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Journal of Surgical Case Reports最新文献

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Early small bowel obstruction by phytobezoar related to zopiclone induced amnesia after revisional Roux-en-Y gastric bypass: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-08 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf202
Bernarda Patiño-Araujo, María E Salgado-Báez, Gabriel P Villavicencio-Logroño, María J Ayora-Pérez, Gabriela S Zapata-Jaramillo, Napoleón Salgado-Macías
{"title":"Early small bowel obstruction by phytobezoar related to zopiclone induced amnesia after revisional Roux-en-Y gastric bypass: a case report.","authors":"Bernarda Patiño-Araujo, María E Salgado-Báez, Gabriel P Villavicencio-Logroño, María J Ayora-Pérez, Gabriela S Zapata-Jaramillo, Napoleón Salgado-Macías","doi":"10.1093/jscr/rjaf202","DOIUrl":"https://doi.org/10.1093/jscr/rjaf202","url":null,"abstract":"<p><p>This case report details an unusual instance of small bowel obstruction occurring within 48 h after a successful Roux-en-Y gastric bypass (RYGB) procedure. A 59-year-old woman, who had undergone a revisional RYGB and was discharged 24 h post-surgery, returned to the emergency department with acute epigastric pain and vomiting at the 48-h mark. A contrast computed tomography scan revealed dilated small bowel loops, right pleural effusion, and some free gas. An emergency laparoscopy identified an obstruction at the jejunojejunal anastomosis caused by undigested food, including seeds. The obstructive material was removed, and the anastomosis was reconstructed. Subsequent psychiatric evaluation revealed the patient's abuse of zopiclone, taken at four times the recommended dose. This misuse likely led to anterograde amnesia, resulting in unreported dietary indiscretions. This case underscores the importance of comprehensive medication history and patient education to mitigate risks associated with medication misuse and non-compliance.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf202"},"PeriodicalIF":0.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812702","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
Radiation-free elective management of traumatic abdominal wall hernia in a pediatric patient: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-08 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf212
Karen E G Olesen, Tuba Ashraf, Line Kannegaard Johannsen, Martin Lund Kårhus
{"title":"Radiation-free elective management of traumatic abdominal wall hernia in a pediatric patient: a case report.","authors":"Karen E G Olesen, Tuba Ashraf, Line Kannegaard Johannsen, Martin Lund Kårhus","doi":"10.1093/jscr/rjaf212","DOIUrl":"https://doi.org/10.1093/jscr/rjaf212","url":null,"abstract":"<p><p>Pediatric traumatic abdominal wall hernias (TAWHs) are rare injuries that result from both low- and high-energy trauma. TAWHs have a wide presentation, ranging from isolated hernias to cases involving severe associated intraabdominal injury. With a limited number of case reports, correct management and prediction of outcome are difficult. This case report describes a 5-year-and-9-month-old girl who developed a TAWH following a 2-m fall onto a stick. Computed tomography of the abdomen was avoided due to the low-energy mechanism, absence of pain, and lack of physical findings beyond a minor abrasion. Serial sonographic evaluation confirmed bowel herniation without evidence of associated intraabdominal injury. After an observational period of 24 hours without complications, the patient was discharged. Ten days later, an uncomplicated elective open herniotomy was performed. Two-month follow-up revealed no additional contacts to the hospital.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf212"},"PeriodicalIF":0.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812707","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
Successful management by laparoscopic total gastrectomy following embolization for gastric cancer with overt bleeding: two case reports.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-08 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf211
Ayaka Shibano, Akihiro Cho, Toshihiko Mouri, Yukiko Niwa, Takeshi Ishita, Moe Tanemura, Toshiya Sugishita, Ryota Higuchi, Masaho Ota, Satoshi Katagiri
{"title":"Successful management by laparoscopic total gastrectomy following embolization for gastric cancer with overt bleeding: two case reports.","authors":"Ayaka Shibano, Akihiro Cho, Toshihiko Mouri, Yukiko Niwa, Takeshi Ishita, Moe Tanemura, Toshiya Sugishita, Ryota Higuchi, Masaho Ota, Satoshi Katagiri","doi":"10.1093/jscr/rjaf211","DOIUrl":"https://doi.org/10.1093/jscr/rjaf211","url":null,"abstract":"<p><p>Gastric cancer (GC) bleeding is typically silent and chronic. However, active bleeding from GC can lead to life-threatening conditions. Endoscopic haemostasis is sometimes difficult and emergency surgery is associated with high postoperative complication rates. We encountered two cases of life-threatening GC haemorrhage. The patients were successfully treated with transcatheter arterial embolization and subsequent elective laparoscopic total gastrectomy. Preoperative embolization is effective for subsequent minimally invasive elective surgery in patients with severe bleeding from GC.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf211"},"PeriodicalIF":0.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812709","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 mesenteric abscess following laparoscopic Roux-en-Y gastric bypass in the setting of a ventriculoperitoneal shunt.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-08 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf198
Marie L Jacobs, Kevin M Sigley, William O'Malley
