1,140 results match your criteria Case reports in surgery[Journal]


Asymptomatic Intestinal Malrotation Progressing to Midgut Volvulus in a Decompensated Alcoholic Cirrhotic Adult: A Rare Scenario Requiring Special Considerations.

Case Rep Surg 2020 16;2020:4196012. Epub 2020 Jun 16.

Division of Abdominal Transplant, Department of Surgery, Saint Louis University, Saint Louis, MO, USA.

Intestinal malrotation usually presents in the pediatric population with midgut volvulus requiring emergency Ladd's procedure. Rarely, it remains asymptomatic and is discovered incidentally only during adulthood when it seldom causes intestinal complications. The scenario of a cirrhotic adult being diagnosed with asymptomatic intestinal malrotation with subsequent intestinal complications is thus extremely rare and to our knowledge has not been previously reported. Read More

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http://dx.doi.org/10.1155/2020/4196012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317621PMC

Enteritis Induced Anastomotic Rupture: A Case Report and Literature Review.

Case Rep Surg 2020 13;2020:9794823. Epub 2020 Jun 13.

School of Medicine & Health Sciences, Department of Surgery, University of North Dakota, 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202, USA.

. A 76-year-old male patient who suffered small bowel anastomotic dehiscence believed to be a complication provoked by enteritis. . Read More

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http://dx.doi.org/10.1155/2020/9794823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313094PMC

Giant Liver Hemangiomas: A Plea for Early Surgical Referral and Resection.

Case Rep Surg 2020 16;2020:5923787. Epub 2020 Jun 16.

School of Medicine and Hume-Lee Transplant Center, Virginia Commonwealth University, Richmond, Virginia 23298, USA.

Hepatic hemangiomas are the most common benign hepatic tumor. Current guidelines recommend surveillance imaging and reserving surgical intervention for symptomatic patients with giant liver hemangiomas (>5 cm). We present the case of a patient with a rapidly enlarging giant hepatic hemangioma initially managed by surveillance. Read More

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http://dx.doi.org/10.1155/2020/5923787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315262PMC

Management of a Difficult-to-Treat Diabetic Foot Wound Complicated by Osteomyelitis: A Case Study.

Case Rep Surg 2020 15;2020:3971581. Epub 2020 Jun 15.

Division of Plastic Surgery, Department of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

Introduction: Diabetic ulcers are a major health issue worldwide, causing significant economic burdens and affecting both the patient and the society as a whole. Predisposing factors in diabetic patients, known as the pathogenic triad, comprise trauma, ischemia, and neuropathy. Regardless of the cause, correct diagnosis and prompt treatment are essential in the management of leg ulcers. Read More

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http://dx.doi.org/10.1155/2020/3971581DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313145PMC

Laparoscopic Resection of a Left Upper Quadrant Mass Leading to a Surprise Diagnosis.

Case Rep Surg 2020 30;2020:8365061. Epub 2020 May 30.

University of Maryland Community Medical Group, Easton, MD, USA.

. Resplenectomy is most commonly done for the treatment of recurrent idiopathic thrombocytopenic purpura (ITP) refractory to medical management due to the regrowth of a missed accessory spleen. . Read More

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http://dx.doi.org/10.1155/2020/8365061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284930PMC

Intestinal Obstruction by Meckel's Diverticulum in a 92 Years Old Woman.

Case Rep Surg 2020 30;2020:9303059. Epub 2020 May 30.

Medical Student, Student Research Committee, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Background: Meckel's diverticulum is a vestigial remnant of the omphalomesenteric duct that in most cases (53%) is diagnosed in the first two years of life. . A variety of complications are related to Meckel's diverticulum including bleeding, intestinal obstruction, but in adults, the most important complication is intestinal obstruction. Read More

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http://dx.doi.org/10.1155/2020/9303059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277052PMC

Sacral Rheumatoid Nodule: An Unusual Indication for Coccygectomy.

Case Rep Surg 2020 8;2020:2757625. Epub 2020 May 8.

Department of Neurosurgery, University of Cincinnati, USA.

