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Journal of Surgical Case Reports最新文献

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Pancreaticoduodenectomy after Roux-en-Y gastric bypass and novel endoscopic ultrasound-directed transgastric ERCP procedure. Roux-en-Y胃旁路术后的胰十二指肠切除术和新型内镜超声引导经胃ERCP手术。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-02 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae762
Carolina Orsi, Tyler Davis, Paige Moudy, Hishaam Ismael
{"title":"Pancreaticoduodenectomy after Roux-en-Y gastric bypass and novel endoscopic ultrasound-directed transgastric ERCP procedure.","authors":"Carolina Orsi, Tyler Davis, Paige Moudy, Hishaam Ismael","doi":"10.1093/jscr/rjae762","DOIUrl":"10.1093/jscr/rjae762","url":null,"abstract":"<p><p>Performing a pancreaticoduodenectomy (PD) in patients having undergone a Roux-en-Y gastric bypass (RNYGB) poses a significant surgical challenge. We present a patient with a history of RNYGB and endoscopic ultrasound-directed transgastric ERCP (EDGE) procedure who underwent a successful PD. This 77-year-old female with history of open RNYBG presented with resectable pancreatic adenocarcinoma. A preoperative EDGE procedure was required for biliary decompression. A PD was performed by removing the entire biliopancreatic limb for oncologic resection. The reconstructive technique here involved utilizing the old common channel for the hepaticojejunostomy, pancreaticojejunostomy, and remnant gastrojejunostomy. The case also included Axios stent placement during a preoperative EDGE procedure. This case describes the first reported successful PD in a patient with prior RNYGB and EDGE procedure. Although the optimal technique for this clinical scenario remains unestablished, this unique case contributes to the literature by demonstrating an effective approach for practicing surgeons.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae762"},"PeriodicalIF":0.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830387","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 endovascular treatment of post-traumatic subclavian arteriovenous fistula.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-02 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae764
Veysel Embel, Emmanuel Ihionkhan, Charles Lu, Vincent Marcucci, Vikalp Jain
{"title":"Successful endovascular treatment of post-traumatic subclavian arteriovenous fistula.","authors":"Veysel Embel, Emmanuel Ihionkhan, Charles Lu, Vincent Marcucci, Vikalp Jain","doi":"10.1093/jscr/rjae764","DOIUrl":"10.1093/jscr/rjae764","url":null,"abstract":"<p><p>Subclavian arteriovenous fistulas (AVFs) are rare entities, mostly reported as a result of traumatic and iatrogenic injuries. In the literature, congenital subclavian AVFs are also presented. Diagnosis of traumatic AVF may present challenges given the variable clinical presentation, varying location, and difficulty to locate on imaging. If left untreated, it can lead to high-output heart failure. This underlies the importance of understanding the nature of the disease, timely diagnosis, and treatment in order to prevent increased morbidity and mortality. We report a case of a patient having a traumatic left subclavian AVF formation after clavicle and rib surgery, which was successfully treated with a covered stent.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae764"},"PeriodicalIF":0.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830401","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
Broad ligament ectopic pregnancy with full-term live birth: a rare case report from Syria. 阔韧带异位妊娠与足月活产：来自叙利亚的罕见病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-02 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae755
Mais Alreem Basel Mohaisen, Rema Ahmad Shaban, Rehab Mohammad Dib Hammoud, Nour Samir Al Khoubie, Marwa Al Ahmad, Bilal Sleiay
{"title":"Broad ligament ectopic pregnancy with full-term live birth: a rare case report from Syria.","authors":"Mais Alreem Basel Mohaisen, Rema Ahmad Shaban, Rehab Mohammad Dib Hammoud, Nour Samir Al Khoubie, Marwa Al Ahmad, Bilal Sleiay","doi":"10.1093/jscr/rjae755","DOIUrl":"10.1093/jscr/rjae755","url":null,"abstract":"<p><p>Ectopic pregnancy, the implantation of a fertilized zygote outside the uterine cavity, presents with abdominal pain and vaginal bleeding. Diagnosis relies on clinical signs, and treatment involves surgery or methotrexate in selected cases. A 24-year-old woman at 37 weeks of gestation underwent elective cesarean delivery under general anesthesia, revealing an unexpected broad ligament ectopic pregnancy. The live fetus and placenta were successfully delivered without complications. The study reports a rare asymptomatic broad ligament ectopic pregnancy until 37 weeks, diagnosed by laparotomy-treatment involved removing the ovary and placenta and preserving the uterus. A healthy male baby and mother recovered well. This rare ectopic pregnancy, with placental implantation in the broad ligament, resulted in a successful cesarean delivery of a healthy infant and complication-free recovery, highlighting the importance of timely diagnosis and skilled surgical intervention.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae755"},"PeriodicalIF":0.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830348","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
