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Journal of Surgical Case Reports最新文献

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Acute mesenteric ischemia secondary to metastatic neuroendocrine tumor: a case analysis and review of the literature. 继发于转移性神经内分泌肿瘤的急性肠系膜缺血：病例分析和文献综述。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-27 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae725
Emily P Swafford, Deepa R Magge
{"title":"Acute mesenteric ischemia secondary to metastatic neuroendocrine tumor: a case analysis and review of the literature.","authors":"Emily P Swafford, Deepa R Magge","doi":"10.1093/jscr/rjae725","DOIUrl":"10.1093/jscr/rjae725","url":null,"abstract":"<p><p>Neuroendocrine tumors (NETs) are notably rare and frequently arise from the gastrointestinal tract. Generally asymptomatic, NETs uncommonly result in acute abdominal pain. We present a case of known metastatic NET manifesting as acute-on-chronic mesenteric ischemia due to the involvement of the superior mesenteric artery (SMA) and vein (SMV). A 63-year-old female with metastatic NET presented with acute-onset abdominal pain. The patient was hemodynamically stable but uncomfortable appearing with significant pain. Imaging demonstrated decreased enhancement of several small bowel loops within the right lower quadrant concerning for bowel ischemia with a mesenteric mass encasing the SMA and SMV. Surgical intervention revealed a nonviable loop of small bowel. Second-look laparotomy was performed with viable remaining bowel, and an ileocolic anastomosis was successfully created. Acute-onset abdominal pain in a patient with NET warrants urgent. Mesenteric ischemia, while rare, should not be overlooked, as timely diagnosis and intervention are imperative.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae725"},"PeriodicalIF":0.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Resection of accessory parotid gland tumor utilizing trans-oral technique: a case report. 利用经口技术切除附属腮腺肿瘤：病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-27 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae699
Fayez A Alrohaimi, Nader S Alharbi, Abdulrazaq M Alshammari, Salman K Alotaibi
{"title":"Resection of accessory parotid gland tumor utilizing trans-oral technique: a case report.","authors":"Fayez A Alrohaimi, Nader S Alharbi, Abdulrazaq M Alshammari, Salman K Alotaibi","doi":"10.1093/jscr/rjae699","DOIUrl":"10.1093/jscr/rjae699","url":null,"abstract":"<p><p>In this report, we discuss a rare case of pleomorphic adenoma in the accessory parotid gland of a 39-year- old male, which is generally a difficult tumor to manage because of the danger of facial scarring and nerve injury from external incisions. A minimally invasive trans-oral surgical technique was used, resulting in a successful resection without the usual complications, demonstrating a promising option that focuses on cosmetic and functional benefits. The importance of complete preoperative evaluations is emphasized, as is the possibility for broader applicability with additional study, establishing the technique's efficacy to improve outcomes for patients in similar circumstances.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae699"},"PeriodicalIF":0.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Giant cardiac schwannoma around the left atrium: a case report. 左心房周围的巨大心脏裂孔瘤：病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-27 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae738
Ryohei Ushioda, Boonsap Sakboon, Dit Yoongtong, Jaroen Cheewinmethasiri, Hiroyuki Kamiya, Nuttapon Arayawudhikul
{"title":"Giant cardiac schwannoma around the left atrium: a case report.","authors":"Ryohei Ushioda, Boonsap Sakboon, Dit Yoongtong, Jaroen Cheewinmethasiri, Hiroyuki Kamiya, Nuttapon Arayawudhikul","doi":"10.1093/jscr/rjae738","DOIUrl":"10.1093/jscr/rjae738","url":null,"abstract":"<p><p>A 57-year-old male presented with dyspnea and an enlarged cardiac silhouette on a chest X-ray. Further evaluation with contrast-enhanced computed tomography revealed a giant heterogeneous mediastinal mass, ~8.9 × 7.3 × 12.2 cm, with peripheral calcifications. Surgical resection was performed via a left thoracotomy approach using the left fifth intercostal space. Cardiopulmonary bypass was established through the femoral vessels for safer and more controlled resection. The tumor, contiguous with the left atrium, was successfully excised using two Endo GIA staplers. Pathological examination confirmed the diagnosis of schwannoma. This case demonstrates that the left thoracotomy approach with cardiopulmonary bypass and the use of Endo GIA staplers is a feasible and effective option for resecting large, well-defined cardiac schwannomas.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae738"},"PeriodicalIF":0.4,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11601982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Giant (complex) inguinal hernia in female patient left untreated for 40 years: a case report. 女患者腹股沟巨大（复杂）疝 40 年未治：病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae734
