International Journal of Surgery Case Reports最新文献

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An atypical abdominal manifestation of retroperitoneal teratoma: Case report. 腹膜后畸胎瘤的非典型腹部表现:病例报告。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-15 DOI: 10.1016/j.ijscr.2024.110605
Umar Mahmood, Nabila Talat, Muhammad Usama Aziz, Muhammad Bilal Mirza, Warda Tahir, Samra Asif
{"title":"An atypical abdominal manifestation of retroperitoneal teratoma: Case report.","authors":"Umar Mahmood, Nabila Talat, Muhammad Usama Aziz, Muhammad Bilal Mirza, Warda Tahir, Samra Asif","doi":"10.1016/j.ijscr.2024.110605","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110605","url":null,"abstract":"<p><strong>Introduction & importance: </strong>Teratomas, typically situated in midline areas like the sacrococcygeal region, may rarely manifest in the retroperitoneal region. Often asymptomatic and incidentally discovered, they can lead to complications such as infection, tumor rupture, or, exceptionally, peritonitis.</p><p><strong>Case presentation: </strong>In a 2-year-old child with a history of trauma, an atypical presentation of acute abdomen and peritonitis was observed. Initial exploration of suspected visceral injury revealed a ruptured teratoma, successfully excised. Post-operatively, the patient remained stable and was discharged.</p><p><strong>Clinical discussion: </strong>Clinical presentation of RPTs ranges from simple abdominal pain to abdominal distension or a palpable abdominal mass. Some rare presentations include intraperitoneal hemorrhage or abscess formation. It can be quite challenging for surgeons and is notorious for iatrogenic injuries to surrounding structures. Patients with complete resection of a benign teratoma have an excellent prognosis.</p><p><strong>Conclusion: </strong>An asymptomatic, undiagnosed teratoma can cause an acute abdomen, as seen in our case where trauma led to tumor rupture, resulting in peritonitis and signs of abdominal distress necessitating prompt surgical intervention to avoid complications.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110605"},"PeriodicalIF":0.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conjunctival rhinosporidiosis mimicking pyogenic granuloma: A case report 模仿化脓性肉芽肿的结膜鼻孢子虫病:病例报告。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-15 DOI: 10.1016/j.ijscr.2024.110608
Teketel Tadesse Geremew , Woldie Jember Zewdie , Bilen Wondimteka Shiferaw , Venas Moges Birmeji , Tigist Gutema Tesgera
{"title":"Conjunctival rhinosporidiosis mimicking pyogenic granuloma: A case report","authors":"Teketel Tadesse Geremew ,&nbsp;Woldie Jember Zewdie ,&nbsp;Bilen Wondimteka Shiferaw ,&nbsp;Venas Moges Birmeji ,&nbsp;Tigist Gutema Tesgera","doi":"10.1016/j.ijscr.2024.110608","DOIUrl":"10.1016/j.ijscr.2024.110608","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Rhinosporidiosis is a chronic infectious disease caused by an infection with the sporulating bacterium rhinosporidium seeberi. It mostly affects the nose and nasopharynx mucous membranes, but it can also affect the conjunctiva uncommonly. Ocular rhinosporidiosis is most commonly shown as a polypoid tumor in the palpebral conjunctiva. It affects people of all ages and genders. This case is important because there are few case reports in the world, and it is the second case to be reported from Ethiopia.</div></div><div><h3>Case presentation</h3><div>A 14-year-old boy presented with painless, reddish-pink, fleshy mass on the left eye for 8 months duration. The patient was diagnosed with pyogenic granuloma clinically and had an excisional biopsy of the lesion. Conjunctival rhinosporidiosis was diagnosed histopathologically.</div></div><div><h3>Clinical discussion</h3><div>Rhinosporidiosis is a granulomatous infection that affects the mucosal membranes of the nose, mouth, eyes, genitalia, and the rectal mucosa caused by rhinosporidium seeber, an aquatic protistan parasite. Histopathology on biopsied or resected tissues allows for a definitive diagnosis of rhinosporidiosis as well as the identification of the pathogen in various stages. This case was confirmed to be conjunctival rhinosporidiosis.</div></div><div><h3>Conclusion</h3><div>In terms of clinical appearance, conjunctival rhinosporidiosis resembles pyogenic granuloma. As a result, a thorough histopathologic study is essential for a correct diagnosis of this uncommon condition.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"Article 110608"},"PeriodicalIF":0.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644986","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
Unusual presentation of a giant gluteal lipoma in a pediatric patient: Case report and clinical implications. 一名儿童患者臀部巨大脂肪瘤的异常表现:病例报告和临床意义。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-15 DOI: 10.1016/j.ijscr.2024.110612
William Nkenguye, Patrick Amsi, Peter Minja, Jay Lodhia
