{"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}
Aydar Khabipov, Andre Schreiber, Stephan Kersting, Richard Hummel, Johannes Höhn, L. Partecke, S. Bekeschus, Anne Glitsch, Wolfram Keßler
{"title":"Cold Atmospheric Plasma Is a Promising Alternative Treatment Option in Case of Split Skin Graft Failure","authors":"Aydar Khabipov, Andre Schreiber, Stephan Kersting, Richard Hummel, Johannes Höhn, L. Partecke, S. Bekeschus, Anne Glitsch, Wolfram Keßler","doi":"10.1155/2024/1013445","DOIUrl":"https://doi.org/10.1155/2024/1013445","url":null,"abstract":"Cold atmospheric plasma (CAP) has shown promising potential in promoting wound healing. This case report presents the successful application of CAP in a 42-year-old female patient with extensive wound healing disorders and superinfections following the excision of an abscess in the left thoracic region. After several failed split skin graft attempts, the implementation of CAP led to significant improvements in wound healing. This report highlights the wound healing-promoting effects of CAP and discusses its potential mechanisms of action.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"21 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140747755","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}
Case Reports in SurgeryPub Date : 2024-03-07eCollection Date: 2024-01-01DOI: 10.1155/2024/6682520
Claire Ufongene, Saran Kunaprayoon, Juan Mestre
{"title":"Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy.","authors":"Claire Ufongene, Saran Kunaprayoon, Juan Mestre","doi":"10.1155/2024/6682520","DOIUrl":"10.1155/2024/6682520","url":null,"abstract":"<p><p>Cholecystectomies have become one of the more commonly practiced procedures. As a result, there has been a rise in neoplastic changes in excised specimens. Due to this, surgeons must be prepared to manage possible malignancy after resecting what was previously thought to be a benign gallbladder. While management for high-grade dysplasia has been more clearly laid out in literature, data on management of low-grade dysplasia are limited. Here, we report a novel case of a 46-year-old woman with an incidental low-grade dysplasia of the cystic duct stump after a laparoscopic cholecystectomy for biliary colic. The decision was made to excise the remaining stump without further surveillance postoperatively given benign pathology findings. More documented cases and their management and ultimately longitudinal cohort studies will help facilitate the creation of guidelines for managing this particular pathology.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"6682520"},"PeriodicalIF":0.6,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133748","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}
{"title":"Reactive Lymphoid Hyperplasia of the Liver Incidentally Found in a 55-Year-Old Woman with a History of Ulcerative Colitis.","authors":"Noritoshi Mizuta, Takuya Kikuchi, Shunsuke Kusano, Nobuya Sano","doi":"10.1155/2024/9863411","DOIUrl":"10.1155/2024/9863411","url":null,"abstract":"<p><p>Reactive lymphoid hyperplasia (RLH) is a benign disease, rarely occurring in the liver. Reactive immune phenomenon has been reported in association with its occurrence, but the true pathogenesis is unknown. No case was reported in association with inflammatory bowel disease. We report a case of RLH of the liver in a patient with ulcerative colitis (UC). A 55-year-old woman with UC went to the outpatient clinic with abdominal pain, and antibiotics were prescribed with diagnosis of acute appendicitis. Imaging study detected a mass in the liver but ruled out appendicitis. She was referred to our hospital for further examination after pain improving. A 12 mm hypoechoic mass was detected in the liver on ultrasonography. There were no typical malignant findings on computed tomography and magnetic resonance imaging. Regular image follow-up was recommended, but the patient strongly requested surgery because of family history of malignant disease. Laparoscopic partial hepatectomy was performed. Histopathological findings revealed a conglomerate hyperplasia of lymphoid follicles with germinal centers. Infiltrating lymphocytes were non-neoplastic. Final diagnosis was RLH of the liver. UC is chronic inflammatory bowel disease and may be related to RLH, but there is no clear explanation at this point. This is the first known reported case of RLH of the liver in a patient with UC. But the relationship between the RLH and UC remains uncertain. Further investigation and case accumulation are necessary.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"9863411"},"PeriodicalIF":0.6,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10904678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020913","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}
Case Reports in SurgeryPub Date : 2024-02-20eCollection Date: 2024-01-01DOI: 10.1155/2024/8837649
Katsudai Shirakabe, Naoya Ozawa, Yoshihiro Mochizuki, Ken Mizokami
