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Journal of Surgical Case Reports最新文献

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Perforated marginal ulceration in the setting of single anastomosis duodeno-ileal switch (SADI-S) with conversion to Roux-en-Y gastric bypass and literature review.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-04 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae828
Vincent Marcucci, Amanda R Camarda, Veysel Embel, Seth Kipnis
{"title":"Perforated marginal ulceration in the setting of single anastomosis duodeno-ileal switch (SADI-S) with conversion to Roux-en-Y gastric bypass and literature review.","authors":"Vincent Marcucci, Amanda R Camarda, Veysel Embel, Seth Kipnis","doi":"10.1093/jscr/rjae828","DOIUrl":"https://doi.org/10.1093/jscr/rjae828","url":null,"abstract":"<p><p>The single anastomosis duodenal-ileal switch (SADI-S) has become a safe alternative to Roux-en-Y gastric bypass (RYGB) in the treatment for morbid obesity. A known complication after bariatric surgery is the development of marginal ulceration. The current literature demonstrates an overwhelmingly low incidence of ulceration in patients who underwent SADI-S. The management and prevention is an ongoing subject of debate with no clear algorithm. The conversation of SADI-S to RYGB has been accomplished; however, this procedure has not been previously reported for marginal ulceration.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae828"},"PeriodicalIF":0.4,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933069","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
Thoracic approach for suspected internal mammary lymph node recurrence following mastectomy and implant-based reconstruction: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-04 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae829
Daisuke Murayama, Ryosuke Hirano, Osamu Mishima, Toko Hashizume
{"title":"Thoracic approach for suspected internal mammary lymph node recurrence following mastectomy and implant-based reconstruction: a case report.","authors":"Daisuke Murayama, Ryosuke Hirano, Osamu Mishima, Toko Hashizume","doi":"10.1093/jscr/rjae829","DOIUrl":"https://doi.org/10.1093/jscr/rjae829","url":null,"abstract":"<p><p>The use of video-assisted thoracic surgery (VATS) has increased in recent years. We herein report a case wherein suspected intramammary lymph node (IM) recurrence of breast cancer was treated using the thoracic approach (VATS). A 53-year-old woman had undergone right total mastectomy, axillary lymph node dissection, and implant-based reconstruction for right breast cancer 19 years ago. Hormone therapy was commenced postoperatively. Positron emission tomography as health check up performed at another hospital 1 year prior to presentation revealed enlargement of the right IMs, suggesting recurrence of breast cancer. IM biopsy was performed using VATS to preserve the artificial breast implant. The operative time and blood loss were 157 min and 20 ml, respectively. The postoperative course was favourable. IM biopsy revealed reactive enlargement owing to inflammation. In conclusion, VATS is a safer approach that yields superior outcomes in terms of appearance care.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae829"},"PeriodicalIF":0.4,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933071","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
Two cases of giant mucinous cystadenomas in postmenopausal women.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-03 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae833
Shumarova Svetlana, Anatoli Semkov, Vesela Karamisheva
{"title":"Two cases of giant mucinous cystadenomas in postmenopausal women.","authors":"Shumarova Svetlana, Anatoli Semkov, Vesela Karamisheva","doi":"10.1093/jscr/rjae833","DOIUrl":"https://doi.org/10.1093/jscr/rjae833","url":null,"abstract":"<p><p>Mucinous ovarian cystadenomas are rare epithelial benign tumors that can reach significant sizes. They are often asymptomatic and are discovered incidentally during an ultrasound examination. We present two clinical cases of mucinous ovarian cystadenomas with abdominal distention. Complicated variants can mimic an acute surgical abdomen and often require the involvement of a multidisciplinary team in operative treatment. Timely diagnosis and treatment are of utmost importance to prevent complications and malignancy.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae833"},"PeriodicalIF":0.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933073","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
Metachronous descending colon volvulus after sigmoidectomy: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-03 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae827
Asratu G Amare, Gebrehiwot A Workneh, Mequanint T Tassew, Minale M Kebede, Mengist A Tegegne, Michael A Negussie
{"title":"Metachronous descending colon volvulus after sigmoidectomy: a case report.","authors":"Asratu G Amare, Gebrehiwot A Workneh, Mequanint T Tassew, Minale M Kebede, Mengist A Tegegne, Michael A Negussie","doi":"10.1093/jscr/rjae827","DOIUrl":"https://doi.org/10.1093/jscr/rjae827","url":null,"abstract":"<p><p>Volvulus is the rotation or twisting of the intestine around its vascular pedicle. The occurrence of descending volvulus after sigmoidectomy is extremely rare. We report a case of a 35-year-old male who presented with abdominal distention, cramping, and no passage of feces or gas for three days. He had a history of recurrent sigmoid volvulus, previously treated with sigmoidectomy. On this occasion, clinical examination and imaging revealed a distended bowel with air-fluid levels. During exploratory laparotomy, descending colon volvulus, a rare finding, was confirmed. The patient underwent a left hemicolectomy and transverse stoma and recovered well postoperatively. Descending colon volvulus is a rare but serious complication after sigmoidectomy, and early diagnosis is essential. In volvulus-endemic regions, awareness of this condition is critical to prevent delayed diagnosis and complications.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae827"},"PeriodicalIF":0.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11700578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933048","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