Here, we present a case report of a woman who presented with a large sacral rheumatoid nodule. This patient failed conservative treatment and presented in search of a surgical solution. We successfully removed her rheumatoid nodule using a surgical approach typically reserved for traumatic coccydynia. Read More

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http://dx.doi.org/10.1155/2020/2757625DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232729PMC

Emergency Laparoscopic Repair of an Iatrogenic Gastric Perforation in a Hiatal Hernia following a Failed Endoscopic Closure.

Case Rep Surg 2020 25;2020:5060962. Epub 2020 Mar 25.

Department of Surgery, West Virginia University School of Medicine, One Medical Center Drive, PO Box 9238, Morgantown, WV 26508, USA.

Iatrogenic gastrointestinal perforation is a rare, life-threatening complication of endoscopic procedures, which requires either endoscopic or surgical repair. We report the account of an 82-year-old woman with an iatrogenic gastric perforation of a hiatal hernia secondary to an endoscopic retrograde cholangiopancreatography (ERCP) procedure. Despite immediate recognition of the complication and endoscopic closure with through-the-scope (TTS) clips, the patient developed mediastinitis, peritonitis, and sepsis. Read More

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http://dx.doi.org/10.1155/2020/5060962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215237PMC

An Unusual Case of Lower Extremity Clear Cell Hidradenocarcinoma.

Case Rep Surg 2020 8;2020:6192109. Epub 2020 Apr 8.

Department of Surgical Oncology, Mount Sinai Comprehensive Cancer Center, Miami Beach, FL 33140, USA.

Hidradenocarcinoma (HC) is a rare malignant sweat gland tumor with metastatic potential primarily located in the head, neck, and trunk. We present an unusual case of a large lower extremity Clear Cell HC managed with surgical resection and adjuvant locoregional radiation after excluding lymph node involvement. Read More

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http://dx.doi.org/10.1155/2020/6192109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171610PMC

Peripartum Severe Acute Pancreatitis with Rare Complications: Case Report and Review of Literature.

Case Rep Surg 2020 2;2020:5785413. Epub 2020 Apr 2.

Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar.

Peripartum pancreatitis is a rare clinical condition that occurs usually in the third trimester of pregnancy. Pancreatitis is usually secondary to gallstones, and it can lead to life-threatening and rare complications. We report a case of necrotizing postpartum pancreatitis that developed abdominal compartment syndrome (ACS) in early course, posterior reversible encephalopathy syndrome (PRES), and splanchnic and extrasplanchnic thrombosis later on. Read More

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http://dx.doi.org/10.1155/2020/5785413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157796PMC

Nail Biting as a Cause of Appendicitis.

Case Rep Surg 2020 1;2020:3930905. Epub 2020 Apr 1.

A.M. Rywlin, MD Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL, USA.

Ingestion of a foreign body is commonly encountered in clinical practice, but most cause no complications, passing spontaneously through the gastrointestinal tract. However, they can cause obstructive signs and symptoms, and surgical intervention for extraction of the foreign body may be required after identifying its location. We present here the case of a 49-year-old woman who presented to our emergency room with abdominal pain localizing to the right lower quadrant. Read More

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http://dx.doi.org/10.1155/2020/3930905DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152951PMC

A Pink Herring in the Colon: A Case Report of Eosinophilic Colitis Masking Invasive Adenocarcinoma of the Colon.

Case Rep Surg 2020 31;2020:5641701. Epub 2020 Mar 31.

General Surgery Department, General Hospital Port of Spain, Trinidad and Tobago.

Eosinophilic colitis is an inflammatory condition in which the wall of the colon becomes infiltrated by eosinophils which stain densely pink on microscopy. It is an uncommon clinical entity which has a long list of differential diagnoses. We present a case of a patient whose biopsy at colonoscopy revealed eosinophilic colitis which led to a delay in the diagnosis and subsequent treatment of colon cancer. Read More

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http://dx.doi.org/10.1155/2020/5641701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150723PMC

Total Pancreatectomy for Malignant Intraductal Papillary Mucinous Neoplasm (IPMN) Complicated by Gastropancreatic Fistulae.

Case Rep Surg 2020 24;2020:8547526. Epub 2020 Mar 24.

Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.

