Am J Surg Case Rep. 2025;6(1):AJSCR-06-1158 | Open Access
Dr Akhilesh Dalal, Dr Shilpi Bhattacharya, Dr Riddhi Sharma, Dr Shashank Rai, Prof. Dr Kuldeep Raj Sarangal, Prof. Dr Jagdish Mutreja and Dr Jaya Malviya
Blunt trauma-induced rupture of the bile duct is exceptionally rare. Diagnosis poses challenges due to minimal peritoneal irritation from aseptic bile. We discuss the case of a 35-year-old gentleman who developed a bile duct leak post-road traffic accident. Initially treated for polytrauma, he later presented with abdominal fullness, initially managed for ascites by frequent aspirations. Further evaluation revealed bile-rich ascitic ... Read more
CASE REPORT Updated Mar 18, 2025 PDF
Am J Surg Case Rep. 2025;6(1):AJSCR-06-1157 | Open Access
Geng A and Yee-Oleksy S
Bradycardia is a common occurrence during laparoscopic surgery, which can result from peritoneal distension with pneumoperitoneum leading to a vagal response. However, severe bradycardia leading to cardiac arrest is much rarer. While bradycardic arrest from pneumoperitoneum is documented in a small number of case reports, there remains no standardized guidelines in management after cardiac arrest. Here we present a case ... Read more
CASE REPORT Updated Mar 12, 2025 PDF
Am J Surg Case Rep. 2025;6(1):AJSCR-06-1156 | Open Access
Savilov PN, Dyachkova SYA, Kuznetsova NI and Turovsky AV
Aim: To study the reactions of the bactericidal activity of blood serum to Gram (+) and Gram (-) microflora on a three-day course of HBO during Liver Resection (LR).
Materials and Methods: Experiments were conducted on 42 white rats (females) weighing 180 g - 220 g. LR was performed by removing part of the left lobe of the liver (15% - 20% of the body weight). ... Read more
RESEARCH ARTICLE Updated Mar 07, 2025 PDF
Am J Surg Case Rep. 2025;6(1):AJSCR-06-1155 | Open Access
Mao-Hsung Tseng, Xiang-Yung Wangand We-Che Feng
Mucinous Carcinoma of the colon (MC) is a subtype of Colon Rectal Cancer (CRC) that occurs in about 10% - 15 % of the CRC in western countries such as Europe, Australia, and North America, but less in Asia averaging in around 4 %. MC distinguish histologically from CRC by presence of abundant of mucin in the tumor, and is more often found in female ... Read more
CASE REPORT Updated Feb 05, 2025 PDF
Am J Surg Case Rep. 2024;5(9):AJSCR-05-1154 | Open Access
Krishna Ramavath, Nyna Sindhu, Tushar Parmeshwar, Siddharth Rao and Bushan Kamble
Background: Venous leg ulcers cause long‐term suffering to the patients and will take more time to heal. There is a significant socioeconomic burden to the patients and community due to these active non healing venous ulcers. Many patients with venous ulcers lack economical &social support. Venous ulcers cause great disability and reduce quality of life. Compression ... Read more
RESEARCH ARTICLE Updated Dec 30, 2024 PDF
Am J Surg Case Rep. 2024;5(9):AJSCR-05-1153 | Open Access
Durmishi Y and Telaku S
T he prevalence of people who are overweight or obese has increased dramatically in high- income countries over the past 20 years. Endoscopic Intragastric Balloon (IGB) placement is one of the minimally invasive methods of obesity treatment because IGB are safe and effective for weight loss.
Read more
IMAGE ARTICLE Updated Dec 04, 2024 PDF
Am J Surg Case Rep. 2024;5(9):AJSCR-05-1152 | Open Access
Hélène Claudel, Pascale Hamard, Paul Bastelica, Antoine Labbé and Christophe Baudouin
Purpose: To report and present imaging of a case of reversal of optic disc cupping following filtering surgery in juvenile glaucoma. Observation: A 22-year-old woman visited our emergency department complaining of blurred vision for two weeks in her right eye associated with bilateral ocular pain. Her medical history included bilateral juvenile glaucoma treated since 2018, occurring in ... Read more
CASE REPORT Updated Dec 04, 2024 PDF
Am J Surg Case Rep. 2024;5(9):AJSCR-05-1151 | Open Access
Ibrahim AH, Almusayb MF, Alghazwi AA and Alkhaldi MS
Introduction: Perianal fistula is a common clinical condition that is caused mainly by abscess formation of the anal glands or as a side effect of surgical intervention. Anal mucinous adenocarcinoma associated with chronic anal fistula is an uncommon condition. Case report: Here, we report a case of a 59-year-old male following in clinic as a case ... Read more
CASE REPORT Updated Dec 02, 2024 PDF
Am J Surg Case Rep. 2024;5(9):AJSCR-05-1150 | Open Access
Enio B, Pederçole GL, Machado AA, Teles CA and Branco JNR
Female patient, 71 years old, with a history of two aortic valve replacement surgeries using a biological prosthesis, the 1st resulting from Infectious Endocarditis (IE) and the 2nd due to stenosis of the prosthesis, was admitted to the emergency room with a history of dental treatment 2 months ago
Read more
IMAGE ARTICLE Updated Nov 14, 2024 PDF
Am J Surg Case Rep. 2024;5(8):AJSCR-05-1149 | Open Access
Alicja Główka, Piotr Kupidłowski, Paweł Kurzawa and Mateusz Wichtowski
Heterotopic Pancreas (HP) is an aberrant anatomic malformation that occurs outside the normal anatomical site, most commonly in the upper gastrointestinal tract. Detection of HP remains a major challenge due to its similarity to submucosal tumors, so it is often misdiagnosed. For this reason, pathological confirmation is necessary to diagnose HP.
A 62-year-old male patient was admitted with suspected gastric ... Read more
CASE REPORT Updated Nov 12, 2024 PDF
Am J Surg Case Rep. 2024;5(8):AJSCR-05-1148 | Open Access
Aboubekr Fadlallah, Senouci Oum Elkheir Soltana, Kerras Meriem Elbatoul, Bedjaoui Hind, Tachema Ikram and Messaoud Mimouna
Objective: Evaluate the efficacy of cervico-isthmic cerclage with a vaginally placed synthetic tape in women at high risk of preterm delivery.
Patients and methods: This was a case series evaluation of 07 women who underwent vaginal cervico-isthmic cerclage with placement of a synthetic tape, performed at the Sidi Bel Abbès mother-child specialized hospital between June 2023 ... Read more
RESEARCH ARTICLE Updated Oct 23, 2024 PDF
Am J Surg Case Rep. 2024;5(8):AJSCR-05-1147 | Open Access
Nobuhiko Aoki
Background: An Acute Subdural Hematoma (ASDH) in an infant without external signs of head trauma is sometimes thought to be symptomatic of Shaken Baby Syndrome (SBS)/Abusive Head Trauma (AHT) in the United States or of an Infantile Acute Subdural Hematoma (IASDH) due to minor head trauma in Japan. The present case report demonstrated that IASDH may occur ... Read more
CASE REPORT Updated Oct 09, 2024 PDF
Am J Surg Case Rep. 2024;5(8):AJSCR-05-1146 | Open Access
Michelangelo S. Cobangbang, Dennis P. Serrano and Nikko J. Magsanoc
Introduction: A prostatic utricle cyst is a rare congenital anomaly that appears as a midline diverticulum with its opening at the posterior urethra at the level of the verumontanum. The aim of this article is to present a rare case of a large prostatic utricle cyst as a cause of primary infertility, surgically managed with robotic excision followed ... Read more
CASE REPORT Updated Oct 09, 2024 PDF
Am J Surg Case Rep. 2024;5(8):AJSCR-05-1145 | Open Access
Mohammed Abdullah Baamer
Meckel's diverticulum was the commonest GIT congenital anomalies that occur due to failure of vitelline duct to obliterate and result in formation of true diverticulum. Mostly MD is asymptomatic and main presentation in children is hemorrhage and diverticulitis, while in adult usually with complication in form of perforation, torsion, intestinal obstruction. Axial torsion at the base was the rarest ... Read more
CASE REPORT Updated Sep 26, 2024 PDF
Am J Surg Case Rep. 2024;5(7):AJSCR-05-1144 | Open Access
Srinivas Reddy Kallem, Tushar Parmeshwar, Nyna Sindhu, Krishna Ramavath, Reshmi, Harikrishna and Adharsha
Case summary: A 32-year-old male presented to the general surgery Outpatient Department (OPD) diagnosed with fistula in ano for surgical intervention with no remarkable medical history, was scheduled to undergo an elective Ligation of the Intersphincteric Fistula Tract (LIFT) procedure and open hemorrhoidectomy under spinal anesthesia. Preoperative evaluation, including digital rectal examination and MRI fistulogram, confirmed a suprasphincteric fistula with ... Read more
CASE REPORT Updated Sep 19, 2024 PDF
Am J Surg Case Rep. 2024;5(7):AJSCR-05-1143 | Open Access
Servet Tali and Alper Çelik
We present a case of a rare congenital anomaly in a sixty-eight-year-old male patient scheduled for Metabolic Surgery, characterized by the unusual placement of the gallbladder in the left lobe of the liver. Preoperative evaluations did not reveal any gallbladder-related pathology in the patient, but during Metabolic Surgery, it was observed that the gallbladder was localized to the left lobe ... Read more
CASE REPORT Updated Sep 06, 2024 PDF
Am J Surg Case Rep. 2024;5(7):AJSCR-05-1142 | Open Access
Imami Y, El Hachami FZ, Dassalm N, Berrehili H, Assal A, Gotni A, Jalal M and Lamrissi A
T he didelphic uterus, a rare congenital anomaly, can be associated with complications during pregnancy. This pathology considerably increases the incidence of premature delivery, miscarriage and other obstetric complications.
