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Total Thickness Bilateral Rupture of the Rectus Abdominis: A Case Report and Literature Review. 腹直肌全厚度双侧断裂：病例报告与文献综述
IF 0.6
Case Reports in Surgery Pub Date : 2024-07-09 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8868853
Dernas Suhail, Olivia Smith, Philip Lim, Srinivas Chintapatla
{"title":"Total Thickness Bilateral Rupture of the Rectus Abdominis: A Case Report and Literature Review.","authors":"Dernas Suhail, Olivia Smith, Philip Lim, Srinivas Chintapatla","doi":"10.1155/2024/8868853","DOIUrl":"10.1155/2024/8868853","url":null,"abstract":"<p><p>Rupture of the rectus abdominis is a rare condition. We describe the case of a young male trainee paratrooper who presented with sudden onset severe lower abdominal pain that occurred during military training. Magnetic resonance imaging revealed full-thickness bilateral rupture of the rectus abdominis. Our management involved injecting botulinum toxin into the rectus muscles preoperatively, reconstructing the rectus muscles, and placing a supportive biosynthetic mesh. Postoperatively, our patient could walk pain-free at 3 weeks, jog pain-free at 10 weeks, and run up to 2 miles at 25 weeks. As there is no consensus on the management of this rare injury, we conducted a literature review on all cases reporting rupture of the rectus abdominis from the year 2000. After comparing the outcomes of conservatively versus surgically managed patients, we can conclude that generally, management of such defects is dependent on size, severity, and patient factors; however, surgical treatment yields comparable results to conservative treatment.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"8868853"},"PeriodicalIF":0.6,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11251788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626076","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
Complete Transection of the Abdominal Wall Secondary to Being a Rear Seat-Belted Passenger. 后排座位乘客继发腹壁完全横断。
IF 0.6
Case Reports in Surgery Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4335543
Jamshed Zuberi, Yousef Masoudpoor, Severija Saladziute, Emma Morel, Daniel Garcia, Diya Khetan, Erem Tutal, Natasha Becker, Peter Park, Stephanie Bonne
{"title":"Complete Transection of the Abdominal Wall Secondary to Being a Rear Seat-Belted Passenger.","authors":"Jamshed Zuberi, Yousef Masoudpoor, Severija Saladziute, Emma Morel, Daniel Garcia, Diya Khetan, Erem Tutal, Natasha Becker, Peter Park, Stephanie Bonne","doi":"10.1155/2024/4335543","DOIUrl":"10.1155/2024/4335543","url":null,"abstract":"<p><p>Garrett and Braunstein introduced the concept of the \"seat belt sign\" in motor vehicle collision (MVC) victims. They defined this as abdominal wall bruising from a lap belt. These signs of trauma are not uncommon. However, \"seat belt syndrome,\" a pattern of musculoskeletal and internal organ injuries resulting from deceleration forces exerted by the safety device is rarely seen. Here, we illustrate a case of traumatic closed rupture of the rectus abdominis muscle secondary to seat belt injury. This potential injury is important to recognize and our case will illustrate the need for careful imaging review and clinical assessment to identify associated intra-abdominal injuries.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"4335543"},"PeriodicalIF":0.6,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11223902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141533759","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 "Little-Old-Lady's Hernia", Obturator Hernia: A Case Report and Literature Review. 老太太的疝气"--闭孔疝：病例报告和文献综述。
IF 0.6
Case Reports in Surgery Pub Date : 2024-06-18 eCollection Date: 2024-01-01 DOI: 10.1155/2024/1039438
Enrique Salazar-Rios, Alexa Cruz Olascoaga
{"title":"The \"Little-Old-Lady's Hernia\", Obturator Hernia: A Case Report and Literature Review.","authors":"Enrique Salazar-Rios, Alexa Cruz Olascoaga","doi":"10.1155/2024/1039438","DOIUrl":"10.1155/2024/1039438","url":null,"abstract":"<p><p>Obturator hernias, though rare, are clinically significant abdominal hernias, predominantly affecting elderly, thin women, with an estimated prevalence of less than 1%. The primary treatment involves surgical intervention to reduce and repair the defect, either through laparotomy or laparoscopy, with bowel resection needed in up to 75% of patients. Here, we present the case of an 83-year-old woman presenting with abdominal pain and a history of constipation. An abdominal computed tomography scan demonstrated a left obturator hernia with small bowel obstruction. Successful reduction of the hernia was achieved, albeit requiring intestinal resection via an open surgical approach. Subsequently, the patient achieved complete recovery.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"1039438"},"PeriodicalIF":0.6,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11250703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626075","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
