Journal of Case Reports and Images in Surgery最新文献

{"title":"Laparoscopic repair for a recurrent epigastric incisional hernia following xiphoidectomy: A case report","authors":"Sanjna Gangakhedkar, Gabrielle Francis, Timothy Wright","doi":"10.5348/100138z12sg2024cr","DOIUrl":"https://doi.org/10.5348/100138z12sg2024cr","url":null,"abstract":"\u0000 Introduction: Xiphodynia is a rare musculoskeletal disorder characterized by epigastric or anterior chest pain, for which xiphoidectomy is considered as a definitive treatment. This procedure and its complications are not well researched, particularly within Australasian populations. We describe the novel laparoscopic incisional hernia repair from a xiphoidectomy complicated by recurrent epigastric hernias.\u0000\u0000 Case Report: A 49-year-old female presented with chronic epigastric pain post-xiphoidectomy for xiphoidynia. The patient previously underwent open mesh repair for an incisional epigastric hernia, complicated by infection and subsequent removal of the mesh. A vacuum-assisted closure device was then utilized, followed by delayed primary closure. However, she experienced ongoing pain, a recurrent mass, and hypertrophic scarring, confirmed by abdominal computed tomography (CT) scan. Our laparoscopic approach involved a standard supine position with three ports and preperitoneal dissection similar to transabdominal preperitoneal (TAPP) hernia repair. The defect was 5 × 8 cm in size. A simple prolene mesh (9 × 12 cm) was secured with AsorbaTack and Glubran 2, followed by peritoneal closure with a 3/0 V-Loc suture. At two months follow-up, the patient had no evidence of recurrent hernia, no ongoing pain, and satisfactory wound healing.\u0000\u0000 Conclusion: Laparoscopic surgical repair using a TAPP approach is a safe alternative to open repair of an incisional recurrent epigastric hernia post-xiphoidectomy.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141367623","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}

{"title":"Ileosigmoid knotting: A rare cause of acute intestinal obstruction and peritonitis","authors":"Addis Y Kidane","doi":"10.5348/100137z12ak2024cr","DOIUrl":"https://doi.org/10.5348/100137z12ak2024cr","url":null,"abstract":"\u0000 Introduction: Ileosigmoid knotting (ISK) is one of the rarer causes of bowel obstruction compared to others. This is also called compound volvulus or double loop obstruction. The presentation symptoms are similar to those of other large bowel or distal intestinal obstructions. But the pathogeny’s or disease’s progression is rapid. So the patient develops ischemia or strangulation of the involved segment of the bowel earlier than the sigmoid or ceal volvulus. One of the challenges of the disease is that, especially in low-income countries like ours, there is no access to contrast computed tomography (CT), which is more sensitive diagnostic imaging.\u0000\u0000 Case Report: A 58-year-old male patient presented to our hospital with abdominal pain for two days. He was referred from the primary hospital. The pain was initially central and later diffused to other parts of the abdomen. Associated with this, he was vomiting of ingested matter for more than two episodes. On physical examinations, he was in acute pain, and his vital signs showed a pulse rate of tachycardia at 127 BPM. On abdominal examination, he had distention and diffused tenderness with gardening. So we diagnosed him with peritonitis secondary to gangrenous sigmoid volvulus obstruction (SVO). So I chose the imaging that is available in our hospital, a plain abdominal X-ray. So the patient was resuscitated with normal saline, an antibiotic was initiated, and he was taken to the operation after giving consent. The ilium and sigmoid colon were gangrened and en bloc resection was done, and the jejunum and remaining 7 cm of ilium from the ileocecal valve were anastomosed. The patient was taken to or for a relook, and the anastomosis was disrupted, then refreshed, and both the proximal and distal segments were taken out as stomas. The output was significant and later developed a controlled entrocutaneous fistula, which was closed after three weeks.\u0000\u0000 Conclusion: The prognosis is poor for ISK compared to other common types of volvulus and worse prognosis challenging management in conditions with both active and passive bowel ischemia which happened to our patients. Diagnosis is also challenging before the surgery. The abdominal X-ray and ultrasound are available and commonly the surgeon commonly will not send for this unless the patient is stable. Blind rectal tube deflation the common intervention in our setup with no access for sigmoidoscopy is not indicated for this non-surgical initial management rather with a highly suspicious diagnosis early resuscitation with early surgical treatment.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140991711","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}

{"title":"Spontaneous rupture of 90 mm splenic epidermoid cyst with subcapsular splenic hematoma and hemoperitoneum","authors":"Xin Yi Goai, Wendy Chang, Zaw Myo Htut, Christian Jean Beardsley, Casper Francois Pretorius","doi":"10.5348/100136z12xg2024cr","DOIUrl":"https://doi.org/10.5348/100136z12xg2024cr","url":null,"abstract":"\u0000 Introduction: This report explores the rare occurrence of spontaneous splenic rupture in a healthy individual, attributed to a benign epidermoid splenic cyst.\u0000\u0000 Case Report: The patient, a 28-year-old male, presented with one-week history of abdominal pain due to ruptured splenic cyst leading to subcapsular splenic hematoma and hemoperitoneum without any traumatic history nor underlying conditions. The diagnostic journey, including CT scans, guided the decision for splenectomy. Postoperative recovery was uneventful, with histopathological examination identifying an epidermoid cyst.\u0000\u0000 Conclusion: This case emphasizes the importance of recognizing atraumatic splenic ruptures, even in the absence of underlying conditions, and underscores the significance of prompt intervention through techniques like splenectomy.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"49 S2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715895","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}