Uterine malformations are increasingly diagnosed at an early stage, thanks to improved exploration techniques. Traditionally, accurate diagnosis is made by hysterosalpingography and laparoscopy. 2D and 3D ultrasound and Magnetic Resonance Imaging (... Read more
SHORT COMMUNICATION Updated Aug 20, 2024 PDF
Am J Surg Case Rep. 2024;5(7):AJSCR-05-1141 | Open Access
Mao-Hsung Tseng, Xiang-Yung Wang and We-Che Feng
Hirschsprung Disease (HD), also known as congenital megacolon, is caused by the absence of ganglion cells in the intestinal wall, leading to bowel obstruction. Mosaic Turner Syndrome (MTS) and Trisomy X (TX) are sex chromosome disorders affecting females, characterized by the presence of 45, XO in MTS and 47, XXX in TX. Both conditions are often associated with multi organ abnormalities and ... Read more
CASE REPORT Updated Aug 19, 2024 PDF
Am J Surg Case Rep. 2024;5(7):AJSCR-05-1140 | Open Access
Najmah A Alsobahi
Background: As acute appendicitis accounts for one of the highest incidences of emergencies, appendectomy is considered among the most common surgeries internationally. The variety in the appendix position is influenced by the variation of the changes in the cecum position and shape during embryological development. The variability in length and position makes the diagnosis and management challenging which might lead ... Read more
CASE REPORT Updated Aug 13, 2024 PDF
Am J Surg Case Rep. 2024;5(6):AJSCR-05-1139 | Open Access
Carissa C Walkosak, Tara Jennings and Ashley Decker
The horizontal mattress suture technique in dermatologic surgery is known for its ability to approximate the wound edges of skin defects, distribute tension, and provide hemostasis. The scalp is a highly vascularized area that can present a challenge in terms of intraoperative bleeding. Bleeding in this location can be refractory to the usual methods of mechanical pressure, injection of epinephrine ... Read more
CASE REPORT Updated Aug 01, 2024 PDF
Am J Surg Case Rep. 2024;5(6):AJSCR-05-1138 | Open Access
Chenglu Qin, Pohching Lee and Jinqiu Shi
Our center has been practicing laparoscopic-assisted vaginoplasty, trachelectomy and uterovaginal anastomosis over the years to treat patients with cervicovaginal agenesis or cervical agenesis in order to preserve their reproductive capability. In this series, we aim to elaborate on the postoperative follow-up, surgical challenges and limitations, and the surgical procedure's description. We have included three surgical cases of congenital cervicovaginal ... Read more
CASE SERIES Updated Jul 19, 2024 PDF
Am J Surg Case Rep. 2024;5(6):AJSCR-05-1137 | Open Access
Venkatachalapathi P, Chandel A, Kumar A, Bhartiya SK and Saroj SK
Background: Retained surgical sponge well known as gossypiboma is an uncommon medical occurrence. It can result in a major issue that puts the lives of the patients in danger. Because the clinical symptoms are ambiguous and the imaging results are frequently unclear, the diagnosis is typically challenging. However incidence reported is low as its occurrence is not widely publicized. The ... Read more
CASE REPORT Updated Jul 05, 2024 PDF
Am J Surg Case Rep. 2024;5(6):AJSCR-05-1136 | Open Access
Aniket Nandkumar Zarkar, Kiran Mastud and Jayesh Desale
When the stomach undergoes torsion inside the thoracic cavity, it results in acute gastric volvulus. It could be the consequence of an undetected Congenital Diaphragmatic Hernia (CDH) or an accompanying expansion of the hiatus. We report a 14-year-old boy who came to our emergency room complaining of nonbilious vomiting and severe epigastric pain.
On further work up diaphragmatic hernia ... Read more
CASE REPORT Updated Jun 20, 2024 PDF
Am J Surg Case Rep. 2024;5(6):AJSCR-05-1135 | Open Access
Sagar K. Kamarajuand Nicolas J. Mouawad
Abdominal aortic aneurysms cause 1.3% of all deaths among men aged 65-88 years in developed countries. While most treatments use an endovascular approach, they require a proximal neck length of at least 10 mm -15 mm. We detail a case of an 82-year-old male, who presented with an incidental finding of a 6.2 cm infrarenal abdominal aortic aneurysm with a 10.1 mm infrarenal neck. ... Read more
CASE REPORT Updated Jun 05, 2024 PDF
Am J Surg Case Rep. 2024;5(5):AJSCR-05-1134 | Open Access
Jalal M, Sabir S, Atfi F, Lamrissi A and Bouhya S
Vaginal leiomyoma is a rare benign tumour of the mesenchyme, often discovered incidentally in middle-aged women (30 to 50 years) and mainly located on the anterior wall of the vagina. Our case of a 27-year-old female patient with symptoms of dyspareunia and polyuria for one year was diagnosed by endovaginal ultrasound and MRI, revealing a 6 cm-6.7 cm mass. Surgery under spinal anaesthetic ... Read more
CASE REPORT Updated Jun 03, 2024 PDF
Am J Surg Case Rep. 2024;5(5):AJSCR-05-1133 | Open Access
Mathew NE, Kumar A, Lal SS, Iype EM and Mathew MI
A 32-year old female presented with dysphagia and odynophagia in Emergency Medicine Department. Since the patient was a known case of Schizophrenia, she was initially treated with antipsychotic medications. As there was a progression in symptoms, an endoscopic evaluation was done and a post cricoid ulcer was detected .She was then subjected to biopsy to rule out malignancy and granulomatous ... Read more
CASE REPORT Updated Jun 03, 2024 PDF
Am J Surg Case Rep. 2024;5(5):AJSCR-05-1132 | Open Access
Lemos João, Cardoso Pedro, Mota Pedro and Sousa Ricardo
Complications after tumoral shoulder total arthroplasty are common and possibly catastrophic. In this case, the patient had a chronic infection treated with a one-stage revision. Subsequently, instability had to be addressed by components exchange. Loosening of the humeral component led to bone stock loss and auto and allograft bone allowed to create enough support for humeral stem implantation. Radial nerve ... Read more
CASE REPORT Updated May 04, 2024 PDF
Am J Surg Case Rep. 2024;5(5):AJSCR-05-1131 | Open Access
Chen Jianliang, Fu Jun, Si Wen, Liu Lianchun, Li Ruixiang, Yu Chengfu and Wang Jiangtao
Chest wall neurofibroma is a benign tumor derived from intercostal nerve fibers, characterized by diverse clinical manifestations and frequent misdiagnosis. This article presents a case of chest wall neurofibroma that was misdiagnosed for a period of ten years. Through detailed clinical analysis, the diagnosis was eventually confirmed, and the tumor was completely resected using microsurgery, resulting in a full recovery ... Read more
CASE REPORT Updated May 02, 2024 PDF
Am J Surg Case Rep. 2024;5(5):AJSCR-05-1130 | Open Access
Sakshi Ram Kulkarni, Aniket Nandkumar Zarkar and Vikram Uttam Patil
Intestinal Tuberculosis (TB) is seldom seen as a primary manifestation in an immunocompetent person. Rarely, perforation peritonitis is its presenting manifestation. Intestinal TB often presents with complaints of abdominal pain, constipation, low-grade fever, weight loss, and loss of appetite. We hereby report an immunocompetent case of a 33-year-old gentleman who rushed to the emergency room with complaints of abdominal pain ... Read more
CASE REPORT Updated May 02, 2024 PDF
Am J Surg Case Rep. 2024;5(4):AJSCR-05-1129 | Open Access
Tzu-Yi Yang, Chih-Ying Li, Chung-Kan Tsao, Pin-Li Chou, Yin-Kai Chao and Chien-Hung Chiu
In this case report, we present a challenging scenario of isolated local recurrence following esophagectomy for esophageal cancer. Our patient, a 60-year-old man, developed anastomotic recurrence after neoadjuvant chemoradiotherapy and esophagectomy with gastric tube reconstruction via the retrosternal route. To address this, we implemented an innovative surgical approach involving esophagogastrectomy, reconstruction using a deltopectoral fasciocutaneous local flap, and the creation ... Read more
CASE REPORT Updated Apr 20, 2024 PDF
Am J Surg Case Rep. 2024;5(4):AJSCR-05-1127 | Open Access
Mao-Hsung Tseng, Li-Pin Hsiao, Xiang-Yun Wang and We-Che Feng
Since the onset of the COVID-19 pandemic in 2019, the virus has exhibited a wide spectrum of clinical manifestations primarily affecting the respiratory system and vascular system induced endothelialitis1 and often ends with respiratory failure and thromboembolism.
However, a patient with a massive spontaneous hemorrhage in the retroperitoneum without the above mentioned two systems involved presented a dilemma for timely ... Read more
REVIEW ARTICLE Updated Apr 04, 2024 PDF
Am J Surg Case Rep. 2024;5(4):AJSCR-05-1126 | Open Access
Hfaiedh I, Mbarki C, Jaafar W, Chiba Y, Khalifa N and Mourali M
An epidermoid cyst, also known as a sebaceous cyst, is a benign, encapsulated, subepidermal nodule filled with keratinous material. Although epidermoid cysts are most common on the face, neck and trunk, they can appear anywhere, even in internal organs such as the testicles, liver, spleen, and kidneys. Epidermoid cyst located in the caecum is a very rare condition, with only ... Read more
REVIEW ARTICLE Updated Apr 03, 2024 PDF
Am J Surg Case Rep. 2024;5(4):AJSCR-05-1125 | Open Access
Ahmad Mahmood, Mustafa Zhayier, Tiemin Jiang, Mohammad Shoaib, Rexiati Ruze, Zhang Ruiqing, Erpan Yilihaer, Wajid Ullah and Tuerganaili Aji
Intrahepatic ectopic splenic implantation lacks of typical clinical features and imaging manifestations and prone to misdiagnosis as a tumor lesion in clinical practice. The patient in this case, a 58 year old female, was admitted to the hospital 5 days after a physical examination revealed a nodule in the left lobe of the liver. Previously underwent surgical resection due to splenic rupture. ... Read more
CASE REPORT Updated Apr 03, 2024 PDF
Am J Surg Case Rep. 2024;5(3):AJSCR-05-1124 | Open Access
Sardar Rezaul Islam, Debabroto Paul, Shah Alam Sarkar, Haldar Kumar Golap and Mushfiqur Rahman
A 45 years old man presented with left loin pain and recurrent urinary tract infection. X-ray KUB and CT IVU showed a huge stag horn calculus occupying entire left kidney. Still a rim of kidney tissue is preserved. Isotope renography showed 34% kidney function is yet present in the left kidney. Open nephrolithotomy via anterior approach was done. Patient recovered fully without ... Read more
CASE REPORT Updated Mar 30, 2024 PDF
Am J Surg Case Rep. 2024;5(3):AJSCR-05-1123 | Open Access
Aarohi Gandhi and Jignesh Rathod
Purpose: The closure of the appendiceal stump, a crucial step in the process, has generated controversy and concerns despite the well-established surgical method of laparoscopic appendectomy. Several modifications to the original technique with new materials have been introduced for enhancing and controlling the appendiceal stump closure, such as endoloop, double endoloop, ultrasonically activated scalpel, instrument-assisted knotting, bipolar coagulation, slipknot tying, ... Read more
RESEARCH ARTICLE Updated Mar 22, 2024 PDF
Am J Surg Case Rep. 2024;5(3):AJSCR-05-1122 | Open Access
Srishti Bhowmik, Anurag Mishra and Chandra Bhushan Singh
Background: Enterocutaneous fistula is an aberrant epithelialized communication between the bowel and the skin occurring mostly as a complication of abdominal surgery. Enterocutaneous fistula may present as chronically discharging sinus and like any other chronic non healing wound, malignant transformation has rarely been reported in such gastrointestinal fistula. Herein we report an additional case of malignant transformation of enterocutaneous fistula ... Read more
CASE REPORT Updated Mar 11, 2024 PDF
Am J Surg Case Rep. 2024;5(3):AJSCR-05-1121 | Open Access
Patricio Centurion, Melissa Delgado Castro, Jesus ETalavera and Johnydela Cruz
Stromal Vascular Fraction (SVF) harvesting using a conventional liposuction technique is a traumatic technique that increases cellular apoptosis of regenerative components and requires the use of enzymes and cell culture. The study describes and assesses, the effectiveness in the number and viability of total Stromal Vascular Fraction (SVF) cells obtained, using an innovative single-step photo stimulation technique, the One STEP&... Read more
RESEARCH ARTICLE Updated Mar 04, 2024 PDF
Am J Surg Case Rep. 2024;5(3):AJSCR-05-1120 | Open Access
Fitsum Solomon Bekele, Tsiyon Nigusie, Mezgebe Degefe, Samuel Almaw and Abiy Tadele
Introduction and importance: Intrauterine Contraceptive Device (IUCD) is commonly used for contraception. Migration into the bladder is a rare complication. We present a case of a 38-year-old woman with a history of an Intrauterine Contraceptive Device (IUCD) insertion presenting with device migration into the bladder complicated with stone formation. This report aims to contribute to the understanding of IUCD-related complication ... Read more
CASE REPORT Updated Mar 02, 2024 PDF
Am J Surg Case Rep. 2024;5(2):AJSCR-05-1119 | Open Access
Borrego AF, Jaime BM, Alberto RG, Andrés BT and Virginia PL
We present the treatment of a prosthetic dislocation with a Paprosky IIIB bone defect using a customized acetabular implant, which allows the reconstruction of bone defects, including the prosthetic acetabulum, providing immediate postoperative stability. Customized implants enable precise adaptation and reconstruction of defects, ensuring their proper placement by using guides for fixation to the native bone. These custom implants contribute ... Read more
CASE REPORT Updated Mar 02, 2024 PDF
Am J Surg Case Rep. 2024;5(2):AJSCR-05-1118 | Open Access
El Hachami Fatim Zohra, Imami Y, Berrehili H, Guezri A, Benchrifi Y, Benhessou M, Ennachit M and Elkerroumi M
Pseudomyxoma peritonei is a clinical entity characterized by gelatinous ascites associated with mucinous deposits disseminated over the peritoneum and potentially invading abdominal organs. It is considered a tumoral process linked in the vast majority of cases to a mucinous appendicular tumor or one of ovarian origin. Pseudomyxoma can benefit from a therapeutic approach combining complete cytoreduction surgery and chemotherapy.