{"title":"Unusual presentation of a giant gluteal lipoma in a pediatric patient: Case report and clinical implications.","authors":"William Nkenguye, Patrick Amsi, Peter Minja, Jay Lodhia","doi":"10.1016/j.ijscr.2024.110612","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110612","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Giant lipomas, particularly in pediatric patients and unusual locations like the gluteal region, are rare. These benign tumors can mimic other conditions, making diagnosis challenging. This case highlights the importance of considering giant lipomas in differential diagnoses and the challenges posed by delayed treatment.</p><p><strong>Case presentation: </strong>A 14-year-old female presented with a large, firm mass in the gluteal region, which had grown over time. MRI showed a well-circumscribed mass without spinal involvement. The mass was surgically excised, and histopathology confirmed a benign lipoma.</p><p><strong>Clinical discussion: </strong>This case demonstrates the diagnostic challenges of giant lipomas, especially when atypical in appearance. MRI was crucial for diagnosis and surgical planning. Early surgical excision is vital to prevent complications. The case also highlights the need for timely medical intervention, particularly in low-resource settings.</p><p><strong>Conclusion: </strong>Early diagnosis and prompt surgical management are essential in cases of giant lipomas to prevent complications. Improved healthcare access and awareness in low-resource settings are necessary to ensure timely treatment.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110612"},"PeriodicalIF":0.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rectal synovial sarcoma case report - An unexpected cause of acute lower gastrointestinal bleeding. 直肠滑膜肉瘤病例报告--急性下消化道出血的意外原因。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-15 DOI: 10.1016/j.ijscr.2024.110613
Aldara Faria, Daniel Jordão, Alberto Figueira, Teresa Pereira, Carlos Ferreira
{"title":"Rectal synovial sarcoma case report - An unexpected cause of acute lower gastrointestinal bleeding.","authors":"Aldara Faria, Daniel Jordão, Alberto Figueira, Teresa Pereira, Carlos Ferreira","doi":"10.1016/j.ijscr.2024.110613","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110613","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Acute lower gastrointestinal bleeding is one of the most common causes of hospital admission. However, massive bleeding is uncommon and is mainly due to hemorrhoidal bleeding in elderly patients receiving anticoagulant therapy. We present a rare case of a massive rectal haemorrhage with an uncommon cause.</p><p><strong>Case presentation: </strong>A 60-year-old woman was admitted to the emergency department with a two-day history of lower gastrointestinal bleeding. During digital rectal examination and anoscopy, a palpable mass located 8 cm from the anal verge with severe bleeding was detected. Subsequent rectosigmoidoscopy revealed a bulge in the rectal wall with mucosal ulceration and signs of recent bleeding. The CT-scan revealed a 74 × 41 mm locally advanced rectal mass and three hepatic lesions (segments 6 and 7). Pathology results were compatible with synovial sarcoma (SyS). The case was discussed by a sarcoma board, and the patient underwent doxorubicin plus ifosfamide resulting in a significant reduction of the metastatic lesions and complete remission of the primary lesion on MRI. Following multidisciplinary discussion, low anterior resection of the rectum with terminal colostomy and right posterior sectionectomy were performed. At 23 months follow-up, the patient shows no signs of recurrence.</p><p><strong>Clinical discussion: </strong>SyS are uncommon malignant tumours, accounting for 5-10 % of all soft tissue sarcomas. Metastatic SyS carries a poor prognosis.</p><p><strong>Conclusion: </strong>Gastrointestinal involvement is exceptionally rare and, to the best of our knowledge, this is the third rectal SyS case reported in the literature. Because of this, SyS should be managed in sarcoma referral centers.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110613"},"PeriodicalIF":0.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical management of multiple congenital epulis in the maxillary and mandibular alveolar ridges of a newborn: A case report. 新生儿上颌和下颌牙槽脊多发性先天性外翻的手术治疗:病例报告。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-15 DOI: 10.1016/j.ijscr.2024.110579
Khadijeh Sadat Najib, Hamide Barzegar, Mehrdad Rezaei, Mahsa Kohandel-Shirazi, Marzieh Davoodi
