Case Reports in Surgery最新文献_第10页

Intussusception Caused by Cecal Duplication in an Adult: A Case Report. 成人盲肠重复引起肠套叠1例报告。

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Case Reports in Surgery Pub Date : 2022-10-10 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9520191

Eric Bergeron, Normand Gervais

引用次数: 0

Rhino-Orbital-Cerebral Mucormycosis: A Rare Complication of Uncontrolled Diabetes. 鼻-眶-脑毛霉菌病:未控制糖尿病的罕见并发症。

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Case Reports in Surgery Pub Date : 2022-10-05 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6535588

Rahaf F Alanazi, Abdulrahman Almalki, Ali Alkhaibary, Fahd AlSufiani, Ahmed Aloraidi

{"title":"Rhino-Orbital-Cerebral Mucormycosis: A Rare Complication of Uncontrolled Diabetes.","authors":"Rahaf F Alanazi, Abdulrahman Almalki, Ali Alkhaibary, Fahd AlSufiani, Ahmed Aloraidi","doi":"10.1155/2022/6535588","DOIUrl":"https://doi.org/10.1155/2022/6535588","url":null,"abstract":"Introduction: Fungal infection of the central nervous system has become more common over the past two decades. It is frequently diagnosed in patients with underlying pathological conditions. We herein report a case of rhino-orbital-cerebral mucormycosis by outlining the clinical presentation, radiological images, histopathological findings, management plan, and its clinical outcome. Case Description. A 47-year-old man, known to have type 2 diabetes mellitus, presented with severe headache involving the left side of the face, numbness along the left V2 trigeminal nerve, ptosis and dryness of the left eye, short-term memory loss, and right hand numbness. He had a social history of being a bee farmer for which he was exposed to bee stings several times in the past. Neuroradiological imaging showed a left temporal ring-enhancing lesion, suggestive of abscess. The patient underwent craniotomy and resection of the lesion. The histopathological evaluation was suggestive of cerebral mucormycosis, fungal sinusitis, and invasive skull base mucormycosis.Conclusion: Rhino-orbital-cerebral mucormycosis is a fulminant fungal infection commonly diagnosed in patients with uncontrolled diabetes. Early diagnosis with radiological and histopathological evaluation is required to identify patients at risk of rhino-orbital-cerebral mucormycosis.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":" ","pages":"6535588"},"PeriodicalIF":0.6,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9556216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33515507","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 Paratubal Cyst Mimicking Mesenteric Cyst. 模拟肠系膜囊肿的巨大输卵管旁囊肿。

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Case Reports in Surgery Pub Date : 2022-10-04 eCollection Date: 2022-01-01 DOI: 10.1155/2022/4909614

Ebrahim Almahmeed, Abdulaziz Alshaibani, Hamad Alhamad, Abdulmenem Abualsel

引用次数: 2

A Case of Perforated Cholecystitis into a Parastomal Hernia. 穿孔性胆囊炎合并造口旁疝1例。

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Case Reports in Surgery Pub Date : 2022-10-03 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2058051

Sereibanndith Seang, Amy Hort, Preet K S Gosal, Mark Richardson

{"title":"A Case of Perforated Cholecystitis into a Parastomal Hernia.","authors":"Sereibanndith Seang, Amy Hort, Preet K S Gosal, Mark Richardson","doi":"10.1155/2022/2058051","DOIUrl":"https://doi.org/10.1155/2022/2058051","url":null,"abstract":"Introduction: Parastomal hernia is a common complication following an enterostomy. Gallbladder herniation into parastomal hernia is rare and may become symptomatic and inflamed and very rarely can lead to gallbladder perforation. We present the first case of gallbladder perforation inside a parastomal hernia with a unique skin change. Case Description. In this report, an 87-year-old female with a history of previous open cystectomy and ileal conduit formation, presented with right upper quadrant pain and worsening parastomal swelling. A computed tomography scan showed a parastomal herniation of the gallbladder, cholelithiasis, and possible early acute cholecystitis. Within 12 hours of admission, bile staining skin changes developed around her urostomy site which raised our suspicion of a perforated gallbladder. Biliary peritonitis was confirmed on laparoscopy the same day. We proceeded with an open midline cholecystectomy without hernia repair. The patient was well at her last follow-up. Discussion. A literature review found 14 published cases of incarcerated gallbladder hernia. This uncommon condition mainly affects elderly females. Ten cases were managed operatively, and four cases were managed nonoperatively, with good outcomes. Currently, no consensus on treatment guidelines exists. In a frail elderly patient, a nonoperative approach may be suitable. Operative management was indicated in this case due to clinical concerns of perforation due to developing skin changes. This cutaneous sign has not been previously documented in the literature.Conclusion: While rare, the gallbladder can herniate and become incarcerated inside a parastomal hernia. Bile staining of the skin should raise clinical suspicion of perforation. Management options depend on patient and pathology factors and can be nonoperative or operative, with or without hernia repair.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":" ","pages":"2058051"},"PeriodicalIF":0.6,"publicationDate":"2022-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504907","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: 2

Colectomy Complicated by High-Output Ileostomy Managed in a Virtual Hybrid Hospital-at-Home Program. 在虚拟混合医院-家庭项目中处理结肠切除术并发高输出回肠造口。

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Case Reports in Surgery Pub Date : 2022-09-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3177934

Margaret R Paulson, Karla Maita, Francisco R Avila, Ricardo A Torres-Guzman, John P Garcia, Abdullah Eldaly, Antonio J Forte, Michael J Maniaci