Andrej Nikolovski, Klaudia Gjinoska, Zhivorad Kocevski, Emil Stoicovski, Zan Mitrev
{"title":"Giant (complex) inguinal hernia in female patient left untreated for 40 years: a case report.","authors":"Andrej Nikolovski, Klaudia Gjinoska, Zhivorad Kocevski, Emil Stoicovski, Zan Mitrev","doi":"10.1093/jscr/rjae734","DOIUrl":"10.1093/jscr/rjae734","url":null,"abstract":"<p><p>A giant inguinal hernia is a rare clinical presentation in patients refusing hernia repair for different reasons during a long period. The appearance is remarkable, and the preoperative preparation and the surgery itself might be challenging. They can present in an emergency (hernia incarceration) or elective setting. Most of the patients are male, but exclusions exist. This is a rare case of a female patient with a giant inguinal hernia left untreated for 40 years.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae734"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Obturator nerve schwannoma: a case report and review of the robotic literature. 闭孔神经分裂瘤：病例报告和机器人文献综述。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae694
Haley Bayne, Richard Q Vuong, Shubhneet Bal, Jeffrey West, Anya Laibangyang, David Doo
{"title":"Obturator nerve schwannoma: a case report and review of the robotic literature.","authors":"Haley Bayne, Richard Q Vuong, Shubhneet Bal, Jeffrey West, Anya Laibangyang, David Doo","doi":"10.1093/jscr/rjae694","DOIUrl":"10.1093/jscr/rjae694","url":null,"abstract":"<p><p>Obturator schwannomas are rare and often misdiagnosed as intraperitoneal pelvic masses. The optimal surgical approach for their resection is unclear. This study presents a case demonstrating the safe use of robotics for resecting a benign pelvic schwannoma and reviews the literature on robotic cases. Here, a 40-year-old woman with right lower quadrant pain underwent imaging, revealing a 4.6 × 3.3 × 3.6 cm pelvic mass. She had a robotic-assisted laparoscopic excision, with pathology confirming a benign schwannoma. Complete tumor resection is the gold standard. The use of minimally invasive robotic-assisted surgery is increasing due to improved visualization, efficient movement, and safety, making it a viable option for resecting obturator schwannomas.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae694"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of asymptomatic giant renal angiomyolipoma with extrusion of fat content with literature review. 一例无症状巨型肾血管肌脂肪瘤伴脂肪内容物挤出病例及文献综述。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae732
Manzoor Ahmad, Kartik Varshney, Shagufta Qadri, Wasif Mohammad Ali, Imad Ali
{"title":"A case of asymptomatic giant renal angiomyolipoma with extrusion of fat content with literature review.","authors":"Manzoor Ahmad, Kartik Varshney, Shagufta Qadri, Wasif Mohammad Ali, Imad Ali","doi":"10.1093/jscr/rjae732","DOIUrl":"10.1093/jscr/rjae732","url":null,"abstract":"<p><p>Angiomyolipoma is a benign mesenchymal tumour of kidney that consists of adipose tissue, muscle cells and blood vessels. Renal angiomyolipomas represent almost one percent of all renal tumours. We reported a case of a 50-year-old woman complaining of mild abdominal discomfort with no other symptoms and no remarkable medical history. Clinical examination was inconclusive and no lump was palpable in abdomen. Ultrasonography raised the suspicion of existence of a large, homogeneous, hyperechoic tissue mass arising from right kidney. Abdominal computed tomography scan suggested the presence of giant angiomyolipoma of right kidney. The histopathological examination confirmed the diagnosis of renal angiomyolipoma. The patient underwent open simple nephrectomy to remove the tumour without any complications. We documented a rare case of retroperitoneal angiomyolipoma with extrusion of fat content from the renal hilum breaching the cortex as peculiarity which presented just as mild abdominal discomfort.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae732"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mixed functional tumor of the left adrenal as a cause of palpitations, surgical management. Case report. 导致心悸的左肾上腺混合功能性肿瘤，手术治疗。病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae731
Santiago Muñoz-Palomeque, William Aguayo-Vistin, Gabriel A Molina, Zanny Bastidas-Arévalo, Jaime Paul Herrera Gonzalez, Christian I Gordon
{"title":"Mixed functional tumor of the left adrenal as a cause of palpitations, surgical management. Case report.","authors":"Santiago Muñoz-Palomeque, William Aguayo-Vistin, Gabriel A Molina, Zanny Bastidas-Arévalo, Jaime Paul Herrera Gonzalez, Christian I Gordon","doi":"10.1093/jscr/rjae731","DOIUrl":"10.1093/jscr/rjae731","url":null,"abstract":"<p><p>Compound pheochromocytoma refers to a rare adrenal tumor that includes neuroblastic components and is a rare catecholamine-producing tumor from chromaffin cells, typically found in the adrenal medulla. It usually presents with symptoms like tachycardia, headache, and intermittent diaphoresis, although its clinical manifestations can vary. Diagnosis involves biochemical studies and imaging such as catecholamines, metanephrines, CT scans, and positron emission tomography (PET). The surgical management is the definitive, being the laparoscopic approach of choice in most cases. This case report discusses a 45-year-old male who presented with tachycardia and palpitations, diagnosed with left pheochromocytoma exhibiting neuroblastoma differentiation, surgically treated through anterior laparoscopy without any trans-surgical complications and with low bleeding. Postoperative recovery was uneventful, and pathology confirmed the diagnosis. Timely diagnosis and surgical removal are crucial, with laparoscopy being the preferred approach for tumor resection.