CRSLS : MIS case reports from SLS最新文献

Minimally Invasive Treatment of Traumatic Diaphragm Rupture. 创伤性横膈膜破裂的微创治疗。

CRSLS : MIS case reports from SLS Pub Date : 2025-09-24 eCollection Date: 2025-07-01 DOI: 10.4293/CRSLS.2025.00071

Mustafa Yılmaz, Cansu Zerey, Hilmi Bozkurt

{"title":"Minimally Invasive Treatment of Traumatic Diaphragm Rupture.","authors":"Mustafa Yılmaz, Cansu Zerey, Hilmi Bozkurt","doi":"10.4293/CRSLS.2025.00071","DOIUrl":"10.4293/CRSLS.2025.00071","url":null,"abstract":"Background: Diaphragmatic rupture is a rare but potentially life-threatening injury that can result from blunt or penetrating trauma. Timely diagnosis is critical to prevent serious complications, yet clinical and radiological assessments are often inconclusive.Case presentation: We report the case of a 39-year-old male patient who sustained blunt thoracoabdominal trauma in a motor vehicle accident. The patient presented with respiratory distress and generalized abdominal tenderness. Imaging revealed a left diaphragmatic defect with herniation of abdominal organs into the thoracic cavity.Surgical technique: The patient underwent diagnostic laparoscopy, which confirmed an 8 × 5 cm defect in the left diaphragmatic dome with herniation of the stomach and omentum. The herniated organs were reduced, and the defect was repaired tension-free using intracorporeal 0-silk sutures. A 28-Fr intercostal drainage tube and a 12-Fr abdominal drain were placed.Outcome: The postoperative course was uneventful. A chest x-ray on postoperative day one confirmed normal diaphragm position and re-expansion of the lung. The patient recovered without complications.Conclusion: Laparoscopy provides a minimally invasive and effective diagnostic and therapeutic option for diaphragmatic rupture following blunt trauma. In appropriately selected cases, it offers favorable outcomes with reduced morbidity.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12458920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151966","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

Huge Mesothelial Splenic Cyst. 巨大间皮性脾囊肿。

CRSLS : MIS case reports from SLS Pub Date : 2025-09-17 eCollection Date: 2025-07-01 DOI: 10.4293/CRSLS.2025.00046

Anaam R Alhadeethi, Steffy Terrance, Mohamed E Hassan, Khalid Al Ali

{"title":"Huge Mesothelial Splenic Cyst.","authors":"Anaam R Alhadeethi, Steffy Terrance, Mohamed E Hassan, Khalid Al Ali","doi":"10.4293/CRSLS.2025.00046","DOIUrl":"10.4293/CRSLS.2025.00046","url":null,"abstract":"Introduction: Splenic cysts are rare lesions that are classified as either true (primary) or false (secondary) cysts based on their epithelial lining. The pathogenesis of primary splenic cysts is not well understood, and several hypotheses have been proposed, including the Mesothelial invagination theory, which postulates that during development, the mesothelial lining invades along with the capsule. As the lining has a pluripotent nature, it has the propensity to undergo metaplasia and secretion of fluid, leading to the formation of cysts.Case presentation: A 12-year-old female patient presented with a visible upper abdominal, painless cystic lesion, underwent blood tests and radiological diagnostic tools, such as abdominal ultrasound and computed tomography (CT) scan, but no definite diagnosis could be reached. Ultrasound-guided aspiration of the cyst was done, followed by explorative laparoscopy with total excision of the cyst (which was found to originate from the spleen), accompanied by partial splenectomy. The cyst was diagnosed as a benign primary mesothelial cyst of the spleen by histopathology. The patient experienced an uneventful postoperative period and showed no recurrence during follow-up.Conclusion: A significant challenge for surgeons in terms of diagnosis, surgical planning, and managing intraoperative surprises is the difficulty in detecting the origin and nature of a large abdominal cyst, despite the availability of highly sophisticated diagnostic tools. Minimally invasive partial splenectomy in the pediatric age group is a feasible surgical intervention.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088490","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

Pneumoperitoneum Associated with Pneumatosis Intestinalis in a Pediatric Patient. 儿科患者与肠肺病相关的气腹。

CRSLS : MIS case reports from SLS Pub Date : 2025-09-15 eCollection Date: 2025-07-01 DOI: 10.4293/CRSLS.2025.00075

Aulon Jerliu, Lauren Harrison, Jacob Campbell

引用次数: 0

Robotic Bowel Resection for Adult Intussusception with History of Marijuana Use. 有大麻使用史的成人肠套叠机器人肠切除术。

CRSLS : MIS case reports from SLS Pub Date : 2025-09-04 eCollection Date: 2025-07-01 DOI: 10.4293/CRSLS.2025.00036