{"title":"Massive renal pelvis urothelial carcinoma with invasion of the descending colon and cutaneous metastases: A case report and literature review","authors":"Ti-Yuan Yang, Yu-Ting Hung, Shou-Sen Huang, Chia-Ying Chu","doi":"10.5348/100135z12ty2024cr","DOIUrl":"https://doi.org/10.5348/100135z12ty2024cr","url":null,"abstract":"\u0000 Introduction: Skin metastases and gastrointestinal tract involvement in upper tract urothelial carcinoma (UTUC) are uncommon and associated with an adverse prognosis. This report details a case of extensive urothelial carcinoma originating from the renal pelvis, invading the descending colon, and presenting with cutaneous metastases.\u0000\u0000 Case Report: A 63-year-old male patient visited the emergency department on the account of sudden onset of severe left upper abdominal pain and nausea. The computed tomography (CT) revealed soft tissue density at the mesentery adjacent to the left kidney with the involvement of the distal transverse colon. The patient underwent left radical nephroureterectomy, left hemicolectomy, and bladder cuff excision. Six weeks postoperatively, left inguinal cutaneous metastases, approximately 4 cm, were excised. Due to renal dysfunction, the patient received gemcitabine and carboplatin chemotherapy, followed by pembrolizumab for the cutaneous metastatic disease. Follow-up imaging showed no evidence of recurrence or metastasis 15 months postoperatively.\u0000\u0000 Conclusion: In cases of advanced UTUC, a multidisciplinary approach combining surgical intervention, chemotherapy, and immunotherapy can alleviate symptoms and potentially improve survival rates. This integrative treatment strategy highlights the importance of a multidisciplinary approach in managing complex oncological cases.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"8 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140742279","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}

{"title":"An incidental finding of a pseudocoarctation of the aorta in a trauma patient: A case report and literature review","authors":"F. Alharmoodi, S. Ghabra, Salwa Alrumaithi, Maysam T Abu Sa'a, Suleiman Shantour","doi":"10.5348/100134z12fa2024cr","DOIUrl":"https://doi.org/10.5348/100134z12fa2024cr","url":null,"abstract":"\u0000 Introduction: Pseudocoarctation is an uncommon anomaly with different presentations that is primarily discovered with other abnormalities. Management is required with symptomatic patients.\u0000\u0000 Case Report: In this paper we discuss a patient who was diagnosed incidentally and treated conservatively, followed by a brief literature review and discussion.\u0000\u0000 Conclusion: Depending on the symptoms, surgical treatment with follow-up might be indicated.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"58 46","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140230693","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}

{"title":"Tunnel hepatectomy: A review of the parenchymal-sparing technique in colorectal liver metastasis and operative video","authors":"Alexandre de Hemptinne, Mike Salavracos, L. Coubeau","doi":"10.5348/100133z12ah2024cr","DOIUrl":"https://doi.org/10.5348/100133z12ah2024cr","url":null,"abstract":"\u0000 Introduction: Surgery of colorectal liver metastases (CRLM) has evolved over the past decades from an interest mainly focused on oncological margins to a new surgical policy known as parenchymal sparing hepatectomy (PSH). Contrary to anatomical resection (AR), this new approach combines the well-known issue of curative resections (R0 resections) in tumor removal with a new doctrine, reducing the unnecessary sacrifice of healthy parenchyma as much as possible (salvageability).\u0000\u0000 Case Report: We report the case of a 60-year-old man diagnosed with rectal adenocarcinoma accompanied by seven synchronous bilobar liver metastases, including two closely situated metastases. The first was located in liver segment VIII, whereas the second was positioned between segments VIII and IV, just beneath the middle hepatic vein (MHV). In order to resect these two lesions without sacrificing the middle hepatic vein and preserving as much hepatic parenchyma as possible, we have chosen a conservative resection approach, the tunnel hepatectomy (TH).\u0000\u0000 Conclusion: Parenchymal sparing hepatectomy is the recommended approach in CRLM disease. Beyond the need to ensure healthy oncological margins, every surgeon should pay special attention to preserving hepatic parenchyma. Therefore, 3D modeling of the liver and its lesions appear to be a great assistance before any sophisticated surgical intervention to ensure the most conservative surgery possible. And for patients with deep liver metastases having complex relationships, TH seems to be a suitable technique.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139957792","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}

