Case Reports in Surgery最新文献_第4页

Iatrogenic Proximal Urethro-Rectal Perforation During Foley Catheter Insertion. Foley导尿管置入期间医源性近端尿道直肠穿孔。

IF 0.6

Case Reports in Surgery Pub Date : 2025-01-08 eCollection Date: 2025-01-01 DOI: 10.1155/cris/4784527

Claude Tayar, Ali Alameh, Rawan Abdallah, Jamil Boufarah, Yehya Tlaiss, Hadi Farhat

{"title":"Iatrogenic Proximal Urethro-Rectal Perforation During Foley Catheter Insertion.","authors":"Claude Tayar, Ali Alameh, Rawan Abdallah, Jamil Boufarah, Yehya Tlaiss, Hadi Farhat","doi":"10.1155/cris/4784527","DOIUrl":"10.1155/cris/4784527","url":null,"abstract":"Iatrogenic urethral-rectal perforation represents a rare but severe complication arising from medical interventions, notably highlighted in the context of Foley catheter insertion. This case report outlines the presentation, diagnosis, management, and outcomes of a 71-year-old male patient who experienced iatrogenic rectal perforation during the routine insertion of a Foley catheter, against the backdrop of several predisposing factors, such as atrial fibrillation, valvular disease, benign prostatic hyperplasia, urethral stenosis, and colorectal cancer with liver metastasis. The inadvertent creation of a rectourethral fistula during the procedure led to an urgent multidisciplinary approach involving surgery and postoperative management, including fecal and urine diversion and antibiotic therapy. The case highlights the critical importance of meticulous technique and comprehensive preoperative patient assessment in minimizing the risk of such iatrogenic complications. It further discusses the management strategies for rectourethral fistulas, ranging from conservative approaches to surgical interventions, and emphasizes the role of fecal diversion, urine diversion, and the potential of robotic surgery in enhancing outcomes for complex cases. The report concludes by reflecting on the intricate balance between routine medical procedures and the potential for severe complications, highlighting the need for heightened awareness and skill in the prevention and management of iatrogenic rectal perforation.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"4784527"},"PeriodicalIF":0.6,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11735056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000589","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 of Fournier's Gangrene Secondary to Varicella Zoster Virus in a 7-Year-Old Boy. 1例7岁男童继发于水痘带状疱疹病毒的富尼耶坏疽。

IF 0.6

Case Reports in Surgery Pub Date : 2025-01-07 eCollection Date: 2025-01-01 DOI: 10.1155/cris/6094099

Eimear Phoenix, Eoin O'Broin

引用次数: 0

A Case of Atraumatic Splenic Rupture Due to T-Cell/Histiocyte-Rich Large B-Cell Lymphoma and a Potential Role for Massive Transfusion Protocol. t细胞/组织细胞丰富的大b细胞淋巴瘤所致的非外伤性脾破裂1例及大量输血方案的潜在作用。

IF 0.6

Case Reports in Surgery Pub Date : 2025-01-07 eCollection Date: 2025-01-01 DOI: 10.1155/cris/4069182

Sara Bohjanen, John P Ratanawong, Mary Baumgartner, Bree Chandler, J Carlos Manivel, Anthony T Rezcallah

引用次数: 0

Primary Retroperitoneal Seminoma-An Uncommon Presentation With Significant Implications. 原发性腹膜后精原细胞瘤——一种罕见的具有重要意义的表现。

IF 0.6

Case Reports in Surgery Pub Date : 2024-12-18 eCollection Date: 2024-01-01 DOI: 10.1155/cris/4376859

S Sain, S Tripathi, N Bakshi, S A P Das, S Nundy

{"title":"Primary Retroperitoneal Seminoma-An Uncommon Presentation With Significant Implications.","authors":"S Sain, S Tripathi, N Bakshi, S A P Das, S Nundy","doi":"10.1155/cris/4376859","DOIUrl":"10.1155/cris/4376859","url":null,"abstract":"Background: Primary retroperitoneal seminoma is an exceedingly rare type of germ cell tumor, accounting for less than 5% of all such tumors. These tumors are typically large at presentation due to their slow growth and the nonspecific nature of symptoms, which often leads to delayed diagnosis. Case Presentation: A 40-year-old male presented with intermittent abdominal pain and a palpable lump in the right paraumbilical region. Ultrasonography revealed a large retroperitoneal mass. Fine needle aspiration cytology confirmed the diagnosis of poorly differentiated malignant tumor, for which he was evaluated with CT-angiogram of the abdomen and FDG PET-CT scans, which showed a large retroperitoneal mass. The patient, then, had a surgical resection of the mass, with postoperative histopathological and immunohistochemical diagnosis of primary retroperitoneal seminoma, and then underwent three cycles of BEP chemotherapy. Scrotal ultrasonography showed no testicular abnormalities, obviating the need for orchiectomy. FDG PET showed a complete response following treatment completion. Postoperative management included routine monitoring of tumor markers and follow-up imaging, which showed a complete response. Conclusion: This case highlights the diagnostic and therapeutic challenges of primary retroperitoneal seminoma. A multidisciplinary approach, including accurate histopathological diagnosis and a combination of chemotherapy and surgery, is essential for optimal management. Early diagnosis and tailored treatment strategies significantly improve patient outcomes.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"4376859"},"PeriodicalIF":0.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892305","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 Gastric Trichobezoar: Unveiling the Complexity of a 14-Year-Old's Abdominal Pain. 巨大的胃毛虫：揭示14岁腹痛的复杂性。