Background: Intraductal papillary mucinous neoplasms (IPMN) of the pancreas complicated by fistula formation to adjacent organs are an uncommon phenomenon. We present an IPMN of the pancreas with malignant transformation and multiple fistulae to the stomach and duodenum. . Read More

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http://dx.doi.org/10.1155/2020/8547526DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132345PMC

Intrahepatic Type II Gall Bladder Perforation Secondary to Acute Acalculous Cholecystitis.

Case Rep Surg 2020 25;2020:5435921. Epub 2020 Mar 25.

Department of Surgery, Colombo South Teaching Hospital, Kalubowila, Colombo, Sri Lanka.

Gall bladder perforation is a rare but serious complication of acute cholecystitis. Gall bladder perforations commonly occur in patients with comorbidities and in association with gall stones. We report a rare occurrence of intrahepatic type II perforation of the gall bladder in a previously healthy elderly male with acalculous cholecystitis. Read More

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http://dx.doi.org/10.1155/2020/5435921DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132348PMC

Successful Management of a Huge Pulmonary Hydatid Cyst with Lung-Preserving Surgery.

Case Rep Surg 2020 17;2020:9526406. Epub 2020 Mar 17.

Thoracic and Vascular Surgery Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

The lung is the second most commonly involved organ in humans by hydatid disease. Management of large pulmonary hydatid cysts is a great challenge for thoracic surgeons. Lung resections should be considered the last choice for huge pulmonary hydatid cysts when the lung expansion is not optimal after cyst removal. Read More

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http://dx.doi.org/10.1155/2020/9526406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103054PMC

Gastrobronchial Fistula after Robotic Repair of Traumatic Diaphragmatic Hernia.

Case Rep Surg 2020 15;2020:8085425. Epub 2020 Mar 15.

UCSF Fresno Department of Surgery, Community Regional Medical Center, 2823 Fresno Street, Fresno, CA 93721, USA.

Gastrobronchial fistulas are a rare occurrence in the literature. We report a case of a gastrobronchial fistula after robotic repair of a chronic traumatic diaphragmatic hernia. The patient had severe respiratory symptoms with multiple studies that were inconclusive. Read More

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http://dx.doi.org/10.1155/2020/8085425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102410PMC

Mesenteric Lymph Node Recurrence of a Primary Colorectal Leiomyosarcoma.

Case Rep Surg 2020 23;2020:6935834. Epub 2020 Mar 23.

Department of Surgery, Université de Montréal, Montreal, Canada.

Primary colorectal leiomyosarcoma is an excessively rare entity. It is associated with an aggressive behavior and typically favor hematogenous spread. The current standard of care is surgical resection. Read More

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http://dx.doi.org/10.1155/2020/6935834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125469PMC

Giant Retrorectal Epidermoid Cyst Masquerading as a Perianal Swelling.

Case Rep Surg 2020 18;2020:5750382. Epub 2020 Mar 18.

Radiology Department, King Abdullah Bin Abdulaziz University Hospital, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.

A retrorectal epidermoid cyst is an uncommon congenital lesion that arises from the remnants of the embryonic tissues. This type of cyst is difficult to diagnose before surgery. In this study, we report a rare case of a giant retrorectal epidermoid cyst in a 30-year-old woman. Read More

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http://dx.doi.org/10.1155/2020/5750382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106870PMC

Utilization of Vicryl Bridging Mesh in Orthotopic Liver Transplantation to Achieve Tension-Free Abdominal Wall Closure: A Case Series.

Case Rep Surg 2020 19;2020:4716415. Epub 2020 Mar 19.

Saint Louis University, Department of Surgery, Saint Louis, MO 63104, USA.

Difficulty in primary fascial closure of the abdomen in transplant patients is a common challenge. Abdominal wall tension may have detrimental effects on the newly transplanted graft due to compression, and blood flow hindrance, potentially leading to ischemia or thrombosis and possibly graft failure. Furthermore, patients will be at risk of developing fascial ischemia and dehiscence. Read More

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http://dx.doi.org/10.1155/2020/4716415DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7106884PMC

Complete Surgical Enucleation of a Giant Chylous Mesenteric Cyst.

Case Rep Surg 2020 18;2020:4279345. Epub 2020 Mar 18.

General Surgery Department, Larnaca General Hospital, Larnaca, Cyprus.

