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.
Read more
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.
Read more
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.
Read more
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