IF 0.6

Case Reports in Surgery Pub Date : 2024-12-09 eCollection Date: 2024-01-01 DOI: 10.1155/cris/3934625

Aiza Iqbal, Fatima Faraz, Bazigha Bano, Alishba Atta, Ayesha Azeem, Faizan Shahzad, Nimrah Jabeen, Besher Shami

引用次数: 0

Benign Transformation of Atypical Meningioma: A Rare Histopathological Phenomenon at Recurrence. 不典型脑膜瘤的良性转化：复发时罕见的组织病理学现象。

IF 0.6

Case Reports in Surgery Pub Date : 2024-12-01 eCollection Date: 2024-01-01 DOI: 10.1155/cris/4118914

Rahaf F Alanazi, Nasser Alharbi, Ali Alkhaibary, Fahd AlSufiani, Ahmed Aloraidi

{"title":"Benign Transformation of Atypical Meningioma: A Rare Histopathological Phenomenon at Recurrence.","authors":"Rahaf F Alanazi, Nasser Alharbi, Ali Alkhaibary, Fahd AlSufiani, Ahmed Aloraidi","doi":"10.1155/cris/4118914","DOIUrl":"10.1155/cris/4118914","url":null,"abstract":"Background and importance: Meningiomas are one of the most frequent primary central nervous system (CNS) tumors. According to the World Health Organization (WHO) classification of brain tumors, meningiomas are categorized into Grade 1 (benign meningioma; 80%), Grade 2 (atypical meningioma; 4%-15%), and Grade 3 (anaplastic meningiomas; 1%-3%). Grade 2 meningioma has a higher recurrence rate, ranging from 29%-52%. However, the transformation from atypical meningioma into benign meningioma is poorly understood. The present article describes a patient with Grade 2 meningioma that transformed into a benign subtype. Case presentation: A 51-year-old female with a history of seizures, presented with left-sided progressive weakness. Radiological imaging revealed a large extra-axial parasagittal lesion measuring 5 cm × 5 cm × 4.8 cm, suggestive of meningioma. The patient underwent subtotal resection of the lesion. Histologically, the tumor was in favor of Grade 2 meningioma. Radiological follow-up 8 years postoperatively revealed a recurrent meningioma. The patient underwent right-sided craniotomy and resection of the parasagittal meningioma. The histopathological features were suggestive of a Grade 1 meningioma. Conclusion: The transformation from atypical to benign meningiomas is rarely reported and the mechanism remains unclear. The present case provides insights into the natural history of this entity, describes possible etiologies, and lists the surgical management with an emphasis on preoperative radiological imaging and histopathological investigations.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"4118914"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794510","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

Ileocaecal Volvulus With an Intestinal Rotational Abnormality and Internal Hernia in a Paediatric Patient: A Case Report. 儿童回肠盲肠扭转伴肠旋转异常及内疝1例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2024-11-25 eCollection Date: 2024-01-01 DOI: 10.1155/cris/9951709

Venla Soini, Matias Hilska, Marko Sallisalmi, Risto Juusela, Ella Virkki, Arimatias Raitio

{"title":"Ileocaecal Volvulus With an Intestinal Rotational Abnormality and Internal Hernia in a Paediatric Patient: A Case Report.","authors":"Venla Soini, Matias Hilska, Marko Sallisalmi, Risto Juusela, Ella Virkki, Arimatias Raitio","doi":"10.1155/cris/9951709","DOIUrl":"10.1155/cris/9951709","url":null,"abstract":"Background: Caecal volvulus in the paediatric population is uncommon, yet at worst this condition is a life-threatening surgical emergency. In children, caecal volvulus can be associated with a variety of predisposing factors such as chronic constipation, intestinal malrotation, or neurological disease. Case Representation: We present a rare case of caecal volvulus, internal hernia, and an intestinal rotational abnormality in a previously healthy 8-year-old boy. The patient presented with a history of abdominal pain and vomiting for 3 days and was admitted to the hospital in a severe septic shock. After the initial stabilisation with fluids and vasopressors, an emergency laparotomy was performed. A necrotic caecum volvulus, a transmesocolic hernia, and an abnormal rotation of the small intestine were diagnosed. The necrotic bowel segment was resected in a right-sided hemicolectomy, after which a resection distal to medial colic artery was cut-off to achieve normal anatomy. The patient was discharged on the 12th postoperative day in good health and has since returned to normal active life without any health issues within the follow-up of 5 months. Conclusions: Caecal volvulus and internal hernia can lead to a life-threatening condition requiring immediate surgical treatment. Rare causes of abdominal pain in children should be kept in mind when severe symptoms are present.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"9951709"},"PeriodicalIF":0.6,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11611422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766181","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