Non-Islet Cell Tumor Hypoglycemia Secondary to a 20 cm Intra-Abdominal Leiomyoma in a Male Patient: A Case Report and Literature Review. 一名男性患者因 20 厘米腹腔内子宫肌瘤导致的非胰岛细胞瘤低血糖症：病例报告和文献综述。
IF 0.6
Case Reports in Surgery Pub Date : 2024-06-14 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6651107
Michelle D Lippincott, James D McDonald, Marilyn M Bui, Ricardo J Gonzalez, Rachel K Voss
{"title":"Non-Islet Cell Tumor Hypoglycemia Secondary to a 20 cm Intra-Abdominal Leiomyoma in a Male Patient: A Case Report and Literature Review.","authors":"Michelle D Lippincott, James D McDonald, Marilyn M Bui, Ricardo J Gonzalez, Rachel K Voss","doi":"10.1155/2024/6651107","DOIUrl":"10.1155/2024/6651107","url":null,"abstract":"<p><p>Non-islet cell tumor hypoglycemia (NICTH) is a rare clinical entity associated with large mesenchymal tumors. Its pathogenesis is most commonly mediated by tumor overproduction of \"big\" insulin-like growth factor-2. Here, we present a 54-year-old male who presented with noninsulin-mediated hypoglycemia and a 20 cm intra-abdominal leiomyoma. His hypoglycemic episodes resolved after the resection of his tumor. To our knowledge, this is the only documented case in the English literature of NICTH associated with leiomyoma in a male patient. NICTH due to a benign leiomyoma should be in the differential diagnosis for any patient with hypoglycemia and an abdominal mass.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"6651107"},"PeriodicalIF":0.6,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442089","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
An Epiphrenic Diverticulum with Previous Perforation Excised Laparoscopically. 腹腔镜下切除曾有穿孔的虹膜外憩室
IF 0.6
Case Reports in Surgery Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3556567
Amitabh Yadav, Samiran Nundy
{"title":"An Epiphrenic Diverticulum with Previous Perforation Excised Laparoscopically.","authors":"Amitabh Yadav, Samiran Nundy","doi":"10.1155/2024/3556567","DOIUrl":"10.1155/2024/3556567","url":null,"abstract":"<p><p>An epiphrenic diverticulum (ED) is a rare pseudodiverticulum commonly located at the lower end of the oesophagus. Surgical treatment is only required in patients with worsening dysphagia or repeated chest infection due to microaspirations, and most patients are now treated with minimally invasive surgery (MIS) using the laparoscopic or thoracoscopic approach. Laparoscopic surgery is considered difficult in the presence of previous perforation of the diverticula owing to the intraperitoneal and mediastinal adhesions and is associated with an increased incidence of complications. We were able to perform a laparoscopic transhiatal resection safely on a patient who had a large ED with a wide neck and dense abdominal and mediastinal adhesions due to previous localized perforation.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"3556567"},"PeriodicalIF":0.6,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11189677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431524","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
Uncommon Presentation of a Perforated Appendicitis Leading to Duodenal Fistula: Case Report and Literature Review. 穿孔性阑尾炎导致十二指肠瘘的罕见表现：病例报告和文献综述。
IF 0.6
Case Reports in Surgery Pub Date : 2024-05-29 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8269752
Jad El Bitar, Hani Maalouf, Souad Ghattas, Ribal Aby Hadeer, Ahmad Younes, Hind Rahban, Ziad El Rassi
