International Journal of Surgery Open最新文献

{"title":"A case report of laparoscopic omental patch repair in a patient with super-super obesity and a duodenal perforation","authors":"Takaaki Murata ,&nbsp;Nobuo Yamaguchi ,&nbsp;Yutaro Shimomoto ,&nbsp;Yuto Igarashi ,&nbsp;Yuma Suno ,&nbsp;Tomoki Nishida ,&nbsp;Katsunori Miyake ,&nbsp;Naoko Isogai ,&nbsp;Ryuta Fukai ,&nbsp;Hiroyuki Kanomata ,&nbsp;Rai Shimoyama ,&nbsp;Jun Kawachi","doi":"10.1016/j.ijso.2023.100657","DOIUrl":"10.1016/j.ijso.2023.100657","url":null,"abstract":"<div><h3>Introduction</h3><p>We report a case of emergency laparoscopic omental patch repair in a patient with super-super obesity (body mass index of 64.7) who presented with upper gastrointestinal perforation.</p></div><div><h3>Case presentation</h3><p>A 52-year-old male patient with difficulty moving his body due to abdominal pain was transported to the emergency department. Contrast-enhanced computed tomography revealed duodenal bulb wall thickening and increased fat stranding in the surrounding tissue. Free air was also observed under the liver and on its surface. Therefore, diagnostic laparoscopy was performed because of a suspected upper gastrointestinal perforation.</p></div><div><h3>Clinical discussion</h3><p>Because the weight limit of the surgical bed was 150 kg and the width was insufficient, even when two beds were placed side-by-side, the patient's fixation on the bed was unstable, and the surgery was performed on a regular hospital bed. A 5-mm full-thickness perforation of the duodenal bulb wall was confirmed, and omental patch repair was performed. Because the bed was regular, securing the visual field without changing the patient's position was difficult. There were also limitations on the movement of the ports; therefore, seven ports were used. Postoperatively, bile-like drainage was observed from the surgical drain. However, upper gastrointestinal contrast imaging on the 14th day after the surgery revealed no contrast leakage.</p></div><div><h3>Conclusion</h3><p>The patient recovered well and was discharged on the 31st day after the surgery.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100657"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49206227","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":"Laparoscopic removal of a giant adrenal myelolipoma: A case report with review of the literature","authors":"Dlshad Hamasaeed Ahmed ,&nbsp;Rawa Bapir ,&nbsp;Belan Mikaeil M. Radha ,&nbsp;Ismaael Aghaways ,&nbsp;Rezheen J. Rashid ,&nbsp;Deari A. Ismaeil ,&nbsp;Omar H. Ghalib Hawramy ,&nbsp;Dana T. Gharib ,&nbsp;Hemn H. Kaka Ali ,&nbsp;Fahmi H. Kakamad ,&nbsp;Berun A. Abdalla ,&nbsp;Ari M. Abdullah","doi":"10.1016/j.ijso.2023.100658","DOIUrl":"10.1016/j.ijso.2023.100658","url":null,"abstract":"<div><h3>Introduction</h3><p>Adrenal myelolipomas (AMLs) are non-functioning, benign adrenal tumors with an unknown etiology. This study aims to report a case of giant AML managed successfully by laparoscopic surgery.</p></div><div><h3>Case presentation</h3><p>A 43-year-old man presented with mild, dull, and non-radiating left loin pain. Physical examination and hormonal assays were normal. Imaging revealed a retroperitoneal mass (13 × 12 × 8.5cm) containing gross fat. Left laparoscopic adrenalectomy was done under general anesthesia. The postoperative period was uneventful. The patient was followed up for a duration of six months, and no recurrence was detected.</p></div><div><h3>Discussion</h3><p>AMLs are lipomatous tumor-like growths equally seen in both genders and are commonly incidental findings. Symptomatic AMLs are characterized by their large size, leading to the manifestation of pressure-related symptoms or abnormalities in hormonal levels. Most AMLs are associated with chronic diseases like diabetes mellitus and hypertension. The tumor is commonly diagnosed through a biochemical and imaging workup. Asymptomatic AMLs are managed conservatively, while in the presence of symptoms, surgery is usually considered. However, the open approach is regarded as the standard option, but minimally invasive approaches can be carried out due to their feasibility.</p></div><div><h3>Conclusion</h3><p>AMLs are rare, benign, non-functional tumors of the adrenal gland. Laparoscopy may be a safe and feasible management modality for these tumors.