Bronchial Artery Embolization for a Mediastinal Aortopulmonary Paraganglioma Safe Resection: A Case Report. 支气管动脉栓塞治疗纵隔主动脉肺副神经节瘤安全切除术：病例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2024-11-16 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5764491

Diego Salcedo Miranda, Jorge Roberto Galvis O, Luis Gerardo García-Herreros, David Torres Cortes, Oscar Rivero Rapalino

引用次数: 0

A Rare Cause of Colon Perforation After Percutaneous Nephrolithotomy-A Case Report and Review of the Literature. 经皮肾镜碎石术后结肠穿孔的罕见原因--病例报告和文献综述。

IF 0.6

Case Reports in Surgery Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI: 10.1155/2024/4475216

Christina S Boutros, Alexander W Loftus, Aria Bassiri, Laura E Davis, Randy Vince, Jillian Sinopoli, Leonidas Tapias, Philip A Linden, Christopher W Towe, Boxiang Jiang

{"title":"A Rare Cause of Colon Perforation After Percutaneous Nephrolithotomy-A Case Report and Review of the Literature.","authors":"Christina S Boutros, Alexander W Loftus, Aria Bassiri, Laura E Davis, Randy Vince, Jillian Sinopoli, Leonidas Tapias, Philip A Linden, Christopher W Towe, Boxiang Jiang","doi":"10.1155/2024/4475216","DOIUrl":"10.1155/2024/4475216","url":null,"abstract":"Staghorn calculi pose challenges in urology, often necessitating more invasive procedures such as percutaneous nephrolithotomy (PCNL) to clear a large stone burden with fewer procedures. Here we present a case of a 76-year-old female with chronic kidney disease and a malrotated right pelvic kidney who underwent PCNL for a 3.5 cm staghorn calculus. Postoperatively, she developed a rare complication of ascending colon perforation, requiring emergent surgical intervention including exploratory laparotomy and right hemicolectomy. Colon perforation during PCNL is rare (0.3%-0.8%). Preoperative imaging, namely computed tomography (CT) of the abdomen and pelvis, is crucial to identify anatomical variations and mitigate the risk of injury. Conservative management strategies have demonstrated success in similar cases, emphasizing the importance of prompt recognition and multidisciplinary management. This case contributes to the paucity of literature regarding this rare complication underscoring the necessity for detailed preoperative planning to avoid complications in PCNL, especially in patients with complex renal anatomy. Future research should focus on developing tailored guidelines for PCNL in patients with anatomical abnormalities to enhance procedural safety and optimize outcomes.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"4475216"},"PeriodicalIF":0.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11581789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686233","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 Rare Case of Inflammatory Myofibroblastic Tumor Mimicking Fibrous Adhesions Resulting in Bowel Obstruction. 模仿纤维粘连导致肠梗阻的炎性肌纤维母细胞瘤罕见病例

IF 0.6

Case Reports in Surgery Pub Date : 2024-11-06 eCollection Date: 2024-01-01 DOI: 10.1155/2024/7782678

Stephanie Washburn, Raj Jessica Thomas, Douglas Grider

{"title":"A Rare Case of Inflammatory Myofibroblastic Tumor Mimicking Fibrous Adhesions Resulting in Bowel Obstruction.","authors":"Stephanie Washburn, Raj Jessica Thomas, Douglas Grider","doi":"10.1155/2024/7782678","DOIUrl":"10.1155/2024/7782678","url":null,"abstract":"Inflammatory myofibroblastic tumor (IMT) is a rare mesenchymal tumors of unknown etiology composed of myofibroblastic cells admixed with inflammatory cells. Presented is a 72-year-old male hospitalized for severe abdominal pain and hematochezia with onset of associated symptoms of fever and sweats a few hours prior to abdominal pain. A computed tomography (CT) demonstrated left colonic thickening interpreted as partial obstruction, gross adhesions, and ischemia. At surgery, marked bowel ischemia from the distal transverse to proximal sigmoid colon was seen with extensive gross adhesions. Histopathology revealed a mesenteric mass chiefly composed of stellate-to-spindled myofibroblastic cells and fibrous adhesions, intermixed with lymphocytes, histiocytes, and plasma cells. The tumor was positive for desmin, smooth muscle actin, and keratin; tumor staging, grade, and postsurgical follow-up were not completed as the patient expired postoperatively. Illustrated is a rare pathologic mimic of ischemic colitis with fibrous adhesions, IMT. Thus, it should not be assumed that fibrous adhesions are always the etiology of obstruction when \"adhesions\" between sections of bowel are noted radiologically or surgically.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"7782678"},"PeriodicalIF":0.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615428","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