{"title":"Small Bowel Obstruction Caused by Type IV Hiatal Hernia.","authors":"Katsudai Shirakabe, Naoya Ozawa, Yoshihiro Mochizuki, Ken Mizokami","doi":"10.1155/2024/8837649","DOIUrl":"10.1155/2024/8837649","url":null,"abstract":"<p><p>Type IV hiatal hernia of the esophagus is characterized by herniation of the stomach and associated organs, such as the spleen, large and small bowel, and pancreas, through the esophageal hiatus. It is a relatively rare form of hiatal hernia that sometimes requires emergency surgery due to gastric incarceration, volvulus, and strangulation. Of these, small bowel obstruction is extremely rare and requires surgery. We report the case of an 83-year-old woman who was admitted to the hospital for small bowel obstruction caused by an ileum that had incarcerated the esophageal hiatus; emergency laparoscopic surgery was performed.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"8837649"},"PeriodicalIF":0.6,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139982468","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}
Mahmoud R. Manasra, Roua E. Farah, Arein A Abufara, Bara M. AbuIrayyeh, Rahaf E. Farah, Mohammed A. Maraqa
{"title":"Road Traffic Accident Traumatic Vehicle Seat Belt Abdominal Wall Hernia","authors":"Mahmoud R. Manasra, Roua E. Farah, Arein A Abufara, Bara M. AbuIrayyeh, Rahaf E. Farah, Mohammed A. Maraqa","doi":"10.1155/2024/4408980","DOIUrl":"https://doi.org/10.1155/2024/4408980","url":null,"abstract":"Traumatic abdominal wall hernia (TAWH) is a rare type of hernia with an incidence of about <1.5%, resulting from blunt abdominal trauma, which leads to an increase in the intra-abdominal pressure and rupture in the abdominal musculature and fascia with herniation of the abdominal organs into the defect. Most TAWH contained either a small bowel (69%) or a large bowel (36%), with 16% containing both. This condition is often not present as an isolated case, as 30% to 60% of the cases are accompanied by other intra-abdominal injuries. The typical manner of presentation is a tender subcutaneous swelling across the abdomen wall with overlaying bruising and ecchymosis. The radiological investigative modality of CT scan has the highest index of diagnosing accompanied intra-abdominal visceral injuries. We present a rare case of a 23-year-old male patient diagnosed with TAWH containing both small bowel and sigmoid colon associated with psoas hematoma caused by a seat belt postroad traffic accident (RTA).","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"49 27","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961553","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}
M. Jezovit, Hasan Bakirli, I. Bakirov, K. Hureibi, G. Bakirova, Roman Okolicany, Pavol Janac, I. Mečiarová, Nasser Alhwaymel, Ilkin Bakirli, Augustin Prochotsky
{"title":"Ileal Schwannoma: A Rare Cause of Pelvic Mass","authors":"M. Jezovit, Hasan Bakirli, I. Bakirov, K. Hureibi, G. Bakirova, Roman Okolicany, Pavol Janac, I. Mečiarová, Nasser Alhwaymel, Ilkin Bakirli, Augustin Prochotsky","doi":"10.1155/2024/5572087","DOIUrl":"https://doi.org/10.1155/2024/5572087","url":null,"abstract":"The incidence of small bowel schwannomas is extremely low. In the current literature, we found just a few reported small intestine schwannomas that were located in the duodenum, jejunum, or ileum. This study reports a surprising finding of a relatively large size ileal schwannoma in a patient whose preoperative magnetic resonance imaging described a tumour in the lesser pelvis probably derived from the right adnexa. Pfannenstiel incision was made by the gynaecology team, which found a large mass lesion arising from the small intestine and occupying nearly the entire lesser pelvis. The general surgeon was invited, and pathology was successfully managed by segmental resection of the small bowel with primary end-to-end anastomosis. The histopathology study reported a submucosal tumour composed of S-100 protein-positive spindle cells, and the diagnosis of ileal schwannoma was made. The possibility of intestinal neoplasms, including schwannomas, might be contemplated in the differential diagnosis of any pelvic mass lesions. A detailed histology study and immunohistochemical stain are required for the final diagnosis of intestinal schwannomas and to rule out malignant changes, which are extremely important for the further management of patients. To the best knowledge, our case is one of the biggest intestinal schwannomas reported in the current literature.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"34 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139779096","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}
M. Jezovit, Hasan Bakirli, I. Bakirov, K. Hureibi, G. Bakirova, Roman Okolicany, Pavol Janac, I. Mečiarová, Nasser Alhwaymel, Ilkin Bakirli, Augustin Prochotsky
