World Journal of Surgery and Surgical Research最新文献

{"title":"Unmasking the Intrapancreatic Accessory Spleen","authors":"S. P. Lazow, Ketan Sheth","doi":"10.25107/2637-4625-v5-id1400","DOIUrl":"https://doi.org/10.25107/2637-4625-v5-id1400","url":null,"abstract":"Despite the availability of various diagnostic studies including CT, MRI, nuclear medicine images, and endoscopic ultrasound, the differentiation of Intrapancreatic Accessory Spleen (IPAS) from pancreatic neuroendocrine tumor remains challenging. We present the case of a 40-year-old male with an incidentally found intrapancreatic lesion with indeterminate imaging diagnosis. A CT demonstrated accessory spleens at the splenic hilum. Laparoscopic distal pancreatectomy with splenectomy was performed. Pathology resulted with benign IPAS. Despite indeterminate imaging, a high suspicion for IPAS should be maintained in patients with other accessory spleens.","PeriodicalId":446438,"journal":{"name":"World Journal of Surgery and Surgical Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123964386","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":"Cone Beam Computed Tomography (CBCT) is Superior to Orthopantomogram (OPG) in Interpreting the Imaging Characteristics of Medication-Related Osteonecrosis of the Jaw (MRONJ and More Stage-Sensitive: A Prospective Assessment in 98 Cancer Patients","authors":"D. Galiti, Aikaterini Karayianni, A. Psyrri, K. Tsiklakis","doi":"10.25107/2637-4625-v4-id1335","DOIUrl":"https://doi.org/10.25107/2637-4625-v4-id1335","url":null,"abstract":"Objectives: To prospectively evaluate the imaging characteristics of Medication-Related Osteonecrosis of the Jaw (MRONJ), observed in the Orthopantomogram (OPG) and in Cone Beam Computed Tomography (CBCT), in patients with cancer. Materials and Methods: Cancer patients, who received Bone Targeting Agents (BTAs) and developed MRONJ, were prospectively included in the study. MRONJ was staged following the American Association of Oral and Maxillofacial Surgery (AAOMS) 2014 criteria. Four predefined radiological findings, osteolytic changes, sclerosis, periosteal reaction, and sequestration were assessed and were scored as “absent”, “localized”, “extensive” and “beyond the alveolar bone”. Results: Ninety-eight cancer patients were enrolled. Eighty patients (81.6%) received BTAs for over a year; 19 (19.4%) received BTAs between 13 to 24 months and 61 patients (62.2%) received BTAs for over 24 months. The majority of the patients (n=58, 59.2%) had stage 2 MRONJ and 35 (35.7%) were at MRONJ stage 3.Fifty-two (53.06%) patients were assessed with OPG and 89 (90.81%) with CBCT and CBCT was found more effective in detecting sclerosis and sequestration than OPG.Forty-three (43.87%) patients were assessed with both OPG and CBCT and were available for comparisons between OPG and CBCT. CBCT was significantly more accurate than OPG in interpreting the “beyond the alveolar bone” osteolytic changes, sclerosis, periosteal reaction and sequestration, in all MRONJ stages. P-value was 0.0002, <0.0001, 0.0027 and 0.0009 respectively.Furthermore, CBCT was significantly more accurate than OPG in interpreting the “extensive” and “beyond the alveolar bone” imaging characteristics, when comparisons included the patients with early stages of MRONJ, 1 and 2 and the patients with stage 3 of MRONJ. Conclusion: CBCT is superior and more stage-sensitive to OPG in interpreting and staging MRONJ and can be particularly useful to achieve an early diagnosis of MRONJ.","PeriodicalId":446438,"journal":{"name":"World Journal of Surgery and Surgical Research","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125622276","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":"A Very Rare Complication after Removal of Intrauterine Device: Multiple Intestinal Rupture","authors":"Özlem Kayacık Günday","doi":"10.25107/WJSSR-V1-ID1069","DOIUrl":"https://doi.org/10.25107/WJSSR-V1-ID1069","url":null,"abstract":"Intrauterine device, it may cause various Complications during and after insertion or removal. In this case report IUD.","PeriodicalId":446438,"journal":{"name":"World Journal of Surgery and Surgical Research","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122366332","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":"Successful Laparoscopic Treatment of Intrauterine Device and Complication Causing Uterine Rupture","authors":"Özlem Kayacık Günday","doi":"10.25107/WJSSR-V1-ID1068","DOIUrl":"https://doi.org/10.25107/WJSSR-V1-ID1068","url":null,"abstract":"Intrauterine Devices (IUD) are widely used as a method of birth control. After implantation, they may cause pain, bleeding, uterine perforation, bowel and bladder rupture. IUD-induced uterine corneal region and tubal mesosalpinx perforation is presented.","PeriodicalId":446438,"journal":{"name":"World Journal of Surgery and Surgical Research","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133750686","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":"Hypoplastic Ipsilateral Internal Carotid Artery as a Cause of Acute Ischaemic Stroke: A Case Report","authors":"N. Gunawansa","doi":"10.25107/WJSSR-V1-ID1060","DOIUrl":"https://doi.org/10.25107/WJSSR-V1-ID1060","url":null,"abstract":"Ischaemic stroke caused by carotid artery disease is generally attributed to atherosclerotic disease of the carotid bifurcation. Non-atherosclerotic disease of the carotid arteries causing ischaemic stroke, though documented, is rather rare. Less frequently, carotid artery dissection, fibro-muscular dysplasia and post-traumatic thrombosis have been described as a cause of stroke. Developmental abnormalities of the intra-cranial carotid or vertebral arteries can result in an incomplete formation of the circle of Willis. However, such developmental abnormalities affecting the extra-cranial carotid arteries is extremely rare and have largely been identified only as an autopsy finding among individuals who remained free of cerebral symptoms throughout their lifetime. Nevertheless, the identification of such maldeveloped extra-cranial carotid arteries in patients with ischaemic stroke offers the clinicians a total new dimension in to cerebral perfusion and stroke aetiology.","PeriodicalId":446438,"journal":{"name":"World Journal of Surgery and Surgical Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126968690","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}