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Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management. 新生儿睾丸扭转伴鞘膜积液：一例强调早期识别和处理必要性的病例报告。
IF 0.6
Case Reports in Surgery Pub Date : 2023-12-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9979543
Kareem Omran, Sameh Ali Ali, Ehsan Ahmad, Hilal Matta, Wissam Jamal Al Tamr
{"title":"Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management.","authors":"Kareem Omran, Sameh Ali Ali, Ehsan Ahmad, Hilal Matta, Wissam Jamal Al Tamr","doi":"10.1155/2023/9979543","DOIUrl":"10.1155/2023/9979543","url":null,"abstract":"<p><p>Neonatal testicular torsion (NTT) is a rare but significant condition occurring within the first 30-day postbirth, leading to vascular compromise and potential testicular loss. This paper presents a case of NTT detected incidentally in a neonate with bilateral hydrocele, emphasizing the challenge of early diagnosis and management complexities. The infant underwent surgical intervention involving detorsion and bilateral orchiopexy but eventually required right orchiectomy due to necrosis. The paper highlights the prevalence of NTT in conjunction with hydrocele and stresses the importance of parent education and vigilant follow-up. Various diagnostic methods, primarily ultrasonography, and a range of management strategies are discussed, considering factors such as salvage potential, risk to the contralateral testicle, and surgical intervention's risks and benefits. The paper argues for individualized management, taking into account specific neonate conditions and parental preferences, underlining the essential role of informed and empathetic consultation. The case reinforces the urgent need for increased awareness, early detection, and carefully considered therapeutic approaches to prevent devastating outcomes like infertility and the necessity for lifelong hormone supplementation.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"9979543"},"PeriodicalIF":0.6,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10728354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138798029","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
Colovesical Fistula due to Sigmoid Diverticulitis 乙状结肠憩室炎引起的结肠瘘
IF 0.6
Case Reports in Surgery Pub Date : 2023-12-04 DOI: 10.1155/2023/8835222
C. Stefanou, Spiridon Gkogkos, Stefanos Flindris, Apostolis K. Paxinos, Thomas Tsiantis, Polyxeni Oikonomou, K. Tepelenis, S. Stefanou
{"title":"Colovesical Fistula due to Sigmoid Diverticulitis","authors":"C. Stefanou, Spiridon Gkogkos, Stefanos Flindris, Apostolis K. Paxinos, Thomas Tsiantis, Polyxeni Oikonomou, K. Tepelenis, S. Stefanou","doi":"10.1155/2023/8835222","DOIUrl":"https://doi.org/10.1155/2023/8835222","url":null,"abstract":"Introduction The incidence of colonic diverticulosis has risen significantly. Diverticular disease is the most frequent cause of colovesical fistulas, which are uncommon complications of diverticulitis. Clinical signs, such as fecaluria and pneumaturia, are typically required to confirm its presence. Finding the cause of the disease so that the proper therapy can be started is the primary goal of a diagnostic workup rather than observing the fistula tract itself. Case Presentation. We present a 43-year-old man complaining of frequent urinary tract infections for six months. On CT abdomen and pelvis, a colovesical fistula was diagnosed. Surgery was performed, and after the division between the sigmoid colon and the bladder, a sigmoidectomy and an end-to-end colorectal anastomosis were performed. During the surgery, the fistula tract was not detected. The patient was discharged in excellent condition on day six, and the catheter was removed on day 10. Conclusion In conclusion, as in our case, any patient with a urinary tract infection should be suspected of having this condition, especially if he has persistent symptoms that have not responded to standard medical care. Patients who present with fecaluria, pneumaturia, and other specific symptoms of a colovesicular fistula do not necessarily need a barium enema or cystography to confirm the presence of the fistula.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"34 39","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601448","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
Intraoperative Diagnosis of Gallbladder Volvulus. 胆囊扭转的术中诊断。
IF 0.6