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100658"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46561819","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":"Female house surgeon stabbed to death: High time for a multi-pronged action plan to prevent and manage violence against Health care workers","authors":"Mohammad Jawed Quereishi,&nbsp;ArunSundar MohanaSundaram ,&nbsp;Avishek Koley,&nbsp;Dionisio Lorenzo Lorenzo-Villegas,&nbsp;Md Aminul Islam","doi":"10.1016/j.ijso.2023.100650","DOIUrl":"10.1016/j.ijso.2023.100650","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100650"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44625346","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":"Eventration of diaphragm of unknown cause: A case report","authors":"Amartya Dahal,&nbsp;Yadvinder Singh,&nbsp;Ajmat Ansari,&nbsp;Robin Man Karmacharya,&nbsp;Satish Vaidya,&nbsp;Swechha Bhatt","doi":"10.1016/j.ijso.2023.100653","DOIUrl":"10.1016/j.ijso.2023.100653","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Diaphragmatic eventration is a rare disorder with partial or complete thinning of diaphragmatic musculature. The fibroelastic hemidiaphragm, which is pliable, moves paradoxically upward during inspiration resulting in restrictive pulmonary function. It occurs as a result of congenital defect in the diaphragm or secondarily due to phrenic nerve injury. Most patients remain asymptomatic for a long duration—the disease is therefore underdiagnosed. However, in cases of clinical suspicion, chest radiography should be performed, which can be further confirmed by chest computed tomography (CT).</p></div><div><h3>Case presentation</h3><p>We present a case of a 67-year-old male with a right sided diaphragmatic eventration presenting as severe coughing for two months. Surgical plication of right hemidiaphragm was done in multilayer with percutaneous dynamic stabilization (PDS) yielding good outcome.</p></div><div><h3>Clinical discussion</h3><p>The decision on performing a surgical repair of the defect depends upon the extent of the complications. Symptomatic patients with compromised respiratory, cardiovascular or gastrointestinal function usually require the plication of the diaphragm.</p></div><div><h3>Conclusion</h3><p>Despite the rarity of the disease, clinicians must always evaluate the patient for diaphragmatic eventration to ensure early repair of the defect.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100653"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42706382","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":"Idiopathic encapsulating peritonitis: A case report","authors":"Tamassi Bertrand Essobiyou ,&nbsp;Samuel Salem Laurent Ouedraogo ,&nbsp;Pegwende Rachid Cedric Diendere ,&nbsp;Albert Kossi Labou ,&nbsp;Mohamed Issa ,&nbsp;Kodjo Abossisso Sakiye","doi":"10.1016/j.ijso.2023.100655","DOIUrl":"10.1016/j.ijso.2023.100655","url":null,"abstract":"<div><h3>Introduction</h3><p>and importance: Encapsulating peritonitis is a chronic and rare condition of the peritoneum. Most often secondary, it can occur idiopathically without any predictive factor. The diagnosis is often delayed and the management is not codified. The authors report a case of encapsulating peritonitis in a patient in a hospital in Togo. Their case highlights the diagnostic difficulties that can arise with encapsulated peritonitis.</p></div><div><h3>Case presentation</h3><p>a 46-year-old female patient with a history of transient abdominal pain was admitted to an emergency with acute intestinal obstruction. A laparotomy was indicated. Intraoperatively, it was discovered that there was an agglutination of coats covered by a thin membrane. The surgical procedure consisted of adhesiolysis with the release of the loops. The fibrous nature of the membrane on histology and the negativity of the etiological examinations allowed the diagnosis to be retained.</p></div><div><h3>Clinical discussion</h3><p>This is the result of a chronic attack on the peritoneum. In the majority of cases, it is said to be secondary because it occurs in a known evocative context. However, idiopathic cases have been reported. The disease has an insidious course making its diagnosis difficult. The disease is associated with a high mortality rate even under treatment, which reflects its severity. There is no consensus on the therapeutic management of this disease.</p></div><div><h3>Conclusion</h3><p>Encapsulating peritonitis is a rare and serious disease with a difficult diagnosis and complex management. There is no consensus on the therapeutic management of this disease.