Mesenteric cysts are rare benign abdominal tumors, and they can appear anywhere in the mesentery of the gastrointestinal tract, from the duodenum to the rectum. They are generally asymptomatic and may present as an incidental finding. The diagnosis is confirmed by the laparotomy findings and the results of the histopathological examination. Read More

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http://dx.doi.org/10.1155/2020/4279345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104311PMC

Robot-Assisted Laparoscopic Resection of a Transverse Colon Schwannoma.

Case Rep Surg 2020 12;2020:8057352. Epub 2020 Mar 12.

HCA Sunrise Health GME Consortium, Department of Surgery, Las Vegas, NV, USA.

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http://dx.doi.org/10.1155/2020/8057352DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093908PMC

Heterotopic Ossification following Total Elbow Arthroplasty in a Patient with Parkinson's Disease: Case Report and Literature Review.

Case Rep Surg 2020 10;2020:2068045. Epub 2020 Mar 10.

Division of Orthopaedics, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

. Heterotopic ossification (HO) usually develops following surgery or trauma. Risk factors for HO following elbow fractures include delay to surgery (>7 days), floating fractures, and elbow subluxation. Read More

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http://dx.doi.org/10.1155/2020/2068045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085846PMC

Relaparotomy Two Years after Incisional Hernia Repair Using a Free Fascia Lata Graft.

Case Rep Surg 2020 13;2020:1769404. Epub 2020 Mar 13.

Department of General Surgery, Juntendo University Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo 177-8521, Japan.

Although, free fascia lata autografts can be used to reconstruct various anatomical structures, little information is available about the status of such autografts several years after the procedure, especially in a clinical setting. Here, we describe our experience with a patient who underwent relaparotomy two years after incisional hernia repair using a fascia lata graft. A 79-year-old man underwent open hepatectomy for hepatocellular carcinoma. Read More

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http://dx.doi.org/10.1155/2020/1769404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093902PMC

Biloma Secondary to Percutaneous Liver Biopsy Case Report.

Case Rep Surg 2020 3;2020:9605370. Epub 2020 Mar 3.

Dwight D Eisenhower Army Medical Center, Fort Gordon, Georgia.

Biloma and biliary leak after percutaneous liver biopsy (PLB) are rare. Previous cases are largely in the setting of transplant, oncology, and cirrhotic patients. Patients can be asymptomatic, peritoneal, or present with obstructive symptoms, including bilirubinemia. Read More

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http://dx.doi.org/10.1155/2020/9605370DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073474PMC

Juvenile Polyposis Syndrome in a Young Girl from Northern Tanzania.

Case Rep Surg 2020 3;2020:1536090. Epub 2020 Mar 3.

Department of General Surgery, Kilimanjaro Christian Medical Center, PO Box, 3010 Moshi, Tanzania.

. Juvenile polyposis syndrome is a rare autosomal dominant disorder in children characterized by multiple polyps in the gastrointestinal tract. A variety of clinical features manifest, including prolapse of a polyp or entire rectum, gastrointestinal bleeding, anaemia, and intussusception. Read More

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http://dx.doi.org/10.1155/2020/1536090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073492PMC

Acute Appendicitis in Patients with Kartagener Syndrome.

Case Rep Surg 2020 27;2020:8716474. Epub 2020 Feb 27.

Department of General Surgery, Santa Casa de São Carlos, SP, Brazil.

Situs inversus totalis is a congenital syndrome characterized by a total left-right transposition of all abdominal and thoracic organs. It may be associated with chronic respiratory conditions such as sinusitis and bronchiectasis, composing the Kartagener syndrome. If not detected, this condition may compromise the early diagnosis of surgical emergencies such as cholecystitis and appendicitis. Read More

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http://dx.doi.org/10.1155/2020/8716474DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063213PMC
February 2020

Successful Surgical Removal of the Largest Known Spleen.

Case Rep Surg 2020 25;2020:6790808. Epub 2020 Feb 25.

Department of Surgery, University of Florida College of Medicine, USA.