... Read more
SHORT COMMUNICATION Updated Feb 26, 2024 PDF
Am J Surg Case Rep. 2024;5(2):AJSCR-05-1117 | Open Access
Muenyi CS, White M and Choudhury N
Ostomy-related complications including peristomal infection, parastomal hernia, stoma stenosis, retraction or mucocutaneous separation can be debilitating to patients. Technical error, patient factor and the disease process are known risk factors for ostomy complications. We present a rare case of end ileostomy dysfunction in 70 years old lady with history of ulcerative colitis status post proctocolectomy with permanent end ileostomy in 1993. She ... Read more
CASE REPORT Updated Feb 05, 2024 PDF
Am J Surg Case Rep. 2024;5(2):AJSCR-05-1116 | Open Access
Muenyi CS, White M and Choudhury N
Incarcerated Richter’s inguinal hernia with perforated cecum is very rare with only three case reports published. We present a case of a 63-year-old male who presented to the emergency room with 2 weeks history of right groin pain. Physical examination findings of a large right inguinoscrotal hernia without overlying skin changes, no abdominal pain or peritonitis. Laboratory values showed ... Read more
CASE REPORT Updated Feb 05, 2024 PDF
Am J Surg Case Rep. 2024;5(2):AJSCR-05-1115 | Open Access
Djelti Sihem and Benmoumen Mohammed Yacine
Pelvic inflammatory disease is an infection of the upper genital tract, including the uterus, ovaries, uterine tubes, and peritoneum.
Tubo-ovarian abscess and pyosalpinx are complications associated with pelvic inflammatory disease, occur in 16% of all pelvic inflammatory disease and are usually encountered in sexually active women. The purpose of this work is to diagnose pelvic inflammatory disease with adequate therapeutic ... Read more
SHORT COMMUNICATION Updated Jan 31, 2024 PDF
Am J Surg Case Rep. 2024;5(1):AJSCR-05-1114 | Open Access
Djelti Sihem and Benmoumen Mohammed Yacine
Granulosa tumors were described for the first time in 1855 by Rokitansky, due to their appearance similar to that of granulosa cells in ovarian follicles.
The natural history is only reported in the literature through short series, in the 19th century, it was Vonkahladen, in 1895, which individualized granulosa cell tumors, sarcomas, and carcinomas.
In 1914 Vonwerdt published his first series ... Read more
SHORT COMMUNICATION Updated Jan 31, 2024 PDF
Am J Surg Case Rep. 2024;5(1):AJSCR-05-1113 | Open Access
FZ El Hachami , Sabiri R, Imami Y, Berrehili H, Gotni A, Boufettal H, Mahdaoui S and Samouh N
Clear cell carcinoma is a rare carcinoma of the ovary, often associated with endometriosis. Patients are often diagnosed at an early stage of the disease, which improves prognosis and management. The general guidelines for the treatment of CCC are the same as those used for high-grade serous carcinoma.
Read more
SHORT COMMUNICATION Updated Jan 31, 2024 PDF
Am J Surg Case Rep. 2024;5(1):AJSCR-05-1111 | Open Access
Steven L Chang, Michael L Chang, Matthew M Delancy and Lawrence D Chang
Pilonidal disease is characterized by chronic inflammation of the folliculopilosebaceous unit and commonly affects the intergluteal cleft. However, it can be present in other regions such as the ear, nose, and axilla. We detail a case of a 74 year old male who presented with a draining lesion on the lower sternum. On evaluation and exploration, a well-defined sinus tract and ... Read more
CASE REPORT Updated Jan 11, 2024 PDF
Am J Surg Case Rep. 2024;5(1):AJSCR-05-1110 | Open Access
Fiuza A, Sproul W, Hodge S, Lespinasse P, Lee E and Howard D
Hidradenitis Suppurativa (HS) is a chronic inflammatory skin condition that can become severe, requiring excision to prevent further infectious processes. Typically, HS is a slowly progressive condition that often gets misdiagnosed and under diagnosed. It can take up to 7 years for a proper diagnosis. Although HS is well-researched, there have been minimal reports of rapid progression to Stage III HS. ... Read more
CASE REPORT Updated Jan 11, 2024 PDF
Am J Surg Case Rep. 2023;4(12):AJSCR-04-1108 | Open Access
Martina Lopez-May, Bryan Myers and Edward Chin
Uterine fibroids are estimated to affect 70% of women. A rare complication of these benign growths is ureteral compression which can become clinically significant and cause renal injury. Two female kidney donors, 33-year-old, and 57-year-old, both with uterine fibroids, experienced ureteral compression caused by their fibroids. This led to hydronephrosis of the remaining kidney requiring surgical intervention, with ultimately good outcome. ... Read more
CASE REPORT Updated Dec 04, 2023 PDF
Am J Surg Case Rep. 2023;4(12):AJSCR-04-1107 | Open Access
Burlaka A, Rozhkova V, Pavliuk R, Chukanov O, Kopchak K, Beznosenko A and Efimenko O
We present a rare case report of colorectal cancer liver metastasis manifested 10 years after the resection of primary tumor. A 38-year old woman was referred to us with complains of right upper quadrant abdominal pain. Ten years before this she underwent colectomy due to colorectal cancer. Imaging revealed a liver mass adjacent to the portal vein bifurcation at the liver ... Read more
CASE REPORT Updated Dec 04, 2023 PDF
Am J Surg Case Rep. 2023;4(12):AJSCR-04-1106 | Open Access
Sabiri R, El Hachami FZ, Saligane A, Jalal M, Lamrissi A and Bouhya S
Sacrococcygeal teratoma is a rare disease, most often benign. The prognosis of this tumour depends on early diagnosis and treatment, which should always be considered in cases of associated hydramnios. We report a case of a newborn with a sacrococcygeal teratoma discovered in a parturient in the maternity department of the CHU ibn Rochd at term in labour with a ... Read more
SHORT COMMUNICATION Updated Nov 23, 2023 PDF
Am J Surg Case Rep. 2023;4(12):AJSCR-04-1105 | Open Access
Ajay Jangid
Transverse colon volvulus is an uncommon cause of large bowel obstruction. It usually presents as a surgical emergency as acute intestinal obstruction, strangulation, and perforation peritonitis if not diagnosed early. Abdominal Computed Tomography (CT), performed on an emergency basis, can help to diagnose this obstruction before surgery and help in the selection of a therapeutic approach. We report a rare ... Read more
CASE REPORT Updated Nov 16, 2023 PDF
Am J Surg Case Rep. 2023;4(11):AJSCR-04-1104 | Open Access
Ouchamch M, Kharbach A, Baidada A, Elhanchi Z, Lakhdar and Zraidi N
We wish to recall the existence of Ballantyne syndrome, which was first described in association with feto-placental hydrops whose etiology was Rhesus alloimmunization. We present a case of mirrored preeclampsia, possibly related to non-immune fetal hydrops, with elements of fetal malformation and complicated by eclampsia. Following this case report, a review of the literature will confirm that other non-immunological etiologies ... Read more
CASE REPORT Updated Nov 08, 2023 PDF
Am J Surg Case Rep. 2023;4(11):AJSCR-04-1103 | Open Access
Lal SS, Viswawani A, Mathew NE and Iype EM
The case report describes the treatment of a 40 year old female patient having squamous cell carcinoma of the right upper alveolus involving hard palate. The patient was taken up for right inferior partial maxillectomy and the defect reconstructed using an inferiorly based nasolabial flap. Postoperative outcome was excellent with immediate speech, swallowing, cosmetic results and the flap integration with no ... Read more
CASE REPORT Updated Nov 08, 2023 PDF
Am J Surg Case Rep. 2023;4(11):AJSCR-04-1102 | Open Access
Cláudia N Fernandes, Luís Vale, Carlos Ferreira, João Silva, Carlos Silva and Tiago Antunes-Lopes
Fowler Syndrome (FS) is a rare condition first described in 1950 as a sphincter abnormality, causing voiding dysfunction in women. A large spectrum of treatments had been tried but only Sacral Nerve Stimulation (SNS) has proven to be efficient.
In this work, we present a 22-year-old woman with a history of progressive voiding symptoms presented with recurrent painless urinary retention ... Read more
CASE REPORT Updated Nov 03, 2023 PDF
Am J Surg Case Rep. 2023;4(11):AJSCR-04-1101 | Open Access
Hari Sedai, Elisha Poddar, Suraj Shrestha, Pratima Sharma and Prajwal Khatiwada
Introduction and importance: Ewing’s sarcoma is a malignant small, round cell tumor arising in the bones and affecting the younger population. This tumor mostly occurs in the long bones of extremities. Primary cranial Ewing’s sarcoma is uncommon with primary Ewing’s sarcoma of the occipital bone being very rare which can sometimes cause diagnostic dilemmas.<... Read more
CASE REPORT Updated Nov 03, 2023 PDF
Am J Surg Case Rep. 2023;4(11):AJSCR-04-1100 | Open Access
Asli Mohamed Abdullahi, Fatima Ibrahim Nor, Ahmed Mohamed Abdulle and Abdirahman Hussein Ali
Peripartum Cardiomyopathy (PPCM) is a form of dilated cardiomyopathy characterized by systolic heart failure occurring in the final month of pregnancy or within five months after childbirth. Despite being identified in the 1800s, the exact cause of PPCM remains uncertain. This condition affects numerous women annually in the United States. However, its diagnosis is often challenging due to its symptoms ... Read more
CASE REPORT Updated Oct 20, 2023 PDF
Am J Surg Case Rep. 2023;4(10):AJSCR-04-1099 | Open Access
Younes Dehneh, Mohammed Lhamlili, Mohammed Khoulali, Noureddine Oulali and Faycel Moufid
Background: Lipoma is benign tumors originates from fat tissue. They mostly arise on the trunk and extremities.
