collection
https://read.qxmd.com/read/24062963/idiopathic-omental-infarction-diagnosed-and-managed-laparoscopically-a-case-report
#21
JOURNAL ARTICLE
Ahmed Abdulaziz, Tamer El Zalabany, Abdul Rahim Al Sayed, Ahmed Al Ansari
Idiopathic omental infarction is a rare cause of acute abdomen in adults, and the clinical finding can mimic acute appendicitis. Although idiopathic omental infarction is uncommon, the incidence of its detection has become more frequent as a result of advances in radiological technologies. We reported on a 21-year-old man who presented with sudden onset of intermittent right lower quadrant abdominal pain for seven days. The pain became more localized at the right iliac fossa (RIF) at day 2 before admission...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24062964/single-incision-laparoscopic-total-gastrectomy-and-d2-lymph-node-dissection-for-gastric-cancer-using-a-four-access-single-port-the-first-experience
#22
JOURNAL ARTICLE
Metin Ertem, Emel Ozveri, Hakan Gok, Volkan Ozben
Single incision laparoscopic surgery (SILS) and natural orifice transluminal endoscopic surgery (NOTES) have been developed to reduce the invasiveness of laparoscopic surgery. SILS has been frequently applied in various clinical settings, such as cholecystectomy, colectomy, and sleeve gastrectomy. So far, there have been four reports on single incision laparoscopic distal gastrectomy and one report on single incision laparoscopic total gastrectomy with D1 lymph node dissection for gastric cancer. In this report, we present our single incision laparoscopic total gastrectomy with D2 lymph node dissection technique using a four-hole single port (OctoPort) in a patient with gastric cancer...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24093070/two-step-laparoscopic-surgery-for-a-patient-with-synchronous-double-cancer-of-the-colon-and-stomach-accompanied-by-severe-chronic-obstructive-pulmonary-disease
#23
JOURNAL ARTICLE
Kazuhito Yajima, Shin-Ichi Kosugi, Yosuke Kano, Takaaki Hanyu, Hiroshi Ichikawa, Takashi Ishikawa, Hitoshi Nogami, Toshifumi Wakai
Laparoscopic treatment strategies for synchronous intra-abdominal malignancies have not yet been standardized. We report a successful case of two-step laparoscopic surgery for synchronous double cancer of the colon and stomach accompanied by severe chronic obstructive pulmonary disease (COPD). A 66-year-old man with COPD was diagnosed as having advanced colon cancer and early gastric cancer. On admission, he could not go upstairs (Grade III according to the Hugh-Jones classification) and his forced expiratory volume in 1 second was 600 mL (35...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24106633/an-unusual-case-of-stercoral-perforation-in-a-patient-with-86%C3%A2-cm-of-small-bowel
#24
JOURNAL ARTICLE
Alfin Okullo, Ghiyath Alsnih, Titus Kwok
A 77-year-old male who previously had extensive enterectomy due to ischaemic gut with loss of all but 86 cm of jejunum in addition to a right hemicolectomy presented to the emergency department (ED) with abdominal pain and constipation of 12-day duration. Abdominal imaging with X-ray and CT revealed pneumoperitoneum in addition to a grossly redundant and faecally loaded colon. At laparotomy, rectal perforation was found. In view of the patient's advanced age, comorbidities, and the absence of intraperitoneal faecal contamination, manual disimpaction followed by wedge resection and primary closure of the perforation was done...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24106635/strangulation-and-necrosis-of-an-epiploic-appendage-of-the-sigmoid-colon-in-a-right-inguinal-hernia
#25
JOURNAL ARTICLE
Yuri N Shiryajev, Anna V Glebova, Marina V Chalenko
An epiploic appendage of the sigmoid colon is considered to be an unusual type of inguinal hernia content. The strangulation of a sigmoid colon appendage into a right inguinal hernia is exclusively rare. We present a case of an 81-year-old female patient with severe cardiovascular comorbidities who was urgently admitted after an episode of strangulation and subsequent spontaneous reduction of a right inguinal hernia. The condition of the patient was stable, and an urgent operation was not indicated for three days after admission...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24159406/repair-of-a-post-hepatectomy-posterior-sectoral-duct-injury-secondary-to-anomalous-bile-duct-anatomy-using-a-novel-combined-surgical-interventional-radiologic-approach