Background: Splenic marginal zone lymphoma (SMZL) is a rare subtype of non-Hodgkin lymphoma that typically presents with symptomatic splenomegaly. The optimal treatment of SMZL not well established. A 44-year-old man with a history of low-grade B-cell lymphoproliferative disorder previously treated with chemotherapy presented with a three-month history of rapidly enlarging abdominal girth. Read More

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http://dx.doi.org/10.1155/2020/6790808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061101PMC
February 2020

Giant Adult Mesenteric Lipoma: A Rare Cause of Chronic Abdominal Distention and Discomfort.

Case Rep Surg 2020 25;2020:6010757. Epub 2020 Feb 25.

Department of Surgery, Central Military Hospital, Beirut, Lebanon.

Solitary or multiple lipomas are considered common tumors that can occur anywhere in the body; however, mesenteric lipoma is a rare entity that is well known to present with signs and symptoms of small bowel volvulus. Hereby, we present a case of a 54-year-old male patient with multiple comorbidities who was suffering from chronic abdominal discomfort and gradual increase of his abdominal distention over many years without seeking any medical attention. The patient was seen by a general practitioner after complaining of an inflated abdomen, as he described his condition. Read More

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http://dx.doi.org/10.1155/2020/6010757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061103PMC
February 2020

Solid Pseudopapillary Neoplasm of the Pancreas with High-Grade Malignant Transformation Involving p16-RB Pathway Alterations.

Case Rep Surg 2020 13;2020:5980382. Epub 2020 Jan 13.

Division of Gastroenterological and General Surgery, Department of Surgery, Showa University, Shinagawa, 1-5-8 Hatanodai, Shinagawa, 142-8666 Tokyo, Japan.

Solid pseudopapillary neoplasm (SPN) of the pancreas has generally been regarded as a low-grade malignant tumour that preferentially develops in young women and can have a good prognosis with surgery. Among the few patients who have died from metastatic SPN are mostly those whose tumours harbour an undifferentiated component characterized by diffuse sheets of cells with increased nuclear atypia and proliferative index. We herein report a case of an aggressive, fatal, solid pseudopapillary neoplasm (SPN) of the pancreas in a 63-year-old woman complaining of epigastric pain. Read More

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http://dx.doi.org/10.1155/2020/5980382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059088PMC
January 2020

Delayed Chylothorax during Treatment of Follicular Lymphoma with a Malignant Pleural Effusion.

Case Rep Surg 2020 25;2020:2893942. Epub 2020 Feb 25.

Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.

Chylothorax occurs following dysfunction or disruption of the lymphatic drainage along the thoracic duct. Malignant and traumatic causes account for the majority of these occurrences, with lymphoma accounting for 11-37% of chylothoraces. The clinical course of chylothorax may include dehydration, malnutrition, immunosuppression, electrolyte disturbances, infection, and ultimately death. Read More

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http://dx.doi.org/10.1155/2020/2893942DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061108PMC
February 2020

Incarcerated Appendix Epiploica in Inguinal Hernia Sac: Treatment with Laparoscopic TAPP Approach-Report of a Rare Case.

Authors:
Abdullah Yildiz

Case Rep Surg 2020 21;2020:4178523. Epub 2020 Feb 21.

Department of General Surgery, Umraniye Education and Research Hospital, Istanbul, Turkey.

Appendix epiploica (AE) in an incarcerated inguinal hernia sac is very rare. We herein report the case of a 57-year-old man admitted to the emergency department with complaints of nausea, swelling, and pain in the left inguinal area. He was diagnosed with left incarcerated inguinal hernia and treated laparoscopically with transabdominal preperitoneal (TAPP) mesh hernioplasty. Read More

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http://dx.doi.org/10.1155/2020/4178523DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057017PMC
February 2020

A Rare Cause of Persistent Blood Loss after Continuous Ambulatory Peritoneal Dialysis Catheter Placement.

Case Rep Surg 2020 20;2020:1309418. Epub 2020 Feb 20.

Department of Surgery, Treant Health Care Group, Scheper Hospital, Boermarkeweg 60, 7824 AA Emmen, Netherlands.

The laparoscopic placement of a continuous ambulatory peritoneal dialysis (CAPD) catheter is a widely used method in patients with end stage renal disease (ESRD). The potential complications of this procedure include perforation of intra-abdominal organs, surgical site infection, peritonitis, catheter migration, catheter blockage, port site herniation, and bleeding. In most cases, bleeding is considered to be an early-onset complication because it mostly occurs within the first seven days after surgery. Read More

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http://dx.doi.org/10.1155/2020/1309418DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054791PMC
February 2020

Surgical Management of L5-S1 Spondylodiscitis on Previously Documented Isthmic Spondylolisthesis: Case Report and Review of the Literature.

