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Synchronous bilateral male breast cancer: A case report and review of literature 同步双侧男性乳腺癌：病例报告和文献综述
Journal of Case Reports and Images in Surgery Pub Date : 2023-12-06 DOI: 10.5348/100127z12nd2023cr
Natassia Dunn, Peter D Nguyen, Sarah W Yuen, Erin Lin
{"title":"Synchronous bilateral male breast cancer: A case report and review of literature","authors":"Natassia Dunn, Peter D Nguyen, Sarah W Yuen, Erin Lin","doi":"10.5348/100127z12nd2023cr","DOIUrl":"https://doi.org/10.5348/100127z12nd2023cr","url":null,"abstract":"\u0000 Introduction: Male synchronous bilateral breast cancer, defined as contralateral breast cancer diagnosed within 12 months of a previous breast cancer, is extraordinarily rare. This case report aims to provide improved understanding of the nuances in presentation, associated risk factors, and treatment options of synchronous bilateral male breast cancer.\u0000\u0000 Case Report: A 68-year-old man presented with a one-month history of palpable bilateral retroareolar breast masses. He underwent workup with a bilateral breast ultrasound which showed an irregular hypoechoic mass 8 × 8 × 6 cm in the right breast at 7 o’clock in the retroareolar region and an oval hypoechoic mass 7 × 4 × 7 cm with indistinct margins in the left breast at 8 o’clock in the retroareolar region. Subsequent ultrasound-guided core needle biopsies revealed right breast moderately differentiated invasive ductal carcinoma and left breast high grade ductal carcinoma in situ. He underwent a bilateral simple mastectomy with bilateral axillary sentinel lymph node biopsies and was started on anastrozole at his initial post-operative visit. Four-month surveillance imaging with computed tomography chest, abdomen, pelvis, and dual X-ray absorptiometry showed no evidence of local recurrence or metastases.\u0000\u0000 Conclusion: Male breast cancer commonly presents as a painless retroareolar mass. Workup should include imaging studies to localize and characterize the lesion and tissue diagnosis via core needle biopsy. Treatment of male breast cancer largely includes simple mastectomy with adjuvant endocrine therapy. Future breast cancer studies should include male cohorts to improve our understanding and treatment options between the two sexes.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"9 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597140","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
Darier and Ferrand dermatofibrosarcoma: A case report of an unusual presentation and literature review Darier and Ferrand皮肤纤维肉瘤:一个不寻常的表现和文献复习
Journal of Case Reports and Images in Surgery Pub Date : 2023-07-13 DOI: 10.5348/100121z12pn2023cr
Prosper Nsengiyumva, T. Kabbaj, Mohamed Anass Majbar, A. Benkabbou, R. Mohsine
{"title":"Darier and Ferrand dermatofibrosarcoma: A case report of an unusual presentation and literature review","authors":"Prosper Nsengiyumva, T. Kabbaj, Mohamed Anass Majbar, A. Benkabbou, R. Mohsine","doi":"10.5348/100121z12pn2023cr","DOIUrl":"https://doi.org/10.5348/100121z12pn2023cr","url":null,"abstract":"\u0000 Dermatofibrosarcoma is a rare fibrous tumor of the skin. Its evolution is slow and indolent with a high potential for recurrence. We report a case of Darier and Ferrand dermatofibrosarcoma that had progressed in a 56-year-old female patient from childhood. Clinical examination revealed an indurated, round, budding, ulcerative mass located to the left hypochondrium. This mass was painful, hard, and mobile at deep levels. Computed tomography of the thorax, abdomen, and pelvis showed no lesions other than a mass in the left hypochondrium. Immunohistochemical studies of previously performed biopsies were unremarkable. A histologic examination of the surgical specimen confirmed the diagnosis. The further course after 12 months was uneventful.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116797858","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
Giant hiatal hernia: A review of the clinical presentation, surgical technique, and operative video 巨大裂孔疝:临床表现，手术技术和手术视频的回顾
Journal of Case Reports and Images in Surgery Pub Date : 2023-04-26 DOI: 10.5348/100120z12ow2023cr
