International Journal of Surgical Case Reports

Journal Information
ISSN / EISSN : 2674-4171 / 2674-4171
Published by: Science Repository OU (10.31487)
Total articles ≅ 38
Filter:

Latest articles in this journal

Christian Stöss, Ruediger Goess, Jonas Fuchtmann, Mohamed Abdelhafez, Helmut Friess, Klemens Scheidhauer, Dirk Wilhelm
International Journal of Surgical Case Reports, Volume 2022, pp 1-5; https://doi.org/10.31487/j.ijscr.2022.01.03

Abstract:
Primary hyperparathyroidism caused by parathyroid adenoma requires surgical resection. To confine the extent of surgery to the very minimum and to exclude an atypical adenoma location, preoperative imaging aims at identifying the suspicious gland. For this purpose, Technetium-99m (99mTc)-sestamibi scintigraphy and SPECT have become the international imaging standard, in inconclusive cases also with C-11 methionine and F-18 choline PET/CT. We present a case of surgery for an ectopic retroesophageal adenoma resected under gamma probe guidance after preoperative radioactive targeting. A 73-year-old patient, who was diagnosed with primary hyperparathyroidism, presented to our outpatient clinic. The patient was symptom-free, but during a routine check-up, parathormone levels of 127 pg/ml (normal range 15-65) were detected. Parathyroid MIBI scintigraphy, including SPECT/CT, failed to locate an adenoma. Therefore, a PET/MRI scan with 164 MBq F-18 choline was applied and a single parathyroid adenoma was detected in a very untypical retroesophageal and prevertebral position, respectively. Due to its esophageal proximity and to enable a very confined surgery, endosonography was performed and the adenoma was transesophageally injected with 75 MBq 99mTc-human serum albumin (HSA). The next day gamma probe-guided minimally invasive resection was performed without any intra- or postoperative complications. Minimally invasive resection of parathyroid adenomas should be the standard but may be difficult in deep collar and atypical locations. Marking the adenoma with a radioactive nanocolloid tracer for gamma probe-guided surgery can be considered an innovative approach to maintain minimal invasive therapy for ectopic adenomas.
Rosita Bihariesingh, Pieter Voigt, Rakesh Bansie
International Journal of Surgical Case Reports, Volume 2021, pp 1-3; https://doi.org/10.31487/j.ijscr.2021.02.01

Abstract:
The availability of centrifugal cell savers supports intraoperative cell salvage and thereby reduces the need for allogeneic red blood cell transfusion. Use of these devices, however, is limited to the operating room, forcing a switch to allogeneic products in the post-operative setting. Here we present a case of massive post-operative bleeding due to severe coagulopathy following CABG. Due to the lack of availability of donor blood products a novel blood filter (HemoClear BV, Zwolle, the Netherlands) was used for post-operative salvage. Because of its accessible use, we believe this salvage device has great clinical value in the poor-resource setting.
Seke Manase Ephraim Kazuma, Bright Chirengendure, Luyando Simunyama, Kamwi Mundia, Royd Ngoma, Anadi Bulaya
International Journal of Surgical Case Reports, Volume 2021, pp 1-4; https://doi.org/10.31487/j.ijscr.2021.01.02

Abstract:
Ileosigmoid knotting (ISK) is a rare type of intestinal obstruction caused by knotting of the mesentery of the ileum or sigmoid colon that rapidly progresses to gangrene with a high risk of mortality and high morbidity. The incidence of ISK is not well established, but it is higher in regions with high rates of sigmoid volvulus and in countries along the sigmoid belt. Clinical presentation is that of both small-bowel and large bowel obstruction and includes vomiting and nausea, abdominal pain, tenderness, and distention, with constipation. A contrast-enhanced computer tomography (CT) scan is the preferred modality for imaging. Management involves hemodynamic stabilisation with correction of shock using aggressive fluid resuscitation, electrolyte balance and commencement of antibiotics. Principles of surgery include resection of the knot, resection of the gangrenous bowel and establishing intestinal continuity. The outcome is generally complicated by peritonitis and sepsis that lead to mortality.
Vivian Ma, Lawrence Turner, Robert van Wiltenburg, Conrad D Oja, Ananta Gurung, Shawn MacKenzie
International Journal of Surgical Case Reports, Volume 2021, pp 1-5; https://doi.org/10.31487/j.ijscr.2021.01.01

Abstract:
Solitary fibrous tumor (SFT) is a rare mesenchymal tumor primarily found in the pleura, with occasional presentations in extra-pleural locations. SFTs are typically diagnosed based on compressive symptoms due to their large size. Most SFTs are benign with a low recurrence rate, with an overall good prognosis with an overall 5-year survival of over 90%. Approximately 12-22% of SFTs are malignant and are associated with a higher recurrence rate of up to 78%. Given the low incidence and sparse case series literature, no adjuvant therapies have demonstrated a survival benefit. We present the first case of abdominal malignant SFTs with peritoneal dissemination, describing the presentation, histopathology, treatment planning and surveillance.
Zhongping Cao
International Journal of Surgical Case Reports, Volume 2020, pp 1-2; https://doi.org/10.31487/j.ijscr.2020.04.04

Abstract:
This paper reported a case of pericardial tamponade, caused by the blood from abdominal organ injury, which flowed through the diaphragm and pericardial holes into the pericardium. Liver injury, gastric injury, pancreatic injury, diaphragmatic break were found by the following laparotomy exploration.
Ashna S Pal, Fadl H Veerankutty, Sidharth Chacko, Vipin Is, Kamalesh Np, Prakash Kurumboor
International Journal of Surgical Case Reports, Volume 2020, pp 1-4; https://doi.org/10.31487/j.ijscr.2020.04.05

