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    820 results match your criteria Case reports in surgery[Journal]

    1 OF 17

    Jejunojejunal Intussusception due to Metastatic Melanoma Seven Years after the Primer.
    Case Rep Surg 2017 12;2017:1237510. Epub 2017 Sep 12.
    Department of Surgery, European Interbalkan Medical Centre, Thessaloniki, Greece.
    Intestinal intussusception in adults is a rare medical condition accounting for less than 5% of all intussusceptions. Herein we present a 45-year-old patient with a history of abdominal pain and loss of weight. CT scan revealed jejunojejunal intussusceptions. Read More

    Jejunal Diverticular Perforation Causing Small Bowel Obstruction in a Type 4 Hiatal Hernia: A Rare Case Report of a Nonagenarian Patient and Review of Relevant Literature.
    Case Rep Surg 2017 10;2017:8412927. Epub 2017 Oct 10.
    Department of General Surgery, Westchester University Medical Center, Valhalla, NY, USA.
    Type IV paraesophageal hernia (PEH) is very rare and is characterized by the intrathoracic herniation of the abdominal viscera other than the stomach into the chest. We describe a case of a 90-year-old male patient who presented at our emergency department complaining of epigastric pain that he had experienced over the past few hours and getting progressively worse. On the day after admission, his pain became severe. Read More

    Symptomatic Bochdalek Hernia in Pregnancy: A Rare Case Report.
    Case Rep Surg 2017 16;2017:2862149. Epub 2017 Oct 16.
    Department of Surgery, School of Medicine, Van Yüzüncü Yıl University, 65090 Van, Turkey.
    Introduction: Symptomatic Bochdalek hernia in pregnancy is quite rare. To the best of our knowledge, there are a total of 44 cases reported in the literature between 1959 and 2016 (Hernández-Aragon et al., 2015; Koca et al. Read More

    Gossypiboma Resection after Eight Years in a Patient with Rheumatoid Arthritis and Diabetes.
    Case Rep Surg 2017 3;2017:3239093. Epub 2017 Oct 3.
    Coulee Medical Center, 411 Fortuyn Road, Grand Coulee, WA 99133, USA.
    Gossypiboma is the term used to refer to a mass formed by surgical material left in the body cavity after surgery. We present the case of a middle-aged woman with a history of rheumatoid arthritis controlled with corticosteroids and biologic therapies, uncontrolled type II diabetes mellitus, and cesarean section with postoperative bleeding eight years earlier, who presents with right lower quadrant abdominal pain and is found to have a gossypiboma from her previous operation. A subsequent operation is undertaken to remove the gossypiboma. Read More

    Vaginal Cuff Dehiscence Presenting with Free Air 60 Days after Robotic-Assisted Hysterectomy.
    Case Rep Surg 2017 2;2017:5052634. Epub 2017 Oct 2.
    Berkshire OB/GYN of Berkshire Medical Center, 777 N Street, Pittsfield, MA 01201, USA.
    Introduction: The vast majority of patients presenting with pneumoperitoneum have visceral organ perforation and require urgent diagnostic laparoscopy. Nonsurgical causes are relatively rare and may be attributed to multiple etiologies.

    Case Presentation: Here we describe the case of a 38-year-old Caucasian female who presented to the emergency department with three days of cramping, epigastric abdominal pain. Read More

    Late Ps. aeruginosa Inguinal Mesh Infection 12 Years after the Initial Operation: Report of the Case and Short Review of the Literature.
    Case Rep Surg 2017 27;2017:4385913. Epub 2017 Sep 27.
    Department of Laparoscopic Surgery and Surgical Oncology, Neo Athinaion Hospital, Athens, Greece.
    Inguinal hernia mesh repair is one of the most frequent operations performed worldwide. The Lichtenstein technique and its various modifications are the most popular operations for groin hernia repair. The rate of surgical site infection (SSI) following inguinal hernia repair ranges between 0 and 14% in various series. Read More

    Utilization of Liposuction for Delayed Morel-Lavallée Lesion: A Case Report and Review.
    Case Rep Surg 2017 11;2017:8120587. Epub 2017 Sep 11.
    Department of Plastic & Reconstructive Surgery, Beaumont Hospital-Royal Oak, 3555 West 13 Mile Rd., Ste N120, Royal Oak, MI 48073, USA.
    Morel-Lavallée lesions are irregularly occurring and often overlooked results of traumatic injuries, resulting in potential long-term encapsulation of fluid between soft-tissue layers. The objective in this review was to discuss the delayed presentation of a Morel-Lavallée lesion and operative utility of liposuction in the patient's treatment and review literature with particular focus on diagnosis and therapeutic interventions. The reviewed case demonstrates the presentation and successful therapy of a young female presenting with a MLL and contour deformity. Read More