O. Wautelet, Koenraad Vanbelle, F. Terryn
{"title":"Giant hiatal hernia: A review of the clinical presentation, surgical technique, and operative video","authors":"O. Wautelet, Koenraad Vanbelle, F. Terryn","doi":"10.5348/100120z12ow2023cr","DOIUrl":"https://doi.org/10.5348/100120z12ow2023cr","url":null,"abstract":"\u0000 Introduction: Giant hiatal hernia represents 0.3–15% of all hiatal hernia. Its complication such as the strangulation of the stomach are life-threatening. Therefore, in most of the cases it must be surgically handled.\u0000\u0000 Case Report: We report the case of a 74-year-old patient with giant hiatal hernia. He presented with sub-acute symptoms (e.g., vomiting, appetite loss, and hematemesis). Considering the symptomatology and complementary tests, we decided to perform a laparoscopic hernia repair using mesh reinforcement. We provided a commented operative video to describe the surgical procedure. We then discussed the surgical technique and decided how to conduct a safe and efficient repair.\u0000\u0000 Conclusion: A surgical approach is the recommended treatment in most giant hiatal hernia due to its life-threatening complications. The technique should be tailored to the patient. Although there is no consensus whether to use a mesh reinforcement, we believed that a cautious mesh placement should be considered when the crura are of poor quality. Surgeons should also be cautious with the fundoplicature and the risk of stricture, therefore we propose the systematic use of a tube to test the passage in the esophago-gastric junction.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131285009","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
First presentation of metastatic lung cancer as groin necrotizing fasciitis 转移性肺癌的首次表现为腹股沟坏死性筋膜炎
Journal of Case Reports and Images in Surgery Pub Date : 2023-04-04 DOI: 10.5348/100119z12cc2023cr
Christopher Cheong
{"title":"First presentation of metastatic lung cancer as groin necrotizing fasciitis","authors":"Christopher Cheong","doi":"10.5348/100119z12cc2023cr","DOIUrl":"https://doi.org/10.5348/100119z12cc2023cr","url":null,"abstract":"\u0000 Introduction: A B is a 64-year-old female who presented to the emergency department with fever, chill, and a swollen tender lump in the groin. She had a high white cell count of 14.0 × 109/L and a C-reactive protein (CRP) of 190 mg/L. She proceeded to have an urgent computed tomography (CT) scan.\u0000\u0000 Case Report: A B had a past medical history of poorly controlled diabetes (HbA1c = 11%) which she was non-compliant to medication. She also had an 80-pack year smoking history. A CT scan performed showed severe cellulitis with a collection with a suggestion of necrotizing fasciitis. She was taken to theater urgently for debridement. Histological examination of the debrided tissue however showed poorly differentiated adenocarcinoma which was consistent with metastatic lung adenocarcinoma.\u0000\u0000 Conclusion: This is the first case recorded of lung cancer with metastasis to the groin and presenting as a necrotizing soft tissue infection.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114712798","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
Treatment of anterior cutaneous nerve entrapment syndrome using an ultrasound-guided transverse abdominis plane block 超声引导下腹横面阻滞治疗前皮神经卡压综合征
Journal of Case Reports and Images in Surgery Pub Date : 2023-03-24 DOI: 10.5348/100118z12al2023cs
Amar Lakhani, P. Strauss, H. Wasserman
{"title":"Treatment of anterior cutaneous nerve entrapment syndrome using an ultrasound-guided transverse abdominis plane block","authors":"Amar Lakhani, P. Strauss, H. Wasserman","doi":"10.5348/100118z12al2023cs","DOIUrl":"https://doi.org/10.5348/100118z12al2023cs","url":null,"abstract":"\u0000 Introduction: Anterior cutaneous nerve entrapment syndrome (ACNES) is increasingly being considered to be a common cause of abdominal pain. Unfortunately, ACNES is a condition that is frequently overlooked and misdiagnosed resulting in chronic abdominal wall pain, unnecessary investigations, procedures, and repeat admissions. Patients diagnosed with ACNES present with well-localized abdominal pain, a positive Carnett’s sign, somatosensory disturbance of the surrounding skin and symptomatic relief secondary to a trigger point injection. Current treatment strategies include modification of physical activity, simple analgesia, trigger point injections, chemical neurolysis, pulsed radiofrequency, and anterior neurectomy. Despite the plethora of treatment modalities, it is evident that a majority of patients will only experience temporary pain relief.