Simultaneous bilateral deep femoral artery aneurysms: case report of a rare peripheral arterial aneurysm.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-30 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae821
Rahel Abebayehu Assefa, Henok T/Silassie Zeleke, Dawit G/Giorgis
{"title":"Simultaneous bilateral deep femoral artery aneurysms: case report of a rare peripheral arterial aneurysm.","authors":"Rahel Abebayehu Assefa, Henok T/Silassie Zeleke, Dawit G/Giorgis","doi":"10.1093/jscr/rjae821","DOIUrl":"10.1093/jscr/rjae821","url":null,"abstract":"<p><p>Deep femoral artery aneurysms are very rare; particularly when isolated and occur simultaneously in both limbs. We report such a case of a misdiagnosed 16-year-old male presenting after hematoma evacuation was attempted for painful swelling in the left groin. Once the diagnosis was confirmed by computed tomography angiography (CTA), an emergency aneurysmectomy with deep femoral artery (DFA) ligation was performed on the left limb. Subsequently, an elective aneurysmectomy with DFA ligation was done for the contralateral limb during the same admission, with no postoperative complications. Echocardiography, performed with suspicion for infective endocarditis as the cause for possible mycotic aneurysm, revealed Chronic Rheumatic Valvular Heart Disease, without evidence of vegetations, abscesses, or intracardiac thrombi. This case report seeks to discuss the patient's clinical presentation, CTA findings, and surgical management in a low-resource setting, underscoring the risks of this rare condition if misdiagnosed.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae821"},"PeriodicalIF":0.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11685955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915962","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
Conservative management in a spontaneous pneumoperitoneum post breast augmentation and abdominoplasty: a rare case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-27 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae814
Faris Alsobyani, Khadijah Alshakri, Hanin Mohammed Attar, Hatem Abada, Hassan Abu Rokbah
{"title":"Conservative management in a spontaneous pneumoperitoneum post breast augmentation and abdominoplasty: a rare case report.","authors":"Faris Alsobyani, Khadijah Alshakri, Hanin Mohammed Attar, Hatem Abada, Hassan Abu Rokbah","doi":"10.1093/jscr/rjae814","DOIUrl":"10.1093/jscr/rjae814","url":null,"abstract":"<p><p>This case report discusses a 32-year-old woman with no significant medical history who underwent elective bilateral breast reduction with auto-augmentation and abdominoplasty. Initially, her recovery was smooth, but on the third postoperative day, she exhibited tachycardia, tachypnea, and mild shortness of breath, while other vital signs remained stable. A chest X-ray revealed pneumoperitoneum, and a subsequent abdominal CT confirmed moderate pneumoperitoneum without gastrointestinal leakage. Due to the lack of peritoneal signs and normal bowel sounds, conservative management was chosen. Over 2 days, her condition improved, and she was discharged without complications. This case emphasizes the need to recognize nonsurgical pneumoperitoneum after recent abdominal surgery and suggests that conservative management can be effective in the absence of perforation. This report is the first documented instance of spontaneous pneumoperitoneum following breast augmentation and abdominoplasty, highlighting the need for awareness in similar cases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae814"},"PeriodicalIF":0.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903458","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
Technique for areolar reduction areolar-sparing mastectomy.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-27 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae824
Zachary Lawrence, Joel C Stroman, Heather Karu
{"title":"Technique for areolar reduction areolar-sparing mastectomy.","authors":"Zachary Lawrence, Joel C Stroman, Heather Karu","doi":"10.1093/jscr/rjae824","DOIUrl":"10.1093/jscr/rjae824","url":null,"abstract":"<p><p>Achieving satisfactory nipple esthetics following skin-sparing or nipple-sparing mastectomy is an important element of ensuring positive patient outcomes. Several techniques used to reconstruct the nipple-areolar complex have been described in previous literature and have had success in securing good cosmetic outcomes. For patients with macrothelia, surgeons may employ a number of options in reducing nipple size. Existing studies have shown common preferences among individuals surveyed regarding breast cosmesis, specifically related to the nipples and areolae. However, for individuals with disproportionately large areolae following areolar-sparing mastectomy, there is scant literature to suggest methods of reducing the size of the areolae, and current practice appears to be based upon fixed diameters of areolar sizers. In this technical report, we describe a suture-only technique that successfully reduced areola diameter and recreated the appearance of a nipple with a small central projection following areolar-sparing mastectomy.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae824"},"PeriodicalIF":0.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907782","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