Case report: We report a 32-year-old male with cervical giant lipoma; he underwent surgery with favorable outcome. Our case report focus on a rare effected location.
Conclusion: Giant cervical lipoma is unusual presentation of lipoma. Differential diagnosis of lipoma is liposarcoma ... Read more
CASE REPORT Updated Oct 20, 2023 PDF
Am J Surg Case Rep. 2023;4(10):AJSCR-04-1098 | Open Access
Lele Mutombo Fabrice, Jeremiah Ocloo, Elisabeth Wapembe, Kitha Bitingo Pierre, Hangi Mbida Bienvenue and Marc Ericson
Congenital idiopathic lymphoedema is a comparatively uncommon disorder characterized by abnormal lymphatic development resulting in chronic lymphatic dysfunction and subsequent localized swelling (lymphedema). The condition's etiology remains largely unknown, adding to the complexity of diagnosis and management. In resource-limited settings, where access to specialized medical facilities and comprehensive healthcare resources is limited, these challenges become particularly daunting. This case ... Read more
CASE REPORT Updated Oct 09, 2023 PDF
Am J Surg Case Rep. 2023;4(10):AJSCR-04-1097 | Open Access
Ayoub Amghar, Imane Abassi, Salmane Kawtari, Youness Benchrifi, Ennachit Mohammed, Mustpha Benhessou and El Karroumi Mohammed
The cervical cancer in women younger than 40 years, presents peculiarities compared to older woman. To specify the epidemiologic, clinical, histological, therapeutic and evolutive aspects of the cervix carcinoma in the young woman. Our retrospective study is about 31 cases of the cervical cancer, supervened in young women under the age of 40, recruited in the Mohamed VI center for the detection and ... Read more
RESEARCH ARTICLE Updated Oct 09, 2023 PDF
Am J Surg Case Rep. 2023;4(10):AJSCR-04-1096 | Open Access
Aqeel Ahmad and Amer Ali Khan
OPINION Updated Sep 05, 2023 PDF
Am J Surg Case Rep. 2023;4(10):AJSCR-04-1095 | Open Access
Abdulaziz Alaythan, Sulamian Ali Albushi, Shahid Islam, Ziyad Abdulrhman Alrzoq and Zyad Mohammed Alshehri
A 33-year-old male from Bangladesh works at Saudi Arabia visited King Saud Medical City emergency room with perianal pain and protruding mass from the anus. The patient had this mass 3 days before seeking treatment. The patient has history of constipation for years. The physical abdominal examination showed a soft, lax abdomen with no tenderness and there was a mass protruding ... Read more
CASE REPORT Updated Oct 05, 2023 PDF
Am J Surg Case Rep. 2023;4(9):AJSCR-04-1094 | Open Access
Hossein Mehdian, Elie Najjar, DritanPasku and Nasir A Quraishi
The surgical treatment of the burst fracture of the lumbar spine is controversial. There is not established evidence regarding the type of the surgical planning and approach. Herein, we present a case of a 28-year-old gentleman involved in an RTA, who sustained a burst fracture of L4 with more than 90% canal compromise. He had a significant neurological deficit in both ... Read more
REVIEW ARTICLE Updated Sep 22, 2023 PDF
Am J Surg Case Rep. 2023;4(9):AJSCR-04-1092 | Open Access
João Victor Vecchi Ferri, Wagner Herbert Sobottka, José Alfredo Sadowski, Gustavo Rodrigues Alves Castro, Vitor Mamoru Haida, Marcela Scardua Cocicov and João Caetano Dallegrave Marchesini
Introduction: It has been reported that weight gain and obesity account for approximately 20% of all cancer cases. Among these, small bowel adenocarcinoma has been suggested to be linked to obesity, specifically the visceral type. Some experience an early onset due to intussusception of the small bowel.
Case presentation: A 44-year-old man, who underwent Roux-en-Y gastric bypass surgery for obesity ... Read more
CASE REPORT Updated Sep 20, 2023 PDF
Am J Surg Case Rep. 2023;4(9):AJSCR-04-1091 | Open Access
Hfaiedh I, Jaafar W, Mallouli F, Ben Mbarek C, Chiba Y, Khalifa N and Mourali M
Ectopic pregnancy and molar pregnancy are not rare events. However, cesarean-scar pregnancy is a rare form of ectopic pregnancy and the combination of cesarean scar pregnancy and molar pregnancy is an extremely rare event. Only a small number of cases have been reported in the literature. This is the ninth case in the world.
Here a case report about ... Read more
CASE REPORT Updated Sep 20, 2023 PDF
Am J Surg Case Rep. 2023;4(8):AJSCR-04-1089 | Open Access
Steven Allen
Pleural effusions are diagnosed in an estimated 1.5 million individuals annually in the United States. These effusions are caused by a variety of medical conditions including Congestive Heart Failure (CHF), pleural infection, and malignancy. Malignant pleural effusions, characterized by the accumulation of significant amounts of fluid in the pleural space and the presence of malignant cells or tumor tissue, can result ... Read more
RESEARCH ARTICLE Updated Sep 01, 2023 PDF
Am J Surg Case Rep. 2023;4(8):AJSCR-04-1088 | Open Access
Jocelyn Compton, Ignacio Garcia Fleury, Michael Willey and Joseph Buckwalter V
Neuropathic arthropathy, or Charcot arthropathy, is a destructive joint degenerative process associated with neurologic dysfunction. Although neuropathic arthropathy most commonly affects the weight-bearing lower extremity, literature has sparsely cited cases of neuropathic arthropathy of the shoulder, elbow, and wrist. The pathophysiology of upper extremity neuropathic arthropathy can vary from diabetes, nerve injury and syringomyelia to infectious causes. This case report ... Read more
CASE REPORT Updated Aug 09, 2023 PDF
Am J Surg Case Rep. 2023;4(8):AJSCR-04-1087 | Open Access
Kumar A, Chowdhury P, Pratap A, Bhartiya SK, Saroj SK and Shukla VK
Pilonidal sinus is a chronic disease which can affect many regions of the body, but particularly seen in the sacrococcygeal region in the natal cleft. Symptoms can range from mild scanty seropurulent discharge or in certain rare cases can also undergo malignant transformation. In this case, a 50 years old lady underwent malignant transformation in a pre-existing neglected pilonidal sinus.
Read more
CASE REPORT Updated Aug 09, 2023 PDF
Am J Surg Case Rep. 2023;4(8):AJSCR-04-1085 | Open Access
Abdullah S Al-Darwish, Waleed AlShammari, Muath AlaSheikh and Muhaid ALNujaidi
Introduction: Gallstone disease is very common, but gallstone bigger than 5 cm in diameter is very rare and uncommon. It is very challenging to be removed by Laparoscopic Approach.
Case presentation: A 39-year-old female presented to the surgical outpatient department at our center with a history of intermittent right upper quadrant colicky pain for 5 months which was related to fatty ... Read more
CASE REPORT Updated Aug 03, 2023 PDF
Am J Surg Case Rep. 2023;4(7):AJSCR-04-1084 | Open Access
Kumar D, Biegel C, Nyanjom N and Gupta A
Small bowel perforation is a rare consequence of Foreign Body Ingestion (FBI) and can be prevented with early identification of the object even in the presence of non-specific abdominal symptoms. There are various causes of perforated viscus. While a comprehensive history usually guides a majority of the diagnosis, it may be unobtainable due to age, disease process, or in the ... Read more
CASE REPORT Updated Aug 03, 2023 PDF
Am J Surg Case Rep. 2023;4(7):AJSCR-04-1083 | Open Access
Ertuğrul Zencirci, Gültekin Karakuş and Ender Özgün Çakmak
CLINICAL VIDEO Updated Aug 03, 2023 PDF
Am J Surg Case Rep. 2023;4(7):AJSCR-04-1082 | Open Access
Muhammed Bahaddin Durak and Ilhami Yuksel
Situs Inversus Totalis (SIT) is a rare condition that can do Endoscopic Retrograde Cholangiopancreatography (ERCP) difficult due to the left-right reversal of the visceral organs. A 28-year-old woman was referred for cholangitis. ERCP was performed by using adjusting the monitor processor and operator position to the conventional technique. In that position, the papilla was located on the right side, at ... Read more
CASE REPORT Updated Jul 28, 2023 PDF
Am J Surg Case Rep. 2023;4(7):AJSCR-04-1081 | Open Access
Borges I, Ferreira F, Oliveira MV and Oliveira GH
We describe the case of a 54-year-old man who presented with intense bilateral rhinorrhea and underwent multiple non-resolving treatments for rhinosinusitis. The patient had a history of head trauma approximately eight years prior to the onset of symptoms. A Computed Tomography (CT) scan showed isodensity regions in the frontal sinus and a veiling in the maxillary sinus, as well as ... Read more
CASE REPORT Updated Jul 27, 2023 PDF
Am J Surg Case Rep. 2023;4(7):AJSCR-04-1080 | Open Access
Jesús M Nieves-Alonso, Rosa M Méndez Hernández and Fernando Ramasco Rueda
Background: Multifocal Atrial Tachycardia (MAT) is an uncommon supraventricular arrhythmia that most commonly appears in elderly patients with underlying lung disease. It can be easily mistaken with atrial fibrillation.
Case presentation: We identified an episode of MAT in an asymptomatic patient who was scheduled for ambulatory cataract surgery. After a detailed physical examination and Focused Cardiac Ultrasound (FoCUS), we ... Read more
CASE REPORT Updated Jul 17, 2023 PDF
Am J Surg Case Rep. 2023;4(6):AJSCR-04-1079 | Open Access
Jocelyn Compton, Ignacio Garcia Fleury, Michael Willey and Joseph Buckwalter V
Introduction: Pathologic fractures are a rare complication of tophaceous gout. Dual-Energy CT scans (DECT) can aid in the diagnosis of tophaceous gout, accompanied by patient history.
Case presentation: A 45-year-old male with history of tophaceous gout fell down resulting in a closed transverse patella fracture with complete disruption of the extensor mechanism. DECT scan confirmed the diagnosis of gouty ... Read more
CASE REPORT Updated Jul 17, 2023 PDF
Am J Surg Case Rep. 2023;4(6):AJSCR-04-1078 | Open Access
Hemonta Kumar Dutta and Gautam Bora
Cross testicular ectopia is a rare entity. Although torsion in a undescended or ectopic testis is known, patient presenting with torsion of both orthotopic and cross ectopic testes has not been reported earlier. We present this report of a nine month old child presenting with cross ectopic testis with torsion of both testes. The child underwent detorsion and transseptal orchidopexy ... Read more
CASE REPORT Updated Jul 17, 2023 PDF
Am J Surg Case Rep. 2023;4(6):AJSCR-04-1077 | Open Access
Attri A, Sharma S, Yadav S and Bhartiya SK
Trauma can vary from trivial wounds to major injuries which are complex in nature, thus leading to organ dysfunction affecting multiple systems and causing shock. Trauma to pelvis with a high energy leads to severe impact and is linked with various associated traumatic injuries, requiring transfusions, and longstanding rehabilitation. Fractures of pelvic bone are generally caused due to external forces ... Read more
RESEARCH ARTICLE Updated Jul 03, 2023 PDF
Am J Surg Case Rep. 2023;4(6):AJSCR-04-1076 | Open Access
Renjun Huang, Yanping Xu, Ke Li, Yiming Zhao, Jingyao Xia, Peng Zhou and Ruofei Huang
Patients with Sjögren's Syndrome (SS) have been reported to develop Primary Hyperparathyroidism (PHPT), and there has been a reported case of primary SS with secondary hyperparathyroidism. However, it is unclear whether PHPT is a risk factor for SS. In this study, we report a case of PHPT with SS indicating that PHPT may have a causative role ... Read more
CASE REPORT Updated Jun 28, 2023 PDF
Am J Surg Case Rep. 2023;4(6):AJSCR-04-1075 | Open Access
Artem Semenko, Noam Yanculovich, Aviel Hadad, Yotam Lavy and Marina Shneck
Purpose: To report the interesting case of ARN caused by co-infection of VZV and EBV. The course of the disease and outcome will be described.