{"title":"Subtotal cholecystectomy; A substandard bail-out technique?","authors":"Xin Yi Goai, Jia Han Chang, Casper Pretorius, Charbel Sandroussi, Christian Beardsley","doi":"10.5348/100132z12xg2024cs","DOIUrl":"https://doi.org/10.5348/100132z12xg2024cs","url":null,"abstract":"\u0000 Introduction: While the open approach was previously mandated as the salvage procedure in difficult cholecystectomies, subtotal cholecystectomy has since been implemented. While this technique may prevent biliary duct injury intraoperatively, it comes with major pitfalls.\u0000\u0000 Case Series: We present a series of four cases where a subtotal cholecystectomy was previously performed, in which further gallstone-related complications occurred.\u0000\u0000 Conclusion: We aim to increase awareness toward recurrent symptoms that may require further evaluation and repeat procedures in patients with previous cholecystectomy; and drawbacks relating to performing subtotal cholecystectomies—opting instead for open cholecystectomy, recruitment of another senior or specialist hepatobiliary surgeon and/or transfer to a tertiary center with the appropriate facilities.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"328 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139799198","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}

{"title":"Subtotal cholecystectomy; A substandard bail-out technique?","authors":"Xin Yi Goai, Jia Han Chang, Casper Pretorius, Charbel Sandroussi, Christian Beardsley","doi":"10.5348/100132z12xg2024cs","DOIUrl":"https://doi.org/10.5348/100132z12xg2024cs","url":null,"abstract":"\u0000 Introduction: While the open approach was previously mandated as the salvage procedure in difficult cholecystectomies, subtotal cholecystectomy has since been implemented. While this technique may prevent biliary duct injury intraoperatively, it comes with major pitfalls.\u0000\u0000 Case Series: We present a series of four cases where a subtotal cholecystectomy was previously performed, in which further gallstone-related complications occurred.\u0000\u0000 Conclusion: We aim to increase awareness toward recurrent symptoms that may require further evaluation and repeat procedures in patients with previous cholecystectomy; and drawbacks relating to performing subtotal cholecystectomies—opting instead for open cholecystectomy, recruitment of another senior or specialist hepatobiliary surgeon and/or transfer to a tertiary center with the appropriate facilities.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139859004","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}

{"title":"Prolonged ischemic priapism in an adolescent with sickle cell anemia: Challenges of management","authors":"Akputa Aja Obasi, Wilson Egwu Sunday Omebe","doi":"10.5348/100131z12oa2024cr","DOIUrl":"https://doi.org/10.5348/100131z12oa2024cr","url":null,"abstract":"\u0000 Introduction: Persistent penile erection lasting more than 4 hours and unrelated to sexual interest or stimulation is called priapism. Priapism is uncommon in children. Of the three widely accepted types: ischemic, non-ischemic, and stuttering priapism; ischemic priapism is the predominant type seen in children. A common cause of ischemic priapism in children is sickle cell disease. Ischemic priapism of prolonged duration is associated with a higher risk of complications especially irreversible loss of erectile function. It is a difficult clinical condition to manage and there are no established guidelines for its management in children. Adequate surgical treatment does not guarantee against the risk of devastating longterm sequelae.\u0000\u0000 Case Report: We report a case of a 12-year-old boy with sickle cell anemia who presented after 48 hours of sustained painful penile erection. He required multiple surgical shunting procedures including distal corporoglanular shunt with tunneling of both corpora cavernosa with Hegar’s dilator to achieve detumescence. The management challenges encountered are highlighted.\u0000\u0000 Conclusion: A potential role for anticoagulation and the use of low-dose hydroxyurea in the prevention of recurrent ischemic priapism in children with sickle cell anemia are advocated.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"78 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140473714","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}

{"title":"Life-threatening upper gastrointestinal hemorrhage from a Cameron ulcer","authors":"Alen Brodaric, Rajkumar Srinivasan","doi":"10.5348/100128z12ab2024cr","DOIUrl":"https://doi.org/10.5348/100128z12ab2024cr","url":null,"abstract":"\u0000 Introduction: Acute upper gastrointestinal bleeding can be life-threatening; however, Cameron lesions are an uncommon etiology. These lesions should be suspected with a previous history or endoscopic evidence of hiatus hernia.\u0000\u0000 Case Report: A male in his 60s presented to the emergency department with hematemesis and melena for two days. He had no prior medical, surgical, or endoscopic history and took no regular medications. He was resuscitated with packed red blood cell transfusion and treated with proton pump inhibitor infusion then transferred to operating theaters for endoscopic hemostasis. Cardiac arrest occurred after anesthetic induction and airway intubation, return of spontaneous circulation was achieved after cardiopulmonary resuscitation and further blood transfusion. At endoscopy a Cameron ulcer was noted in the hiatus hernia with overlying blood clot with no active hemorrhage, treated with Hemospray®.\u0000\u0000 Conclusion: Patients presenting with acute upper gastrointestinal hemorrhage and shock need urgent upper gastrointestinal (UGI) endoscopy. Topical hemostatic agents are successful in controlling bleeding when challenging anatomy precludes use of banding or clip application.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"32 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442820","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}