{"title":"Uncommon Presentation of a Perforated Appendicitis Leading to Duodenal Fistula: Case Report and Literature Review.","authors":"Jad El Bitar, Hani Maalouf, Souad Ghattas, Ribal Aby Hadeer, Ahmad Younes, Hind Rahban, Ziad El Rassi","doi":"10.1155/2024/8269752","DOIUrl":"10.1155/2024/8269752","url":null,"abstract":"<p><p>Multiple types of fistulas associated with the appendix have been reported; however, duodenal fistula resulting from perforated acute appendicitis has only been documented in one previous case. In this report, we present the case of an 18-year-old male patient who was diagnosed to have a complicated appendicitis in its normal position with abscess formation. He was started on IV antibiotics and underwent a CT-guided drainage of the abscess with drain placement. Two days later due to biliary output from the drain, CT fistulography and diagnostic laparoscopy were performed that revealed the presence of a duodenal fistula. The potential for duodenal fistula formation in patients with complicated appendicitis must always be taken into consideration. Consequently, it is crucial to establish an appropriate management plan aimed at preventing additional serious complications arising from duodenal perforation.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"8269752"},"PeriodicalIF":0.6,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330378","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 Ganglioneuroma of the Lumbar Spine: A Rare Cause of Radiculopathy 腰椎巨型神经节瘤：放射病的罕见病因
IF 0.6
Case Reports in Surgery Pub Date : 2024-05-23 DOI: 10.1155/2024/9477892
Lina Altalhi, Abdulaziz Alayyaf, Mohammed Bin-Mahfooz, Duaa Alhumoudi, Ali Alkhaibary, Fahd AlSufiani, Ali H. Alassiri, Saad AlQahatani, Sami Khairy, Ahmed Alkhani
{"title":"Giant Ganglioneuroma of the Lumbar Spine: A Rare Cause of Radiculopathy","authors":"Lina Altalhi, Abdulaziz Alayyaf, Mohammed Bin-Mahfooz, Duaa Alhumoudi, Ali Alkhaibary, Fahd AlSufiani, Ali H. Alassiri, Saad AlQahatani, Sami Khairy, Ahmed Alkhani","doi":"10.1155/2024/9477892","DOIUrl":"https://doi.org/10.1155/2024/9477892","url":null,"abstract":"Background. Ganglioneuroma (GN) is a rare, benign tumor that originates from neural crest cells and can potentially affect any anatomical site within the sympathetic nervous system. Typically, GNs are more frequently reported in children and young adults, with a slightly higher prevalence in females. We are reporting a rare case of a giant lumbar spine ganglioneuroma by outlining the clinical presentation, radiological finding, management, and outcome. Case Description. A 37-year-old female presented with low back pain radiating to the right lower limb for few years. Neurological examination revealed bilateral lower limb hyperreflexia (+3). Lumbar spine CT and MRI revealed a right paravertebral soft tissue lesion with heterogeneous signal intensity and enhancement at L1 to L3. The patient underwent complete resection of the lesion via a retroperitoneal approach. The surgery was uneventful. The histopathological sections were suggestive of mature ganglioneuroma. She was discharged in stable condition with follow-up at neurosurgery clinic. Conclusion. Giant ganglioneuromas are rare, benign tumors of sympathetic neurons. Complete surgical resection is the most effective therapeutic option for ganglioneuroma to avoid recurrence. Given the benign nature of ganglioneuroma, chemotherapy and radiotherapy tend to have a limited role following surgical resection.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"38 13","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141103782","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
Large Bowel Internal Hernia Secondary to Reimplanted Ureter. 继发于输尿管再植的大肠内疝。
IF 0.6
Case Reports in Surgery Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2061453
Amy A Howk, Anna Hayden, John E Griepentrog
{"title":"Large Bowel Internal Hernia Secondary to Reimplanted Ureter.","authors":"Amy A Howk, Anna Hayden, John E Griepentrog","doi":"10.1155/2024/2061453","DOIUrl":"10.1155/2024/2061453","url":null,"abstract":"<p><p>Internal hernias are difficult to diagnose clinically, and normal cross-sectional imaging has been documented in many patients. Transmesenteric hernias from congenital defects or prior abdominal surgery are most common. A 46-year-old previously healthy female presented to the emergency department with acute onset nausea and vomiting eight years after a right ureteral transection during a laparoscopic hysterectomy, with a delayed ureterolysis and reimplantation into the bladder. Rectal contrast CT scan demonstrated a partial large bowel obstruction that was unclear if it was due to an underlying mass, stricture, or internal herniation. The patient was taken for exploratory laparotomy which demonstrated redundant transverse colon herniated under the mobile right ureter; an extended right hemicolectomy was performed. This report describes alteration of retroperitoneal anatomy creating a potential space for colonic herniation and emphasizes that clinical suspicion must remain high for patients presenting with obstructive or partially obstructive symptoms.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"2061453"},"PeriodicalIF":0.6,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878398","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 Case Report of Roundworms Causing Intestinal Obstruction in a Child. 蛔虫导致儿童肠梗阻的病例报告