    Small Bowel Obstruction Secondary to a Metamucil Bezoar: Case Report and Review of the Literature.
    Case Rep Surg 2017 20;2017:2702896. Epub 2017 Sep 20.
    Department of Surgery, American University of Beirut Medical Center, Cairo Street, Riad El Solh, P.O. Box 11-0236, Beirut 1107 2020, Lebanon.
    Bezoar-induced small bowel obstruction is a rare entity. It should be highly suspected in patients with gastric hypomotility disorders, psychiatric conditions, prior abdominal or bariatric surgery, or improper intake of medication. Their diagnosis is quite challenging and surgical exploration remains the best treatment of choice to ensure the viability of the small bowel tissue and relieve the obstruction. Read More

    Paralytic Ileus Secondary to Methamphetamine Abuse: A Rare Case.
    Case Rep Surg 2017 31;2017:9762803. Epub 2017 Aug 31.
    Department of General Surgery, Bedford Hospital NHS Trust, Kempston Road, Bedford MK42 9DJ, UK.
    Methamphetamine hydrochloride, colloquially referred to as "crystal meth," is a potent psychoactive amphetamine derivate. Methamphetamine produces stimulant effects in the user including increased energy and alertness as well as inducing intense euphoric symptoms and suppressing appetite through its dopaminergic, serotonergic, and adrenergic actions. Use of methamphetamine can adversely affect cardiovascular, neurological, and gastrointestinal physiology leading to significant morbidity. Read More

    Amyand's Hernia, State of the Art and New Points of View.
    Case Rep Surg 2017 17;2017:9598478. Epub 2017 Sep 17.
    Department of General Surgery, Carlo Poma Hospital, Mantua, Italy.
    Background: Amyand's hernia (AH) is an inguinal hernia containing the vermiform appendix, with an incidence between 0.4% and 1% of all inguinal hernias. Acute or perforated appendicitis can complicate AH. Read More

    Hem-o-lok Clips Migration: An Easily Neglected Complication after Laparoscopic Biliary Surgery.
    Case Rep Surg 2017 14;2017:7279129. Epub 2017 Sep 14.
    Department of Biliary-Pancreatic Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. 160, Pujian Road, Pudong New Area, Shanghai 200127, China.
    Clip migration into the common bile duct (CBD) is a rare but well-established phenomenon of laparoscopic biliary surgery. The mechanism and exact incidence of clip migration are both poorly understood. Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. Read More

    A Large Lumbar Adnexal Neoplasm Presenting Characteristics of Eccrine Poroma and Poroid Hidradenoma.
    Case Rep Surg 2017 19;2017:9865672. Epub 2017 Sep 19.
    Department of Anatomy, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
    Poroma is a rare benign neoplasm that derives from eccrine sweat glands epithelium. Its histological subtypes, with respect to its position within skin layers, are eccrine poroma, hidroacanthoma simplex, poroid hidradenoma, and dermal duct tumor. Poromas commonly exhibit benign clinical behavior as they are usually small and asymptomatic and do not exhibit malignant behavior. Read More

    Thoracoscopic Surgery in a Patient with Multiple Esophageal Carcinomas after Surgery for Esophageal Achalasia.
    Case Rep Surg 2017 30;2017:3272014. Epub 2017 Aug 30.
    Department of Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama, Toyama 930-0975, Japan.
    We present a case in which we used a thoracoscopic approach for resection of multiple esophageal carcinomas diagnosed 33 years after surgery for esophageal achalasia. A 68-year-old Japanese man had been diagnosed with esophageal achalasia and underwent surgical treatment 33 years earlier. He was examined at our hospital for annual routine checkup in which upper gastrointestinal endoscopy showed a "0-IIb+IIa" lesion in the middle esophagus. Read More