Observations: A 61 years female with a history of Hodgkin lymphoma treated with ABVD protocol and radiation 3 years ago presented to the ophthalmic ER because of painless vision loss in her left eye. Her left ... Read more
CASE REPORT Updated Jun 14, 2023 PDF
Am J Surg Case Rep. 2023;4(5):AJSCR-04-1074 | Open Access
Jordan West, Antoinette Esce, Ivan Pinon, Niels Chapman, Garth Olson and Nathan Boyd
Case presentation: A 34-year-old male was diagnosed with Graves’ disease and medically managed. Despite aggressive medical management, the patient did not achieve euthyroid status and removal of the thyroid gland became necessary.
Importance: Thyroid storm, the most severe form of thyrotoxicosis, is a rare and life-threatening complication of Graves’ disease. Thyroid storm may be caused or worsened ... Read more
CASE REPORT Updated Jun 14, 2023 PDF
Am J Surg Case Rep. 2023;4(5):AJSCR-04-1073 | Open Access
Yosniel Lugo Echevarría, Anaisa León Mursull and Pedro Rolando López Rodríguez
Introduction: Choledocholithiasis is the most common cause of bile duct obstruction, occurring in 10%-20% of patients with cholecystolithiasis, 7%-14% of patients with cholecystectomy, and 18%-33% of patients with acute biliary pancreatitis.
Objective: To present a case with a giant multiple choledocholithiasis, with good evolution.
Clinical table: Female patient of 57 years of age, mixed race, smoker, hypertensive, with a ... Read more
CASE REPORT Updated Jun 03, 2023 PDF
Am J Surg Case Rep. 2023;4(5):AJSCR-04-1072 | Open Access
Rohit Kumar Singh, Soumya Khanna, Tiwary SK, Puneet and Ajay K Khanna
Renal Cell Carcinoma (RCC) is a prevalent type of kidney cancer that may exhibit extension into the renal vein or Inferior Vena Cava (IVC) in some instances. A Level III Thrombus in RCC is a rare, yet highly aggressive form of the disease that requires prompt diagnosis and treatment. In this case report, we present a patient diagnosed with RCC ... Read more
CASE REPORT Updated May 18, 2023 PDF
Am J Surg Case Rep. 2023;4(5):AJSCR-04-1071 | Open Access
Kory M Ford, Joseph A Buckwalter V and Ignacio Garcia Fleury
Background: Chronic, complete ruptures of the distal biceps tendon are often difficult to surgically repair due to significant fibrosis and retraction. The use of a graft is recommended, with recent literature suggesting that an Achilles tendon allograft leads to superior clinical outcomes. The purpose of this study is to present the surgical technique and retrospectively review the clinical outcomes of ... Read more
CASE SERIES Updated May 12, 2023 PDF
Am J Surg Case Rep. 2023;4(5):AJSCR-04-1070 | Open Access
Tabar Laszlo
CLINICAL VIDEO Updated May 10, 2023 PDF
Am J Surg Case Rep. 2023;4(4):AJSCR-04-1069 | Open Access
Schmitt CS, Kives CV, Bicca MD, Soares DFG and Dos Santos RJL
The incidental finding of a renal nodule has become increasingly common due to an improvement in the quality of imaging exams associated with a higher demand for revision consultations by the general population. Therefore, the differential diagnosis between benign and malignant diseases poses a challenge. Frequently, surgery is suggested as the only diagnostic and therapeutic option. Complex cases, such as ... Read more
CASE REPORT Updated May 01, 2023 PDF
Am J Surg Case Rep. 2023;4(4):AJSCR-04-1068 | Open Access
Antonella Pietragalla, Elena Teodorico, Angelo Minucci, Maria De Bonis, Giulia Scaglione, Gianfranco Zannoni, Anna Fagotti, Francesco Fanfani and Giovanni Scambia
Synchronous endometrial and ovarian cancer is a rare condition with a prevalence of 1%-2% of all women affected by gynaecological cancers. The coexistence of endometrial and ovarian cancer has been reported in the sporadic setting in about 10% of cases, but in up to 20% occurs in the context of Lynch syndrome. Lynch syndrome is an autosomal dominant syndrome characterized by pathogenic ... Read more
CASE REPORT Updated May 01, 2023 PDF
Am J Surg Case Rep. 2023;4(4):AJSCR-04-1067 | Open Access
Anna Muñoz Fos, Anna Ureña, Ricard Ramos, Ivan Macía, Francisco Rivas, Carlos Déniz, Camilo Moreno, Inés Serratosa, Marta García and Ignacio Escobar
Despite the use of robotic surgery is becoming more popular among thoracic surgeons worldwide and the benefits of the robotic resection of anterior mediastinal lessions have been well established, there remains controversy over the best robotic approach for resection of posterior and inferior mediastinum. In this paper, we propose some tips to do those resections easily.
Read more
CLINICAL VIDEO Updated May 27, 2023 PDF
Am J Surg Case Rep. 2023;4(4):AJSCR-04-1066 | Open Access
Matos DB, José P, Ferreira JT, Faria MY and Marques-Neves C
Purpose: Report outcomes of one autologous retinal transplant.
Participants: A 68-year-old woman with large macular hole.
Methods: Autologous retinal transplant was performed for a large macular hole. Follow-up monitoring with imaging.
Main outcome measures: Tomographic closure and best corrected visual acuity.
Results: Three month follow-up showed full-thickness anatomical closure, and the patient presented a remarkable visual ... Read more
CASE REPORT Updated Apr 19, 2023 PDF
Am J Surg Case Rep. 2023;4(4):AJSCR-04-1065 | Open Access
Novelli A, Libertini P, Petrucci L, Cibei E, Andreini I, Mannironi A, Giorli E and Grazzini M
Persistent hiccups may have several different etiologies including life-threatening conditions and it should not be underestimated. We report the case of a 43-yearold man who developed persistent hiccup due to bleeding cavernous angioma in the dorsolateral area of the medulla oblongata. He underwent to surgical intervention because of the persistent disabling symptom and he subsequently recovered with persisting remission. In ... Read more
CASE REPORT Updated Apr 17, 2023 PDF
Am J Surg Case Rep. 2023;4(3):AJSCR-04-1064 | Open Access
Ercan Kurt
Objectives: The purpose of this study is to present a very rare case of sphenoid sinus osteoblastoma to discuss with similar cases in the literature and to show a rare case of osteoblastoma in sphenoid sinus masses.
Case presentation: Osteoblastoma is a rare, benign, bone-forming neoplasm that accounts for approximately 1% of primary bone tumors. It also originates from the ... Read more
CASE REPORT Updated Apr 06, 2023 PDF
Am J Surg Case Rep. 2023;4(3):AJSCR-04-1063 | Open Access
Praveen Kesav, Seby John, Prince Thakkar, Sabahat Wasti, Moncy Thomas DM and Syed Irteza Hussain
A 26-year-old male with no significant past medical illnesses presented for evaluation of acute onset left sided weakness. Baseline neuroimaging studies revealed acute infarct involving the right MCA territory, with CT Angiogram of the neck and cerebral vessels demonstrating fusiform aneurysm in the left MCA M2/M3 junction with no large vessel occlusion or hemodynamically significant stenosis. Cardiac echocardiogram showed ... Read more
IMAGE ARTICLE Updated Apr 05, 2023 PDF
Am J Surg Case Rep. 2023;4(3):AJSCR-04-1062 | Open Access
Hassan Noor, Cristina Noor and Roxana-Mariana Grosaru
Colorectal cancer is the 3rd most common malignant neoplasm and the 2nd leading cause of cancer death. In the presence of localized colon cancer, the first-line treatment is usually resection. In patients with advanced metastatic disease, which is estimated to be 20%-30% of cases, the management becomes far more complicated. Most patients who present with advanced disease will undergo non-curative ... Read more
RESEARCH ARTICLE Updated Apr 05, 2023 PDF
Am J Surg Case Rep. 2023;4(3):AJSCR-04-1061 | Open Access
Megha Chauhan, Sonali Sharma and Chitresh Kumar
IMAGE ARTICLE Updated Apr 03, 2023 PDF
Am J Surg Case Rep. 2023;4(3):AJSCR-04-1060 | Open Access
Moussa I, Roumeguère TH and Wildschutz TH
Burned-out testicular tumors refer to the presence of a metastatic tumor with no visible primary testicular cancer. It’s a rare entity difficult to diagnose with a potential negative impact on treatment and prognosis.
We describe the case of a 28-year-old male who presented with a right cervical mass and hemoptysis complaints. Clinical exam of genitals was normal ... Read more
CASE REPORT Updated Mar 30, 2023 PDF
Am J Surg Case Rep. 2023;4(2):AJSCR-04-1059 | Open Access
Amine B, Mohamed D, Victor A, Sokmean U, Guissaga K and Tim R
Tenosynovial chondromatosis is an uncommon benign affection characterized by the presence of multiple cartilaginous nodules within the tendon sheaths.