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100655"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47843424","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":"Duodenal Strongyloides stercoralis infection in a 56-year old male: A case report","authors":"James J. Yahaya,&nbsp;Emmanuel D. Morgan,&nbsp;Emmanuel Othieno","doi":"10.1016/j.ijso.2023.100651","DOIUrl":"10.1016/j.ijso.2023.100651","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>The infection caused by <em>Strongyloides stercoralis (S stercoralis)</em> is usually an asymptomatic condition particularly in immunocompetent individuals and the condition may remain unnoticed even for decades, however, strongyloidiasis is more severe in patients who are immunocompromised.</p></div><div><h3>Case presentation</h3><p>The patient is a 56-year old male who presented with nine months history of episodes of abdominal pain, nausea loss of appetite, and chronic diarrhea. His diarrhea had mucus and trace blood. His oesophagogastroduodenoscopy (OGD) revealed erythematous, hypertrophied, and ulcerating lining mucosa of the duodenum. The specimen sampled showed sections of the duodenum with numerous <em>Strongyloides stercoralis</em> larvae, some inside the crypts with associated active duodenitis.</p></div><div><h3>Clinical discussion</h3><p>Despite the asymptomatic nature of <em>Strongyloides stercoralis</em> infectious condition especially for immunocompetent patients, the infection may sometimes result into serious complications including exudative enteropathy and paralytic ileus. The clinical outcome of patients with strongyloidiasis is usually better despite severe infection may develop and it is associated with slightly increased morbidity and even mortality.</p></div><div><h3>Conclusion</h3><p>Diagnosis of <em>Strongyloides stercoralis</em> infection in individuals residing in tropical or subtropical countries who present with chronic diarrhea, abdominal pain should always be considered so as to avoid delay of diagnosis. This may help in preventing unnecessary complication such as severe anaemia, intestinal perforation or even death.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100651"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42982807","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":"Unravelling two fungal meningitis outbreaks in Mexico: An urgent call for multi-faceted action","authors":"ArunSundar MohanaSundaram,&nbsp;Josef Finsterer,&nbsp;Dionisio Lorenzo Lorenzo-Villegas,&nbsp;Man Mohan Mehndiratta,&nbsp;Md Aminul Islam","doi":"10.1016/j.ijso.2023.100659","DOIUrl":"10.1016/j.ijso.2023.100659","url":null,"abstract":"","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100659"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42817189","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":"Parathyroid adenoma mimicking bethesda class III follicular thyroidal lesion: A case report","authors":"Caspar J. Peterson ,&nbsp;Jennifer M. Klasen ,&nbsp;Lukas Bubendorf ,&nbsp;Martin Freitag ,&nbsp;Tarik Delko ,&nbsp;Ioannis I. Lazaridis","doi":"10.1016/j.ijso.2023.100612","DOIUrl":"10.1016/j.ijso.2023.100612","url":null,"abstract":"<div><h3>Introduction and importance</h3><p>Although the majority of thyroid lesions are benign, diagnostic workup including fine needle aspiration biopsy cytology is important to rule out cancerous lesions. However, cytological findings may pose challenges in interpretation because of similarities in cytomorphological features between certain thyroid nodules and parathyroid tissue. Similarly, parathyroid lesions may go unnoticed for a long period of time because they are misinterpreted as thyroid lesions and patients with parathyroid lesions are typically oligo- or asymptomatic for a long period of time.</p></div><div><h3>Case presentation</h3><p>We present the case of a 57-year-old female patient who was under observation for a hormone inactive mildly suspicious thyroid nodule for eight years before the suspected thyroid nodule was found to be a parathyroid adenoma. Repeated fine needle aspiration biopsies showed cytomorphological features of Bethesda Class III thyroid nodules and the patient was asymptomatic throughout all consultations. Finally, a pathological hip fracture and symptomatic kidney stone prompted further diagnostic work-up, confirming primary hyperparathyroidism and exposing the suspected thyroid lesion for a parathyroid adenoma. After focused parathyroidectomy the patient fully recovered.</p></div><div><h3>Clinical discussion</h3><p>Systematic blood sampling for Calcium and parathyroid hormone levels, which has to become part of the usual work up for suspicious thyroid nodules, may have exposed the diagnosis earlier preventing secondary complications.</p></div><div><h3>Conclusion</h3><p>This case highlights one of the major pitfalls in ultrasound interpretation and fine needle aspiration biopsy of the thyroid gland. Physicians need to be aware of these difficulties during the diagnostic work-up.