    IgG4-Related Kidney Disease: Report of a Case Presenting as a Renal Mass.
    Case Rep Surg 2017 22;2017:9690218. Epub 2017 Aug 22.
    Department of Urology, Policlinico Tor Vergata, Rome, Italy.
    IgG4-related disease (IgG4-RD) is a nosological entity defined as a chronic immune-mediated fibro-inflammatory condition characterized by a tendency to form tumefactive, tissue-destructive lesions or by organ failure. Urologic involvement in IgG4-RD has been described in some short series of patients and in isolated case reports, most often involving the kidneys in so-called IgG4-related kidney disease (IgG4-RKD). The disease can occasionally mimic malignancies and is at risk of being misdiagnosed due to its rarity. Read More

    Laparoscopic Repair of Diaphragmatic Rupture: A Case Report with Radiological and Surgical Correlation.
    Case Rep Surg 2017 20;2017:4159108. Epub 2017 Aug 20.
    Department of Surgery, Howard University Hospital, Washington, DC 20060, USA.
    The leading cause of diaphragmatic rupture is penetrating abdominal trauma, including gunshot- and stab-related wounds; however, diaphragmatic rupture can also result from blunt trauma to the abdomen. The diagnosis can be difficult to make as the physical examination may be unremarkable, and imaging, that is, a conventional chest X-ray and/or CT imaging, may initially fail to reveal the injury. Failure to recognize diaphragmatic rupture can result in a delayed presentation, sometimes years later, with a potential catastrophic outcome. Read More

    Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation.
    Case Rep Surg 2017 15;2017:1090769. Epub 2017 Aug 15.
    Department of Surgery, Liverpool Hospital, Liverpool, NSW 2170, Australia.
    Caecal perforation is a life-threatening complication of large bowel obstruction with a reported mortality of 34% to 72%. This case describes the novel use of percutaneous needle caecostomy as a life-saving measure to prevent imminent caecal perforation in a 68-year-old lady with large bowel obstruction secondary to an incarcerated incisional hernia. After careful review of computed tomography images and measurement of distances from the abdominal wall to the caecum, the patient's caecum was decompressed in the emergency department using a needle under local anaesthetic. Read More

    Cutaneous Erythema at Scar Site of Modified Radical Mastectomy: An Unexpected Manifestation of Recurrent Carcinoma.
    Case Rep Surg 2017 10;2017:6879626. Epub 2017 Aug 10.
    Department of Pathology and Laboratory Medicine, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
    A 44-year-old woman presented with marked erythema over right mastectomy scar, while on Herceptin therapy. She had neoadjuvant chemotherapy, modified radical mastectomy, and radiotherapy less than one year earlier for the treatment of invasive ductal carcinoma. On physical examination, no palpable masses were detected in the erythematous skin. Read More

    Malrotation Induced Small Intestine Ischemia in an Adolescent.
    Case Rep Surg 2017 31;2017:4809406. Epub 2017 Jul 31.
    Department of General Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey.
    Intestinal malrotation occurs if midgut does not complete or partially completes its 270° counter-clockwise rotation around the superior mesenteric artery during embryologic life. In general, it frequently manifests with vomiting due to duodenal obstruction and volvulus in the initial months of life, and it is very rare to manifest in the adulthood. A 20-year-old male patient who had severe abdominal pain, nausea, vomiting, and distention for one day was evaluated at the emergency department. Read More

    The Role of Laparoscopy in the Management of a Diagnostic Dilemma: Jejunal Ectopic Pancreas Developing into Jejunojejunal Intussusception.
    Case Rep Surg 2017 27;2017:8452947. Epub 2017 Jul 27.
    General, Emergency and Minimally Invasive Surgery Unit, Careggi University Hospital, Florence, Italy.
    Ectopic pancreas (EP) is a rare congenital anomaly defined as the presence of pancreatic tissue in topographic anomaly. It is usually silent but it may become clinically evident when complicated by acute conditions. The development of laparoscopic surgery has changed the way to manage such conditions, especially in the setting of emergency surgery, thanks to its diagnostic and therapeutic role with excellent results. Read More

    Rare Reported Left Hepatic Subcapsular Biloma and Management.
    Case Rep Surg 2017 17;2017:8609185. Epub 2017 Jul 17.
    Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
    Subcapsular bilomas are a rare complication of laparoscopic cholecystectomy and an even more rare occurrence to occur spontaneously. We present a case of left sided subcapsular biloma following a laparoscopic cholecystectomy. The location of the biloma was unrelated to our area of dissection. Read More

    Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis.
    Case Rep Surg 2017 17;2017:4154016. Epub 2017 Jul 17.
    IMC Hospital, Emergency Medicine Department, Jeddah, Saudi Arabia.
    Postoperative septic complications of hemorrhoids surgical interventions are rare, but very serious with high mortality rate. Early diagnosis and prompt therapy are essential to save patient's life. There are a good number of articles and case reports about these septic complications. Read More

    Laparoscopic Common Bile Duct Exploration for Retrieval of Impacted Dormia Basket following Endoscopic Retrograde Cholangiopancreatography with Mechanical Failure: Case Report with Literature Review.
    Case Rep Surg 2017 13;2017:5878614. Epub 2017 Jul 13.
    Department of Laparoscopic and Upper Gastro-Intestinal Surgery, Hinchingbrooke Healthcare NHS Trust, Hinchingbrooke Park, Huntingdon PE29 6NT, UK.
    Dormia baskets are commonly used during endoscopic retrograde cholangiopancreatography (ERCP). One complication is basket retention, through impaction with a gallstone or wire fracture. We describe a case where the external handle of the basket snapped causing retained basket plus large gallstone impacted in the common bile duct (CBD). Read More

    Spontaneous Diaphragmatic Rupture in Hypermobile Type Ehlers-Danlos Syndrome.
    Case Rep Surg 2017 13;2017:2081725. Epub 2017 Jul 13.
    Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
    Ehlers-Danlos Syndrome refers to a spectrum of connective tissue disorders that have a variety of clinical manifestations. In this case, we present a spontaneous diaphragmatic rupture in a patient with type III Ehlers-Danlos Syndrome. The patient presented with worsening shortness of breath after failure of medical therapy for a presumed pneumonia. Read More

    Laparoscopic Repair of a Large Paraesophageal Hernia with Migration of the Stomach into the Mediastinum Creating an Upside-Down Stomach.
    Case Rep Surg 2017 10;2017:7428195. Epub 2017 Jul 10.
    Emek Medical Center, Surgery A, Afula, Israel.
    Upside-down stomach is a relatively rare type of a large paraesophageal hernia characterized by the migration of the stomach into the posterior mediastinum. Upside-down stomach is prone to severe complications and therefore surgery is recommended even in asymptomatic patients. A 62-year-old male presented with frequent abdominal pain with nausea and vomiting that persisted for one year. Read More

    Small Bowel Obstruction Caused by Internal Hernia through a Peritoneal Defect of the Pouch of Douglas: Report of a Case and Review of the Literature.
    Case Rep Surg 2017 5;2017:9819270. Epub 2017 Jul 5.
    Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.
    Herniation of small bowel through the peritoneal defect of the Pouch of Douglas is extremely rare type of internal hernia, and this type of internal hernia has been described as an entity of perineal hernia. Here, we describe a case of a 26-year-old female without history of abdominal surgery presenting with incarcerated small bowel hernia through a peritoneal defect of the Pouch of Douglas. She visited an emergency department presenting with abdominal pain and distension. Read More

    An Unusual Cause of Intestinal Obstruction in a Young Adult Patient: Inflammatory Fibroid Polyp.
    Case Rep Surg 2017 5;2017:3675848. Epub 2017 Jul 5.
    Department of Pathology, Faculty of Medicine and Pharmacy and Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco.
    Inflammatory fibroid polyps are uncommon benign lesions that originate in the submucosa of the gastrointestinal tract. The stomach and the ileum are the most commonly affected sites. Although inflammatory fibroid polyp is one of the rare conditions leading to intestinal obstruction in adults, it should be considered as a possible diagnosis in obstructive tumors of the small bowel causing intussusceptions. Read More

    An Obstructing Small Bowel Phytobezoar in an Elderly Female Nigerian: A Case Report and Literature Review.
    Case Rep Surg 2017 13;2017:6962876. Epub 2017 Jun 13.
    General Surgery Unit, Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Lagos, PMB 12003, Idi Araba, Lagos, Nigeria.
    Small bowel obstruction secondary to phytobezoars is an unusual presentation in surgery. We present a case of an elderly female patient with an insidious onset of abdominal pain, abdominal distension, and bilious vomiting diagnosed radiologically to be small bowel obstruction. Exploratory laparotomy revealed a trapped mass of vegetable matter in the distal ileum. Read More

