Journal of Surgical Case Reports最新文献

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The impossible abdomen in a complex patient: treatment with novosorb biodegradable temporizing matrix (BTM) for frozen abdomen with entero-atmospheric fistula. 复杂病人的 "不可能的腹部":使用 novosorb 生物可降解临时基质 (BTM) 治疗伴有肠管瘘的冰冻腹部。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-19 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae788
Jaclyn Riana Cerceo, Aldin Malkoc, Lana Mamoun, Kendall Vignaroli, Hailey Shoemaker, Kevin Perez, Samuel Schwartz, Brandon Woodward, David T Wong
{"title":"The impossible abdomen in a complex patient: treatment with novosorb biodegradable temporizing matrix (BTM) for frozen abdomen with entero-atmospheric fistula.","authors":"Jaclyn Riana Cerceo, Aldin Malkoc, Lana Mamoun, Kendall Vignaroli, Hailey Shoemaker, Kevin Perez, Samuel Schwartz, Brandon Woodward, David T Wong","doi":"10.1093/jscr/rjae788","DOIUrl":"10.1093/jscr/rjae788","url":null,"abstract":"<p><p>Managing patients with severe fixation of intra-abdominal contents, known as frozen abdomen, often creates a vicious cycle of tissue injury that further prolongs open abdomen resolution. We share the management course of a 28-year-old male status post motor vehicle accident with traumatic pancreatitis and complex liver injury. Following multiple laparotomies for abdominal wash out, he developed a frozen abdomen and an entero-atmospheric fistula (EAF) through granulated bowel. The exposed granulated bowel, bilious leak and fistula limited options for abdominal closure and ostomy appliance placement. NovoSorb Biodegradable Temporizing Matrix (BTM) applied to the granulated bowel eventually allowed an ostomy appliance to be placed around the fistula on top of the non-absorbable layer of the BTM. Eventual fistula closure was achieved and appropriate granulation tissue had formed prior to autografting. This is the first report utilizing BTM to aid in the closure of open abdomen in the setting of frozen abdomen with EAF.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae788"},"PeriodicalIF":0.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865814","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
Diagnosis and management of sigmoid leiomyosarcoma presenting with intussusception: a case report. 以肠梗阻为表现的乙状结肠利肌瘤的诊断和治疗:病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-19 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae795
Sami A El-Boghdadly, Alaa M Alshareef, Abdulrahman K Almisfer, Ibrahim M Momen
{"title":"Diagnosis and management of sigmoid leiomyosarcoma presenting with intussusception: a case report.","authors":"Sami A El-Boghdadly, Alaa M Alshareef, Abdulrahman K Almisfer, Ibrahim M Momen","doi":"10.1093/jscr/rjae795","DOIUrl":"10.1093/jscr/rjae795","url":null,"abstract":"<p><p>Sigmoid leiomyosarcoma is a rare type of cancer that originates from smooth muscles of the sigmoid colon. This case report details a 50-year-old female found to have this condition, presenting to the emergency department with intussusception. A CT scan revealed two intraluminal masses, with the largest 10 cm from the anal verge. A colonoscopy and biopsy revealed a large obstructing mass with atypical spindle-shaped cells. This case shows a rare type of cancer presenting in a rare complication and highlights the approach done in the multi-disciplinary tumor board meeting involving gastroenterologists, radiologists, surgeons, and oncologists, leading to prompt diagnosis and surgical resection.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae795"},"PeriodicalIF":0.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865656","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 refractory right cervical mediastinal lymphangioma with medication and insertion of a Denver shunt. 顽固性右颈纵隔淋巴管瘤伴药物治疗和丹佛分流术。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-19 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae799
Yukihiro Tatekawa, Yukihiro Tsuzuki, Yoshimitsu Fukuzato
{"title":"A refractory right cervical mediastinal lymphangioma with medication and insertion of a Denver shunt.","authors":"Yukihiro Tatekawa, Yukihiro Tsuzuki, Yoshimitsu Fukuzato","doi":"10.1093/jscr/rjae799","DOIUrl":"10.1093/jscr/rjae799","url":null,"abstract":"<p><p>The Denver shunt is used for persistent chylothorax as a pleuroperitoneal shunt. Insertion of a Denver shunt was attempted in the current case involving a 3-year-old male with a refractory right cervical mediastinal lymphangioma. He was medicated with Eppikajutsuto® (0.65 g/kg) and underwent a Denver shunt for volume reduction of the cervical cyst to prevent airway obstruction. However, revision surgery for hemorrhage in the lymphangioma revealed that the tip of the shunt catheter had penetrated the cyst wall. The rounded tip of the catheter was placed back into the cyst. Oral administration of sirolimus (1 mg) was added. The Denver shunt was removed due to a catheter infection and administration of sirolimus was temporarily stopped because of an elevated blood concentration. Six months postoperatively from the third operation, neck swelling was negligible and radiologic findings showed complete regression of the lymphangioma.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae799"},"PeriodicalIF":0.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877686","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
Small bowel obstruction caused by transmesenteric hernia in a patient with complex medical history: a case report. 复杂病史患者经肠系膜疝致小肠梗阻1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-19 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae796