#26
JOURNAL ARTICLE
Beth-Ann Shanker, Oliver S Eng, Vyacheslav Gendel, John Nosher, Darren R Carpizo
A 64-year-old woman with a completely transected posterior sectoral duct following extended hepatectomy underwent a combined operative procedure with interventional radiology and surgery to restore biliary-enteric drainage. The anterior and posterior sectoral ducts were identified, and catheters were inserted into both systems. The posterior sectoral catheter was placed intraoperatively through a preoperatively placed sheath, and a new tunnel was created through the regenerated liver surface. Biliary-enteric anastomoses were created over the stents...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24159408/en-masse-resection-of-pancreas-spleen-celiac-axis-stomach-kidney-adrenal-and-colon-for-invasive-pancreatic-corpus-and-tail-tumor
#27
JOURNAL ARTICLE
Koray Kutluturk, Abdul Hamid Alam, Cuneyt Kayaalp, Emrah Otan, Cemalettin Aydin
Providing a more comfortable life and a longer survival for pancreatic corpus/tail tumors without metastasis depends on the complete resection. Recently, distal pancreatectomy with celiac axis resection was reported as a feasible and favorable method in selected pancreatic corpus/tail tumors which had invaded the celiac axis. Additional organ resections to the celiac axis were rarely required, and when necessary it was included only a single extra organ resection such as adrenal or intestine. Here, we described a distal pancreatic tumor invading most of the neighboring organs-stomach, celiac axis, left renal vein, left adrenal gland, and splenic flexure were treated by en bloc resection of all these organs...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24159409/mesothelial-cyst-of-the-round-ligament-misdiagnosed-as-irreducible-inguinal-hernia
#28
JOURNAL ARTICLE
Dimitrios K Manatakis, Nikolaos Stamos, Christos Agalianos, Panagiotis Vamvakas, Athanasios Kordelas, Demetrios Davides
We report the case of a 36-year-old woman who presented with signs and symptoms of an irreducible inguinal hernia. Surgical exploration revealed a mesothelial cyst of the round ligament of the uterus. Mesothelial cysts of the round ligament are rare lesions, frequently masquerading as inguinal hernias, and should be included in the differential diagnosis of any inguinal mass. Clinical findings are those of a groin mass, discomfort, and bulging. Ultrasound and CT scans often demonstrate an aperistaltic cystic mass...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24159410/early-rupture-of-an-ultralow-duodenal-stump-after-extended-surgery-for-gastric-cancer-with-duodenal-invasion-managed-by-tube-duodenostomy-and-cholangiostomy
#29
JOURNAL ARTICLE
Konstantinos Blouhos, Konstantinos A Boulas, Anna Konstantinidou, Ilias I Salpigktidis, Stavroula P Katsaouni, Konstantinos Ioannidis, Anestis Hatzigeorgiadis
When dealing with gastric cancer with duodenal invasion, gastrectomy with distal resection of the duodenum is necessary to achieve negative distal margin. However, rupture of an ultralow duodenal stump necessitates advanced surgical skills and close postoperative observation. The present study reports a case of an early duodenal stump rupture after subtotal gastrectomy with resection of the whole first part of the duodenum, complete omentectomy, bursectomy, and D2+ lymphadenectomy performed for a pT3pN2pM1 (+ number 13 lymph nodes) adenocarcinoma of the antrum...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24223320/hepatic-portal-venous-gas-comparison-of-two-cases
#30
JOURNAL ARTICLE
Iain Rankin, Hemant Sheth
Context. Hepatic portal venous gas (HPVG) is a rare and sinister finding. Its mortality is associated with the underlying causative condition. When secondary to bowel ischaemia, mortality rates exceed 50%. Case Report. Two cases of HPVG are described. One case describes HPVG in association with gastric ischaemia, with complete resolution following conservative management. The second case describes HPVG in association with widespread intra-abdominal ischaemia, with resultant mortality. Conclusion. A "watch and wait" management of HPVG associated with gastric ischaemia is suggested in certain patients, with a low threshold for surgical intervention...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24288645/small-bowel-perforation-due-to-gossypiboma-caused-acute-abdomen
#31
JOURNAL ARTICLE
Tahsin Colak, Tolga Olmez, Ozgur Turkmenoglu, Ahmet Dag
