Case Reports in Surgery最新文献

A Case of Hemorrhagic Shock for a Ruptured Splenic Aneurysm Treated With REBOA-Assisted Surgery. reboa辅助手术治疗脾动脉瘤破裂失血性休克1例。

IF 0.6

Case Reports in Surgery Pub Date : 2025-07-09 eCollection Date: 2025-01-01 DOI: 10.1155/cris/7264596

Chiara D'Alterio, Cristina Carruezzo, Armando Raso, Arezia Di Martino, Roberto Santoro, Domenico Giannotti

{"title":"A Case of Hemorrhagic Shock for a Ruptured Splenic Aneurysm Treated With REBOA-Assisted Surgery.","authors":"Chiara D'Alterio, Cristina Carruezzo, Armando Raso, Arezia Di Martino, Roberto Santoro, Domenico Giannotti","doi":"10.1155/cris/7264596","DOIUrl":"10.1155/cris/7264596","url":null,"abstract":"Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique aimed at temporarily interrupting or limiting blood flow through the aorta, which may be used as a bridge until definitive bleeding control by endovascular procedures or surgery. Despite the main current indication for its use is traumatic massive noncompressible torso hemorrhage, its application in end-stage nontraumatic abdominal and pelvic hemorrhage is progressively increasing. Case Presentation: A 42 year-old male patient was brought to our hospital Emergency Department with acute onset of abdominal pain, hypotension, paleness, and diaphoresis. A computed tomography (CT) was performed evidencing a voluminous retroperitoneal hematoma caused by the rupture of an unknown splenic aneurysm. Emergency open splenectomy with resection of the splenic aneurysm and evacuation of the retroperitoneal hematoma was performed, with the assistance of the REBOA technique. The endovascular balloon was positioned in the aorta, proximally to the celiac axis (Zone 1), through a percutaneous femoral access by the interventional radiologist. Intermittent aortic occlusion enabled proximal bleeding control, adequate myocardial and cerebral perfusion, and allowed surgeons to safely and successfully perform splenectomy by resecting the splenic artery at the origin. Conclusion: REBOA provides a rapid and minimally invasive hemodynamic control in severe hemorrhagic settings and its application in the initial management of nontraumatic abdominal hemorrhage should be strongly advised. Further studies with large sample size focusing on nontrauma patients are needed.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"7264596"},"PeriodicalIF":0.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658529","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

Pelvic Ectopic Kidney in an Adult: Robotic-Assisted Surgical Treatment of Unrecognized Ureteropelvic Junction Obstruction. 成人盆腔异位肾：机器人辅助手术治疗无法识别的输尿管肾盂连接处阻塞。

IF 0.6

Case Reports in Surgery Pub Date : 2025-07-07 eCollection Date: 2025-01-01 DOI: 10.1155/cris/6022407

Amr Ahmed, Aleksa Zubelic, Milan Radovanovic, Gjoko Stojanoski, Jerome Katz

引用次数: 0

An Unusual Presentation of Life-Threatening Necrotising Mediastinitis in an Adolescent. 一个危及生命的青少年坏死性纵隔炎的不寻常表现。

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Case Reports in Surgery Pub Date : 2025-06-19 eCollection Date: 2025-01-01 DOI: 10.1155/cris/5551040

Henrik Agerup Kildahl, Anna Greta Birgitta Ehrnstrom, Per Magnus Haram, Geir Bjerkan, Katrine Hordnes Slagsvold, Øystein Pettersen

引用次数: 0

Chilaiditi's Syndrome Treatment Using Versius Robotic Surgical System: A Case Report. 使用Versius机器人手术系统治疗Chilaiditi综合征1例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2025-06-12 eCollection Date: 2025-01-01 DOI: 10.1155/cris/9965465

Daniele Sandonà, Diego Caroli, Giacomo Sarzo, Enzo Mammano

{"title":"Chilaiditi's Syndrome Treatment Using Versius Robotic Surgical System: A Case Report.","authors":"Daniele Sandonà, Diego Caroli, Giacomo Sarzo, Enzo Mammano","doi":"10.1155/cris/9965465","DOIUrl":"10.1155/cris/9965465","url":null,"abstract":"Introduction: Chilaiditi's sign consists of the interposition of a segment of the intestine between the right diaphragm and the liver; when this anomaly causes gastrointestinal symptoms, it is referred to as Chilaiditi's syndrome. If conservative treatment fails, surgical intervention is often necessary, especially in severe or complicated cases. Case Presentation: An 82-year-old woman with a 2-year history of right-sided abdominal pain, constipation, malaise, and weight loss was diagnosed with Chilaiditi's syndrome following an extensive workout to exclude other pathologies. Following the failure of medical therapy, she underwent elective robotic surgery for hepatic flexure mobilization and right colopexy. The procedure was performed using the Versius robotic system (Cambridge Medical Robotics, CMR), resulting in successful repositioning of the colon and resolution of symptoms. Discussion: Chilaiditi's syndrome is often underdiagnosed and can be effectively treated with surgical intervention in cases unresponsive to medical therapy. The Versius robotic system offers a highly effective, minimally invasive solution, reducing surgical trauma, and promoting faster recovery. This case highlights the benefits of robotic-assisted surgery in managing complex gastrointestinal conditions like Chilaiditi's syndrome. Conclusion: Robotic surgery, particularly with the Versius robotic system, offers significant technical advantages in such complex cases due to its precision and minimally invasive nature, with improved clinical outcomes, and enhanced recovery times for patients requiring surgical intervention.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"9965465"},"PeriodicalIF":0.6,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367934","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