Case Reports in Surgery Pub Date : 2023-10-31 eCollection Date: 2023-01-01 DOI: 10.1155/2023/1194077
Hassan Mohamed Ali, Eyad Rabih Abdul Wahab, Amjad Damaj, Bassam Moussawi, Walid Audi, Mohammad Haidar, Youssef Badra
{"title":"Intraoperative Diagnosis of Gallbladder Volvulus.","authors":"Hassan Mohamed Ali, Eyad Rabih Abdul Wahab, Amjad Damaj, Bassam Moussawi, Walid Audi, Mohammad Haidar, Youssef Badra","doi":"10.1155/2023/1194077","DOIUrl":"10.1155/2023/1194077","url":null,"abstract":"<p><strong>Background: </strong>A gallbladder torsion typically presents as an acute abdomen presentation with nonspecific clinical signs. When not detected by a clinician preoperatively, it can lead to the delay of emergency surgery and possible misdiagnosis for other, more common causes of an acute abdomen. <i>Case Presentation</i>. We report the case of acute gallbladder volvulus in an 80-year-old woman complaining of constant pain in the right upper quadrant of the abdomen.</p><p><strong>Conclusions: </strong>The patient was successfully treated with cholecystectomy. The case highlights the high index of suspicion required to diagnose the condition preoperatively in this population of patients to reduce complications such as biliary peritonitis and death.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"1194077"},"PeriodicalIF":0.6,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10630001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71520649","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
Double Trouble: A Case of Gallstone Ileus as a Result of Multiple Obstructive Gallstones. 双重麻烦：一例多发性梗阻性胆结石引起的胆结石Ileus。
IF 0.6
Case Reports in Surgery Pub Date : 2023-10-27 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7423380
Malsha Kularatna, Fransiska Falconer
{"title":"Double Trouble: A Case of Gallstone Ileus as a Result of Multiple Obstructive Gallstones.","authors":"Malsha Kularatna,&nbsp;Fransiska Falconer","doi":"10.1155/2023/7423380","DOIUrl":"https://doi.org/10.1155/2023/7423380","url":null,"abstract":"<p><p>Gallstone ileus is a rare condition. It accounts for approximately 1% of small bowel obstruction and is more prevalent in the elderly population. It is usually present in relatively comorbid patients posing further operative challenges. The following report investigates the management of two large gallstones resulting in two different points of obstruction. Is double trouble doubly hard to manage?</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"7423380"},"PeriodicalIF":0.6,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478414","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
Closed Catheter Drainage for Klebsiella pneumoniae Empyema Necessitans. 肺炎克雷伯菌脓胸的闭式导管引流。
IF 0.6
Case Reports in Surgery Pub Date : 2023-10-26 eCollection Date: 2023-01-01 DOI: 10.1155/2023/6668677
Mohammed Ishaq, Abdullah Bahadi
{"title":"Closed Catheter Drainage for Klebsiella pneumoniae Empyema Necessitans.","authors":"Mohammed Ishaq,&nbsp;Abdullah Bahadi","doi":"10.1155/2023/6668677","DOIUrl":"https://doi.org/10.1155/2023/6668677","url":null,"abstract":"<p><p>Empyema necessitans is a rare complication of pneumonia, which can be seen more frequently with tuberculosis (TB). In this case report, we include a 47-year-old female with empyema necessitans; closed drainage has been sought as a sole treatment based on the clinical presentation and radiological findings of an empyema necessitans. Scarce evidence with regard to adult empyema necessitans with Klebsiella was found in the literature where adult cases were managed exclusively using combination of intravenous (IV) antibiotic and closed drainage, reporting such case can help guiding management for similar presentation.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"6668677"},"PeriodicalIF":0.6,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71478413","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
Aortic Thrombosis Associated with Three Types of COVID-19 Vaccine. 与三种新冠肺炎疫苗相关的主动脉血栓形成。
IF 0.6
Case Reports in Surgery Pub Date : 2023-10-25 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3562145
Jose Maria Pereira de Godoy, Fernando Reis Neto, Gabriela Leopoldino da Silva, Henrique Amorim Santos, Henrique Jose Pereira de Godoy
