Surgical Case Reports

Journal Information
ISSN / EISSN : 2613-5965 / 2613-5965
Published by: Science Repository OU (10.31487)
Total articles ≅ 418
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Ravneet Kaur Gill, Ashwani Mudgal
Published: 20 September 2022
Surgical Case Reports, Volume 2022, pp 1-3; https://doi.org/10.31487/j.scr.2022.09.03

Abstract:
Right bundle branch block (RBBB) and left bundle branch block (LBBB) are commonly seen in geriatric cases posted for surgeries. LBBB usually results from conduction system degeneration or myocardial pathology. LBBB is often associated with hypertension, myocarditis, coronary heart disease, aortic valve disease, cardiomyopathy etc. We report a case of diagnosed LBBB preoperatively posted for emergency spinal decompression. After induction of anaesthesia, the heart rate settled below 77 beats per minute (bpm) and led to reversion of LBBB to normal sinus rhythm. LBBB is a red flag diagnosis to the anaesthesiologist. But the knowledge of critical heart rate is important; below which the rhythm may revert back to normal sinus rhythm. The knowledge to differentiate between myocardial ischaemia and LBBB is the need of the hour.
Mathey Marina, Peruzzo Luisina Belen, López Marti Jessica, Innocenti Sergio, Ramos Pacheco Maria Luz, Cacciavillano Walter, Felizzia Guido, Viso Marianela, Zubizarreta Pedro, Rose Aadriana
Published: 14 September 2022
Surgical Case Reports, Volume 2022, pp 1-8; https://doi.org/10.31487/j.scr.2022.09.02

Abstract:
Infantile fibrosarcoma (IFS) is the most common non-rhabdomyosarcoma soft-tissue sarcoma in children under 1 year of age, with local aggressiveness, but a high cure rate with conservative treatment. We report our experience with 15 patients with histological diagnosis of IFS treated at our Institution from January-2003 to December-2020. The median age was 6.72 months (range: 0-36); 66% were males. The extremities were the most common tumor site (66.7%). The tumor size was > 5 cm in 10 patients. Only one patient had metastatic disease (lung). Molecular studies were performed in 14 patients and were positive in ten: nine ETV6/NTRK3 and one RAF1. Initial non-mutilating surgery was performed in six patients. A delayed surgery could be performed in 4/8 patients after neoadjuvant chemotherapy with Vincristine - Actinomycin-D, and in one patient a watch-and-wait strategy was adopted. With a median follow-up of 58.67 months, all patients are alive except for the patient with metastatic disease. The 5-year overall and event-free survival were 93.5% and 86.5% respectively. Although IFS is locally aggressive, it has a high rate of overall survival due to its good response to chemotherapy and non-mutilating surgery even with involved margins. Advances in molecular genetics have improved diagnosis and refined classification.
Mathey Marina, Pennella Carla, Zubizarreta Pedro
Published: 12 September 2022
Surgical Case Reports, Volume 2022, pp 1-6; https://doi.org/10.31487/j.scr.2022.09.01

Abstract:
Colorectal carcinoma (CRC) is extremely rare among pediatrics, particularly before puberty. It usually begins with nonspecific signs and symptoms, so the index of suspicion is low, consequently, the diagnosis may be delayed. Reports in the literature indicate that poor prognostic factors are more common in children than in adults, resulting in a worse outcome. Our objective is to report clinical profile, treatment and prognosis of CRC in children and adolescents admitted in our institution, and to perform a systematic review of reports in the bibliography.
George Uchenna Eleje, Chidiebele Malachy Ezeude, Celestine Ogonna Oguejiofor, Charlotte Blanche Oguejiofor, Iffiyeosuo Dennis Ake, Patrick Maxwell Uche, Ifeoma Clara Ajuba, Chinyelu Uchenna Ufoaroh, Ekene Agatha Emeka, Arinze Anthony Onwuegbuna, et al.
Published: 9 September 2022
Surgical Case Reports, Volume 2022, pp 1-4; https://doi.org/10.31487/j.scr.2022.09.04

Abstract:
Background: Despite the prevalence and quality of life impact of diabetic foot ulcer (DFU), novel topical and oral therapy standard-of-care remain an important research priority. To date, the lack of available data has made it difficult to assess the efficacy of topical and capsular RM diabetes wound cure for DFUs. Case Presentation: We report the case of a 59-year-old Nigerian woman P2+0 with 2 living children, a known diabetes mellitus patient since 2006 and has been compliant with her antidiabetic medications, who presented with complaint of right foot ulcer. We also report the case of a 69-year-old Nigerian man that presented with DFU. The latter is a known diabetic and hypertensive diagnosed 15 years prior to presentation. For the first case, both topical and capsular RM wound cure were applied twice daily over an area of the ulcer for 8 weeks. For the second case, only RM diabetes wound cure capsule applied twice daily was received for 8 weeks. Efficacy was analysed by lesion measurements and photographs to determine overall response rate (ORR), and complete response (CR). All doses were well tolerated, and potentially efficacious. At 8 weeks across all dose levels, subjects achieved 100.0% ORR and 50.0% CR. Conclusion: Application of topical and ingestion of the oral capsule of RM diabetes wound cure appear safe and well tolerated with some reduction in lesion pain. Some greater levels of lesion stabilization was observed in the subjects, and this demonstrated great clinical benefit in foot ulcers. A randomized, placebo-controlled trial to confirm these findings is recommended.
Soheila Asgari, Hassan Hashemi, Rama Pourmatin
Published: 24 August 2022
Surgical Case Reports, Volume 2022, pp 1-3; https://doi.org/10.31487/j.scr.2022.08.06