Case Rep Surg 2020 15;2020:1408701. Epub 2020 Feb 15.

Department of Adult Neurosurgery, La Timone University Hospital, APHM, Aix Marseille University, 264 Rue Saint Pierre, Marseille 13385, France.

Background: Although lumbar isthmic spondylolisthesis is frequent in the Caucasian population, its association with spondylodiscitis is extremely rare. . The authors reported the case of a 44-year-old patient affected by pyogenic spondylodiscitis on previously documented isthmic spondylolisthesis at the L5-S1 level. Read More

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http://dx.doi.org/10.1155/2020/1408701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048921PMC
February 2020

Abdominoplasty: An Easy Approach to Giant Abdominal Lipomas.

Case Rep Surg 2020 11;2020:7875169. Epub 2020 Feb 11.

King Abdullah Medical City, Makkah, Saudi Arabia.

. Giant lipomas, which are greater than 10 cm, are rare, cosmetically unacceptable, and deteriorate the quality of daily living. Removal of giant abdominal lipomas either by liposuction, excision, or both, can lead to the formation of a loose, pendulous drooping abdomen, and abdominal wall laxity, which is aesthetically displeasing. Read More

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http://dx.doi.org/10.1155/2020/7875169DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7036104PMC
February 2020

Management of Tuberculous Cutaneous Fistula.

Case Rep Surg 2020 10;2020:7840963. Epub 2020 Feb 10.

Laboratory of Pathological Anatomy and Cytology, Brazzaville Teaching University Hospital, Brazzaville, Congo.

Tuberculosis is an endemic emergency that is prevalent in developing countries, particularly in sub-Saharan Black Africa, including Congo-Brazzaville. In addition to the pulmonary, ganglionic, and bone forms, there are other poorly documented locations. In the Congo, among these is cutaneous tuberculosis which is exceptional. Read More

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http://dx.doi.org/10.1155/2020/7840963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035543PMC
February 2020

Migrated Tubal Ligation (Filshie) Clip as an Uncommon Cause of Chronic Abdominal Pain.

Case Rep Surg 2020 10;2020:4809859. Epub 2020 Feb 10.

Schulich School of Medicine, Western University, Canada.

Tubal ligation (TL) is an effective and common method of fertility control. In the year 2009, over 24,000 were performed in Canada alone. Migration of Filshie clips used during TL is estimated to occur in 25% of all patients; 0. Read More

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http://dx.doi.org/10.1155/2020/4809859DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035518PMC
February 2020

Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques.

Case Rep Surg 2020 5;2020:7569530. Epub 2020 Feb 5.

UPMC Horizon, Farrell, PA, USA.

Internal hernias are an uncommon cause of small bowel obstruction and present a challenging clinical diagnostic scenario. They result from the abnormal protrusion of an abdominal organ through a peritoneal defect and can cause intermittent obstructive symptoms, diffuse abdominal discomfort, and postprandial pain. Paraduodenal hernias comprise 53% of all internal hernias and occur due to failure of the fixation of either the left or transverse mesocolon to the posterior abdominal wall. Read More

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http://dx.doi.org/10.1155/2020/7569530DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7025034PMC
February 2020

Case Report of Synchronous Prostate, Hepatocellular, and Rectal Carcinomas and Review of the Literature.

Case Rep Surg 2020 21;2020:6967428. Epub 2020 Jan 21.

Department of Interventional Radiology, University General Hospital of Thessaloniki AHEPA, Thessaloniki 546 21, Greece.

Synchronous occurrence of three histopathologically distinct malignant tumors is a rare event, and there are no definitive guidelines about the optimal treatment of these patients. We report a case of synchronous prostate, hepatocellular, and rectal carcinomas and discuss our therapeutic strategy that resulted in excellent clinical results. Read More

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http://dx.doi.org/10.1155/2020/6967428DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996707PMC
January 2020

Paraduodenal Pancreatitis: A Deceptive Abdominal Mass with Unique Histologic Findings.