{"title":"Ileal Schwannoma: A Rare Cause of Pelvic Mass","authors":"M. Jezovit, Hasan Bakirli, I. Bakirov, K. Hureibi, G. Bakirova, Roman Okolicany, Pavol Janac, I. Mečiarová, Nasser Alhwaymel, Ilkin Bakirli, Augustin Prochotsky","doi":"10.1155/2024/5572087","DOIUrl":"https://doi.org/10.1155/2024/5572087","url":null,"abstract":"The incidence of small bowel schwannomas is extremely low. In the current literature, we found just a few reported small intestine schwannomas that were located in the duodenum, jejunum, or ileum. This study reports a surprising finding of a relatively large size ileal schwannoma in a patient whose preoperative magnetic resonance imaging described a tumour in the lesser pelvis probably derived from the right adnexa. Pfannenstiel incision was made by the gynaecology team, which found a large mass lesion arising from the small intestine and occupying nearly the entire lesser pelvis. The general surgeon was invited, and pathology was successfully managed by segmental resection of the small bowel with primary end-to-end anastomosis. The histopathology study reported a submucosal tumour composed of S-100 protein-positive spindle cells, and the diagnosis of ileal schwannoma was made. The possibility of intestinal neoplasms, including schwannomas, might be contemplated in the differential diagnosis of any pelvic mass lesions. A detailed histology study and immunohistochemical stain are required for the final diagnosis of intestinal schwannomas and to rule out malignant changes, which are extremely important for the further management of patients. To the best knowledge, our case is one of the biggest intestinal schwannomas reported in the current literature.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"543 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139838927","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}
Case Reports in SurgeryPub Date : 2024-02-06eCollection Date: 2024-01-01DOI: 10.1155/2024/9916070
Giuleta Jamsari, Joseph Do Woong Choi, Benedict Kakala, Hillary Hu, Gideon Sandler
{"title":"Conservative Treatment of an Unusual Presentation of Iliopsoas Phlegmon Related to Infected Intrauterine Contraceptive Device.","authors":"Giuleta Jamsari, Joseph Do Woong Choi, Benedict Kakala, Hillary Hu, Gideon Sandler","doi":"10.1155/2024/9916070","DOIUrl":"10.1155/2024/9916070","url":null,"abstract":"<p><p>Iliopsoas phlegmon/abscess is uncommon, and individuals often present with nonspecific symptoms. Diagnosis is often delayed and almost always requires advanced imaging techniques such as computed tomography or magnetic resonance imaging. We report a case of a 51-year-old woman who presented with right lower limb swelling and associated rash with imaging demonstrating iliopsoas abscess secondary to an infected intrauterine contraceptive device. This rare case highlights the nonspecific presentation of iliopsoas abscess and the need to consider unusual sources of infection such as an intrauterine contraceptive device in women presenting with iliopsoas phlegmon and abscess.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"9916070"},"PeriodicalIF":0.6,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10864045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729087","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}
Case Reports in SurgeryPub Date : 2024-01-22eCollection Date: 2024-01-01DOI: 10.1155/2024/2581337
Yuhya Hirahara, Koichi Nagai, Kazunori Mukaida
{"title":"Chronic Isolated Fallopian Tube Torsion in a Sexually Inactive Adolescent Female Diagnosed Peroperatively.","authors":"Yuhya Hirahara, Koichi Nagai, Kazunori Mukaida","doi":"10.1155/2024/2581337","DOIUrl":"10.1155/2024/2581337","url":null,"abstract":"<p><strong>Introduction: </strong>Isolated fallopian tube torsion (IFTT) has rarely been confirmed in sexually inactive adolescents, and preoperative diagnosis of IFTT is difficult because of the absence of specific symptoms. Therefore, pediatric patients with IFTT tend to be misdiagnosed before the surgery.</p><p><strong>Case: </strong>A 15-year-old female patient with no history of abdominal surgery or sexual intercourse presented with acute left lower abdominal pain and purpura. MRI revealed hydrosalpinx in the left adnexal region. Her abdominal pain had completely resolved at our examination; she was followed up as an outpatient. One month after the initial presentation, she experienced a large volume of watery discharge. Magnetic resonance imaging, which was performed every three months, showed a gradual decrease in the size of the hydrosalpinx; however, it persisted in the left adnexal region. She was counseled to receive laparoscopy to treat the hydrosalpinx, which was the most likely cause of the watery discharge. IFTT was detected during the laparoscopy, and left salpingectomy was performed for pathological evaluation of the persistent hydrosalpinx. Following laparoscopy, the patient's watery discharge was resolved. Pathological findings confirmed no signs of malignancy.</p><p><strong>Conclusion: </strong>Our current report highlighted watery discharge as an indicative symptom of IFTT. It is unclear whether IFTT induced the hydrosalpinx or vice versa. We presumed that the patient's hydrosalpinx occurred due to IFTT, because the patient complained watery discharge one month after the initial appearance, and noncongenital hydrosalpinx in adolescents, especially without a history of sexual intercourse, is a rare event. Clinicians should consider IFTT in patients presenting with unremitting watery discharge and hydrosalpinx, because IFTT may persist even after the pain disappears.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2024 ","pages":"2581337"},"PeriodicalIF":0.6,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575201","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}