{"title":"Case report of mesenteric abscess following laparoscopic Roux-en-Y gastric bypass in the setting of a ventriculoperitoneal shunt.","authors":"Marie L Jacobs, Kevin M Sigley, William O'Malley","doi":"10.1093/jscr/rjaf198","DOIUrl":"https://doi.org/10.1093/jscr/rjaf198","url":null,"abstract":"<p><p>We report the management of a 38-year-old female with a history of ventriculoperitoneal (VP) shunt who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) and presented with infected mesenteric abscess. The patient underwent LRYGB and was discharged on postoperative day (POD) #1. She sustained a syncopal event on POD #15, with workup revealing a mesenteric abscess. She underwent operative drainage of the abscess, small bowel resection and revision of her jejunojejunostomy. The VP shunt was visualized intraoperatively and after discussion with the neurosurgery team, externalized. She was treated with empiric intravenous antibiotics, and serial shunt cultures. After persistently negative shunt cultures, she underwent re-internalization of the shunt on POD #12 after drainage and was discharged home. Complications of bariatric surgery in patients with VP shunts can be successfully managed with a high index of clinical suspicion and timely multi-disciplinary cooperation.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf198"},"PeriodicalIF":0.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812700","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
Extended DIEP flap with bilateral anterior fascia based on unilateral perforator for lower extremity reconstruction.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-08 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf201
Trần T Sơn, Phạm T Việt Dung, Tạ T Hồng Thuý, Phạm K Nhật, Mitsuru Sekido, Phan T Nghĩa
{"title":"Extended DIEP flap with bilateral anterior fascia based on unilateral perforator for lower extremity reconstruction.","authors":"Trần T Sơn, Phạm T Việt Dung, Tạ T Hồng Thuý, Phạm K Nhật, Mitsuru Sekido, Phan T Nghĩa","doi":"10.1093/jscr/rjaf201","DOIUrl":"https://doi.org/10.1093/jscr/rjaf201","url":null,"abstract":"<p><p>Complex soft tissue defects in the lower limb pose significant challenges for surgeons, especially when extensive coverage is needed. Free flaps are preferred for their reliable soft tissue, with the deep inferior epigastric perforator (DIEP) flap being particularly advantageous in middle-aged women due to its ample tissue and the ability to perform abdominoplasty at the donor site. However, its bulkiness can be an issue for lower limb reconstruction. We present two cases where the DIEP flap was used for lower limb reconstruction with immediate flap thinning. By employing a unique thinning method based on the vascular connection between perforators, we successfully extended the flap's use without needing to anastomose the pedicles. All flaps were well-vascularized with no complications, demonstrating that maintaining the anterior fascia between perforators optimizes the DIEP flap for reconstructive purposes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf201"},"PeriodicalIF":0.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11976723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812704","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
Negative pressure wound therapy in the setting of acute abdominal evisceration secondary to major thoracoabdominal burns.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-08 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf203
William T Crawley, Benson Pulikkottil, Maxwell Busch
{"title":"Negative pressure wound therapy in the setting of acute abdominal evisceration secondary to major thoracoabdominal burns.","authors":"William T Crawley, Benson Pulikkottil, Maxwell Busch","doi":"10.1093/jscr/rjaf203","DOIUrl":"https://doi.org/10.1093/jscr/rjaf203","url":null,"abstract":"<p><p>Negative pressure wound therapy has allowed for improved management of critical ill patients who requiring abdominal exploration by minimizing operation length, expediting resuscitation, and avoiding unnecessary resections. The use of this vital resource is often limited in burn patients with involvement of the thoracoabdominal wall due to difficulty with maintaining a seal necessary for the negative pressure. This report highlights the case of a 57-year-old patient who sustained significant thoracoabdominal burns and suffered an acute evisceration of small bowel following a debridement. The patient required an emergent return to the operating room and temporary abdominal closure in order to allow for a second look laparotomy. We detail the use of ostomy/barrier rings in order to establish a seal necessary for the negative pressure wound therapy. This novel technique has the potential to expand the use of temporary abdominal closure using negative pressure wound therapy in clinically injured burn patients.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf203"},"PeriodicalIF":0.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11976713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812706","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
Microwave ablation of thyroid nodules and metastatic thyroid cervical lymph nodes: the first case series from Ecuador.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-07 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf197
Richard Godoy, Paola Solis-Pazmino, Fernando Walder, Eddy P Lincango, Carlos Lehn