{"title":"Aortic Thrombosis Associated with Three Types of COVID-19 Vaccine.","authors":"Jose Maria Pereira de Godoy,&nbsp;Fernando Reis Neto,&nbsp;Gabriela Leopoldino da Silva,&nbsp;Henrique Amorim Santos,&nbsp;Henrique Jose Pereira de Godoy","doi":"10.1155/2023/3562145","DOIUrl":"10.1155/2023/3562145","url":null,"abstract":"<p><p>Aortic thrombosis has been studied little in patients with COVID-19 and an association has recently been reported with the vaccine for this disease. The aim of the present study is to report five cases of aortic thrombosis at our institution within a three-month period associated with the COVID-19 vaccine. Five cases of aortic thrombosis were evaluated-three women and two men aged 29, 49, 51, 60, and 79 years. Four thrombi involved the thoracic aortic and one involved the abdominal aorta, with embolisms found in the kidneys, spleen, liver, upper limbs, and lower limbs. Embolectomy was performed on the limbs, and anticoagulant therapy was performed for the abdominal arteries. The patients recovered well and anticoagulant therapy was maintained. Aortic thrombosis is uncommon but was associated with the AstraZeneca vaccine in this case series.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"3562145"},"PeriodicalIF":0.6,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71421007","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
"You Sleep, You Die": A Rare Clinical Case of Ondine's Curse after Posterior Fossa Surgery. “你睡了，你就死了”：一例罕见的后Fossa手术后Ondine诅咒的临床病例。
IF 0.6
Case Reports in Surgery Pub Date : 2023-09-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3113428
Mitesh Karn, Basant Kumar Mahato, Ranjan Sah, Dipendra Kandel, Shabal Sapkota
{"title":"\"You Sleep, You Die\": A Rare Clinical Case of Ondine's Curse after Posterior Fossa Surgery.","authors":"Mitesh Karn,&nbsp;Basant Kumar Mahato,&nbsp;Ranjan Sah,&nbsp;Dipendra Kandel,&nbsp;Shabal Sapkota","doi":"10.1155/2023/3113428","DOIUrl":"https://doi.org/10.1155/2023/3113428","url":null,"abstract":"<p><p>Ondine's curse is a rare condition in which breathing is preserved while awake, but there is absence of autonomic control of ventilation. It is a potentially fatal complication that may result rarely from surgery in posterior fossa in area close to respiratory centers. We describe a patient with posterior fossa hemangioblastoma who underwent subtotal resection via telovelar approach and developed acquired Ondine's curse postoperatively. The patient's presentation and management are described. Besides that, Ondine's is a great example of how modern medicine is linked to ancient literature, and thus, its anecdotal history is also described.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"3113428"},"PeriodicalIF":0.6,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10506874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41100817","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 Intestinal Volvulus Caused by Lipomatosis in a Middle-Aged Female. 一名中年女性脂肪瘤引起的小肠溃疡
IF 0.6
Case Reports in Surgery Pub Date : 2023-09-07 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7944187
Deepak Kumar, Shashikant Kumar, Anurag Kumar, Shreekant Bharti, Majid Anwer, Anil Kumar
{"title":"Small Intestinal Volvulus Caused by Lipomatosis in a Middle-Aged Female.","authors":"Deepak Kumar, Shashikant Kumar, Anurag Kumar, Shreekant Bharti, Majid Anwer, Anil Kumar","doi":"10.1155/2023/7944187","DOIUrl":"10.1155/2023/7944187","url":null,"abstract":"<p><p>Lipomas are benign tumors composed of adipose tissue that can occur in various locations throughout the body, including the gastrointestinal (GI) tract. Lipoma of the small bowel is a rare clinical condition. It infrequently results in small bowel obstruction and volvulus. In most of the patients, it is an incidental diagnosis. However, it may present with abdominal pain, nausea, vomiting, GI bleeding, and constipation. It is commonly diagnosed using imaging studies, such as computerized tomography scan or magnetic resonance imaging. The management of small bowel lipomas depends on the presence of symptoms and the risk of complications. Asymptomatic lipomas can be safely monitored with imaging studies, as the risk of complications is low. However, in symptomatic cases, surgical or endoscopic treatment may be necessary to relieve obstruction and prevent complications. We report a case of volvulus of small bowel in a middle-aged female presenting to our hospital with acute GI symptoms.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"7944187"},"PeriodicalIF":0.6,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10300456","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