{"title":"Surgical management of multiple congenital epulis in the maxillary and mandibular alveolar ridges of a newborn: A case report.","authors":"Khadijeh Sadat Najib, Hamide Barzegar, Mehrdad Rezaei, Mahsa Kohandel-Shirazi, Marzieh Davoodi","doi":"10.1016/j.ijscr.2024.110579","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110579","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Congenital epulis is a rare and benign newborn tumor. There are some papers on this entity; however, very few reports focus on its macroscopic view.</p><p><strong>Case presentation: </strong>We present a newborn girl with multiple congenital epulis of the mandibular and maxillary alveolar ridges who underwent a successful surgical intervention in a resource-limited setting.</p><p><strong>Clinical discussion: </strong>Congenital epulis is frequently diagnosed by histopathological examination, although sonography could be helpful before birth. Despite the benign nature of the disease, immediate intervention is often required as it can prevent feeding and cause asphyxia in neonates. Surgical excision is the standard treatment.</p><p><strong>Conclusions: </strong>Congenital epulis can be identified clinically shortly after birth. They cause a substantial surgical challenge due to multiple or large lesions and problems with breathing and feeding. Surgical repair must be performed as early as possible.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110579"},"PeriodicalIF":0.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fracture-dislocation of proximal humerus in a young child: A case report. 幼儿肱骨近端骨折脱位:病例报告
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-15 DOI: 10.1016/j.ijscr.2024.110616
Sounkere-Soro Moufidath, Thomas-Danho Helen, Koffi Ngoran Eric, Yaokreh Jean Baptiste, Kouamé Dibi Bertin, Ouattara Ossenou
{"title":"Fracture-dislocation of proximal humerus in a young child: A case report.","authors":"Sounkere-Soro Moufidath, Thomas-Danho Helen, Koffi Ngoran Eric, Yaokreh Jean Baptiste, Kouamé Dibi Bertin, Ouattara Ossenou","doi":"10.1016/j.ijscr.2024.110616","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110616","url":null,"abstract":"<p><strong>Introduction: </strong>Proximal humerus Salter-Harris type II fractures combined with ipsilateral shoulder dislocation in children are extremely rare injuries. Therefore, the best prescribed treatment has not yet been established.</p><p><strong>Case presentation: </strong>A case of a 3-year-old boy who sustained an epiphyseal separation of the right proximal humerus (Salter-Harris type II) and an ipsilateral anterior dislocation of the glenohumeral joint following a road traffic accident. Closed reduction of both injuries under the C-arm intensifier failed. Open reduction was performed through an anterior deltopectoral approach with two 1.6 mm Kirschner wires fixation. Outcome was good with full range of motion of the shoulder.</p><p><strong>Clinical discussion: </strong>Traumatic proximal humeral physis fracture associated with shoulder dislocation is a rare and severe injury. Optimal management is still debated, non operative or surgical treatment (open or closed reduction with osteosynthesis) being advocated as the most preferred approach. Open reduction should be performed in patients whose closed reduction has failed, due to soft tissue entrapment.</p><p><strong>Conclusion: </strong>Proximal humerus fractures combined with ipsilateral shoulder dislocation in children under five years are rare but do occur. Open reduction followed by pinning is a good therapeutic option with good outcome when closed reduction failed.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110616"},"PeriodicalIF":0.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term survival from multidisciplinary treatment of primary malignant pericardial mesothelioma: A case report. 原发性恶性心包间皮瘤多学科治疗后的长期生存:病例报告。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-15 DOI: 10.1016/j.ijscr.2024.110615
Vu Anh Hai, Nghiem Thi Minh Chau, Ho Viet Hoanh, Ha Van Tri, Dinh Cong Pho, Nguyen Van Nam
{"title":"Long-term survival from multidisciplinary treatment of primary malignant pericardial mesothelioma: A case report.","authors":"Vu Anh Hai, Nghiem Thi Minh Chau, Ho Viet Hoanh, Ha Van Tri, Dinh Cong Pho, Nguyen Van Nam","doi":"10.1016/j.ijscr.2024.110615","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110615","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Primary malignant pericardial mesothelioma is an extremely rare disease with a poor prognosis. Currently, there are no specific guidelines for diagnosis and treatment in Vietnam and international countries for this disease, so treatment experiences from previous clinical cases are very important in the management of this disease.</p><p><strong>Case presentation: </strong>The research team reports a clinical case diagnosed and treated with a combination of surgery and chemotherapy using the Pemetrexed + Carboplatin regimen at the Oncology Center. The patient has survived for an additional 17 months up to the current time.</p><p><strong>Clinical discussion: </strong>This is an exceptionally rare incident. He survived for a duration of 17 months, which is almost three times longer than the average survival time observed in other documented cases. Additional reports on cases with pericardial mesothelioma are necessary to have a comprehensive understanding of its nature, enabling early identification and appropriate treatment.