\u0000\u0000 Case Series: We describe two cases in which ultrasound-guided transverse abdominal plane blocks have successfully provided long-term symptomatic relief in patients diagnosed with ACNES. The first being a 45-year-old female and the second is a 52-year-old male who both presented with ACNES which were successfully treated with an ultrasound-guided transverse abdominal plane (TAP) block with 20 mL of 0.25% Marcaine and 4 mg of Dexamethasone.\u0000\u0000 Conclusion: We provide evidence supporting the use of an ultrasound-guided TAP block for long-term symptomatic relief in patients with ACNES. However, further research is required to assess its efficacy.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126801207","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
Gastric remnant perforation after single anastomosis gastric bypass 单次吻合胃旁路术后胃残余穿孔
Journal of Case Reports and Images in Surgery Pub Date : 2023-03-16 DOI: 10.5348/100117z12ab2023cr
Alen M Brodaric, Ngee-Soon Lau, C. Sandroussi
{"title":"Gastric remnant perforation after single anastomosis gastric bypass","authors":"Alen M Brodaric, Ngee-Soon Lau, C. Sandroussi","doi":"10.5348/100117z12ab2023cr","DOIUrl":"https://doi.org/10.5348/100117z12ab2023cr","url":null,"abstract":"\u0000 Introduction: Acute perforation of gastric remnants after single anastomosis gastric bypass are scarcely reported in the literature. The leak of gastrointestinal contents into the abdomen increases morbidity and if not promptly recognized can lead to mortality from sepsis.\u0000\u0000 Case Report: A 42-year-old male developed abdominal pain and fever after laparoscopic removal of adjustable gastric band, hiatus hernia repair, and single anastomosis gastric bypass. Computed tomography showed evidence of viscus perforation, bowel obstruction, and intra-abdominal infection. Operative findings suggested bowel obstruction of the afferent small bowel loop led to perforation at the gastric remnant staple line which was repaired primarily.\u0000\u0000 Conclusion: Patients presenting with early sepsis after single anastomosis gastric bypass should be investigated with computed tomography. Gastrointestinal leaks should be promptly addressed with surgical washout, primary repair, and suture reinforcement.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"11 2 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":"123626865","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
Intestinal neoplasia reveals intestinal malrotation 肠道肿瘤显示肠道旋转不良
Journal of Case Reports and Images in Surgery Pub Date : 2023-02-06 DOI: 10.5348/100115z12jp2023ci
J. Pimenta, G. Gomes, R. Escrevente, Emília Duro
{"title":"Intestinal neoplasia reveals intestinal malrotation","authors":"J. Pimenta, G. Gomes, R. Escrevente, Emília Duro","doi":"10.5348/100115z12jp2023ci","DOIUrl":"https://doi.org/10.5348/100115z12jp2023ci","url":null,"abstract":"<jats:p>\u0000\t\t\t\t \t No Abstract\u0000\t\t\t \t</jats:p>","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115218789","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
Cecal volvulus, a rare and late complication of a laparoscopic adjustable gastric band 盲肠扭转，一个罕见的和晚期并发症的腹腔镜可调节胃束
Journal of Case Reports and Images in Surgery Pub Date : 2022-12-22 DOI: 10.5348/100113z12al2022cr
Amar Lakhani, Casey Fung, P. Strauss