Gossypiboma, an infrequent surgical complication, is a mass lesion due to a retained surgical sponge surrounded by foreign body reaction. In this case report, we describe gossypiboma in the abdominal cavity which was detected 14 months after the hysterectomy due to acute abdominal pain. Gossypiboma was diagnosed by computed tomography (CT). The CT findings were a rounded mass with a dense central part and an enhancing wall. In explorative laparotomy, small bowel loops were seen to be perforated due to inflammation of long standing gossypiboma...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24381780/sigmoid-carcinoma-in-an-inguinal-hernia-a-blessing-in-disguise
#32
JOURNAL ARTICLE
P B Salemans, G F Vles, S A F Fransen, R M Smeenk
Colorectal cancer is a rising problem, as the incidence increases with age. In most cases the goal of treatment is oncological resection followed by adjuvant chemotherapy in order to optimize the survival. In this case report we present a 93-year-old patient with a sigmoid carcinoma inside an irreducible inguinal hernia, which was diagnosed prior to surgery. We chose to perform a sigmoid resection through an oblique inguinal incision as a safer alternative to laparotomy.
2013: Case Reports in Surgery
https://read.qxmd.com/read/24386586/laparoscopic-repair-of-combined-right-diaphragm-and-liver-injuries-with-a-sharp-object-a-case-report
#33
JOURNAL ARTICLE
M Kasım Arık, Sükrü Tas, Faruk Ozkul, Hasan Sahin, Ozan Karatağ, Muammer Karaayvaz
Introduction. Diaphragm injuries develop following penetrating or blunt traumas. The purpose of the case report is to present a 28 year old male patient with stable hemodynamic findings treated with laparoscopic approach following a liver injury combined with a right diaphragm injury caused by a sharp penetrating object. Case. 4 cm long transverse laceration was observed near the middle axillary line in the 6th right intercostal space in the examination performed on a 28 year old male patient who applied to the emergency service due to sharp penetrating object injury...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24455385/delayed-presentation-of-intussusception-with-perforation-after-splenectomy-in-patient-with-blunt-abdominal-trauma
#34
JOURNAL ARTICLE
Ibrahim Afifi, Hassan Al-Thani, Sajid Attique, Sherwan Khoschnau, Ayman El-Menyar, Rifat Latifi
Adult intussusception (AI) following blunt abdominal trauma (BAT) is a rare surgical condition. We present a case of delayed diagnosis of ileocecal junction intussusception with a perforation of small bowel in a 34-year-old male with a history of fall from height. Initial exploratory laparotomy revealed shattered spleen requiring splenectomy. Initial abdominal computerized tomography scanning (CT) scan showed dilated small bowel with no organic obstruction. Patient started to improve with partial distention and was shifted to rehabilitation unit...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24455386/concomitant-gastrointestinal-stromal-tumor-of-the-stomach-and-gastric-adenocarcinoma-in-a-patient-with-billroth-2-resection
#35
JOURNAL ARTICLE
Federico Sista, Valentina Abruzzese, Mario Schietroma, Gianfranco Amicucci
Background. With this study we focus on the etiopathogenesis and on the therapy of the simultaneous occurrence of Gastric gastrointestinal stromal tumor (gGIST) and adenocarcinoma of the stomach in a patient with Billroth II gastric resection (BIIGR). We report the first case of this event and a review of the literature. Methods. A 70-year-old man with a BIIGR, affected by adenocarcinoma of the stomach, was successfully treated with total gastrectomy. The histological examination showed a gastric adenocarcinoma with a synchronous GIST sized 2 cm and S-100, CD117, and CD34 positive...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24455389/intestinal-necrosis-due-to-giant-ovarian-cyst-a-case-report
#36
JOURNAL ARTICLE
Ali Duran, Fulay Yilmaz Duran, Fevzi Cengiz, Ozgur Duran
Intestinal pathologies due to ovarian cyst are observed rarely. Although a limited number of cases in neonatal and adolescent periods have been observed, no adult case has been reported in the literature. Two mechanisms are involved in intestinal complications due to ovarian cysts: torsion due to adhesion or compression of giant ovarian mass with a diameter of 9-10 cm. We report here a terminal ileum necrosis case due to compression by an ovarian cyst with 11 × 10 × 7 cm size in an 81-year-old woman.