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100612"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42902106","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":"Comparative efficacy of apneic oxygenation with face mask versus face mask alone pre-oxygenation to Prevent desaturation during endotracheal intubation of elective Pediatric surgical patients at St. Peter hospital, Addis Ababa Ethiopia:A single center prospective cohort study","authors":"Ashenafi Seifu Gesso,&nbsp;Tsion Lemma Regasa,&nbsp;Eyayalem Melese Goshu,&nbsp;Lemlem Getachew Woldemariam,&nbsp;Mulualem Sitot Fekede","doi":"10.1016/j.ijso.2023.100654","DOIUrl":"https://doi.org/10.1016/j.ijso.2023.100654","url":null,"abstract":"<div><h3>Background</h3><p>Apneic oxygenation using a nasal cannula is used to deliver oxygen continuously during the apneic period of endotracheal intubation to prevent desaturation. Pre-oxygenation using face mask alone technique may be insufficient to provide a safe apnea period in pediatric patients who are at high risk for rapid desaturation compared to added apneic oxygenation. This study compared the efficacy of apneic oxygenation with a face mask (AO) versus a face mask alone (FMA) pre-oxygenation to prevent desaturation during endotracheal intubation in elective pediatric surgical patients.</p></div><div><h3>Methods</h3><p>A prospective cohort study was conducted on two equal groups of elective pediatric patients observed in either use of apneic oxygenation with a face mask (AO) or face mask alone(FMA) pre-oxygenation during endotracheal intubation at the study hospital from early December 2021 to late March 2022. The data were collected using a structured questionnaire. The primary outcome variable was the desaturation SpO₂ (&lt;94%) observed during endotracheal intubation. The categorical data were analyzed using a χ2-test. Parametric data were analyzed using an independent <em>t</em>-test or one-way ANOVA as appropriate with a 95% CI and a p-value of &lt; 0.05 was considered statistically significant. The Bonferroni post hoc analysis was employed to test the significance of means between the groups.</p></div><div><h3>Results</h3><p>The mean desaturation level was (SpO₂ = 95.74 ± 2.99) in apneic oxygenation with face-mask group and (SpO₂ = 93.96 ± 3.74) in the face-mask alone group(p = 0.006) with medium effect size (Cohan's d = 0.06). A one-way ANOVA showed a statistically significant difference in the mean (±SD) of desaturation level with the number of attempts at endotracheal intubation within the groups (P = 0.005). The Bonferroni pairwise comparison within groups, showed that the mean (±SD) desaturation level during endotracheal intubation for the participant with &gt;2 attempts is significantly lower than for participants with only 1 attempt (p-value = 0.004).</p></div><div><h3>Conclusion and recommendation</h3><p>A continuous administration of apneic oxygenation (5-l/min) by nasal cannula during endotracheal intubation significantly reduced desaturation in pediatrics. We recommend the use of apneic oxygenation (AO) in pediatrics during intubation time.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100654"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49892062","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":"Cholera spike following monsoon floods in Pakistan: Challenges, efforts and recommendations (short communication)","authors":"Abdullah Malikzai,&nbsp;Khulud Qamar,&nbsp;Umer Usman Malik,&nbsp;Faryal Rafique,&nbsp;Sean Kaisser Shaeen","doi":"10.1016/j.ijso.2023.100652","DOIUrl":"10.1016/j.ijso.2023.100652","url":null,"abstract":"<div><p>Cholera has globally affected the world since the 19th century, resulting in numerous cases and deaths throughout time. In Pakistan, while Cholera had always been a threat to the country's public health, the recent monsoon floods have exacerbated the situation. With high incidence of the disease, health care facilities are overburdened and inaccessible. Due to destruction of infrastructure and houses in the country, Pakistan's health care services and WASH services are inadequate. This further leads to increased disease prevalence and transmission of Cholera. Despite global funding being carried out to alleviate economic struggles, Pakistan also requires disease surveillance, rapid treatment provision and widespread awareness to manage Cholera.</p></div>","PeriodicalId":43872,"journal":{"name":"International Journal of Surgery Open","volume":"57 ","pages":"Article 100652"},"PeriodicalIF":1.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43212264","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}