Case Reports in Surgery最新文献_第2页

Large Mesenchymal Hepatic Hamartoma in Pediatric Age: A Case Report. 儿童大间充质肝错构瘤1例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI: 10.1155/cris/1929050

Alhasan H Alhebshi, Ammar Kabbarah, Murad Aljiffry

引用次数: 0

Radiation-Induced Fibrosarcoma in the Stoma: A Case Report and Literature Review. 放射诱导的造口纤维肉瘤1例报告及文献复习。

IF 0.6

Case Reports in Surgery Pub Date : 2025-04-21 eCollection Date: 2025-01-01 DOI: 10.1155/cris/5313214

Zhao Li, Liang Fang, Liang Lv, Xinjia He, Wenqiang Luo, Dong Guo, Zhen Liu

引用次数: 0

Primary Neuroendocrine Tumor of the Breast: A Rare Case. 乳腺原发性神经内分泌肿瘤一例罕见。

IF 0.6

Case Reports in Surgery Pub Date : 2025-04-21 eCollection Date: 2025-01-01 DOI: 10.1155/cris/5595521

She's Magnolia C Ycong, Hannah Lois R Kangleon-Tan, Kristoff Armand E Tan

{"title":"Primary Neuroendocrine Tumor of the Breast: A Rare Case.","authors":"She's Magnolia C Ycong, Hannah Lois R Kangleon-Tan, Kristoff Armand E Tan","doi":"10.1155/cris/5595521","DOIUrl":"https://doi.org/10.1155/cris/5595521","url":null,"abstract":"Primary neuroendocrine tumors (NETs) predominantly affect postmenopausal women. This case study focused on a 54-year-old woman who presented with a painless right breast lump. While the lump exhibited estrogen and progesterone receptor (PR) positivity, it lacked human epidermal growth factor receptor 2 expression. Further evaluation revealed positivity for the neuroendocrine markers chromogranin A (CGA) and synaptophysin (SYN). It also revealed a 3% positive Ki-67 proliferation index. Treatment for neuroendocrine breast cancer (NEBC) mirrors that of standard invasive breast cancer: breast conservation or mastectomy combined with sentinel lymph node biopsy or axillary dissection. The patient underwent a right mastectomy with sentinel lymph node biopsy, followed by hormonal therapy based on her tumor's immunohistochemical profile. Due to the low incidence and limited research on primary NETs, their exact origin remains shrouded in mystery. Accurate diagnosis, specific treatment options, and long-term prognosis remain significant challenges in managing this rare form of breast cancer.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"5595521"},"PeriodicalIF":0.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981796","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 Mesenteric Well-Differentiated Inflammatory Liposarcoma With Mucosal Extension: A Lesion With High Risk for Misdiagnosis. 原发性肠系膜高分化炎性脂肪肉瘤伴粘膜延伸：一种高误诊风险的病变。

IF 0.6

Case Reports in Surgery Pub Date : 2025-04-19 eCollection Date: 2025-01-01 DOI: 10.1155/cris/9162938

William Abel, Christopher J Peterson, David P Lebel, Douglas J Grider

引用次数: 0

Ascending Colon Volvulus: The Enigma of Double Gastric Bubble. 升结肠扭转：双胃泡之谜。

IF 0.6

Case Reports in Surgery Pub Date : 2025-04-17 eCollection Date: 2025-01-01 DOI: 10.1155/cris/9531608

Paschalis Gavriilidis, Pantelis Xanthakos

{"title":"Ascending Colon Volvulus: The Enigma of Double Gastric Bubble.","authors":"Paschalis Gavriilidis, Pantelis Xanthakos","doi":"10.1155/cris/9531608","DOIUrl":"https://doi.org/10.1155/cris/9531608","url":null,"abstract":"Introduction: Volvulus of the caecum, ascending colon and first third of the transverse colon is a very rare surgical emergency. Timely diagnosis and intervention can avert serious complications. Case Report: A 54-year-old woman presented to the emergency department with colicky epigastric pain radiating to the left iliac fossa that lasted for 12 h. Vital signs were stable upon arrival at the hospital. Physical examination revealed that left abdomen and suprapubic fullness and bowel sounds were recorded, and rebound tests were negative. Laboratory results were neutrophils: 78% (35%-72%), lymphocytes: 16% (20%-45%), HB: 11 g/dL (12-16), HCT: 33% (36%-48%); all the rest were normal. Furthermore, computed tomography revealed a distended close of the large bowel extending from the left hypochondrium to the left iliac fossa. During explorative laparotomy, volvulus of the first third of the transverse, ascending colon and caecum was detected. Because the viability of the bowel wall was compromised, right extended hemicolectomy was performed with consequent ileotransverse anastomosis. The postoperative period was uneventful, and the patient was discharged on the fourth postoperative day. Conclusions: Expeditious diagnosis and early intervention of very rare surgical emergencies such as ascending colon volvulus may avert disastrous complications.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"9531608"},"PeriodicalIF":0.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964356","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