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae731"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Young and naïve B cells are a diagnostic pitfall in pediatric tonsillectomies. 年轻幼稚的 B 细胞是小儿扁桃体切除术的诊断陷阱。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae622
Sophie Tillotson, Ping Shi, Elizabeth Ray, Robert P Seifert
{"title":"Young and naïve B cells are a diagnostic pitfall in pediatric tonsillectomies.","authors":"Sophie Tillotson, Ping Shi, Elizabeth Ray, Robert P Seifert","doi":"10.1093/jscr/rjae622","DOIUrl":"10.1093/jscr/rjae622","url":null,"abstract":"<p><p>Tonsillar marginal zone hyperplasia may mimic mucosa-associated lymphoid tissue lymphoma, a rare diagnosis in children. Histologically, both entities can demonstrate expansion of the marginal zone with disruption of follicular architecture. However, marginal zone hyperplasia may appear polyclonal by flow cytometry. We present two pediatric tonsillectomy cases with tonsillar marginal zone hyperplasia and discuss the diagnostic challenges this poses in the pediatric population. Both tonsillectomies demonstrated expansion of marginal zones with partial architectural effacement, and flow cytometric analysis of both cases detected lambda light chain restricted, CD20(bright) B cells without CD38. Authors have suggested that the lambda restricted B cells in this setting represent naïve, unmutated B cells with preferential, but polyclonal, lambda expression. Our cases are in line with this thought. While robust, BIOMED-2 primer PCR can show dominant <i>IgK</i> peaks, which may be misinterpreted. This presents a diagnostic pitfall in the workup of pediatric tonsils that community pathologists must consider.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae622"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case report of central serous chorioretinopathy with intraretinal fluid and normal fundus fluorescein and indocyanine green angiography. 伴有视网膜内积液、眼底荧光素和吲哚菁绿血管造影正常的中心性浆液性脉络膜视网膜病变病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae723
Manasi Hegde, Travers Weaver
{"title":"Case report of central serous chorioretinopathy with intraretinal fluid and normal fundus fluorescein and indocyanine green angiography.","authors":"Manasi Hegde, Travers Weaver","doi":"10.1093/jscr/rjae723","DOIUrl":"10.1093/jscr/rjae723","url":null,"abstract":"<p><p>A 73-year-old man was diagnosed with central serous chorioretinopathy (CSCR). He had atypical features including a normal indocyanine green angiography (ICG) and fundus fluorescein angiography (FFA), uncommon age group for initial diagnosis and a finding of intraretinal fluid. This case report is the first of our knowledge that exemplifies this type of unusual clinical presentation for CSCR.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae723"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laparoscopic removal of a metallic foreign body embedded in the abdominal wall. 腹腔镜下取出嵌入腹壁的金属异物。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-11-26 eCollection Date: 2024-11-01 DOI: 10.1093/jscr/rjae669
Mizuki Okuno, Kaori Takasu, Takamune Goto, Toshiyuki Yamaguchi, Masahiro Hayashi
{"title":"Laparoscopic removal of a metallic foreign body embedded in the abdominal wall.","authors":"Mizuki Okuno, Kaori Takasu, Takamune Goto, Toshiyuki Yamaguchi, Masahiro Hayashi","doi":"10.1093/jscr/rjae669","DOIUrl":"10.1093/jscr/rjae669","url":null,"abstract":"<p><p>We report the laparoscopic removal of a foreign body that was embedded in the abdominal wall. To the best of our knowledge, this is the first reported case of a foreign body in the abdominal wall being laparoscopically removed. A 27-year-old man working at a forging factory presented to our hospital with abdominal pain. He reported that three hours before presentation, a metal fragment came flying from an operating power hammer and penetrated his lower right abdomen. Abdominal CT revealed a 7 mm-sized radiopaque object near the peritoneum. The foreign body was successfully removed laparoscopically with real-time fluoroscopic guidance. Percutaneous removal is usually performed when a foreign body is present in the soft tissue; however, laparoscopic removal should be considered when the foreign body is located in the abdominal wall near the peritoneum. We provide principles for the safe and minimally invasive removal of foreign bodies based on this case.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae669"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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