</p><p><strong>Conclusion: </strong>The patient underwent surgical intervention and received chemotherapy as part of their treatment. The research team emphasizes the importance of a multidisciplinary approach in diagnosing and treating primary malignant pericardial mesothelioma.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110615"},"PeriodicalIF":0.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Congenital bilateral coloboma of iris and choroid accompanied by unilateral multiple primary pigmented iris cysts: A case report 先天性双侧虹膜和脉络膜巨瘤伴单侧多发性原发性色素性虹膜囊肿:病例报告。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-14 DOI: 10.1016/j.ijscr.2024.110592
Xin-zhi Song , Ling Li , Xiang-li Wang
{"title":"Congenital bilateral coloboma of iris and choroid accompanied by unilateral multiple primary pigmented iris cysts: A case report","authors":"Xin-zhi Song ,&nbsp;Ling Li ,&nbsp;Xiang-li Wang","doi":"10.1016/j.ijscr.2024.110592","DOIUrl":"10.1016/j.ijscr.2024.110592","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Congenital iris and choroidal coloboma is a congenital ocular developmental anomaly, most occur in both eyes, which may exist in isolation or be accompanied by systemic developmental abnormalities. Herein, we report a case of congenital bilateral coloboma of iris and choroid accompanied by unilateral multiple primary pigmented iris cysts. The selection of treatment methods for iris cysts has always been a challenge for ophthalmologists. Especially for primary iris pigment epithelial cysts without clinical symptoms, no particular intervention measures are required. Which in turn helps ophthalmologists to make clinical decisions in real-world practice.</div></div><div><h3>Case presentation</h3><div>A 16-year-old boy presented to the ophthalmology clinic with a history of poor eyesight in both eyes since childhood. The pupils of both eyes were pear shaped, and there was a pigmented iris cyst about 1.5 mm × 2 mm at 6–7 o'clock pupillary margin of the left eye on slit-lamp examination. A large fan-shaped coloboma of choroid in both eyes respectively, involving the optic nerve and macular area on fundus examination. Ultrasound biomicroscopy revealed three cysts with hyperreflective walls and clear hyporeflective lumen in the left eye, one located on the anterior surface of the iris and the other two located on the posterior surface of the iris. Above all, he had no history of surgery, trauma, infection, tumor or medication. Therefore, primary pigmented iris epithelial cysts were diagnosed. Given that the patient was asymptomatic, with no impact on visual function, his cysts were monitored. After 2 years follow-up, the cysts remained stable.</div></div><div><h3>Clinical discussion</h3><div>Iris cysts, whether primary or secondary, are a diagnostic and a treatment challenge. Primary iris cysts are mostly present in the iridociliary sulcus and the ciliary crown, often asymptomatic, with a few located forward or larger, manifested as local protrusions around the iris. This patient had no history of ocular surgery or trauma, therefore, combining clinical manifestations and imaging examination results, primary pigmented iris epithelial cysts were diagnosed. For this patient, on the one hand, the surgical risk was high, and iris cysts probably recur after surgery, and there might be no improvement in postoperative visual acuity. On the other hand, the patient's fundus was poor and his family's economic conditions were not good. In addition, the iris cysts of this patient remained stable after 2 years of observation, therefore, no treatment was taken.</div></div><div><h3>Conclusion</h3><div>Ophthalmologists should be aware of this rare but distinctive presentation, especially in patients without symptoms. Prompt diagnosis and treatment are pivotal in ensuring favorable outcomes and preventing further ocular complications in individuals affected by these uveal anomalies.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"Article 110592"},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649297","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
Abdominal parietal metastasis on operative scar of gastric adenocarcinoma after R0 resection: An unusual location (about a case). 胃腺癌 R0 切除术后手术瘢痕上的腹顶骨转移瘤:一个不寻常的位置(关于一个病例)。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-14 DOI: 10.1016/j.ijscr.2024.110598
Kouassi Henry Noel Ahue, Moctar Keita, Kouide Marius Goho, Israel N'Guessan Saint-Blanc Yapo, Auguste Alexandre Adon, N'Golo Adama Coulibaly