Case presentation: A 43-year old man, presented at the hospital-center, with a complaint of a mass next to the right calcaneal tendon. A surgical excision was performed, and histological examination suggests an Osteochondroma. Twelve years later, the patient consulted again ... Read more
CASE REPORT Updated Mar 29, 2023 PDF
Am J Surg Case Rep. 2023;4(2):AJSCR-04-1058 | Open Access
Yuanyuan Xu, Yucheng Hou, Qiang Tan and Qingquan Luo
A 26-year-old female was hospitalized due to incidental pulmonary neoplasm. Chest CT and bronchoscopy showed the neoplasm located at the opening of the left upper bronchus, completely blocking the airway with atelectasis. Biopsy pathology confirmed Tracheobronchial Mucoepidermoid Carcinoma (TMEC), cT2aN0M0 IB, negative for EGFR, ALK with PD-L1 (20%). After interventional bronchoscopic treatment, the patients underwent two cycles of neoadjuvant ... Read more
CASE REPORT Updated Mar 17, 2023 PDF
Am J Surg Case Rep. 2023;4(2):AJSCR-04-1057 | Open Access
Armellin C, Romano M, Pelizzo P, Scopelliti M, Brizzolari M, Finotti M, De Leo E, Piccino M, Groppo M and Zanus G
An 81 years old male patient, previously treated with multiple TACE sessions for a multifocal, bilateral hepatocellular carcinoma subsequent to hepatic exotoxic cirrhosis, was a candidate to Sorafenib due to the lack of surgical and further transcatheter therapies indications. The dosage of Sorafenib was soon reduced, as the patient showed a clear increase of arterial pressure values after the first days ... Read more
CASE REPORT Updated Mar 08, 2023 PDF
Am J Surg Case Rep. 2023;4(2):AJSCR-04-1056 | Open Access
Federica Donato, Fabrizio Minelli, Giovanni Tinelli and Yamume Tshomba
IMAGE ARTICLE Updated Mar 02, 2023 PDF
Am J Surg Case Rep. 2023;4(2):AJSCR-04-1055 | Open Access
Spiridonova Alexandra
IMAGE ARTICLE Updated Jan 31, 2023 PDF
Am J Surg Case Rep. 2023;4(1):AJSCR-04-1054 | Open Access
Antonio Vizzuso, Sara Piciucchi, Giorgia Musacchia, Umberto Salomone, Roberta Gunelli and Emanuela Giampalma
IMAGE ARTICLE Updated Feb 02, 2023 PDF
Am J Surg Case Rep. 2023;4(1):AJSCR-04-1053 | Open Access
Malik Faisal Abbas, Abdil Ahad Wani, Andleeb Hassan, Aamir Shafi and Sharik Mehraj
Intussusception is defined as the telescoping of one segment of intestines into another causing intestinal obstruction. This condition although common in children is considered a rare condition in adults and is usually present secondary to a pathological lead point like a neoplasm in adults. It usually presents with non-specific complaints like abdominal pain and as such peri umbilical ecchymosis (Cullen&... Read more
CASE REPORT Updated Jan 30, 2023 PDF
Am J Surg Case Rep. 2023;4(1):AJSCR-04-1052 | Open Access
Michał Zalewski, Jarosław Janc, Patrycja Leśnik and Artur Milnerowicz
Introduction: Rare cases of ruptured infrarenal abdominal aorta aneurysm with the formation of aortocaval fistula can be treated either by open surgery or endovascular approach.
Case: We present a ruptured infrarenal abdominal artery aneurysm with an aortocaval fistula.
Result: Endovascular Aortic Repair (EVAR) procedure was performed with a successful closure of the aortocaval fistula and restoration of hemodynamic ... Read more
CASE REPORT Updated Jan 06, 2023 PDF
Am J Surg Case Rep. 2023;4(1):AJSCR-04-1051 | Open Access
Armellin C, Romano M, Scolari F, Scopelliti M, Brizzolari M, Mangino M, Finotti M, Nordio M and Zanus G
A female, 68 years old patient treated with left renal transplantation in 2005 for Autosomal Dominant Polycystic Kidney Disease, was admitted with a diagnosis of urinary sepsis and pericolic abdominal collections. A Computed Tomography scan confirmed bilateral emphysematous pyelonephritis, determining a high risk of transplant failure. Patient was first treated conservatively, due to multiple comorbidities and perioperative risk, with a partial improvement ... Read more
SHORT COMMUNICATION Updated Jan 06, 2023 PDF
Am J Surg Case Rep. 2023;4(1):AJSCR-04-1050 | Open Access
Pinky Thapar, Prashant Salvi, Nitin Narawane, Vijay Negalur, Nikhil Kamat and Sanjay Walke
Spontaneous Intra luminal gallbladder bleeding is a rare cause of hemobilia that results in upper gastro-intestinal bleeding. We present a case of 64 year old male (Jehovah’s witness) with known case of cholelithiasis presenting with right upper quadrant pain, deranged liver functions, impacted stone at gallbladder neck and fresh bleeding on preoperative ERCP through the ampulla of vater. CT ... Read more
CASE REPORT Updated Jan 06, 2023 PDF
Am J Surg Case Rep. 2022;3(5):AJSCR-03-1049 | Open Access
Carolyn Judge, Marian-Joy Baluyot, Cyril Harfouche, Derek Benham, Kyle Gadbois and Gordon Wisbach
Superior Mesenteric Artery Syndrome (SMAS) is a rare condition caused by vascular compression of the duodenum by the superior mesenteric artery. We present the case of a 24-year-old female with a BMI of 18.96 who presented with post-prandial abdominal pain, emesis, and failure to thrive. Upper endoscopy demonstrated partial obstruction of the duodenum at the level of the third portion by ... Read more
CASE REPORT Updated Dec 21, 2022 PDF
Am J Surg Case Rep. 2022;3(5):AJSCR-03-1048 | Open Access
Li Tan, Peijuan Zhao, Yuefan Qi, Yungai Xiang, Dan Zhang, Lanlan Cheng, Guo Yu and Mahmood Aamir
Objective: To report one case of normal baby delivered by a patient carried full mutation of the FMR1 gene after assisted reproduction, to share the experience of Intro-Cytoplasmic Sperm Injection-Embryo Transfer (ICSI-ET) and the importance of strengthening prenatal diagnosis in the second trimester.
Methods: The first successful case of a patient carried full mutation of the FMR1 gene who ... Read more
CASE REPORT Updated Dec 21, 2022 PDF
Am J Surg Case Rep. 2022;3(5):AJSCR-03-1047 | Open Access
Carolyn G Judge, Michael W Hornacek and Gordon G Wisbach
Median Arcuate Ligaments Syndrome (MALS) is a condition caused by symptomatic chronic mesenteric ischemia in the setting of celiac artery compression by the Median Arcuate Ligament (MAL), a fibrous arch of the diaphragm. MALS is a rare and controversial disease, due to the high prevalence of significant compression without associated symptoms as well as a widely variable response to surgical ... Read more
CASE REPORT Updated Dec 21, 2022 PDF
Am J Surg Case Rep. 2022;3(5):AJSCR-03-1046 | Open Access
Maria Grazia Romeo, Emanuele Pilato, Annarita Iavazzo and Luigi Di Tommaso
A 70-year-old patient affected by a severe SARS-CoV-2 infection, was admitted in emergency to our department during the second Coronavirus disease 2019 outbreak with suspected descending thoracic aortic ruptured aneurysm. After 36 hours of hospitalization in a specific Covid-unit, following a new onset of chest pain, surgery became mandatory, despite the patient was affected by an active Coronavirus disease 2019 infection. While the ... Read more
CASE REPORT Updated Dec 07, 2022 PDF
Am J Surg Case Rep. 2022;3(5):AJSCR-03-1045 | Open Access
Andrea Pagani
The author highlights the incredible story of a Recurring-Abdominal-Pain female patient who lived her entire life with an undiagnosed congenital Intestinal Malrotation (IM). The intrinsic difficulty of identifying rare abdominal diseases is known. Therefore, this paper reports the clinical history of an IM patient in order to help Medical Specialists and, particularly, Family Physicians to better know and suppose this ... Read more
CASE REPORT Updated Dec 05, 2022 PDF
Am J Surg Case Rep. 2022;3(5):AJSCR-03-1044 | Open Access
Husan-Chih Tsai, Jing-Dung and Shen
A 22-year-old robust military man received an elective circumcision at urology department. During the operation, 2% lidocaine without adrenaline was used for local anesthesia, Monopolar electro-cauterization was achieved for hemostasis. Penile skin was sutured with interrupted 4-0 Vicryl Rapide. Immediately discoloration of the glansstared and progressed to ischemia change after several hours later.
Read more
IMAGE ARTICLE Updated Nov 28, 2022 PDF
Am J Surg Case Rep. 2022;3(4):AJSCR-03-1043 | Open Access
Mariana Jarnalo, Bernardo Correia, Diogo Barreiro, Margarida Mendes and Inês Correia-Sá
Lipomas are common benign soft tissue tumors. When a lipoma has more than 5 cm it is classified as a giant lipoma. Upper extremity giant lipomas are rare entities with small case series and few case reports published to date. In this article we describe a case of a patient with a rare form of a giant intermuscular lipoma located in ... Read more
CASE REPORT Updated Nov 25, 2022 PDF
Am J Surg Case Rep. 2022;3(4):AJSCR-03-1042 | Open Access
Rizza V and Pietroletti R
Spigelian hernia occurs through slite like defect in the anterior abdominal wall adjacent to the semilunar line. The hernia ring is a well defined defect in the transverse aponeurosis. The hernial sac, surrounded by extraperitoneal fatty tissue, is often interparietal passing through the transversus and then spreading out beneath the intact aponeurosis of the external oblique. Spigelian hernia is in ... Read more
CASE REPORT Updated Nov 25, 2022 PDF
Am J Surg Case Rep. 2022;3(4):AJSCR-03-1041 | Open Access
Hosne Ara
Acinetobacter baumannii is an opportunistic bacterial pathogen that is the most important cause of hospital-acquired infections. The objective of this study was to evaluate the predominance and determination of virulence encoding genes in A. Baumannii isolates. During study period from February 2019 to March 2020 of 380 clinical samples including endotracheal aspirates (70), wound swab/pus (175), urine (70) and blood (65) analysed in inpatients admitted to ... Read more
RESEARCH ARTICLE Updated Nov 21, 2022 PDF
Am J Surg Case Rep. 2022;3(4):AJSCR-03-1040 | Open Access
Alejandro Lenin Villalobos-Rodríguez, Alejandra Chávez Ciriaco and Guillermo Padrón-Arredondo
Introduction: Obstetric hemorrhage is the second cause of maternal death in our country after preeclampsia and the first in some states of the republic. Clinical Case: A 40-year-old woman, Gesta 4, Para 2, with a history of cesarean section 3 years ago, complicated by obstetric hemorrhage that required a transfusion of two packed red blood cells. Current pregnancy of 38.2 weeks, estimated product weight 3700 ... Read more
SHORT COMMUNICATION Updated Nov 09, 2022 PDF
Am J Surg Case Rep. 2022;3(4):AJSCR-03-1039 | Open Access
Kallie E Wynens, Luke Anders, Erin F Switzer, Andrew G Lawson and Elizabeth D Fox
There are several mimics of necrotizing fasciitis, including post-traumatic subcutaneous emphysema. Here we present a case of a 17-year-old male who presented to the ED with diffuse crepitus after stabbing himself with a glitter pen in the posterior right calf. The patient was febrile, hypotensive, and ill appearing. Additionally, imaging several hours after injury revealed widespread subcutaneous emphysema. Considering these ... Read more
SHORT COMMUNICATION Updated Oct 03, 2022 PDF
Am J Surg Case Rep. 2022;3(3):AJSCR-03-1038 | Open Access
Enrico Danzerand Matias Bruzoni
A 10-month-old, previously healthy female presented with 2-week history of hypotonia, unsteadiness, new onset of intermittent rapid eye movements, and multiple falls. During the same time period, parents also noted that she lost the ability to independently sit and crawl, was more irritable and fatigued, developed a left head tilt while awake, and showed spontaneous muscle jerking of the lower ... Read more
CLINICAL VIDEO Updated Sep 22, 2022 PDF
Am J Surg Case Rep. 2022;3(3):AJSCR-03-1037 | Open Access
Jeannot Baanitse Munihire
Background: Relaparotomy refers to an abdominal operation performed within the first 60 days of the initial abdominal surgery. It is indicated to resolve the complications of the initial surgery. The aim of this study was to determine the morbidity and mortality and the risk factors of relaparotomy at the hospital charité maternelle de Goma in the East of the Democratic ... Read more
RESEARCH ARTICLE Updated Sep 21, 2022 PDF
Am J Surg Case Rep. 2022;3(3):AJSCR-03-1036 | Open Access
Sabri EL Banna and Jorge TRAMALLINO
Of rare occurrence in our practice, we describe two cases of a Giant Cell Tumor of the forefoot. This rare tumor is described mostly in young adults with a female predominance. It develops essentially in the fingers of the hand and less frequently at the foot. In our cases it occurred in a young male adult on the extensor of ... Read more
CASE REPORT Updated Aug 05, 2022 PDF
Am J Surg Case Rep. 2022;3(3):AJSCR-03-1035 | Open Access
Fawwaz Bin Shahab and Saad Akhtar Khan
Background: Schwannoma’s are benign but clinically progressive tumors. Mostly, they present as intradural extramedullary lesions. They are quite rare in the intramedullary region. We report a case of Intramedullary Schwannoma.