Karim Ahmad Y, Herber Alexia, Kotikalapudi Sivarama
{"title":"Small bowel obstruction caused by transmesenteric hernia in a patient with complex medical history: a case report.","authors":"Karim Ahmad Y, Herber Alexia, Kotikalapudi Sivarama","doi":"10.1093/jscr/rjae796","DOIUrl":"10.1093/jscr/rjae796","url":null,"abstract":"<p><p>This case report presents a rare instance of small bowel obstruction due to a transmesenteric hernia in a 47-year-old male with a complex medical history. The patient presented with acute abdominal pain, constipation, and urinary retention. Diagnostic laparoscopy revealed bowel ischemia, and open laparotomy confirmed a transmesenteric hernia with necrotic small bowel requiring resection. Postoperative recovery was uneventful, and the patient was discharged with follow-up plans. This case underscores the importance of considering internal abdominal hernias in the differential diagnosis of acute abdominal pain.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae796"},"PeriodicalIF":0.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865696","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
Differential diagnosis of submucosal gastric tumors: gastric schwannomas misdiagnosed as GISTs. 胃粘膜下肿瘤的鉴别诊断:胃神经鞘瘤误诊为胃肠道间质瘤。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae793
Mutlu Unver, Suleyman Cağlar Ertekin, Eyüp Kebapcı, Mustafa Olmez, Erhan Ergin, Safak Ozturk, Erkan Sahin, Ragıp Ortac
{"title":"Differential diagnosis of submucosal gastric tumors: gastric schwannomas misdiagnosed as GISTs.","authors":"Mutlu Unver, Suleyman Cağlar Ertekin, Eyüp Kebapcı, Mustafa Olmez, Erhan Ergin, Safak Ozturk, Erkan Sahin, Ragıp Ortac","doi":"10.1093/jscr/rjae793","DOIUrl":"10.1093/jscr/rjae793","url":null,"abstract":"<p><p>Schwannomas commonly occur in the head and neck region but are rarely seen in the gastrointestinal tract; the stomach and small intestine are the most commonly involved sites. These tumors are usually misdiagnosed as gastrointestinal stromal tumors (GISTs) before histopathological confirmation due to radiological similarity. GI schwannomas show positivity for S100 protein and vimentin but are negative for CD 117 and CD 34, which helps in differentiating the tumor from GISTs. Case 1: a 70-year-old woman was referred to our hospital by complaints of abdominal pain and discomfort. Upper GI endoscopy demonstrated a protruding lesion at the lesser curvature of the gastric body, and fine-needle aspiration biopsy showed chronic inflammation without malignancy. Since the lesion was suspected to be GIST, this patient had surgery, and a gastric schwannoma was resected successfully. Case 2: a 66-year-old female with anemia and abdominal discomfort was found to have a submucosal elevated mass at the greater curvature of the antrum. Fine needle aspiration biopsy was suggestive of a spindle cell tumor resembling GIST. The patient underwent subtotal gastrectomy with Roux-en-Y reconstruction. Histopathology confirmed schwannoma. It is necessary to differentiate gastric schwannomas from other submucosal tumors of the stomach, especially GISTs. Surgical complete resection of schwannomas usually has a good prognosis with a low probability of recurrence. Though rare, gastric schwannomas should be included in the differential diagnosis of submucosal gastric tumors because the correct identification of this tumor type helps in proper management and evasion of unnecessary extensive surgery.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae793"},"PeriodicalIF":0.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856091","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
Late post-endovascular abdominal aortic repair rupture due solely to type II endoleak without other types of endoleak. 仅因II型内漏而无其他类型内漏的晚期腹主动脉腔内修复破裂。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae792
Ryo Shimano, Koh Takeuchi, Takuya Komatsu, Junzo Inamura, Suguru Miyazaki, Masafumi Akita
{"title":"Late post-endovascular abdominal aortic repair rupture due solely to type II endoleak without other types of endoleak.","authors":"Ryo Shimano, Koh Takeuchi, Takuya Komatsu, Junzo Inamura, Suguru Miyazaki, Masafumi Akita","doi":"10.1093/jscr/rjae792","DOIUrl":"10.1093/jscr/rjae792","url":null,"abstract":"<p><p>Rupture of abdominal aortic aneurysm (AAA) due to an isolated type II endoleak (TIIEL) is rarely reported, accounting for less than 1% of all TIIELs; typically, rupture associated with TIIEL is accompanied by type I or type III endoleaks. We report a case of ruptured AAA secondary to TIIEL without any other types of endoleaks, occurring late after endovascular abdominal aortic repair (EVAR). A 77-year-old man with a history of EVAR 11 years earlier presented with abdominal pain. Computed tomography revealed a ruptured AAA, likely due to TIIEL from the lumbar artery. He was on warfarin for atrial fibrillation, and his preoperative PT-INR was 6.05. After administering lyophilized human prothrombin complex concentrate, lumbar artery ligation and aneurysmorrhaphy were performed. Intraoperatively, there was pulsatile bleeding from the lumbar artery, which was sutured closed. No other types of endoleaks were observed. The postoperative course was uneventful, and the patient was discharged home.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae792"},"PeriodicalIF":0.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856193","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
Arthrosurface of the humeral head with the OVO surface replacement endoprosthesis. 肱骨头关节面与OVO表面置换假体。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae794