    Posttraumatic Progressive Vertebral Hemangioma Induced by a Fracture.
    Case Rep Surg 2017 20;2017:8280678. Epub 2017 Jun 20.
    Department of Neurosurgery, Bahçeşehir University Faculty of Medicine, Istanbul, Turkey.
    The authors present an extremely rare case of an aggressive and progressive vertebral capillary hemangioma of the lumbar spine secondary to a trauma. A 40-year-old man who complained of back and leg pain due to a hemangioma of L1 that had begun a year after the fracture of the same vertebra was subsequently operated on. Due to the profuse bleeding, only a subtotal removal was possible. Read More

    Adrenal Rest Tumor of the Liver Preoperatively Diagnosed as Hepatocellular Carcinoma.
    Case Rep Surg 2017 19;2017:8231943. Epub 2017 Jun 19.
    Department of Gastrointestinal Medicine, Mishima General Hospital, 2276 Yata, Mishima, Shizuoka 411-0801, Japan.
    Background: Hepatic adrenal rest tumors are rare and show similar findings to hepatocellular carcinoma (HCC). It is difficult to distinguish an adrenal rest tumor from HCC due to radiological similarity. We report a case of an adrenal rest tumor in the liver that mimicked HCC radiologically. Read More

    Pediatric Ovarian Growing Teratoma Syndrome.
    Case Rep Surg 2017 1;2017:3074240. Epub 2017 Jun 1.
    Department of Surgery, Children's Mercy Hospital, Kansas City, MO, USA.
    Ovarian immature teratoma is a germ cell tumor that comprises less than 1% of ovarian cancers and is treated with surgical debulking and chemotherapy depending on stage. Growing teratoma syndrome (GTS) is the phenomenon of the growth of mature teratoma elements with normal tumor markers during or following chemotherapy for treatment of a malignant germ cell tumor. These tumors are associated with significant morbidity and mortality due to invasive and compressive growth as well as potential for malignant transformation. Read More

    Adhesive-Enhanced Sternal Closure: Feasibility and Safety of Late Sternal Reentry.
    Case Rep Surg 2017 29;2017:8605313. Epub 2017 May 29.
    Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
    This clinical case report describes sternal reentry performed years after adhesive-enhanced sternal closure using Kryptonite bone cement. This report provides novel data on the late effects of this innovation. We observed that sternal reentry is feasible and safe. Read More

    Spontaneous Rupture of Renal Metastasis from Hepatocellular Carcinoma.
    Case Rep Surg 2017 22;2017:8607061. Epub 2017 May 22.
    Department of Surgery, Maizuru Medical Center, Kyoto, Japan.
    We report a rare life-threatening case of spontaneous rupture of renal metastasis from hepatocellular carcinoma (HCC) that was managed by emergent transcatheter arterial embolization (TAE). A 76-year-old woman diagnosed with HCC presented with acute back pain in her right side and was transferred to our hospital. Initial enhanced computed tomography revealed retroperitoneal hemorrhage from the right kidney, which was retrospectively diagnosed as a spontaneous rupture of the metastatic renal tumor from the primary HCC. Read More

    Acutely Obstructed Airway Resulting from Complications of a Laryngopyocoele.
    Case Rep Surg 2017 18;2017:8123573. Epub 2017 May 18.
    Salisbury NHS Foundation Trust, Salisbury SP2 8BJ, UK.
    Laryngocoeles are rare cystic dilatations of the laryngeal ventricle. Obstruction of its outlet can cause entrapment of mucus and superimposed infection causes a laryngopyocoele. Such presentations, although rare, have potential to cause airway obstruction. Read More

    Recurrent Lateral Ventricular Enterogenous Cyst: A Report of an Extreme Rare Case.
    Case Rep Surg 2017 18;2017:3098676. Epub 2017 May 18.
    Department of Microbiology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh.
    The patient was a 45-year-old man with a progressive headache. Evaluation in detail revealed it as a case of left lateral ventricular space occupying lesion (SOL) resembling choroid plexus papilloma. A left parietal craniotomy was done and the lesion was removed completely through intraparietal approach. Read More

    A Rare Case of Vasculitis Patched Necrosis of Cecum due to Behçet's Disease.
    Case Rep Surg 2017 18;2017:1693737. Epub 2017 May 18.
    Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
    Isolated cecal necrosis is a rare form of acute ischemic colitis and a rare cause of surgical abdomen. Behçet's disease is a multisystemic autoimmune condition which can induce vasculitis. This can result in cecal necrosis while disease involves colon vessels. Read More