Case presentation: Fifty two year-old gentleman presented with history of gait instability and numbness in bilateral lower limbs. He had clinical signs of myelopathy. His MRI dorsal ... Read more
CASE REPORT Updated Aug 05, 2022 PDF
Am J Surg Case Rep. 2022;3(3):AJSCR-03-1034 | Open Access
Haddout S, Jalal M, Ikouch K, Lamrissi A and Bouhya S
Placenta accreta is a placenta that is abnormally adherent to the myometrium, resulting in delayed or impossible delivery of the placenta, or even a massive hemorrhage if the patient's management is delayed. It is a rare pathology whose main risk factor remains the history of uterine scarring. We report an interesting case of placenta accreta on a healthy uterus ... Read more
CASE REPORT Updated Aug 03, 2022 PDF
Am J Surg Case Rep. 2022;3(2):AJSCR-03-1033 | Open Access
Ham DH and Sung Il Wang
Background: Subscapularis abscess is a rare condition that requires early recognition followed by prompt surgical intervention. Staphylococcus aureus is the most common etiologic agent. Here we present a rare case of subscapular abscess caused by Escherichia coli following a minor trauma to the shoulder in a patient with a history of intravenous antibiotic therapy for pneumonia.
Case presentation: A 72... Read more
CASE REPORT Updated Jul 18, 2022 PDF
Am J Surg Case Rep. 2022;3(2):AJSCR-03-1031 | Open Access
James G, Veta O, Holly G, Brad B, Jennifer C and Leonie R
Medical Affairs teams within Medical Device Companies receive Medical Information Requests (MIR) from Healthcare Professionals (HCP) seeking answers to medical, scientific, or technical information because they cannot be answered based on the individual product’s current prescribing information, indications, Instructions for Use (IFU), as cleared or approved by the appropriate competent regulatory authority (e.g., Food and Drug Administration (... Read more
RESEARCH ARTICLE Updated Jul 07, 2022 PDF
Am J Surg Case Rep. 2022;3(2):AJSCR-03-1030 | Open Access
de Paula EJL, Torres LR, Paulos RG and Takemura RL
Giant Cell Tumors (GCT) is benign tumors with potential for aggressive behavior and capacity to metastasize. Although rarely lethal, benign bone tumors may be associated with a substantial disturbance of the local bony architecture that can be particularly troublesome in peri-articular locations. This paper presents the medium-term follow-up after 48 months, of giant cell tumor of the entire second metacarpal treated ... Read more
CASE REPORT Updated Jun 29, 2022 PDF
Am J Surg Case Rep. 2022;3(2):AJSCR-03-1029 | Open Access
Simard A, Alhassan B, Sioufi J, Omeroglu A and Meterissian S
Metastasis to breast from extramammary primary tumors is rare and account for 0.2% to 1.3% of malignant tumors in the breast. Pancreatic malignancies do not usually metastasize to the breast and very few cases have been reported in the literature. In this case report, we present an 81-year-old Caucasian female presenting with a large fungating breast mass with severe bleeding. Urgent mastectomy ... Read more
CASE REPORT Updated Jun 20, 2022 PDF
Am J Surg Case Rep. 2022;3(1):AJSCR-03-1028 | Open Access
Zheng Y, Shen G, Wang M, Guan Y, Xin Y, Huo X, Li J, Zhao F, Ren D, Ma D, Ma Z and Zhao J
Background: The previous efficacy of fulvestrant versus Aromatase Inhibitors (AIs) in patients with metastatic Breast Cancer (mBC) remains controversial. The meta-analysis aimed to analyze the efficacy and safety of fulvestrant versus AIs in patients with hormone receptor-positive, human epidermal growth factor receptor-2 negative (HR+/HER2-) mBC.
Methods: We searched PubMed, Embase and the Cochrane library, the European Society ... Read more
RESEARCH ARTICLE Updated Jun 03, 2022 PDF
Am J Surg Case Rep. 2022;3(1):AJSCR-03-1027 | Open Access
Park N, Lim DR, Kuk JC and Shin EJ
Goblet cell adenocarcinoma is a rare malignant tumor often found incidentally during treatment of acute appendicitis. Occasionally, it is misdiagnosed or accompanied by perforated appendicitis with periappendiceal abscess. Here we present two surgical patient cases of perforation with intra-abdominal abscess of appendiceal goblet cell adenocarcinoma, mimicking perforated acute appendicitis.
Case 1: A 40-year-old South Korean male patient was admitted with ... Read more
CASE REPORT Updated May 25, 2022 PDF
Am J Surg Case Rep. 2022;3(1):AJSCR-03-1026 | Open Access
Raju H, Ozery M, Henry T, Razi SS, Tarrazzi F and Seaver CR
Recent years have demonstrated significant advances in the utilization of robotic surgery for a wide-ranging variety of cases including paraesophageal hernias. Type IV paraesophageal hernias are of known high risk due to the threat of injuring herniated abdominal viscera during hernia reduction. Currently, the gold standard for repair of Type IV paraesophageal hernias is laparoscopy with or without hiatal mesh ... Read more
CASE REPORT Updated May 13, 2022 PDF
Am J Surg Case Rep. 2022;3(1):AJSCR-03-1025 | Open Access
Adjerid R, Djelad M, Sebaa F, Mazouzi C, Abdesslam M and Medjamia M
Mediastinal tumors in children develop in a complex anatomical compartment containing the thymic residue, the digestive tract, the tracheobronchial tree, ganglion areas, and sympathetic nerve chains, thus bringing together a large histological variability of tumors, benign and malignant. Germline tumors account for 6% to 18% of mediastinal tumors in children, and they are the third most common neoplasms of the mediastinum after ... Read more
CASE REPORT Updated Apr 06, 2022 PDF
Am J Surg Case Rep. 2022;3(1):AJSCR-03-1024 | Open Access
Cherukuri S, Hunter M, McKiernan J and Nowygrod R
Von-Hippel-Lindau (VHL) disease is an inherited disease classically presenting with multi-organ tumorigenesis. Common tumors include hemangioblastomas, renal cell carcinoma, and pheochromocytoma. Metastasis to the bone, in particular, is common in VHL patients with existing renal lesions. However, bone acrometastasis, defined as a skeletal metastasis distal to the elbow or knee, is a much rarer occurrence. We present a unique case ... Read more
CASE REPORT Updated Jan 27, 2022 PDF
Am J Surg Case Rep. 2021;2(4):AJSCR-02-1023 | Open Access
Arad Abadi, Madison Huffman, Jade Nguyen and Claudia Emami
The term intestinal web refers to partial or complete obstructions of the intestine by a mucosal membrane Intestinal web are a congenital anomaly of the gastrointestinal tract. The term intestinal web refers to partial or complete obstruction of the intestine by a mucosal membrane. Affected infants often present with bilious emesis and abdominal distention within the first few days of ... Read more
CASE REPORT Updated Dec 08, 2021 PDF
Am J Surg Case Rep. 2021;2(4):AJSCR-02-1022 | Open Access
Alice S Wang, Lana Wang, Sarvenaz Nouri, James Pollack, Michael Cross, Festus B Dada and Shlopov Boris
Background: Calcifying Fibrous (pseudo) Tumor (CFT) is a rare, benign, mesenchymal lesion that has been documented throughout the gastrointestinal tract and may be associated with gastric ulcers, obstruction, intussusception, and volvulus but not short bowel syndrome. Here, we describe the first case.
Case presentation: A 77-year-old male with a history of exploratory laparotomy for an “infection” of the ... Read more
CASE REPORT Updated Oct 20, 2021 PDF
Am J Surg Case Rep. 2021;2(4):AJSCR-02-1021 | Open Access
Nzegwu MA, Enemuo VC, Nzegwu VI, Nzegwu CO and Osigwe C
We report the case of Oncocercoma situated in the anterior sternum of a 36-year-old Nigerian Female as a novel report from Nigeria. She was seen a month ago in our outpatient department. Differential diagnosis included Lipoma and Oncocercoma. Histology was specific and confirmed an Onchocerca Mass. Surgery was done with complete excision followed by ivermectin therapy. She recovered well.
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CASE REPORT Updated Oct 14, 2021 PDF
Am J Surg Case Rep. 2021;2(3):AJSCR-02-1020 | Open Access
Basil Chukwuemeka Ezanolue and Martin A Nzegwu
This is a case report of a 36-year-old Nigeria with the rare disease of Riedel’s thyroiditis. He was treated surgically with good effect. This report is significant being the first report from this part of the world and its contribution to the body of knowledge.
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CASE REPORT Updated Sep 22, 2021 PDF
Am J Surg Case Rep. 2021;2(3):AJSCR-02-1019 | Open Access
Adil A Malik, Andrew A Serdiuk, David N Thrush, Evan S Glazer, Puya Alikhani, Arnold B Etame, Carla C Moodie, Joseph R Garrett, Cheryl Goodman, Robert Koss, Livingstone S Dore, Michael L Steighner, Eric M Huss, Philip J Werner, Keming Yu, Mihaela Druta and Eric M Toloza
Aortic thromboembolism is a rare, yet devastating complication in cancer patients, particularly in those with no prior history of atherosclerotic disease. Thrombotic events have been widely reported in cancer patients, especially within the venous system, and have been suggested to be a result of the hypercoagulable state of cancer patients. However, arterial thrombotic events are much more uncommon, yet present ... Read more
CASE REPORT Updated Jul 29, 2021 PDF
Am J Surg Case Rep. 2021;2(3):AJSCR-02-1018 | Open Access
Adil A Malik, Cristen N Litz, Nam D Tran, Kamran Agahyev, Amber L Flaherty, Elizabeth J Haynes, Michael G Fradley, Rachid C Baz, Shailaja KS Raj, Elizabeth A Byron, Benjamin M Djulbegovic, Kristan K Bright, Carla C Moodie, Joseph R Garrett, Jacques P Fontaine and Eric M Toloza
Pulmonary cement embolization is an infrequently reported complication of vertebral augmentation procedures. The two commonly used procedures to restore vertebral integrity following osteoporotic vertebral fractures or metastatic cancer are vertebroplasty and kyphoplasty. Kyphoplasty follows a modified technique to ensure safer deposition of cement into the vertebral body and therefore, reportedly carries a lower risk of cement embolization. Cement can leak ... Read more
CASE REPORT Updated Jul 29, 2021 PDF
Am J Surg Case Rep. 2021;2(3):AJSCR-02-1017 | Open Access
Ajay Varadhan, Naimesh S Parikh, Sirish Parvathaneni, Martha Penafiel, Meagan Read, Argenis Herrera, Vaiva Gustainyte, Elias Salloum, Carla C Moodie, Joseph R Garrett and Eric M Toloza
Introduction: Empyema is a serious complication referring to a collection of purulence within the pleural cavity that may present after pneumonectomy, lobectomy, or sublobar lung resection or after pneumonias. Management of empyemas without Bronchopleural Fistula (BPF) can be done by modified versions of the Clagett procedure involving pleural drainage, irrigation, debridement, and obliteration of the pleural empyema cavity with antibiotic ... Read more
CASE REPORT Updated Jul 28, 2021 PDF
Am J Surg Case Rep. 2021;2(3):AJSCR-02-1016 | Open Access
Gregory Fishberger, Jobelle JAR Baldonado, Joseph R. Garrett, Carla C Moodie and Eric M.Toloza
Introduction: Breast prostheses have the potential to migrate into the intrapleural cavity and occasionally rupture during thoracic surgery, particularly when the fibrous capsule around the prosthesis is disrupted. Here, we present a case of breast prosthesis intrapleural migration after re-do thoracotomy for lung cancer.