{"title":"Cecal volvulus, a rare and late complication of a laparoscopic adjustable gastric band","authors":"Amar Lakhani, Casey Fung, P. Strauss","doi":"10.5348/100113z12al2022cr","DOIUrl":"https://doi.org/10.5348/100113z12al2022cr","url":null,"abstract":"\u0000 Introduction: Laparoscopic adjustable gastric band (LAGB) surgery is one of the three most popular bariatric procedures worldwide due to its favorable risk benefit profile, reversibility, and low rates of morbidity and mortality. Recent studies have demonstrated a myriad of long-term complications including band slip, band erosion, intra-abdominal infection, port-site infection, port breakage, and pouch enlargement. All of which contribute to alarming rates of revision, adjustment, and removal of LAGB.\u0000 Case Report: We describe a novel case of a 68-year-old female presenting to the Emergency Department with a one-day history of abdominal pain, obstipation, loss of appetite, nausea and vomiting. A computed tomography (CT) scan demonstrated a cecal volvulus. Subsequently an emergency right hemicolectomy was performed which identified a LAGB encircling the hepatic flexure.\u0000 Conclusion: Clinicians should hold a high index of suspicion and a low threshold for operating when treating patients with a bowel obstruction with a known history of a LAGB.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126826927","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
Richter port site hernia as cause of acute bowel obstruction after laparoscopic gastric bypass: A case report 腹腔镜胃旁路术后急性肠梗阻的里希特肝口疝1例
Journal of Case Reports and Images in Surgery Pub Date : 2022-12-16 DOI: 10.5348/100112z12ha2022cr
Hamad Alkanhal, Marya Alsuhaibani, Bander Ali
{"title":"Richter port site hernia as cause of acute bowel obstruction after laparoscopic gastric bypass: A case report","authors":"Hamad Alkanhal, Marya Alsuhaibani, Bander Ali","doi":"10.5348/100112z12ha2022cr","DOIUrl":"https://doi.org/10.5348/100112z12ha2022cr","url":null,"abstract":"\u0000 Introduction: Early post-operative small bowel obstruction is challenging. After laparoscopic surgery, port site herniation and herniation through a peritoneal defect into the preperitoneal space should be considered as causes of early post-operative small bowel obstruction.\u0000\u0000 Case Report: A 36-year-old female developed early post-operative small bowel obstruction due to port-site Richter hernia after laparoscopic gastric bypass managed by diagnostic laparoscopy.\u0000\u0000 Conclusion: Early post-operative small bowel obstruction should always be suspected and diagnosed early in certain high risk procedures.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130456339","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
Hemobilia after laparoscopic gallbladder bed resection and portal lymphadenectomy for incidental gallbladder adenocarcinoma 腹腔镜胆囊床切除术及门静脉淋巴结切除术治疗偶发胆囊癌后胆道出血
Journal of Case Reports and Images in Surgery Pub Date : 2022-12-02 DOI: 10.5348/100111z12jg2022cr
José Pedro Gonçalves, Pedro Maurício Valente, Pedro Filipe Sousa, Francisco Cocco, G. Faria
{"title":"Hemobilia after laparoscopic gallbladder bed resection and portal lymphadenectomy for incidental gallbladder adenocarcinoma","authors":"José Pedro Gonçalves, Pedro Maurício Valente, Pedro Filipe Sousa, Francisco Cocco, G. Faria","doi":"10.5348/100111z12jg2022cr","DOIUrl":"https://doi.org/10.5348/100111z12jg2022cr","url":null,"abstract":"\u0000 Introduction: Upper gastrointestinal bleeding caused by hemobilia is rare and a consequence of vascular-biliary fistula. These fistulas are mainly associated with biliary surgeries’ iatrogenic injuries.\u0000\u0000 Case Report: This case reports of an elderly man with prior history of laparoscopic gallbladder bed resection and portal lymphadenectomy, which presented with hemobilia one month after the surgery. Diagnosis was not straightforward, but the patient was successfully treated with selective arteriography and hepatic artery stenting.\u0000\u0000 Conclusion: High suspicion for hemobilia in a patient with right upper quadrant pain, jaundice, and blood loss in the stools after biliary surgery and rapid intervention are essential to avoid further complications.\u0000","PeriodicalId":404259,"journal":{"name":"Journal of Case Reports and Images in Surgery","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129363897","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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