    Contralateral Ovarian Metastasis of Clear-Cell Renal Carcinoma: A Rare Case Report and Review of the Literature.
    Case Rep Surg 2017 8;2017:9849205. Epub 2017 May 8.
    Department of Urology, Haydarpasha Numune Research & Training Hospital, Istanbul, Turkey.
    Renal cell carcinoma (RCC) constitutes 2-3% of all types of cancers. RCCs metastasize into lungs (50-60%), lymph nodes (36%), bones (30-40%), liver (30-40%), and brain (5%) in respective percentages. RCC rarely metastasizes into ovary. Read More

    Perforated Duodenal Diverticulum Treated Conservatively: Another Two Successful Cases.
    Case Rep Surg 2017 7;2017:4045970. Epub 2017 May 7.
    Division of General Surgery, Department of Surgery, American University of Beirut Medical Center, Riad El-Solh, Beirut 1107 2020, Lebanon.
    Diverticula of the duodenum proceed those of the colon in respect to frequency of location. Incidence at times of autopsy ranges from 15 to 23%. Despite the fact that more than 90% of duodenal diverticulum cases are asymptomatic, complications if they do occur can be calamitous. Read More

    Combined Treatment of a Gallbladder Volvulus with a Common Bile Duct Obstruction.
    Case Rep Surg 2017 30;2017:3906042. Epub 2017 Apr 30.
    Surgery Department, CHU Besançon, 25000 Besançon, France.
    Gallbladder volvulus is a rare disease and can lead to an acute cholecystitis. We report the case of an elderly woman with a gallbladder volvulus, diagnosed at CT scan and treated by surgery and endoscopic sphincterotomy. Read More

    Acute Torsion of Appendicular Mucocele.
    Case Rep Surg 2017 27;2017:9409281. Epub 2017 Apr 27.
    Surgical Department, The Princess Alexandra Hospital, Harlow, UK.
    We present the case of an 81-year-old man with a known appendicular mucocele who presented to the emergency department with acute abdominal pain. A CT scan showed a change in orientation of the previously seen ovoid mass with surrounding fat stranding suggesting torsion. An emergency laparotomy with appendicectomy and resection of the caecal pole was performed. Read More

    Difficult Management of a Double-Lumen Endotracheal Tube and Difficult Ventilation during Robotic Thymectomy with Carbon Dioxide Insufflation.
    Case Rep Surg 2017 26;2017:3403045. Epub 2017 Apr 26.
    Department of Anesthesiology and Resuscitology, Shinshu University School of Medicine, Matsumoto, Japan.
    Robotic surgery with carbon dioxide (CO2) insufflation to the thorax is frequently performed to gain a better operative field of view, although its intraoperative complications have not yet been discussed in detail. We treated two patients with difficult ventilation caused by distal migration of a double-lumen endotracheal tube (DLT) during robotic thymectomy. In the first case, migration of the DLT during one-lung ventilation (OLV) occurred after CO2 insufflation to the bilateral thoraxes was started. Read More

    Infrarenal Infected Aortic Aneurysm Caused by Streptococcus pyogenes.
    Case Rep Surg 2017 19;2017:9329504. Epub 2017 Apr 19.
    Department of Medicine, HFR Fribourg-Cantonal Hospital, 1708 Fribourg, Switzerland.
    Infectious aneurysm is a rare entity associated with significant morbidity and mortality. Current knowledge on pathogenesis, outcome, diagnosis, management, and follow-up remains debatable. We report the case of a patient with Streptococcus pyogenes aneurysm who was successfully treated with a homograft implant and discuss microbiological characteristics, diagnostic methods, and treatment options currently available for this serious disease. Read More

    Acute Pancreatitis with Splenic Infarction as Early Postoperative Complication following Laparoscopic Sleeve Gastrectomy.
    Case Rep Surg 2017 13;2017:8398703. Epub 2017 Apr 13.
    Department of Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center, New York, NY 10037, USA.
    Obesity is becoming a global health burden along with its comorbidities. It imposes tremendous financial burden and health costs worldwide. Surgery has emerged as the definitive treatment option for morbidly obese patients with comorbidities. Read More