Case: A 60-year-old woman presented with history of left thoracotomy and left upper lobectomy for ... Read more
CASE REPORT Updated Aug 28, 2021 PDF
Am J Surg Case Rep. 2021;2(2):AJSCR-02-1015 | Open Access
Christian Sobky, Jose M. Pimiento, Joseph R Garrett, Effie C Pappas-Politis, Jeremiah L Deneve, David H Kim, Paul Smith, Ricardo Gonzalez and Eric M Toloza
Introduction: Radical chest wall tumor resections result in large chest wall defects that expose intrathoracic organs to injury, risk lung herniation or scapular entrapment, and create flail chest segments that negatively impact respiration.
Case Presentation: A 68-year-old woman presented with a 15 cm right posterolateral chest wall rhabdomyosarcoma. After neoadjuvant doxorubicin chemotherapy, radical tumor debulking was undertaken. She underwent a ... Read more
CASE REPORT Updated Jun 19, 2021 PDF
Am J Surg Case Rep. 2021;2(2):AJSCR-02-1014 | Open Access
Danny TA Nguyen, Kathryn L. Rodriguez, Christian Sobky, Lori M. Brown, Joseph R Garrett, Christy Y Chai, Carla C Moodie, Rajendra S Bhati, Gerard C Mosiello, Jonathan S Zager and Eric M Toloza
Introduction: Radical manubriectomy for manubrial tumors often destabilizes one or both upper extremities, and current reconstructive techniques prevent lateral but not medial clavicular displacement.
Case Presentation: Patient #1 is a 44-year-old man with manubrial plasmacytoma. Patient #2 is a 41-year-old man with upper chest basal cell carcinoma involving the manubrium. Patient #3 is a 64-year-old woman who is 14 months status post radical ... Read more
CASE REPORT Updated Jun 19, 2021 PDF
Am J Surg Case Rep. 2021;2(2):AJSCR-02-1013 | Open Access
Talal Dahab, Yazan AlJamal, Nawras Habash, Omar El Kawkgi, Ana Creo and Travis McKenzie
This is a case of a 15 year old, otherwise healthy, girl who presented with severe abdominal pain, nausea and vomiting. She was found to have acute pancreatitis and esophageal perforation “Boerhaave’s syndrome” as a complication of elevated serum calcium level of 15.3 (reference range, 9.3 mg/dL-10.6 mg/dL). Neck ultrasound showed 2.7 cm mass in the right side ... Read more
SHORT COMMUNICATION Updated Jun 19, 2021 PDF
Am J Surg Case Rep. 2021;2(2):AJSCR-01-1012 | Open Access
Mark A. Splittgerber, Wei Wei Zhang, Carla C. Moodie, Joseph R. Garrett, Matthew E. Hiro, Erin L. Doren, William J. Moss, Deniz Dayiciogluand Eric M. Toloza
Introduction: Reconstruction of complex chest wall defects is a surgical challenge following large thoracic tumor resections. We report the first known case of combining two titanium plating systems which use different fixation methods (Synthes ® uses screws, and Stratos ® uses clips) to repair chest wall defects that were not reparable with either plating system alone.
Case presentation: A 59... Read more
CASE REPORT Updated May 21, 2021 PDF
Am J Surg Case Rep. 2021;2(2):AJSCR-02-1011 | Open Access
Gregory Fishberger, Farah Khali, Holly R May, Andrew Kuykendall, Prudence V. Smith, Jose Silva-Morales, Joseph R. Garrett, Carla C. Moodie, and Eric M. Toloza
Introduction: Mediastinal lymphadenopathy is usually diagnosed by Computerized Tomography (CT) scan and has a broad differential diagnosis, including primary or metastatic neoplasia, acute infection, sarcoidosis, and chronic infection, such as Histoplasmosis or tuberculosis. Various mimickers of lymphadenopathy have been described, and their identification is vital to establish an accurate diagnosis, to minimize unnecessary diagnostic workup, and to provide appropriate therapy.<... Read more
CASE REPORT Updated May 12, 2021 PDF
Am J Surg Case Rep. 2021;2(1):AJSCR-02-1010 | Open Access
Ana Centeno Álvarez, Esther Gómez Lanza, José María Mullerat and Jordi Castellví i Valls
Background: Iatrogenic Superior Mesenteric Artery (SMA) injury during routine surgery is seldom reported, and although multiple techniques for its reparation have been described, this usually presents a challenging scenario.
Case: We present a case of SMA injury during scheduled nephrectomy in a secondary level hospital and discuss various scenarios and treatment options.
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CASE REPORT Updated May 03, 2021 PDF
Am J Surg Case Rep. 2021;2(1):AJSCR-02-1009 | Open Access
Mallory Jebbia, Arad Abadi, Waleed Shindy, Robert Selby and Sujit Kulkarni
Background: The typical location for the spleen is within the left upper quadrant of the abdomen where it is tethered in place by several ligamentous attachments: gastrosplenic ligament, phrenicosplenic ligament, splenocolic ligament and the splenorenal ligament. In rare cases these ligamentous attachments become lax and elongated or are underdeveloped at birth resulting in splenic hypermobility. Many cases of wandering spleen ... Read more
CASE REPORT Updated Feb 24, 2021 PDF
Am J Surg Case Rep. 2021;2(1):AJSCR-02-1008 | Open Access
Sirish Parvathaneni, Farah Khalil, Jobelle J.A.R. Baldonado, Kenneth L. Meredith and Eric M. Toloza
Introduction: Standard treatment for early-stage esophageal cancer and for early-stage lung cancer includes surgical resection.
Case presentation: We present 72-year-old man diagnosed with synchronous Thyroid Transcription Factor-1 (TTF1)-negative T3N1 gastroesophageal adenocarcinoma and TTF1-positive Right Lower Lobe (RLL) adenocarcinoma. He was treated with neoadjuvant chemotherapy and radiation therapy for the esophageal cancer, and then underwent concurrent robotic-assisted ... Read more
CASE REPORT Updated Feb 04, 2021 PDF
Am J Surg Case Rep. 2021;2(1):AJSCR-02-1007 | Open Access
Eric M. Toloza, Christian M. Sobky, Anna M. Cheng, Pamela J. Hodul and Mokenge P. Malafa
Introduction: Pancreaticopleural Fistulae (PPF) are rare communications between the pancreatic duct and the pleural cavity. More commonly the sequelae of alcoholism, PPF occasional results from peripancreatic surgery.
Case presentation: A 26-year-old man had elevated liver enzymes, thrombocytosis, and leukocytosis during postoperative follow up after splenectomy with en bloc diaphragm resection for Idiopathic Thrombocytosis Purpura (ITP). Abdominal CT scan revealed ... Read more
CASE REPORT Updated Feb 04, 2021 PDF
Am J Surg Case Rep. 2021;2(1):AJSCR-02-1006 | Open Access
Indira T. Ranaweera, Farah Khalil, Jobelle J.A.R. Baldonado, Kenneth L. Meredith and Eric M. Toloza
Stage-I Non-Small Cell Lung Cancer (NSCLC) and esophageal leiomyomas are both primarily treated by surgical resection, preferably with Minimally Invasive Surgery (MIS). We present a case of a 41-year-old woman with a 6-pack-year tobacco history and a father who had lung cancer in his 30s. The patient presented with a 2 cm Right Upper Lobe (RUL) lung Adenocarcinoma consistent with NSCLC ... Read more
CASE REPORT Updated Jan 18, 2021 PDF
Am J Surg Case Rep. 2021;1(1):AJSCR-01-1005 | Open Access
Jobelle J.A.R. Baldonado, David Straughan, Sirish Parvathaneni, Kenneth L. Meredithand Eric M. Toloza
Introduction: Stage IIIA Non-Small Cell Lung Cancer (NSCLC) is generally treated with induction chemotherapy and radiation therapy, followed by surgery, possibly by minimally invasive approach. Paraesophageal hiatal hernia complicated by gastric volvulus should be surgically repaired, preferably via laparoscopy. We describe a case of concurrent robotic-assisted paraesophageal hernia repair with Nissen fundoplication and robotic-assisted pulmonary lobectomy.
Case: A 64-year-old ... Read more
CASE REPORT Updated Jan 18, 2021 PDF
Am J Surg Case Rep. 2020;1(1):AJSCR-01-1004 | Open Access
Gianni Ughi and Massimo Pedriali
All the urologists (surgeons), normally, perform orchiectomy in cases of malignancy with combined or not chemotherapy or radiotherapy. In selected cases, if the tumour is bilateral, in cases of Leydig cell tumor, if the patient is monorchid TSS (testis sparing surgery) is discussed.
Once upon a time, firstly in the millennium (2004) a young 24 years old, athletic, come into my office ... Read more
CASE REPORT Updated Aug 12, 2020 PDF
Am J Surg Case Rep. 2020;1(1):AJSCR-01-1003 | Open Access
Rajashulakshana R, Arafin Siddiqui MM and Beng Tan S
Objective: To highlight that OPLL can occur at the same level as an artificial disc replacement, years after a successful index surgery, and can be a rare cause of new-onset myeloradicular symptoms.
Summary of background data: Heterotopic ossification after insertion of an Artificial Disc Replacement (ADR) in the cervical spine is rare and has been reported to occur ... Read more
CASE REPORT Updated Aug 03, 2020 PDF
Am J Surg Case Rep. 2020;1(1):AJSCR-01-1002 | Open Access
Ohba M, Asano S, Kabasawa M, Ito T, Matsuo K, Hayashida N, Murayama H and Tanaka M
In recent years, there have been several reports related to the mechanism of onset of Atrial Functional Mitral Regurgitation (AFMR), but clear guidelines or procedures for the surgical treatment of AFMR have not yet been established. We obtained good results by adding left atrium plication to the enlarged Left Atrium (LA), which is considered to be one of the causes ... Read more
CASE REPORT Updated Jul 03, 2020 PDF
Am J Surg Case Rep. 2020;1(1):AJSCR-01-1001 | Open Access
Chukwubuike KE and Arinola OO
Introduction: Cecal Volvulus (CV) is rare cause of intestinal obstruction especially in children. There is no established protocol for the treatment of CV due to its rarity.
Case presentation: We present a rare case of CV in a-9-year-old girl.
Discussion: The spectrum of intestinal malrotation may give rise to a mobile cecum that ... Read more
CASE REPORT Updated Jun 20, 2020 PDF