Alexandra L Kuck, Mark Smith, Nour Y Atassi, Sean Putman

{"title":"Robotic Bowel Resection for Adult Intussusception with History of Marijuana Use.","authors":"Alexandra L Kuck, Mark Smith, Nour Y Atassi, Sean Putman","doi":"10.4293/CRSLS.2025.00036","DOIUrl":"10.4293/CRSLS.2025.00036","url":null,"abstract":"Introduction: Intussusception occurs when one segment of bowel invaginates into an adjacent segment of bowel from a lead point. Literature suggests a nonpathological lead point attributed to adult intussusception: marijuana. This report describes a unique presentation of intussusception in a patient with a history of previous surgical intervention and marijuana use.Case presentation: We report a 33-year-old male with a history of surgically treated intussusception and 12 years of marijuana use, who presented to the emergency department (ED) twice with nausea, vomiting, and abdominal pain. After imaging revealed intussusception, the patient underwent multiport-robot-assisted small bowel resection. The patient had no complications and was discharged after 6 days.Conclusion: Intussusception can be deadly if not caught early. The use of marijuana can mislead clinicians due to similar appearing presentations. This case highlights the importance of a comprehensive patient history for abdominal pain. Additionally, it suggests placing intussusception higher in the differential for marijuana users.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016646","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 Bridge-Shaped Hyperplastic Polyp in the Sigmoid Colon. 乙状结肠异常桥状增生性息肉。

CRSLS : MIS case reports from SLS Pub Date : 2025-09-04 eCollection Date: 2025-07-01 DOI: 10.4293/CRSLS.2025.00069

Özgür Kurtkulagı, Ferhan Demirer Aydemir

引用次数: 0

A Rare Case of Uterine Embryonal Rhabdomyosarcoma. 子宫胚胎性横纹肌肉瘤1例。

CRSLS : MIS case reports from SLS Pub Date : 2025-08-07 eCollection Date: 2025-07-01 DOI: 10.4293/CRSLS.2025.00033

Salma Moustafa, Liaisan Uzianbaeva, Tamara Paczos, Harriet Smith, Pengfei Wang

{"title":"A Rare Case of Uterine Embryonal Rhabdomyosarcoma.","authors":"Salma Moustafa, Liaisan Uzianbaeva, Tamara Paczos, Harriet Smith, Pengfei Wang","doi":"10.4293/CRSLS.2025.00033","DOIUrl":"10.4293/CRSLS.2025.00033","url":null,"abstract":"Background: Uterine sarcoma is a rare mesenchymal malignancy, and its preoperative diagnosis presents significant challenges, often resulting in the so-called occult sarcoma following surgery, based on the pathological diagnosis. Embryonal rhabdomyosarcoma of the female genital tract most commonly presents in pediatric patients and occurs in the uterine cervix. A pure uterine embryonal rhabdomyosarcoma presenting in an older adult patient is exceedingly rare. Due to its overall poor prognosis, early recognition of this unusual entity is crucial for patient care.Case: A 57-year-old woman presented with a single uterine mass and intermittent bleeding over the past 4-5 years. Office endometrial biopsies, conducted twice by other providers, reported either normal endometrium or inconclusive results; therefore, she was diagnosed and managed as having uterine fibroids for the past 3 years. Given the high suspicion of uterine malignancy, we counseled the patient with a plan for an abdominal hysterectomy and bilateral salpingo-oophorectomy. Meanwhile, we performed another endometrial biopsy under sedation to obtain an adequate and accurate specimen. This biopsy revealed high-grade malignancy, leading to the diagnosis of uterine embryonal rhabdomyosarcoma following the hysterectomy. She is currently undergoing chemotherapy with docetaxel and gemcitabine.Conclusion: Since there is no reliable laboratory or imaging study for preoperative diagnosis of uterine sarcoma, a high index of clinical suspicion is of the utmost importance to decrease the occurrence of occult uterine sarcoma, which is extremely difficult to differentiate from benign uterine fibroids.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12330200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818422","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

Correction of Congenital Hyperinsulinism by Robotic-Assisted Laparoscopy in an Infant. 机器人辅助腹腔镜治疗婴儿先天性高胰岛素血症1例。

CRSLS : MIS case reports from SLS Pub Date : 2025-05-13 eCollection Date: 2025-04-01 DOI: 10.4293/CRSLS.2025.00024

Wellen Cristina Canesin, Raphael Del Roio Liberatore Junior, Alberto Facury Gaspar, Fábio Perecin Volpe, Mariá Liborio Pereira Leite, José Sebastião Dos Santos, Lourenço Sbragia

{"title":"Correction of Congenital Hyperinsulinism by Robotic-Assisted Laparoscopy in an Infant.","authors":"Wellen Cristina Canesin, Raphael Del Roio Liberatore Junior, Alberto Facury Gaspar, Fábio Perecin Volpe, Mariá Liborio Pereira Leite, José Sebastião Dos Santos, Lourenço Sbragia","doi":"10.4293/CRSLS.2025.00024","DOIUrl":"10.4293/CRSLS.2025.00024","url":null,"abstract":"Background: Congenital hyperinsulinism (CHI) is a heterogeneous genetic disease characterized by increased insulin secretion, in which dysregulation of insulin secretion by pancreatic β cells causes persistent hypoglycemia in neonates and infants. Babies diagnosed with CHI require preferentially minimal invasive surgical treatment with near-total pancreatectomy (NTP).Material and methods: CHI was treated with robotic-assisted laparoscopy (RAL).Results: The authors present an unreported case of CHI in an infant less than 10 kg, which was submitted to NTP treated by RAL. The procedure was performed with 3 arms of Da Vinci robot using adaptable size of trocars and the surgery was well succeeded.Conclusions: The RAL is a challenge in pediatric pancreatic surgery to CHI due to the size of the trocars. To our knowledge, this is the first case reported in the English literature of an infant weighing less than 10 kg having been submitted to NTP by RAL.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082400","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