2013: Case Reports in Surgery
https://read.qxmd.com/read/24455392/conservative-management-of-major-liver-necrosis-after-angioembolization-in-a-patient-with-blunt-trauma
#37
JOURNAL ARTICLE
Husham Abdelrahman, Ahmad Ajaj, Sajid Atique, Ayman El-Menyar, Hassan Al-Thani
Management of liver injury is challenging particularly for the advanced grades. Increased utility of nonoperative management strategies increases the risk of developing massive liver necrosis (MLN). We reported a case of a 19-year-old male who presented with a history of motor vehicle crash. Abdominal computerized tomography (CT) scan revealed large liver laceration (Grade 4) with blush and moderate free hemoperitoneum in 3 quadrants. Patient was managed nonoperatively by angioembolization. Two anomalies in hepatic arteries origin were reported and both vessels were selectively cannulated and bilateral gel foam embolization was achieved successfully...
2013: Case Reports in Surgery
https://read.qxmd.com/read/24511409/fasciitis-necroticans-after-elective-hernia-inguinal-surgery
#38
JOURNAL ARTICLE
T A Sigterman, Kim J Gorissen, Dennis E J G J Dolmans
Necrotising fasciitis is a rare but disastrous complication after elective surgery. We present two patients (both male, 58 and 18 years old) who developed necrotising fasciitis following elective inguinal hernia repair according to Lichtenstein. The importance of both recognition and time interval between symptom occurrence and surgical intervention is illustrated, emphasising the need for immediate action when necrotising fasciitis is suspected. A high index of suspicion of necrotising fasciitis should be maintained when a wound infection is accompanied by disproportional pain, lethargy, or sepsis...
2014: Case Reports in Surgery
https://read.qxmd.com/read/24653852/giant-hepatic-carcinoid-a-rare-tumor-with-a-favorable-prognosis
#39
JOURNAL ARTICLE
Serge Landen, Maxime Elens, Celine Vrancken, Frederiek Nuytens, Thibault Meert, Veronique Delugeau
Primary hepatic carcinoids are rare tumors that are often diagnosed at a locally advanced stage. Their primary nature can only be ascertained after thorough investigations and long-term follow-up to exclude another primary origin. As with secondary neuroendocrine liver tumors, surgical resection remains the mainstay of therapy. Despite their large size and often central location liver resection is often feasible, offering long-term survival and cure to most patients. In selected patients liver transplantation appears to be a good indication for tumors not amenable to liver resection...
2014: Case Reports in Surgery
https://read.qxmd.com/read/24653854/rectus-abdominis-muscle-malignant-fibrous-histiocytoma-causing-a-large-abdominal-wall-defect-reconstruction-with-biological-mesh
#40
JOURNAL ARTICLE
Evangelos Falidas, Stavros Gourgiotis, Christina Goudeli, Stavros Mathioulakis, Konstantinos Vlachos, Constantinos Villias
Malignant fibrous histiocytoma (MFH) is a common soft tissue sarcoma usually involving limbs and retroperitoneum. MFH of the rectus abdominis muscle is extremely rare. Surgery in similar cases leads to large abdominal wall defects needing reconstruction. Biological and synthetic laminar absorbable prostheses are available for the repair of hernia defects in the abdominal wall. They share the important feature of being gradually degraded in the host, resulting the formation of a neotissue. We herein report the case of an 84-year-old man with MFH of the rectus abdominis muscle which was resected and the large abdominal wall defect was successfully repaired with a biological mesh...
2014: Case Reports in Surgery
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