Candida Parapsilosis: a Rare Culprit of Shunt Infection in an Adult. 假丝酵母菌伴假丝酵母菌病：成人分流感染的罕见元凶。

IF 0.6

Case Reports in Surgery Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI: 10.1155/cris/6687581

Ersin Ikizoglu, Mert Arslan, Irmak Guzel, Ceren Kizmazoglu, Vildan Avkan Oguz, Burak Sade

引用次数: 0

Clinical Presentation and Surgical Management of a Grynfelt Hernia: Report of a Clinical Case and Literature Review. 格林菲尔特疝的临床表现及手术治疗：1例临床病例报告及文献复习。

IF 0.6

Case Reports in Surgery Pub Date : 2025-03-27 eCollection Date: 2025-01-01 DOI: 10.1155/cris/5634242

Pabel Ruben Carbajal Cabrera, Ruben Daniel Pérez López, Yunuen Ailyn Morales Tercero, Itzel Ocampo Barrero

{"title":"Clinical Presentation and Surgical Management of a Grynfelt Hernia: Report of a Clinical Case and Literature Review.","authors":"Pabel Ruben Carbajal Cabrera, Ruben Daniel Pérez López, Yunuen Ailyn Morales Tercero, Itzel Ocampo Barrero","doi":"10.1155/cris/5634242","DOIUrl":"10.1155/cris/5634242","url":null,"abstract":"Background: Grynfelt's lumbar hernia is the rarest of all abdominal wall hernias, accounting for between 1.5% and 2% of cases, with only 300-350 instances described to date. Lumbar hernias can be congenital or acquired, often triggered by trauma or surgery (iatrogenic). Diagnosis is clinical and confirmed via computed tomography. Surgical intervention is required for resolution, with repair performed either through open or laparoscopic surgery. Material and Methods: We present the case of a young female with no prior surgical or traumatic history, in whom the diagnosis of Grynfelt's hernia was made. Results: The patient underwent elective left lumbotomy surgery with hernioplasty using a supra-aponeurotic polypropylene mesh. Postsurgical recovery was adequate, and she was discharged 4 h after surgery. Follow-up in the general surgery outpatient clinic occurred at 20 days, 1, 3, and 6 months, with no recurrence, complications, or incidents. Conclusion: Grynfelt's hernia is a rare entity that requires a high index of suspicion for accurate diagnosis. Although cases are often asymptomatic, untreated hernias can lead to significant morbidity. Early recognition and timely surgical intervention are crucial for symptom relief and prevention of complications. In this case report, surgical management involved hernioplasty through a left lumbotomy approach, repairing the hernia defect and reducing the hernia content. Supra-aponeurotic mesh was placed to ensure adequate closure. Given the rarity of this pathology, no specific management guidelines exist in the literature. Therefore, the decision for this type of repair was based on intraoperative findings. Further research is needed to clarify management strategies and optimize outcomes for patients with Grynfelt's hernia.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"5634242"},"PeriodicalIF":0.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779300","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

Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis. 创伤后膈疝在胸部枪伤12年后表现为肠梗阻：罕见的延迟诊断。

IF 0.6

Case Reports in Surgery Pub Date : 2025-03-26 eCollection Date: 2025-01-01 DOI: 10.1155/cris/2527619

Papa Mamadou Faye, Ulrich Igor Mbessoh Kengne, Ousmane Thiam, Mouhamadou Laye Diop, Joël Gabin Konlack Mekontso, Mouhamed Moustapha Gueye, Seydy Ly, Amacoumba Fall, Mame Dieme Diop, Christophe Mbueda, Naomi Makam, Alpha Oumar Toure, Mamadou Cisse

{"title":"Post-Traumatic Diaphragmatic Hernia Presenting as Bowel Obstruction 12 Years After a Chest Gunshot Wound: A Rare Delayed Diagnosis.","authors":"Papa Mamadou Faye, Ulrich Igor Mbessoh Kengne, Ousmane Thiam, Mouhamadou Laye Diop, Joël Gabin Konlack Mekontso, Mouhamed Moustapha Gueye, Seydy Ly, Amacoumba Fall, Mame Dieme Diop, Christophe Mbueda, Naomi Makam, Alpha Oumar Toure, Mamadou Cisse","doi":"10.1155/cris/2527619","DOIUrl":"10.1155/cris/2527619","url":null,"abstract":"Post-traumatic diaphragmatic hernia (PTDH) is defined as the migration of intra-abdominal organs into the chest through a pathological defect in the diaphragm caused by trauma. PTDH is a rare condition, occurring in 3%-7% of all thoracoabdominal injuries. Approximately 14.6% of PTDH cases present months to years after the initial trauma. Cases of delayed PTDH complicated by bowel obstruction and perforation are exceedingly uncommon, with a reported prevalence of 0.17%-6%. In Africa, fewer than 10 cases of delayed PTDH have been documented over the past three decades. Despite the availability of published reports, there are no established practice guidelines for managing PTDH. Here, we present a case of delayed PTDH that manifested as acute bowel obstruction 12 years after a gunshot wound to the chest. The condition led to a fatal postoperative outcome. This case highlights the critical need for clinicians to consider PTDH in patients with a history of trauma presenting with acute bowel obstruction and underscores the importance of urgent surgical management to prevent fatal complications.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"2527619"},"PeriodicalIF":0.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771443","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 Management of Complicated Burst Abdomen With Open Abdomen Using Only Simple Saline Dressing. 单纯生理盐水敷料成功治疗开放性复杂爆裂腹部。