Leiomyoma with Bizarre Nuclei and Hereditary Leiomyomatosis and Renal Cell Carcinoma. 具有奇异核的平滑肌瘤、遗传性平滑肌瘤病和肾细胞癌。

CRSLS : MIS case reports from SLS Pub Date : 2025-04-29 eCollection Date: 2025-04-01 DOI: 10.4293/CRSLS.2025.00015

Liaisan Uzianbaeva, Salma Moustafa, Tamera Paczos, Emily Suskin, Sara Said-Delgado, Sara Rabin-Havt, Pengfei Wang

{"title":"Leiomyoma with Bizarre Nuclei and Hereditary Leiomyomatosis and Renal Cell Carcinoma.","authors":"Liaisan Uzianbaeva, Salma Moustafa, Tamera Paczos, Emily Suskin, Sara Said-Delgado, Sara Rabin-Havt, Pengfei Wang","doi":"10.4293/CRSLS.2025.00015","DOIUrl":"10.4293/CRSLS.2025.00015","url":null,"abstract":"Introduction: Leiomyoma with bizarre nuclei (LBN) is a leiomyoma variant that can be associated with fumarate hydratase (FH) deficiency. Germline pathogenic variants in the FH gene are linked to hereditary leiomyomatosis and renal cell carcinoma (HLRCC), which presents with cutaneous leiomyomata, aggressive renal cell carcinomas (RCCs), and symptomatic uterine leiomyomas.Case description: A 22-year-old nulligravida female presented with multiple uterine fibroids, heavy menstrual bleeding and pelvic pain, lasting over two years. The patient subsequently underwent laparoscopic myomectomy. Histological analysis of the leiomyomas indicated the presence of bizarre nuclei. Immunohistochemical studies confirmed FH deficiency, characterized by loss of FH expression and overexpression of S-(2-succino)-cysteine (2SC). Genetic testing revealed a likely pathogenic variant (c. 1176_1181delTGCTGT) in the FH gene.Discussion: Due to potentially devastating consequence and the occult nature of RCCs, the discovery of LBN should be followed with further investigation for HLRCC.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12046535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060407","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 Lost Gallstone: Thoracoscopic Removal of Retained Gallstone Following Cholecystectomy. 丢失的胆结石：胆囊切除术后胸腔镜下切除残留的胆结石。

CRSLS : MIS case reports from SLS Pub Date : 2025-04-29 eCollection Date: 2025-04-01 DOI: 10.4293/CRSLS.2024.00030

Aulon Jerliu, Brian Wong Won, Alicia McKelvey

{"title":"The Lost Gallstone: Thoracoscopic Removal of Retained Gallstone Following Cholecystectomy.","authors":"Aulon Jerliu, Brian Wong Won, Alicia McKelvey","doi":"10.4293/CRSLS.2024.00030","DOIUrl":"10.4293/CRSLS.2024.00030","url":null,"abstract":"Cholecystectomy, the surgical removal of the gallbladder, is a common abdominal operation often performed laparoscopically due to its minimally invasive nature. Despite its safety and efficacy, rare complications such as gallstone retention outside the biliary system can occur. One unusual complication is the migration of gallstones into the thoracic cavity, potentially causing severe outcomes like pleural effusion, empyema, or bronchopleural fistula, which present diagnostic challenges due to their rarity and varied symptoms. Advanced imaging techniques are essential for diagnosis, while treatment ranges from conservative management for asymptomatic cases to surgical intervention for significant complications. This report details the case of an 80-year-old male who presented with epistaxis and hemoptysis, later found to have a retained thoracic gallstone postcholecystectomy. Despite initial normal imaging and clinical improvement, further investigation revealed a gallstone eroding through the diaphragm into the thoracic cavity. The patient underwent successful thoracoscopic removal of the stone but experienced a prolonged hospital stay due to complications, including atrial fibrillation exacerbation, hemothorax, and lower extremity ischemia. The report underscores the diagnostic complexities of intrathoracic gallstone migration and the severe complications that can arise. A high index of suspicion is necessary for patients with persistent respiratory symptoms following cholecystectomy, and timely imaging and surgical intervention are crucial to minimize morbidity.","PeriodicalId":72723,"journal":{"name":"CRSLS : MIS case reports from SLS","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024839","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 Strangulation under External Iliac Vessels after Robot-Assisted Prostatectomy. 机器人辅助前列腺切除术后髂外血管下小肠绞窄。

CRSLS : MIS case reports from SLS Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI: 10.4293/CRSLS.2024.00071

Kazushi Jinno, Alfred Honore, Silje Skarsjø, Kjell Øvrebø

引用次数: 0