{"title":"Colectomy Complicated by High-Output Ileostomy Managed in a Virtual Hybrid Hospital-at-Home Program.","authors":"Margaret R Paulson, Karla Maita, Francisco R Avila, Ricardo A Torres-Guzman, John P Garcia, Abdullah Eldaly, Antonio J Forte, Michael J Maniaci","doi":"10.1155/2022/3177934","DOIUrl":"https://doi.org/10.1155/2022/3177934","url":null,"abstract":"Chronically ill patients with superimposed acute illness requiring hospitalization are more likely to develop an extended length of stay, hospital-acquired infections, and adverse events throughout their hospitalization. An excellent alternative to managing this population of patients in the traditional bricks-and-mortal (BAM) hospital is the hospital-at-home (HaH) model. The Advanced Care at Home (ACH) program is Mayo Clinic's HaH model that provides acute and postacute care to high-acuity patients in their homes rather than in the traditional hospital and skilled nursing facility. We report a case of postoperative care through the ACH program of a patient suffering from short gut syndrome, high-output ileostomy, and severe protein-calorie malnutrition in the setting of previously diagnosed triple-negative invasive ductal carcinoma (IDC) of the right breast complicated by lung and brain metastasis. The patient had multiple complications that required repeated scare escalations directed by a multidisciplinary virtual care. Despite these complications, the ACH model of care was able to keep the patient in the home setting the majority of the time, limiting BAM hospital days, and eliminating the need to use the emergency department for acute escalation for 3 months. The patient was able to recover during this time period and proceed to successful take-down of the ileostomy. This case highlights the benefits of the ACH program by offering high-acuity hospital-level care to severely ill patients in the comfort of their homes. Highly qualified providers paired with curated technology in the home allowed for prompt identification of patient decompensation and timely initiation of treatment while avoiding institutionalization.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":" ","pages":"3177934"},"PeriodicalIF":0.6,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33496601","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: 2

A Case of Hypermucoviscosity Phenotype of Klebsiella pneumoniae Liver Abscess Saved by Damage Control Strategy. 损害控制策略抢救肺炎克雷伯菌肝脓肿高粘滞型1例。

IF 0.6

Case Reports in Surgery Pub Date : 2022-09-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6019866

Keita Sato, Koji Takahashi, Tsukasa Kusuta

引用次数: 1

Mesenteric Ischemia and Its Need for Timely Recognition and Management. 肠系膜缺血及其及时识别和处理的必要性。

IF 0.6

Case Reports in Surgery Pub Date : 2022-09-28 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7370634

Anish Kumar Shrestha, Anisha Shrestha, Bikal Ghimire, Prajwal Ram Ghimire, Simin Kunwar, Prajjwol Luitel, Niranjan Adhikari

{"title":"Mesenteric Ischemia and Its Need for Timely Recognition and Management.","authors":"Anish Kumar Shrestha, Anisha Shrestha, Bikal Ghimire, Prajwal Ram Ghimire, Simin Kunwar, Prajjwol Luitel, Niranjan Adhikari","doi":"10.1155/2022/7370634","DOIUrl":"https://doi.org/10.1155/2022/7370634","url":null,"abstract":"Mesenteric ischemia is a fatal vascular emergency of the small intestine which, if not diagnosed and treated in time, has a very high mortality rate. Presenting with nonspecific symptoms such as abdominal pain, nausea, constipation, tachycardia, and gastrointestinal bleeds, it can masquerade as other causes of acute abdomen, particularly bowel obstruction. Ideal laboratory tests and markers are still lacking due to complexity in bowel's anatomy, physiology, blood supply, and drainage. We report 10 cases of mesenteric ischemia presented in our center with their demography, laboratory findings, approach to diagnosis, and treatment along with their outcomes at discharge. Out of the ten cases, six cases presented with signs and symptoms of acute bowel obstruction without passage of stool and one with passage of black stool. These seven patients underwent laparotomy, while the remaining three cases who either presented with milder symptoms or refused surgical interventions were managed conservatively. All patients were diagnosed with either acute or chronic mesenteric ischemia based on their operative and/or radiographic findings.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":" ","pages":"7370634"},"PeriodicalIF":0.6,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33496600","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

Biliary Cripple and the Spectrum of Complications following Cholecystectomy: A Case Report. 胆囊切除术后胆残缺及并发症谱1例报告。

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Case Reports in Surgery Pub Date : 2022-09-22 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5370722

Anish Kumar Shrestha, Jayant Kumar Sah, Bikal Ghimire, Aashna Bhandari, Anisha Shrestha

引用次数: 0

A Rare Presentation of Extraosseous Ewing Sarcoma Manifesting as a Dumbbell Tumor on the Nape of the Neck. 罕见的骨外尤文氏肉瘤在颈背表现为哑铃状肿瘤。

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Case Reports in Surgery Pub Date : 2022-09-19 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5451319

Abrar A AlAtwan, Mousa Behbehani, Ali Sayed Ali

引用次数: 0

Minimally Invasive Abdominal Repair of a Giant Paraesophageal Hiatal Hernia with Occupation of the Right Thorax in a 53-Year-Old Man. 53岁男性巨大食管旁裂孔疝占据右胸的微创腹腔修复术。

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Case Reports in Surgery Pub Date : 2022-09-09 eCollection Date: 2022-01-01 DOI: 10.1155/2022/1855656

Francisco Navarro, Eduardo Pizarro, Marco Ceroni

引用次数: 0