approach is not clearly recommended for recurrent I-CCA in current guidelines, this approach has been reported as reasonable in a particular patient demographic and should be considered [1-3]. Herein we present to you a case of a 56-year-old female patient who presented with local recurrence 1.5 years post resection and was treated surgically.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127244472","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
High-Output Chylothorax: Novel Imaging Techniques Provide Specific Treatment 高输出乳糜胸:新型成像技术提供特异性治疗
American Journal of Surgical Case Reports Pub Date : 2022-07-30 DOI: 10.31487/j.ajscr.2022.02.02
Lynn Verrelst, Thomas Jardinet, M. Ruppert, P. V. Van Schil, A. Snoeckx, G. Hubens, M. de Maat
{"title":"High-Output Chylothorax: Novel Imaging Techniques Provide Specific Treatment","authors":"Lynn Verrelst, Thomas Jardinet, M. Ruppert, P. V. Van Schil, A. Snoeckx, G. Hubens, M. de Maat","doi":"10.31487/j.ajscr.2022.02.02","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.02.02","url":null,"abstract":"Post-esophagectomy chylothorax is a therapeutic dilemma. Understanding anatomy and leakage site is essential, although imaging techniques for thoracic lymphatics are challenging and not always available. We describe a patient with chylothorax post-esophagectomy from a left-sided thoracic duct traversing to the right chest. We applied intranodal Lipiodol® lymphangiography, computed tomographic lymphangiography, and performed fluorescence-guided thoracic duct ligation at the level of the aortic arch. These techniques are not only useful in a postoperative setting but may be used as preventive strategies to reduce morbidity and mortality from chylothorax after any thoracic surgical procedure where the thoracic duct is at risk.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133997715","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
A Case of Renal Hydatid Cyst in a 55-Year-Old Female 55岁女性肾包虫病1例
American Journal of Surgical Case Reports Pub Date : 2022-07-27 DOI: 10.31487/j.ajscr.2022.02.01
K. Patel, Vineet Ajitsaria, Sahil Agrawal, A. Agrawal
{"title":"A Case of Renal Hydatid Cyst in a 55-Year-Old Female","authors":"K. Patel, Vineet Ajitsaria, Sahil Agrawal, A. Agrawal","doi":"10.31487/j.ajscr.2022.02.01","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.02.01","url":null,"abstract":"The hydatid cyst is a frequent pathology in India. Liver is commonly involved (65%) followed by lungs (25%); muscles (5%); bones (3%) [1]. However, renal hydatid cyst is still rare. It constitutes about 2.5 % of all localizations. It may create diagnostic dilemma at times. We describe a 55-year-old female with left renal hydatid disease managed with enucleation of cyst with nephron sparing surgery (NSS).","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128928329","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
Malignant Melanoma of Adrenal Gland: A Case Report 肾上腺恶性黑色素瘤1例报告
American Journal of Surgical Case Reports Pub Date : 2022-04-20 DOI: 10.31487/j.ajscr.2022.01.01
Frigerio Pamela, Alvarado Alvarez Hermes Marco Tulio, Maria Eduarda Silva Dias, Alvarez Castro Jose Alfonso
{"title":"Malignant Melanoma of Adrenal Gland: A Case Report","authors":"Frigerio Pamela, Alvarado Alvarez Hermes Marco Tulio, Maria Eduarda Silva Dias, Alvarez Castro Jose Alfonso","doi":"10.31487/j.ajscr.2022.01.01","DOIUrl":"https://doi.org/10.31487/j.ajscr.2022.01.01","url":null,"abstract":"Primary adrenal melanoma (PAM) is a rare malignant tumor, with few reported cases in the published literature and often correlated with high mortality rates. This condition usually has an unclear clinical presentation and must have its differential diagnosis regarding metastatic processes from malignant melanoma and pigmented pheochromocytoma. In this article, we report a case of a 49-year-old male diagnosed with PAM, alongside with its progress and discussions about the diagnostic criteria established, willing to expand and disseminate knowledge and awareness about PAM [1].","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128129403","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
Primary Localised Amyloidosis of the Urethra: A Case Report 尿道原发性局限性淀粉样变性1例
American Journal of Surgical Case Reports Pub Date : 2021-09-03 DOI: 10.31487/j.ajscr.2021.01.04
Nawal Khan, K. Ahmed, C. Horsfield, S. Malde, Majed Shabbir
{"title":"Primary Localised Amyloidosis of the Urethra: A Case Report","authors":"Nawal Khan, K. Ahmed, C. Horsfield, S. Malde, Majed Shabbir","doi":"10.31487/j.ajscr.2021.01.04","DOIUrl":"https://doi.org/10.31487/j.ajscr.2021.01.04","url":null,"abstract":"Primary localised amyloidosis of the urethra is a rare entity with only 50 cases reported in the literature. The \u0000deposition of fibrillary proteins can lead to a range of symptoms. Importantly, the clinical and cystoscopic \u0000features may mimic urethral malignancy (haematuria, voiding difficulties, and a palpable urethral mass), \u0000and so thorough investigation is required in order to exclude malignancy, and to identify features of \u0000generalised amyloidosis which has a poor prognosis. Once diagnosed the prognosis of localised amyloidosis \u0000is excellent, although disease recurrence is possible. We describe a case of primary localised urethral \u0000amyloidosis presenting with visible haematuria and a urethral stricture and reviewed the literature regarding \u0000management of this rare condition.","PeriodicalId":187600,"journal":{"name":"American Journal of Surgical Case Reports","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115641168","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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