{"title":"Abdominal parietal metastasis on operative scar of gastric adenocarcinoma after R0 resection: An unusual location (about a case).","authors":"Kouassi Henry Noel Ahue, Moctar Keita, Kouide Marius Goho, Israel N'Guessan Saint-Blanc Yapo, Auguste Alexandre Adon, N'Golo Adama Coulibaly","doi":"10.1016/j.ijscr.2024.110598","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110598","url":null,"abstract":"<p><strong>Introduction: </strong>Gastric cancer is the fifth most common cancer in Ivory Coast, and is the third cause of cancer death. Parietal metastasis is extremely rare and are distinguished by their relatively poor prognosis with a median survival not exceeding 7 months.</p><p><strong>Observation: </strong>We report the case of a 73-year-old male patient who presented 5 months after a partial R0 lower polar gastrectomy for gastric adenocarcinoma, a single cutaneous metastasis at the level of the laparotomy incision. The histology of this metastasis was an adenocarcinoma. Multidisciplinary consultation meeting, palliative chemotherapy and metastasis surgery was proposed but with the rapid progression of the tumor disease the patient died 3 months after the diagnosis of the metastasis.</p><p><strong>Discussion: </strong>Gastric cancer is the fifth most common cancer in Ivory Coast, and is the third cause of cancer death. The most common metastases in patients are the liver, peritoneum and lungs. Parietal metastasis are rare and their frequency is estimated at 4 % in visceral cancers. Anterior abdominal wall metastases have mainly been associated with surgical incision, whether by laparotomy or laparoscopy. Clinical representation is often in the form of dermal or hypodermal nodules of variable size and generally limited number, rapid growth. The diagnosis is made either by carrying out a biopsy or by anatomopathological examination of the surgical specimen. The management is palliative. The prognosis for parietal metastasis is often poor.</p><p><strong>Conclusion: </strong>Parietal metastasis has a poor prognosis and should always be considered in the face of skin lesions in patients with a history of cancer.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110598"},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case report: A laser and radiofrequency ablation in a laryngeal chondrosarcoma. 病例报告:喉软骨肉瘤的激光和射频消融术。
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2024-11-14 DOI: 10.1016/j.ijscr.2024.110611
Romina Mastronicola, Artur Gil, Agathe Barrat, Elise Kayser, Mathilde Treffel, Gilles Dolivet
{"title":"Case report: A laser and radiofrequency ablation in a laryngeal chondrosarcoma.","authors":"Romina Mastronicola, Artur Gil, Agathe Barrat, Elise Kayser, Mathilde Treffel, Gilles Dolivet","doi":"10.1016/j.ijscr.2024.110611","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110611","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Chondrosarcoma is a tumor which arises from cartilage, and whose apparition can occur in any site. However, it remains rare in the larynx. Management depends on the grade and the stage of the tumor at the time of the presentation. Here is described the case of a 73-year-old man, who presented with a one-month history of dyspnea due to a low-grade (grade I) laryngeal chondrosarcoma. The tumor was successfully treated through a laser and radiofrequency ablation.</p><p><strong>Case report: </strong>A 73-year-old man presented with dyspnea that appeared one month earlier. He underwent clinic examination and CT-scan analysis, which revealed a laryngeal lesion. Histological analysis of the lesion led to the conclusion of a low-grade chondrosarcoma. A non-surgical management was chosen during a multidisciplinary consultation meeting, to preserve laryngeal functions. The patient underwent repeated laser and radiofrequency ablation, to reduce the tumor volume. At present, there is still a mass in the area, but the patient doesn't present any other symptoms. However, he has a close follow up, in order that the signs of an early tumoral evolution are promptly detected.</p><p><strong>Clinical discussion: </strong>Total laryngectomy is often used for laryngeal chondrosarcoma, but it leads to a complete loss of the laryngeal functions, among which we can quote the speaking. Thereby, it would be better for patients to find other ways of conservative management. Consequently, our case presents the success of laser and radiofrequency ablation in the treatment of a laryngeal chondrosarcoma, which allowed to protect laryngeal functions. Nevertheless, this is a non-curative method showing some limitations but improving surgery outcomes and patient quality of life.</p><p><strong>Conclusion: </strong>This report highlights the importance of quick grading in primary laryngeal chondrosarcoma. In this case, localized low-grade chondrosarcoma was treated without surgery, with a successful outcome thanks to laser and radiofrequency ablation.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"125 ","pages":"110611"},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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