Necrotizing Soft Tissue Infections of the Breast: A Potentially Lethal Surgical Emergency. 坏死性软组织感染的乳房:一个潜在的致命的外科急诊。
IF 0.6
Case Reports in Surgery Pub Date : 2023-07-20 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4695019
Shariful Islam, Aneela Shah, Anthony Maughn, Sarah Dial, Avidesh Mahabir, Vijay Naraynsingh, Patrick Harnarayan
{"title":"Necrotizing Soft Tissue Infections of the Breast: A Potentially Lethal Surgical Emergency.","authors":"Shariful Islam,&nbsp;Aneela Shah,&nbsp;Anthony Maughn,&nbsp;Sarah Dial,&nbsp;Avidesh Mahabir,&nbsp;Vijay Naraynsingh,&nbsp;Patrick Harnarayan","doi":"10.1155/2023/4695019","DOIUrl":"10.1155/2023/4695019","url":null,"abstract":"<p><p>Necrotizing soft tissue infection (NSTI) of the breast is an extremely rare event in surgical practice. It is considered the most aggressive form of soft tissue infection and a true surgical emergency. It is also associated with a high risk of mortality if not diagnosed promptly. Few cases have been documented in the literature; the exact etiology and risk factors vary from those involving the limbs, trunk, and perineum. Early recognition, prompt surgical treatment, and broad-spectrum antibiotic therapy are crucial for reducing morbidity and mortality. These reports present cases of NSTIs in breasts with unique etiologies and challenges in their management.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"4695019"},"PeriodicalIF":0.6,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964447","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
Recurrence Leiomyosarcoma of the Popliteal Vein: A Rare Soft Tissue Sarcoma. 腘静脉雷米肉瘤复发：一种罕见的软组织肉瘤
IF 0.6
Case Reports in Surgery Pub Date : 2023-02-16 eCollection Date: 2023-01-01 DOI: 10.1155/2023/2788584
Thanate Poosiripinyo, Sermsak Sukpanichyingyong, Krits Salang, Chat Sumananont, Thanapon Chobpenthai
{"title":"Recurrence Leiomyosarcoma of the Popliteal Vein: A Rare Soft Tissue Sarcoma.","authors":"Thanate Poosiripinyo, Sermsak Sukpanichyingyong, Krits Salang, Chat Sumananont, Thanapon Chobpenthai","doi":"10.1155/2023/2788584","DOIUrl":"10.1155/2023/2788584","url":null,"abstract":"<p><strong>Background: </strong>Leiomyosarcoma (LMS) is a soft tissue sarcoma that originates from smooth muscle cells and constitutes approximately 5-10% of all soft tissue sarcomas. Vascular LMS is the least common subtype of LMS. About one-third of vascular LMS is located in the extremities, most commonly in the saphenous vein (25%). Vascular LMS originating from the popliteal vein is very rare, and to the best of our knowledge, only nine cases have been reported to date. <i>Case presentation</i>. We herein report a case of a 49-year-old woman who presented with recurrence of a mass that was located at the posterior aspect of the right proximal leg and extended to the popliteal fossa. She had mild pain and intermittent claudication without a history of an edematous leg. The tissue diagnosis was LMS. Wide en bloc resection of the tumor, including the segment of the involved popliteal vein, was performed without venous reconstruction. The patient received no other adjuvant treatments. At the 16-month follow-up, she had good oncologic and functional outcomes.</p><p><strong>Conclusion: </strong>Vascular LMS at the popliteal vein is uncommon but should be considered as a differential diagnosis in a patient who presents with a mass at the popliteal fossa. The magnetic resonance imaging (MRI) and core needle biopsy were needed for a definite diagnosis. The mainstay of treatment is wide en bloc resection of the tumor, including the involved segment of the vein. Venous reconstruction after resection is unnecessary in chronic cases without a history of an edematous leg. Radiotherapy is an important adjuvant for local control when the surgical margins are close or positive. The role of chemotherapy in systemic management remains unclear.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2023 ","pages":"2788584"},"PeriodicalIF":0.6,"publicationDate":"2023-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10782333","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
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