Case Rep Surg 2020 6;2020:5021578. Epub 2020 Feb 6.

Department of Surgery, Mount Sinai Medical Center, Miami Beach, FL, USA.

Paraduodenal pancreatitis (PP) is an uncommon abdominal pathology characterized by scarring of the pancreaticoduodenal space. Diagnosis of this inflammatory process is challenging as its clinical presentation is similar to that of pancreatic cancer. Currently, no definitive radiologic or pathologic features have been established to permit diagnosis of PP without surgical resection. Read More

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http://dx.doi.org/10.1155/2020/5021578DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026716PMC
February 2020

Spontaneous Condyle-Like Development after Total Resection of Mandible Giant Osteochondroma: Case Report and a Follow-Up for Five Years.

Case Rep Surg 2020 6;2020:3720909. Epub 2020 Feb 6.

Evangelic University Hospital, Alameda Augusto Stellfeld, 1908 Curitiba, Brazil.

Osteochondroma manifests as a benign tumor that occurs as an abnormal bony development. This tumor is commonly asymptomatic and presents an exophytic outgrowth on bone surfaces, near synovial joints, a condition that invariably induces evident facial deformities. Treatment for this type of tumor usually involves a surgical approach promoting a total or partial resection of the affected anatomical area associated to prosthetic reconstruction of the bone area extracted. Read More

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http://dx.doi.org/10.1155/2020/3720909DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026717PMC
February 2020

Cystic Lymphangioma of the Greater Omentum: A Case of Partial Spontaneous Regression and Review of the Literature.

Case Rep Surg 2020 28;2020:8932017. Epub 2020 Jan 28.

Department of Pathology, Maulana Azad Medical College, New Delhi, India.

. Omental cysts are a part of cystic lymphangiomas and are benign proliferations of ectopic lymphatics without a communication with the normal lymphatic system. They commonly involve the neck in the pediatric population and are uncommon at other sites and occur rarely in adults. Read More

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http://dx.doi.org/10.1155/2020/8932017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008304PMC
January 2020

Squamous Cell Carcinoma in the Post Tuberculosis Lung after 30 Years of Treatment Completion.

Case Rep Surg 2020 30;2020:8570212. Epub 2020 Jan 30.

National Hospital for Respiratory Diseases, Welisara, Sri Lanka.

Pulmonary tuberculosis (TB) and lung cancer are becoming increasingly prevalent especially in developing countries. The occurrence of lung cancer after 30 years of completed pulmonary TB treatment is rare. We report a rare occurrence of a squamous cell carcinoma (SCC) in the post TB lung after 30 years of completed pulmonary tuberculosis treatment. Read More

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http://dx.doi.org/10.1155/2020/8570212DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011466PMC
January 2020

Simultaneous Huge Splenic and Mesenteric Hydatid Cyst.

Case Rep Surg 2020 29;2020:7050174. Epub 2020 Jan 29.

Surgery Department, East Jeddah General Hospital, Jeddah, Saudi Arabia.

Hydatid disease (HD) is caused by Echinococcus granulosus and is endemic in many parts of the world. This parasitic tapeworm can produce cysts in almost every organ of the body, with the liver and lung being the most frequently targeted organs. The spleen and mesentery are unusual locations. Read More

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http://dx.doi.org/10.1155/2020/7050174DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008296PMC
January 2020

Two Different Clinical Approaches with Mortality Assessment of Four Cases: Complete and Incomplete Type of Abdominal Cocoon Syndrome.

Case Rep Surg 2020 29;2020:4631710. Epub 2020 Jan 29.

Department of General Surgery, Bagcılar Training and Research Hospital, Istanbul, Turkey.

Abdominal cocoon syndrome (ACS), also called sclerosing encapsulated peritonitis, is a condition characterized by encapsulation of all or some of small bowel loops by a thick fibrous membrane. Etiologic cause is not fully known. It is among the rare causes of intestinal obstruction in adults. Read More

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http://dx.doi.org/10.1155/2020/4631710DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7008279PMC
January 2020

Laparoscopic Resection of a Splenic Artery Aneurism with Spleen Preservation.

