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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
Cold Atmospheric Plasma Is a Promising Alternative Treatment Option in Case of Split Skin Graft Failure 冷大气等离子体是裂开皮肤移植失败后一种很有前途的替代治疗方案
IF 0.6
Case Reports in Surgery Pub Date : 2024-04-03 DOI: 10.1155/2024/1013445
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}
引用次数: 0
Case and Management Considerations of Low-Grade Cystic Duct Stump Dysplasia after Laparoscopic Cholecystectomy. 腹腔镜胆囊切除术后低级别膀胱导管残端发育不良的病例和处理注意事项。
IF 0.6
Case Reports in Surgery Pub Date : 2024-03-07 eCollection Date: 2024-01-01 DOI: 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}
引用次数: 0
Reactive Lymphoid Hyperplasia of the Liver Incidentally Found in a 55-Year-Old Woman with a History of Ulcerative Colitis. 一名有溃疡性结肠炎病史的 55 岁女性偶然发现的肝脏反应性淋巴样增生症
IF 0.6
Case Reports in Surgery Pub Date : 2024-02-22 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9863411
Noritoshi Mizuta, Takuya Kikuchi, Shunsuke Kusano, Nobuya Sano
{"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}
引用次数: 0
Small Bowel Obstruction Caused by Type IV Hiatal Hernia. IV 型食管裂孔疝引起的小肠梗阻。
IF 0.6
Case Reports in Surgery Pub Date : 2024-02-20 eCollection Date: 2024-01-01 DOI: 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}
引用次数: 0
Road Traffic Accident Traumatic Vehicle Seat Belt Abdominal Wall Hernia 道路交通事故 外伤 车辆 安全带 腹壁疝气
IF 0.6
Case Reports in Surgery Pub Date : 2024-02-16 DOI: 10.1155/2024/4408980
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}
引用次数: 0
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