Evaluating Conservative Versus Surgical Management Strategies in Omental Infarction: A Case Report and Literature Review. 评价大网膜梗死的保守与手术治疗策略：一例报告和文献回顾。

IF 0.6

Case Reports in Surgery Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI: 10.1155/cris/6050351

Yuki Julius Ng, Yee Siew Lim, Shivadeva Selvamani, Yew Wen Chieng

{"title":"Evaluating Conservative Versus Surgical Management Strategies in Omental Infarction: A Case Report and Literature Review.","authors":"Yuki Julius Ng, Yee Siew Lim, Shivadeva Selvamani, Yew Wen Chieng","doi":"10.1155/cris/6050351","DOIUrl":"10.1155/cris/6050351","url":null,"abstract":"Omental infarction was first described in 1896 mimics other causes of acute abdomen. Improved imaging modalities such as ultrasound and CT scans, have enhanced preoperative diagnosis with conservative management emerging as a treatment option. We report the case of a 51-year-old man presenting with epigastric pain migrating to the right iliac fossa, fever, nausea and anorexia. Examination revealed a stable patient with a right lumbar mass (5 cm × 6 cm) and rebound tenderness. CT imaging identified fat stranding near the ascending colon and hepatic flexure (6 cm ×10 cm ×10 cm) with peritoneal thickening. He underwent exploratory laparotomy, omentectomy and peritoneal washout, which revealed an infarcted omentum (8 cm × 8 cm) and 200 ml of haemoserous fluid. The patient recovered well postoperatively. A systematic search of the literature identified 237 articles reporting 479 cases of omental infarction, with clinical data extracted for analysis. Male predominance was observed (2:1) and 326 patients (68.1%) underwent surgical intervention. Conservative management was successful in 121 patients (25.3%), while 32 (6.7%) required surgery following failed conservative treatment. Among those managed surgically, the most common preoperative diagnosis was appendicitis. CT imaging was performed in 245 cases (51.1%), of which 103 (42.0%) within this group were successfully managed conservatively, while 26 (10.6%) required surgical intervention after conservative failure. Omental torsion was diagnosed preoperatively in 220 patients (45.9%); in this subset, 21 (9.5%) underwent surgery after failed conservative management and only 5 (2.3%) were successfully treated conservatively. While omental infarction can often be managed conservatively, surgery remains a key treatment for intractable pain or omental torsion, where conservative management failure rates are high.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"6050351"},"PeriodicalIF":0.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144315934","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

Persistent Asymptomatic Pneumoperitoneum With Spontaneously Resolving Idiopathic Pneumatosis Intestinalis: A Case Report. 持续性无症状气腹伴自发性特发性肠气病1例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2025-06-04 eCollection Date: 2025-01-01 DOI: 10.1155/cris/5524896

John P Ratanawong, Tzu Han Huang, Torben H Urdahl, Katherine Weir, Anthony T Rezcallah

引用次数: 0

An Extremely Rare Anomaly: Unveiling Renal Vein-Originated Leiomyosarcoma. 一种极为罕见的异常：显露肾静脉源性平滑肌肉瘤。

IF 0.6

Case Reports in Surgery Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1155/cris/1335881

Jihane El Hamzaoui, Ali Kada, Imane El Messaoudi, Fouad Zouaidia, Hamza Sekkat, Youness Bakali, Mouna Mhamdi Alaoui, Farid Sabbah, Abdelmalek Hrora, Mohammed Raiss