Primary inferior vena cava synovial sarcoma treated with caval replacement during cardiopulmonary bypass and ante situm liver perfusion.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-02 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae760
Max Frenkel, Timothy Guenther, Joshua Hermsen, Kelly Collins, Joshua Mezrich, David Al-Adra, Yu Xia
{"title":"Primary inferior vena cava synovial sarcoma treated with caval replacement during cardiopulmonary bypass and <i>ante situm</i> liver perfusion.","authors":"Max Frenkel, Timothy Guenther, Joshua Hermsen, Kelly Collins, Joshua Mezrich, David Al-Adra, Yu Xia","doi":"10.1093/jscr/rjae760","DOIUrl":"10.1093/jscr/rjae760","url":null,"abstract":"<p><p>Primary inferior vena cava (IVC) tumors are rare. Most are leiomyosarcomas. The prognosis is poor with those involving and superior to the hepatic veins faring worse than those isolated within the retrohepatic cava. Tumors with superior extension were historically considered unresectable, though there are mounting reports of multicavity resections. We present an exceedingly rare case of a primary IVC synovial sarcoma treated with caval replacement to the right atrium (without hypothermic circulatory arrest) and hepatic vein reconstruction with autologous pericardium during ante situm liver perfusion. We highlight the value of multidisciplinary consideration for extensive primary caval tumors.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae760"},"PeriodicalIF":0.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830399","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
The first case of combined pancreatic neuroendocrine tumour and neuroendocrine carcinoma. 首例胰腺神经内分泌肿瘤和神经内分泌癌合并病例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-02 eCollection Date: 2024-12-01 DOI: 10.1093/jscr/rjae746
Tegan Lun, Christophe Rosty, Pranavan Palamuthusingam
{"title":"The first case of combined pancreatic neuroendocrine tumour and neuroendocrine carcinoma.","authors":"Tegan Lun, Christophe Rosty, Pranavan Palamuthusingam","doi":"10.1093/jscr/rjae746","DOIUrl":"10.1093/jscr/rjae746","url":null,"abstract":"<p><p>Pancreatic neuroendocrine neoplasms are currently thought to originate from distinct progenitor cells that cannot differentiate into each other. We present the first reported case of a combined pancreatic neuroendocrine tumour and neuroendocrine carcinoma in a 58-year-old man who was investigated for abdominal pain and constipation. Imaging revealed a large left upper quadrant mass infiltrating the pancreatic body and tail, splenic hilum, and posterior stomach wall, with five hepatic metastases. This was treated with neoadjuvant and adjuvant chemotherapy, debulking surgery, and lutetium-177-DOTATATE peptide receptor radionuclide therapy. This case emphasises the importance of molecular imaging, meticulous microscopic examination, and multidisciplinary discussion for accurate diagnoses, improved prognostication, and efficacious treatment.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae746"},"PeriodicalIF":0.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830403","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
Calcific tendinosis of flexor carpi radialis as a cause of wrist pain. 腕屈肌钙化性腱鞘炎是腕部疼痛的原因之一。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-01 DOI: 10.1093/jscr/rjae751
Kim Calleja Urry, Kurstein Nicholas Sant, John Anthony Casaletto
{"title":"Calcific tendinosis of flexor carpi radialis as a cause of wrist pain.","authors":"Kim Calleja Urry, Kurstein Nicholas Sant, John Anthony Casaletto","doi":"10.1093/jscr/rjae751","DOIUrl":"10.1093/jscr/rjae751","url":null,"abstract":"<p><p>Calcific tendinosis is characterized by the deposition of calcium hydroxyapatite crystals within the substance of the tendon. We present a case of a 52-year-old female who presented with a 6-month history of right wrist pain, along with a palpable and tender lump in the region of the flexor carpi radialis tendon at the level of the distal radius. Radiographs confirmed the presence of calcific tendinosis of the flexor carpi radialis tendon. The patient was referred for hand therapy sessions and was prescribed nonsteroidal anti-inflammatory drugs, which led to a gradual improvement after 4 months. A repeat radiograph confirmed the resolution of the previous calcific focus at the flexor carpi radialis tendon region. This case highlights the importance of considering rare causes of wrist pain such as this case. Various treatment modalities are available, including surgical management, but ultimately, treatment should be within a multidisciplinary team environment.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 12","pages":"rjae751"},"PeriodicalIF":0.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830353","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
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
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