IF 0.6
Case Reports in Surgery Pub Date : 2024-04-27 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6640941
Tushar Krishnaraju, Suvendu Sekhar Jena, Amitabh Yadav, Samiran Nundy
{"title":"A Case Report of Roundworms Causing Intestinal Obstruction in a Child.","authors":"Tushar Krishnaraju, Suvendu Sekhar Jena, Amitabh Yadav, Samiran Nundy","doi":"10.1155/2024/6640941","DOIUrl":"10.1155/2024/6640941","url":null,"abstract":"<p><p><i>Background</i>. Soil-transmitted helminth (STH) infections are a common global health issue that affects underprivileged communities without adequate access to clean drinking water, sanitation, and hygiene. <i>Ascaris lumbricoides</i> is the main species that infects humans. Among varied presentations, intestinal obstruction is common among children. Early detection of intestinal obstruction due to STH is critical to prevent severe complications. Here, we present the case of a 10-year-old child with acute intestinal obstruction due to roundworms. <i>Case Report</i>. A 10-year-old boy presented to the emergency department with recurrent abdominal pain, distention, and vomiting for three months with signs of peritonitis on examination. CT scan of the abdomen revealed roundworms in the distal ileum and a cocoon formed by adhesions of small bowel loops. Intraoperatively, worm balls were found in the proximal jejunum and ileum, causing small bowel obstruction, and a diseased segment of ileum had to be resected. The worms were removed, and an ileostomy was created. The patient was treated with albendazole and intravenous antibiotics such as ceftriaxone and metronidazole. An early closure of ileostomy was performed after 20 days. Histopathology showed roundworm eggs in the appendix and small bowel mucosa. <i>Discussion</i>. <i>Ascaris lumbricoides</i> infestation is a common cause of intestinal obstruction in children, and early detection is critical for avoiding severe complications. Prompt and appropriate treatment with antihelminthics and antibiotics is necessary to achieve a good outcome. In rare cases, surgical intervention may be required to treat intestinal obstruction caused by STH infections. In conclusion, the prevalence of STH infections highlights the need for public health interventions, such as improving access to clean water, sanitation, and hygiene, and for early detection and treatment to prevent severe complications such as intestinal obstruction.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"6640941"},"PeriodicalIF":0.6,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875899","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
Vaginal Cuff Dehiscence Following Remote Hysterectomy: An Unusual Case of Bowel Evisceration 远程子宫切除术后阴道袖带开裂：肠外翻的罕见病例
IF 0.6
Case Reports in Surgery Pub Date : 2024-04-24 DOI: 10.1155/2024/2074381
Harsh Desai, Alexander Canales
{"title":"Vaginal Cuff Dehiscence Following Remote Hysterectomy: An Unusual Case of Bowel Evisceration","authors":"Harsh Desai, Alexander Canales","doi":"10.1155/2024/2074381","DOIUrl":"https://doi.org/10.1155/2024/2074381","url":null,"abstract":"Hysterectomy is one of the most common gynecologic procedures performed worldwide. Vaginal cuff dehiscence with resultant bowel evisceration, while rare, is one of the most serious complications of the procedure. We present the case of a 79-year-old female with vaginal cuff dehiscence several decades after hysterectomy. The patient had no significant antecedent symptoms until she experienced bowel evisceration during Valsalva. She underwent a successful reduction of bowel contents with limited resection and transvaginal cuff repair. This case highlights the risk of vaginal cuff dehiscence even decades following the procedure.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"22 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140663749","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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