Case Rep Surg 2020 20;2020:2873560. Epub 2020 Jan 20.

General Surgery Department, Centro Hospitalar Tâmega e Sousa, Avenida do Hospital Padre Américo, No. 210, 4560-136 Guilhufe Penafiel, Portugal.

. Splenic artery aneurisms (SAA) are the third most common aneurysms, with reported incidences up to 10.4%. Read More

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http://dx.doi.org/10.1155/2020/2873560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995316PMC
January 2020

Retained Surgical Sponge Presenting Four Decades Later as a Rapidly Growing Soft Tissue Mass.

Authors:
Adriana Y Koek

Case Rep Surg 2020 15;2020:1230173. Epub 2020 Jan 15.

Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USA.

Retained surgical items continue to occur despite widespread implementation of prevention systems such as the surgical count, which has limited utility owing to its reliance on human performance. The most important risk factors for these events are poor communication in the operating room and inconsistent adherence to protocol. New technologies show efficacy in preventing retained surgical items and partially mitigating the poor reliability of the manual count. Read More

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http://dx.doi.org/10.1155/2020/1230173DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6995311PMC
January 2020

Successful Surgical Treatment of a Brain Stem Hydatid Cyst in a Child.

Case Rep Surg 2020 23;2020:5645812. Epub 2020 Jan 23.

Department of Pediatrics, Faculty of Medicine, Damascus University, Damascus, Syria.

Hydatid disease is a parasitic infestation, which is endemic in the Mediterranean region. It is often located in the liver and the lungs, whereas brain stem hydatid cysts are extremely rare. We report a case of a five-year-old female who presented with hemiparesis, and after investigations, she was diagnosed with a hydatid cyst in the pons. Read More

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http://dx.doi.org/10.1155/2020/5645812DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003271PMC
January 2020

Refractory Unforeseen Anaphylaxis Case in a Rural OR Unit.

Case Rep Surg 2020 28;2020:5283279. Epub 2020 Jan 28.

Winchester District Memorial Hospital, 566 Louise St, Winchester, ON, Canada K0C 2K0.

A 35-year-old female patient with no previously documented allergies who was admitted for elective gynaecological surgery, developed rapid onset, severe anaphylaxis, with dyspnea and cardiovascular collapse, in the operating theatre after receiving routine IV cefazolin prior to induction of anesthesia. She failed to improve with two doses of intramuscular epinephrine followed by two boluses of intravenous epinephrine, but responded to an epinephrine infusion. She was assessed by Internal Medicine and discharged home the following day. Read More

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http://dx.doi.org/10.1155/2020/5283279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007949PMC
January 2020

Primary Osteosarcoma of the Breast in a Patient Treated Previously for Invasive Ductal Carcinoma: An Unusual Presentation of a Very Rare Primary Breast Malignancy.

Case Rep Surg 2020 16;2020:1594127. Epub 2020 Jan 16.

Department of Women's Health, St. James Medical Complex, Trinidad and Tobago.

Primary osteogenic sarcoma of the breast is a rare clinical entity with few cases described in the literature. Unfortunately, the prognosis for these patients is poor when compared to invasive carcinomas of the breast. We report a case of a 58-year-old female who developed a primary osteogenic sarcoma of the breast five years after being treated for invasive carcinoma of the ipsilateral breast without the use of radiotherapy. Read More

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http://dx.doi.org/10.1155/2020/1594127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988688PMC
January 2020

Retained Shrapnel from a Blast Injury as a Rare Cause of Secondary Osteoarthritis of the Hip Joint: A Case Report and Review of Literature.

Case Rep Surg 2019 29;2019:7190781. Epub 2019 Dec 29.

National Hospital of Sri Lanka, Colombo, Sri Lanka.

Background: Complications related to intra-articular retained shrapnel are rare and primarily depend on the anatomical location and the reaction with the surrounding tissue. Retained bodies causing severe osteoarthritis with bone destruction and limb shortening are extremely rare. We describe a rare occurrence of retained shrapnel, possibly iron nails causing a late presentation of grade 4 secondary osteoarthritis of the hip joint with destruction of the femoral head and limb shortening. Read More

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http://dx.doi.org/10.1155/2019/7190781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6954476PMC
December 2019