{"title":"Microwave ablation of thyroid nodules and metastatic thyroid cervical lymph nodes: the first case series from Ecuador.","authors":"Richard Godoy, Paola Solis-Pazmino, Fernando Walder, Eddy P Lincango, Carlos Lehn","doi":"10.1093/jscr/rjaf197","DOIUrl":"10.1093/jscr/rjaf197","url":null,"abstract":"<p><p>Microwave ablation (MWA) has emerged as a minimally invasive technique, transforming the therapeutic landscape for benign thyroid nodules (BTN), papillary thyroid microcarcinoma (PTMC), and cervical lymph node metastasis (CLNM). This study aims to present the first experience in Ecuador using MWA. We included adults undergoing MWA for BTN, PTMC, and CLNM between September 2022 and April 2023. Descriptive statistics and the Wilcoxon signed-rank test were used to compare some pre- and post-intervention outcomes. Fourteen patients (11 BTN, one PMTC, and two CLNM) were included. Most were female (86%; mean age 48.92 years) and euthyroid (73%). Most nodules were solid (92%). The volume reduction (VR) of BTN was 98% at 12-months. The PTMC nodule disappeared and the CLNM mean volume reduced to 0.03 at 12 months. These findings highlight MWA as a potential treatment for various thyroid pathologies, warranting further exploration and validation in larger cohorts.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf197"},"PeriodicalIF":0.4,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804399","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
Use of the omentum in the management of mesenteric contusions: a case report and review of the literature.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-06 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf193
Tarik Deflaoui, Yassir Akil, Anas Derkaoui, Rihab Amara, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane
{"title":"Use of the omentum in the management of mesenteric contusions: a case report and review of the literature.","authors":"Tarik Deflaoui, Yassir Akil, Anas Derkaoui, Rihab Amara, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane","doi":"10.1093/jscr/rjaf193","DOIUrl":"10.1093/jscr/rjaf193","url":null,"abstract":"<p><p>Closed abdominal trauma can result in severe mesenteric injury, potentially progressing to intestinal necrosis requiring resection. We report the case of a 24-year-old female patient, victim of a road traffic accident, with two mesenteric contusions: one responsible for intestinal necrosis requiring a double stoma, and the other located upstream, with preservation of a feeding vessel. An innovative technique was used to preserve this vascularization: a pedicled omental flap, still attached to the omental apron, was mobilized to cover and stabilize the mesenteric vessel. The omentum was fixed using resorbable sutures to ensure stabilization without compromising vascularization. The proximal location of the affected intestinal segment allowed for tension-free omental transposition. The post-operative outcome was favorable, with continuity restored two months later. This case highlights the importance of the role of the omentum in digestive reconstruction and vascular preservation, and proposes a reflection on its integration into standardized surgical protocols.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf193"},"PeriodicalIF":0.4,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796826","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
Role of mechanical hysteroscopic tissue removal system in post-molar gestational trophoblastic neoplasia management: case report and literature review.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-06 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf190
Sophie Schoenen, Katty Delbecque, Frédéric Kridelka, Florence Hanocq, Frédéric Goffin, Patricia Nervo
{"title":"Role of mechanical hysteroscopic tissue removal system in post-molar gestational trophoblastic neoplasia management: case report and literature review.","authors":"Sophie Schoenen, Katty Delbecque, Frédéric Kridelka, Florence Hanocq, Frédéric Goffin, Patricia Nervo","doi":"10.1093/jscr/rjaf190","DOIUrl":"10.1093/jscr/rjaf190","url":null,"abstract":"<p><p>Complete hydatidiform moles are precancerous gestational trophoblastic diseases, with 15%-20% progressing to post-molar neoplasia. The gold standard treatment of low-risk neoplasia is single-agent chemotherapy. A second curettage is an alternative to avoid chemotherapy; hysteroscopic resection is not described in the guidelines. We report a case of post-molar neoplasia treated using a mechanical hysteroscopic tissue removal system (TruClear°) and review the limited literature on the subject. A patient was diagnosed with low-risk post-molar neoplasia in our department. Ultrasound evaluation revealed uterine trophoblastic retention, which was managed with mechanical hysteroscopic resection. In conclusion, hysteroscopic resection could be a potential alternative to second curettage in highly selected cases of low-risk post-molar neoplasia.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf190"},"PeriodicalIF":0.4,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796817","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
Secondary signet ring cell carcinoma of the prostate: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-06 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf204
You Zhao, Weiping Luo, Jun Nie, Hongxiang Ma, Zihao Li
{"title":"Secondary signet ring cell carcinoma of the prostate: a case report.","authors":"You Zhao, Weiping Luo, Jun Nie, Hongxiang Ma, Zihao Li","doi":"10.1093/jscr/rjaf204","DOIUrl":"10.1093/jscr/rjaf204","url":null,"abstract":"<p><p>Signet ring cell carcinoma (SRCC) is a rare, highly malignant tumor primarily arising in the gastrointestinal tract, with secondary prostate involvement exceedingly uncommon. We report a 64-year-old male who underwent total gastrectomy for gastric SRCC in 2020, followed by chemotherapy. In 2024, he presented with urinary symptoms. Imaging and laboratory tests suggested benign prostatic hyperplasia, but pathology revealed secondary prostate SRCC, confirmed immunohistochemically. The patient continued gastric cancer chemotherapy and is under follow-up. This case underscores diagnostic and therapeutic challenges, emphasizing the need for histopathological and immunohistochemical exams and further research.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf204"},"PeriodicalIF":0.4,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796819","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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