Maciej Wrotniak, Łukasz Polczak, Łukasz Skowron, Piotr Rydel, Adrian Urbanek, Marcin Kostuj
{"title":"Arthrosurface of the humeral head with the OVO surface replacement endoprosthesis.","authors":"Maciej Wrotniak, Łukasz Polczak, Łukasz Skowron, Piotr Rydel, Adrian Urbanek, Marcin Kostuj","doi":"10.1093/jscr/rjae794","DOIUrl":"10.1093/jscr/rjae794","url":null,"abstract":"<p><p>The case report concerns a 67-year-old man who suffered an accident on a motorcycle, as a result of which he suffered a dented fracture of the right humeral head. After physical examination and imaging diagnostics, he was qualified for surgical treatment-arthrosurface of the patient's humeral head with the OVO surface replacement endoprosthesis. Right after the patient's surgical treatment, a period of 16-week rehabilitation was implemented, which, as a result, enabled the patient to achieve a full range of shoulder mobility, and the patient was able to return to all activities before the injury.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae794"},"PeriodicalIF":0.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856085","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 isolated SMA dissection with failed initial conservative management. 孤立性SMA夹层1例,初始保守治疗失败。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae789
Salma Emara, Madison Kropp, Masoud Akbari, Kristin Cook
{"title":"A case of isolated SMA dissection with failed initial conservative management.","authors":"Salma Emara, Madison Kropp, Masoud Akbari, Kristin Cook","doi":"10.1093/jscr/rjae789","DOIUrl":"10.1093/jscr/rjae789","url":null,"abstract":"<p><p>Isolated superior mesenteric dissection (ISMAD) is an uncommon condition, often diagnosed incidentally for presentations of acute abdominal pain. Early identification and treatment are crucial as complications such as bowel ischemia or vessel rupture can occur. There remain no established treatment guidelines, making surgical and endovascular indications controversial. A 60-year-old male presented with acute abdominal pain, and was diagnosed with ISMAD via computed tomography imaging. He was initially managed conservatively which progressed to worsening abdominal pain, hypertensive crisis, and hemoperitoneum on follow-up computed tomography angiography (CTA). A mesenteric angiogram revealed a pseudoaneurysm in the superior mesenteric artery (SMA) which was subsequently treated with coil embolization. The absence of long-term evidence on relapse rates questions the overall effectiveness of nonoperative therapy. Further research is needed to establish clear guidelines and to determine whether early intervention might be more advantageous in managing complications and preventing recurrence.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae789"},"PeriodicalIF":0.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856155","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
Vaginal myomectomy for a large intrastromal cervical fibroid: a case report. 阴道肌瘤剔除术治疗巨大宫颈肌瘤:病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-17 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae797
Yousef Alebrahim, Ee Thong Lim, Theofanis Manias, Nikolaos Tsampras
{"title":"Vaginal myomectomy for a large intrastromal cervical fibroid: a case report.","authors":"Yousef Alebrahim, Ee Thong Lim, Theofanis Manias, Nikolaos Tsampras","doi":"10.1093/jscr/rjae797","DOIUrl":"10.1093/jscr/rjae797","url":null,"abstract":"<p><p>Fibroids affect up to two-thirds of women of reproductive age and can lead to significant symptoms, including abnormal uterine bleeding and reproductive dysfunction. Cervical fibroids are rare, with an incidence of only 0.6%. Currently, there is no consensus on the optimal surgical approach for management of cervical fibroids. Pedunculated extracervical fibroids are routinely removed vaginally. However, intrastromal (intracervical) fibroids often require a laparoscopic or laparotomic approach. We report a case of vaginal myomectomy for the management of a large cervical fibroid in a 43-year-old patient seeking fertility treatment. We discuss the feasibility of this surgical approach and its potential for enhanced recovery.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae797"},"PeriodicalIF":0.4,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847991","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 rare case of appendiceal haemorrhage causing life-threatening haematochezia. 罕见的阑尾出血导致危及生命的血衣病病例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-17 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae705
Howard H Y Tang, Daming Pan, Andrew Fitzdowse, Aaron Ow, Stephen Chan, Jason S C Tan
{"title":"A rare case of appendiceal haemorrhage causing life-threatening haematochezia.","authors":"Howard H Y Tang, Daming Pan, Andrew Fitzdowse, Aaron Ow, Stephen Chan, Jason S C Tan","doi":"10.1093/jscr/rjae705","DOIUrl":"10.1093/jscr/rjae705","url":null,"abstract":"<p><p>Our case involved a 28-year-old man who presented with life-threatening haematochezia. Computed tomography angiogram revealed contrast extravasation from the appendix pooling in the caecum. Management via laparoscopic stapled partial caecectomy was successful. Histopathology revealed focal mild acute appendicitis with focal ulceration to submucosa.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae705"},"PeriodicalIF":0.4,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847903","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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