Abstract:
Introduction: Conventional phacoemulsification and intraocular lens (IOL) implantation for patients who already have a phakic IOL (PIOL) in situ can present challenges in IOL power calculation and the surgical procedure. Here we report a case of phacoemulsification with IOL implantation without removing the anterior toric PIOL. Patient and Clinical Findings: This 45-year-old male was referred to our clinic with mature cataract in the right eye, and a history of multiple corneal surgical procedures including radial keratotomy, LASIK, corneal cross-linking, and Artiflex toric PIOL implantation. Uncorrected (UDVA) and corrected (CDVA) distance visual acuity were 20/2000. Diagnosis, Intervention, and Outcomes: Since CDVA was 20/25 after toric PIOL implantation and prior to the development of cataract, and the cornea was compromised, the toric PIOL was not removed. Using femtosecond laser assisted cataract surgery (FLACS) through the toric PIOL, capsulotomy and lens fragmentation were completed without modifying the device setting, and an IOL was inserted in the bag. At one year after surgery, right eye UDVA, CDVA, and refraction were 20/32, 20/25, and +1.25/-1.00*120ᵒ. Conclusion: In this case, FLACS was a successful technique for preserving the toric PIOL, and results were stable during the one year of postoperative follow up.
Alexander Kervyn De Volkaersbeke, Angela Taylor, Behnum Habibi
Published: 19 August 2022
Surgical Case Reports, Volume 2022, pp 1-2; https://doi.org/10.31487/j.scr.2022.08.03

Abstract:
A 50-year-old female patient presented with several weeks of right-sided neck, posterior shoulder, and arm pain suggestive of cervical radiculopathy. Her diagnostic workup included cervical spine x-rays and a cervical spine MRI which showed degenerative changes and mild cervical spinal stenosis. She was evaluated by a spine surgeon and a pain medicine specialist. Multiple treatments were administered without success, including courses of celecoxib and gabapentin. Several rounds of epidural steroid injections were also administered, with only transient relief. Upon developing acute right upper quadrant abdominal pain and undergoing a laparoscopic cholecystectomy for biliary colic, the patient reported resolution of her chronic right neck, posterior shoulder, and arm pain.
Alexander Kervyn De Volkaersbeke, Lenny Rostomian, Behnum Habibi
Published: 18 August 2022
Surgical Case Reports, Volume 2022, pp 1-1; https://doi.org/10.31487/j.scr.2022.08.02

Abstract:
A 50-year-old male with a past medical history of borderline hyperlipidemia developed COVID-19 in Fall 2020 and recovered without complication. Approximately 5 months later, he sought care for a prolonged episode of right-sided weakness that self-resolved. He was diagnosed with a Transient Ischaemic Attack (TIA) and discharged the same day. The following day, he developed persistent right-sided hemiplegia and was diagnosed with an acute left basal ganglia stroke.
Abdullah Saud Arafat, Rawan AlMalki, Mohammed Asiri, Amirah Almutairi, Mohammad Jihad Al Mahdi
Published: 11 August 2022
Surgical Case Reports, Volume 2022, pp 1-4; https://doi.org/10.31487/j.scr.2022.08.05

Abstract:
Encephalocele is less common than other neural tube defects. This report details a bilateral frontal meningoencephalocele that presented at a later than usual age with tonic-clonic seizure and cerebral spinal fluid (CSF) rhinorrhea of a 65-year-old female, a known case of hypertension, and controlled epilepsy.
Emily Austin, Smith Megan, Barbara Wexelman
Published: 9 August 2022
Surgical Case Reports, Volume 2022, pp 1-3; https://doi.org/10.31487/j.scr.2022.08.04

Abstract:
Fibromatosis of the breast represents <0.02% of all breast tumors. Typically, fibromatosis is non-metastasizing but locally aggressive and is treated with surgical excision. We report a case of a nonagenarian requiring mastectomy for an epidermal inclusion cyst that diagnostically mimicked fibromatosis of the breast. She underwent diagnostic breast imaging for a period of almost two years to monitor the size of her breast tumor. However, in a six-month timeframe, her mass dramatically increased in size and was becoming symptomatic to the patient. The rapidly growing tumor was concerning for occult breast malignancy.
Zoe Baker, Andrew Cowan, Arthi Hannallah, Thalia Bajakian, Christopher Gayer, Shengmei Zhou, Andy Chang, Yuding Wang, Paul Kokorowski
Published: 4 August 2022
Surgical Case Reports, Volume 2022, pp 1-3; https://doi.org/10.31487/j.scr.2022.08.01

Abstract:
A 20-month-old female presented with a palpable abdominal mass. Imaging revealed bilateral renal masses and pulmonary nodules. The genetic evaluation identified a de novo 540kb X-chromosome deletion involving GPC3, PHF6, and HPRT1, and highly skewed X-inactivation (100:0). This clinical picture was suggestive of Wilms’ tumor in the setting of Simpson-Golabi-Behmel Syndrome.
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