{"title":"An Extremely Rare Anomaly: Unveiling Renal Vein-Originated Leiomyosarcoma.","authors":"Jihane El Hamzaoui, Ali Kada, Imane El Messaoudi, Fouad Zouaidia, Hamza Sekkat, Youness Bakali, Mouna Mhamdi Alaoui, Farid Sabbah, Abdelmalek Hrora, Mohammed Raiss","doi":"10.1155/cris/1335881","DOIUrl":"10.1155/cris/1335881","url":null,"abstract":"Introduction: Angiogenic leiomyosarcoma (LMS), a soft tissue sarcoma, primarily occurs in the inferior vena cava (IVC) in over 50% of cases, with renal vein LMSs being exceedingly rare. We present a case of primary LMS of the left renal vein. Case Report: A 73-year-old woman with a history of hypertension and prior left colon adenocarcinoma presented with intermittent left flank pain. Imaging revealed a large left latero-aortic mass. Exploratory laparotomy confirmed a multinodular tumor around the left renal hilum, necessitating en bloc resection with left nephrectomy. Pathological examination identified it as a grade 2 LMS. The patient recovered well postoperatively with no complications. Discussion: LMSs, especially of vascular origin, are rare and aggressive malignancies. Despite their insidious presentation, they predominantly manifest in women, typically adults, and often on the left side. Diagnosis is challenging due to nonspecific symptoms and imaging findings. Surgical resection remains the cornerstone of treatment, with complete resection offering better outcomes. Prognosis is poor, particularly with larger tumors, partial resection, and high-grade lesions. Adjuvant therapy's efficacy is uncertain. Conclusion: LMS of the renal vein is a rare entity with challenging diagnosis and management. Radical surgical resection remains the mainstay, but prognosis is guarded, especially in high-risk cases. Further research is needed to optimize treatment strategies for this rare malignancy.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"1335881"},"PeriodicalIF":0.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265319","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 Large Intramural Lipoma Causing Asymptomatic Colocolic Intussusception in an Adult. 成人无症状结肠肠套叠的腹腔内大脂肪瘤。

IF 0.6

Case Reports in Surgery Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1155/cris/9950558

L Keiber, B Geissler, M Anthuber

{"title":"A Large Intramural Lipoma Causing Asymptomatic Colocolic Intussusception in an Adult.","authors":"L Keiber, B Geissler, M Anthuber","doi":"10.1155/cris/9950558","DOIUrl":"10.1155/cris/9950558","url":null,"abstract":"Background: Intestinal intussusception is a common condition in children, and the cause is often idiopathic. In contrast, adult intussusception is rather rare and almost always secondary due to an underlying condition such as a tumor, inflammatory disease, or a diverticulum. Hence, the treatment almost always is surgical resection of the lesion. Methods: We retrospectively analyzed a case of asymptomatic intussusception in a male adult using patient data retrieved from the hospital patient database. This includes findings from both physical and radiological and endoscopical examinations. The patient was contacted 4 weeks and 6 months postsurgery for a clinical follow-up. Aim: Until this day, there is no guideline regarding the underlying pathology. Hence, this case report wants to contribute to a field where there is only insufficient patient data. Results and Discussion: We presented a case of colocolic intussusception in an adult caused by a large intramural lipoma. After a full gastrointestinal diagnostic protocol and interdisciplinary case discussion, we decided to offer surgical resection, from which the patient recovered quickly. The benign nature of the tumor and the complete lack of symptoms despite significant tumor size make this case particularly interesting. We emphasize the need for a larger study group to create robust data that aid in creating care guidelines.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"9950558"},"PeriodicalIF":0.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265318","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

Evaluating Sacrococcygeal Teratoma in an Adult Female: A Case Report. 成年女性骶尾骨畸胎瘤的评估：1例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI: 10.1155/cris/4512252

Dikshanta Acharya, Aashis Poudel, Aashish Giri, Dinuj Shrestha, Rupesh Raut

引用次数: 0

Fournier's Gangrene and Pneumothorax Secondary to Nontraumatic Duodenal Perforation. 非外伤性十二指肠穿孔继发的富尼耶坏疽和气胸。

IF 0.6

Case Reports in Surgery Pub Date : 2025-05-22 eCollection Date: 2025-01-01 DOI: 10.1155/cris/3027477

Ayman Shehadeh, Amer Mansoor, Jordan Bray, Waed Atallah, Jason Mikhail, Richard Spinale, Angad Pordal

{"title":"Fournier's Gangrene and Pneumothorax Secondary to Nontraumatic Duodenal Perforation.","authors":"Ayman Shehadeh, Amer Mansoor, Jordan Bray, Waed Atallah, Jason Mikhail, Richard Spinale, Angad Pordal","doi":"10.1155/cris/3027477","DOIUrl":"10.1155/cris/3027477","url":null,"abstract":"Peptic ulcer disease (PUD) results from erosion and ulceration of the upper digestive tract mucosa. Clinical presentations can vary from asymptomatic to severe complications such as perforation, strictures, or bleeding. Perforation can release enteric contents and gas into the abdomen, leading to intra-abdominal sepsis, requiring surgical intervention for source control and repair. We present a case of a 69-year-old male who developed both Fournier's gangrene and a right-sided pneumothorax secondary to a nontraumatic perforated duodenal ulcer. The patient underwent an emergent thoracostomy, laparotomy with Graham omentoplasty, and extensive debridement with successful outcome. While rare complications like pneumothorax and necrotizing soft tissue infections have been documented, their simultaneous occurrence from a nontraumatic ulcer perforation is unprecedented in literature. Previous reports suggest enteric contents can traverse retroperitoneal fascial planes and peritoneal defects to reach distant anatomical sites as a possible mechanism for these complications. This case highlights the potential for atypical presentations of PUD and the importance of comprehensive evaluation, early recognition, and prompt surgical intervention.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"3027477"},"PeriodicalIF":0.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180708","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