Abstract:
Introduction: Solid pseudopapillary neoplasm is a unique enigmatic disease typically affecting young females. Being a low-grade neoplasm surgical resection is often curative. Rare cases (5-15%) present with distant metastasis. Only 2% has lymph nodal metastasis. This is a case report of metastatic SPN with both visceral and lymph nodal involvement. The work has been reported in line with the SCARE criteria. Case Presentation: The authors present a case of metastatic SPN in an 18-year-old female who came with an abdominal lump. Contrast enhanced CT abdomen findings were in favour of huge SPN arising from pancreatic tail. The prime concern was the coexistence of bilobar liver metastasis predominantly involving right lobe. The complexity of surgical resection along with metastatectomy in a young female was herculean. This clinical dilemma was tackled with staged resection. Conclusion: Even in metastatic SPN a reasonable survival can be achieved by surgical debulking. We emphasize the importance of aggressive approach in operable metastatic SPN.
Moritz C. Deml, Raphael Sedlmayer, Irakli Tinikashvili, Sebastian F. Bigdon, Helena Milavec, Susanne Eichenberger, Paul E. Fairhurst
International Journal of Surgical Case Reports, Volume 2020, pp 1-4; https://doi.org/10.31487/j.ijscr.2020.04.03

Abstract:
Compartment syndrome of the upper and the lower extremities is a well-known entity in emergency medicine and traumatology. However, compartment syndrome of the paraspinal musculature is a very rare cause of acute back pain and may be missed at presentation despite its clinical importance. Therefore, we present a case of paraspinal compartment syndrome embedded in an overview of the actual literature. A 21- year-old woman presented with acute back pain refractory to analgesia with opiates after a tug of war match. A CT-scan of the abdomen demonstrated paraspinal swelling and an MRI ruled out intra-spinal pathologies. A compartment measurement yielded a pressure of 135mmHg. Even though conservative treatment attempts are often described, an emergency fasciotomy was carried out. Further rehabilitation was uneventful. Nevertheless, the timing of fasciotomy in the paraspinal region is under discussion, especially due to very rare experiences. Even if surgery is delayed by more than 24 hours following symptom onset, favourable postoperative outcomes have been observed.
Omar S. Akbik, M. Gabriela Cabanilla, Bradley P. Pickett, Christian B. Ricks
International Journal of Surgical Case Reports, Volume 2020, pp 1-4; https://doi.org/10.31487/j.ijscr.2020.04.02

Abstract:
Introduction: Central nervous system (CNS) actinomycosis typically presents from the local spread of infection via the ear, sinus, or cervicofacial region, resulting most commonly in abscesses. Only one other case report reports on cerebral abscess with Actinomyces odontolyticus. Presentation of Case: A 60-year-old male presented with cognitive impairment and speech difficulties. Imaging revealed a cerebral abscess in the left temporal lobe causing significant mass effect and uncal herniation. Bony erosion was noted along the middle cranial fossa with fluid attenuation of the middle ear and mastoid. An emergent surgery was performed with neurosurgery and otolaryngology. Initially, a left craniotomy was performed in order to obtain access to the left temporal lobe. A vascularized flap was harvested from the fascia of the temporalis in order to repair any defects along the middle cranial fossa. The abscess was drained using ultrasound guidance. A mastoidectomy was then performed for source control. Cultures revealed Actinomyces odontolyticus for which intravenous antibiotics were administered. The patient developed postoperative seizures requiring monitoring and anti-epileptic medication. Follow-up revealed continued improvement in the patient’s cognition. Discussion: Cerebral abscess in the temporal lobe along the floor of the middle cranial fossa can be due to direct extension of infection from the middle ear or mastoid which requires a multidisciplinary approach to surgical treatment. Actinomycosis is a rare pathogen for CNS infection with only one other case report of CNS Actinomyces odontolyticus. Postoperative care in regards to antibiotic treatment and follow-up are also reviewed. Conclusion: The case highlights the urgency of treatment and surgical decision making made intraoperatively by both neurosurgery and otolaryngology in regards to drainage, repair of the defect, and treatment of infectious source.
Le Tan Son, Le Thanh Hung, Pham Ngoc Thach, Le Nguyen Yen
International Journal of Surgical Case Reports, Volume 2020, pp 1-2; https://doi.org/10.31487/j.ijscr.2020.03.12

Abstract:
The authors present a case of Perineal Ectopia of Male External Genitalia with successful surgical treatment.
Joseph Stansfield, J Coey, O Mirza, S Loughran
International Journal of Surgical Case Reports, Volume 2020, pp 1-2; https://doi.org/10.31487/j.ijscr.2020.03.10

Abstract:
Hair thread tourniquet syndrome is a rare but previously well-documented presentation. It is described as circumferential strangulation of distal or multiple distal appendages, which can lead to tissue ischaemia and eventually necrosis without prompt treatment. Despite the characteristic presentation and potential for serious complications, many healthcare professionals remain unaware of hair tourniquet syndrome and the need for urgent management. We present the case of a 9-month-old infant who presented to the emergency department. The parent noted a long hair emanating from the mouth but on attempts to remove it was unable to do so. The child was otherwise stable. Examination on the oral cavity revealed the hair strand tightly wrapped around an oedematous and congested uvula. Attempts to remove the ligature in the emergency department were unsuccessful and a subsequent referral to otolaryngology was made. A decision was made to take the child to the operating theatre, where the ligature was successfully removed with the distal uvula remaining viable.
Back to Top Top