CT-guided radiofrequency neurotomy (RFN) of bilateral T3-4 sympathetic chain combined with bilateral L3 sympathetic ganglion in patient with palmar hyperhidrosis.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-27 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae808
Shangdao Lai, Tao Yuan, Bing Huang, Jiongfeng Liu, Yanzhong Chen, Zhiqiang Huang, Yuquan Liu, Feiran Lai
{"title":"CT-guided radiofrequency neurotomy (RFN) of bilateral T3-4 sympathetic chain combined with bilateral L3 sympathetic ganglion in patient with palmar hyperhidrosis.","authors":"Shangdao Lai, Tao Yuan, Bing Huang, Jiongfeng Liu, Yanzhong Chen, Zhiqiang Huang, Yuquan Liu, Feiran Lai","doi":"10.1093/jscr/rjae808","DOIUrl":"10.1093/jscr/rjae808","url":null,"abstract":"<p><p>Palmoplantar hyperhidrosis is a functional disease with an unknown pathogenesis, making it challenging to find a lasting and effective treatment. This article reports a case of a 43-year-old patient with palmoplantar hyperhidrosis treated with computed tomography (CT)-guided radiofrequency neurotomy (RFN) of bilateral T3-4 sympathetic chain combined with bilateral L3 sympathetic ganglion. The optimal puncture level and skin entry point were selected, and measurements were taken using a CT tool to determine needle depth, angle, and distance from the midline. A sympathetic needle was inserted through the T4 intercostal space to the outer side of the T4 rib head. The needle position was adjusted to achieve a tissue resistance, confirmed through sensory, motor stimulation, and three-dimensional reconstruction. RFN was performed, and this process was repeated for 1-2 cycles. Subsequently, a similar procedure was performed at the L3 sympathetic ganglion under CT guidance, resulting in improved sweating symptoms in the patient's hands and feet.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae808"},"PeriodicalIF":0.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903463","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 periscapular lipoma unmasked by post-bariatric surgery weight loss: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-27 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae817
Hussain Mohammad, Suaad Almajed, Norah Nawaf, Nawar AlMulla, Ali Lari, Ali Jarragh
{"title":"Giant periscapular lipoma unmasked by post-bariatric surgery weight loss: a case report.","authors":"Hussain Mohammad, Suaad Almajed, Norah Nawaf, Nawar AlMulla, Ali Lari, Ali Jarragh","doi":"10.1093/jscr/rjae817","DOIUrl":"10.1093/jscr/rjae817","url":null,"abstract":"<p><p>Giant lipomas, rare benign tumours composed of mature adipose tissue, represent only 1% of all lipomas, typically exceeding 10 cm in diameter or weighing over 1000 g. These tumours can cause nerve compression, discomfort, or functional impairment, necessitating surgical excision. We report a 52-year-old male with a giant intramuscular lipoma in the periscapular region, initially identified following significant weight loss after bariatric surgery. Clinical evaluation revealed a 15 × 20 cm mass, confirmed via computed tomography (CT) scan. Surgical excision was performed, followed by histopathological analysis, which confirmed a benign lipoma. Postoperative management was complicated by seroma formation, requiring drainage. This case underscores the importance of early diagnosis, imaging, and appropriate surgical management for large lipomas to prevent complications and recurrence while ensuring optimal cosmetic outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae817"},"PeriodicalIF":0.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907781","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
Optimizing hematoma management in axillary osmidrosis surgery: the role of timely drainage and prevention of flap necrosis.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae812
Wen-Tsao Ho
{"title":"Optimizing hematoma management in axillary osmidrosis surgery: the role of timely drainage and prevention of flap necrosis.","authors":"Wen-Tsao Ho","doi":"10.1093/jscr/rjae812","DOIUrl":"10.1093/jscr/rjae812","url":null,"abstract":"<p><p>Hematoma formation is a rare complication following axillary osmidrosis surgery, and its delayed liquefaction can pose significant risks to flap viability, leading to complications such as necrosis. This study examines two cases of postoperative hematomas, highlighting the importance of appropriate drainage management. In both cases, the initial hematomas were evacuated and treated with Penrose drains, but complications arose due to delayed liquefaction. The first case experienced delayed flap necrosis after premature removal of the drain, while the second case benefited from a proactive approach by reintroducing the drain on the sixth postoperative day. This strategy allowed for the prevention of toxic hematoma buildup, improving flap survival. The findings emphasize the need for vigilant postoperative monitoring and drainage management to minimize risks associated with hematoma liquefaction and optimize flap healing. Further research is required to establish standardized protocols for managing postoperative hematomas in axillary osmidrosis surgery.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae812"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899337","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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