IF 0.6

Case Reports in Surgery Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1155/cris/6862550

Dionizi Muganga, Francis Basimbe, Irene Nayiga, Amanda Ategeka, Paddy Malinga, Twaha Muwanga

{"title":"Successful Management of Complicated Burst Abdomen With Open Abdomen Using Only Simple Saline Dressing.","authors":"Dionizi Muganga, Francis Basimbe, Irene Nayiga, Amanda Ategeka, Paddy Malinga, Twaha Muwanga","doi":"10.1155/cris/6862550","DOIUrl":"10.1155/cris/6862550","url":null,"abstract":"Introduction: Necrosis of the rectus or lateral abdominal wall investing fascia may be associated with invasive infections or closure under extreme tension. This can lead to fascial dehiscence and evisceration of the intra-abdominal contents. Globally, abdominal wound dehiscence varies from 0.4% to 3.5% with associated mortalities reaching up to 45% in the perioperative period. Redo surgical operations and infectious complications are the major risk factors for abdominal wound dehiscence, but also presence of low albumin, glucocorticoid use, chest infections, and emergency surgeries have been also implicated. Open abdomen has been employed in incidences of trauma where a second look operation may be necessary, loss of abdominal wall, sepsis after penetrating abdominal trauma, and in cases of severe secondary peritonitis and acute pancreatitis. Patients with open abdomen are at a risk of fistula formation, sepsis, and loss of abdominal domain due to lateral fascial retraction. To reduce the mentioned complications mesh and nonmediated techniques to bridge fascia defects have been recommended with particular emphasis on biologic meshes with or without negative pressure wound therapy, component separation, or planned ventral hernia. Methods: We report a case of necrosis of the rectus and abdominal wound dehiscence and its management in a sub-Saharan setting, highlighting the challenges encountered and lessons learned. Conclusion: Retention sutures should be used cautiously in the management of wound dehiscence as it increases the risk of fascial necrosis in cases of intra-abdominal hypertension, as seen in our patient. In the absence of a VAC dressing, the utilization of routine saline gauze dressing promotes epithelialization over the exposed bowel and is a viable alternative to temporary abdominal closure modes of managing an open abdomen in a resource-limited setting.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"6862550"},"PeriodicalIF":0.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763160","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

Challenges in Diagnosis and Treatment of Achalasia Cardia in Uganda: A Case Report of an Adolescent Female Presenting With Dysphagia. 乌干达贲门失弛缓症诊断和治疗的挑战：一例以吞咽困难为表现的青春期女性病例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2025-03-11 eCollection Date: 2025-01-01 DOI: 10.1155/cris/5527940

Tracy Tushabe Namata, Deogratius Bakulumpagi, Anna Nyisomeh, Davis Nsamba, Brian Bbosa, Didas Mugisa

{"title":"Challenges in Diagnosis and Treatment of Achalasia Cardia in Uganda: A Case Report of an Adolescent Female Presenting With Dysphagia.","authors":"Tracy Tushabe Namata, Deogratius Bakulumpagi, Anna Nyisomeh, Davis Nsamba, Brian Bbosa, Didas Mugisa","doi":"10.1155/cris/5527940","DOIUrl":"https://doi.org/10.1155/cris/5527940","url":null,"abstract":"Background: Our case highlights the challenges in diagnosing and managing achalasia cardia, particularly in resource-limited settings and more so in adolescents who fall outside of the typical age range. Case Presentation: We present a case of an 18-year-old female from Uganda who was admitted with a 6-month history of progressive dysphagia, weight loss, and postprandial vomiting. Diagnosis of achalasia cardia was confirmed via endoscopy and barium swallow. Heller cardiomyotomy via open transthoracic approach was performed, but she developed an esophageal perforation, which was successfully managed with repeat thoracotomy and esophageal repair. Complete resolution of achalasia symptoms was achieved at a 5-month follow-up. Conclusion: This case highlights the importance of maintaining a high index of clinical suspicion, especially in young patients, and the significance of informed consent prior to initiating treatment. Additionally, it emphasizes the importance of early recognition of treatment-related complications, such as esophageal perforation, as key to prompt management and improved patient outcomes.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"5527940"},"PeriodicalIF":0.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967083","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