    Synchronous Carotid Bifurcation Endarterectomy and Retrograde Kissing Stenting of the Innominate and Left Common Carotid Artery in a Patient with a Bovine Aortic Arch.
    Case Rep Surg 2017 11;2017:4239829. Epub 2017 Apr 11.
    Vascular Surgery Unit, Santa Croce and Carle Hospital, Via Michele Coppino 26, 12100 Cuneo, Italy.
    Management of the symptomatic multiple stenosis of supra-aortic vessels (MSSVs) in a "bovine" aortic arch (BAA) configuration is infrequently reported. The optimal treatment choice remains debatable. A successful hybrid treatment for a proximal critical stenosis of the innominate and left common carotid artery was performed in a high-risk patient with a tandem symptomatic lesion in the right carotid bifurcation and a concentric vulnerable plaque in the bovine trunk. Read More

    Squamous Cell Carcinoma Originating from a Crohn's Enterocutaneous Fistula.
    Case Rep Surg 2017 9;2017:1929182. Epub 2017 Apr 9.
    University of Louisville Division of Colon and Rectal Surgery, Louisville, KY, USA.
    Purpose. Squamous cell carcinoma (SCC) developing within fistulae and chronic wounds in patients with Crohn's disease is a rare phenomenon with few reported studies in the literature. Clinical suspicion for SCC in Crohn's disease patients with chronic painful fistulae is low, leading to delayed diagnosis and treatment. Read More

    Exploring a Third Confirmed Case of Hemoperitoneum following Open Inguinal Hernia Repair Caused by Sampson Artery Hemorrhage.
    Case Rep Surg 2017 10;2017:1487526. Epub 2017 Apr 10.
    Department of Surgery, Englewood Hospital, Englewood, NJ 07631, USA.
    Hemoperitoneum is a rare complication of open inguinal hernia repair. This is the third reported case of this complication attributed to the same bleeding source: Sampson's artery. Sampson's artery courses along the round ligament of the uterus in the inguinal canal of females, originating from the arcade formed between the uterine and ovarian arteries. Read More

    Enterocutaneous Fistula Secondary to Stump Appendicitis.
    Case Rep Surg 2017 3;2017:6135251. Epub 2017 Apr 3.
    Tamworth Rural Referral Hospital, General Surgery Department, Dean Street, Tamworth, NSW 2340, Australia.
    The management of appendicitis with appendicectomy is very common in surgical practice. A recognised complication of appendicitis and appendicectomy is the formation of an enterocutaneous fistula. We present the case of a seventy-five-year-old woman who presented with an appendicocutaneous fistula on the background of an open appendicectomy performed sixty years prior to presentation. Read More

    Transmesenteric Internal Herniation Leading to Small Bowel Obstruction Postlaparoscopic Radical Nephrectomy.
    Case Rep Surg 2017 30;2017:5128246. Epub 2017 Mar 30.
    Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.
    Internal herniation following laparoscopic surgery is rare. We present a case of small bowel obstruction secondary to internal herniation in a 76-year-old male patient. Presentation was on postoperative day 28 following transperitoneal laparoscopic radical left nephrectomy for suspected renal carcinoma. Read More

    Emergent Minimally Invasive Esophagogastrectomy.
    Case Rep Surg 2017 29;2017:4308628. Epub 2017 Mar 29.
    Department of Thoracic Surgery, Albany Medical Center, 50 New Scotland, Albany, NY 12208, USA.
    Introduction. Esophageal perforation in the setting of a malignancy carries a high morbidity and mortality. We describe our management of such a patient using minimally invasive approach. Read More

    Intestinal Obstruction in a Patient with Sclerosing Encapsulating Peritonitis.
    Case Rep Surg 2017 26;2017:8316147. Epub 2017 Mar 26.
    Adan Hospital, Ahmadi, Kuwait.
    Sclerosing encapsulating peritonitis (SEP) is a rare disorder that is characterized by encapsulation of bowel loops by thick fibrinogenous case. Most patients present with vague abdominal symptoms. It is challenging to diagnose the condition preoperatively. Read More

    Primary Small Bowel GIST Presenting as a Life-Threatening Emergency: A Report of Two Cases.
    Case Rep Surg 2017 28;2017:1814254. Epub 2017 Mar 28.
    Department of General Surgery, Rambam Health Campus, Haifa, Israel.
    Gastrointestinal stromal tumor (GIST) is a rare stromal neoplasm, which represents the most common mesenchymal tumor of the gastrointestinal tract. It is characterized by indolent clinical symptoms, although it can present as a life-threatening emergency. Herein, we present two cases of primary small bowel GIST treated at our department. Read More

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