Pub Date : 2020-07-02DOI: 10.31487/j.jscr.2020.04.02
I. Mohammed, S. Sanadi
Organophosphate compounds are mainly used in the agriculture and domestic pesticides. The widespread availability of these pesticides results in the inadvertent usage leading to the main agent used in suicide attempts in the developing countries. The severity of the poisoning greatly depends on the type of exposure, quantity and the product. They can cause life threatening complications mainly by the respiratory depression leading to coma and death. Early identification and appropriate management enable to reduce the morbidity and mortality. Atropine, oximes, intravenous fluids are administered for the successful management. A detailed medline search of the associated complications, although rare, necrosis of tongue is reported in only one case associated with organophosphate poisoning. The etiological factors were not mentioned in the found literature. In this case report, we discuss the sequela of complications associated with the acute poisoning cases and the role of maxillofacial surgeons in the management.
{"title":"Necrosis of Tongue: A Sequela of Complications in Organophosphate Poisoning","authors":"I. Mohammed, S. Sanadi","doi":"10.31487/j.jscr.2020.04.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.04.02","url":null,"abstract":"Organophosphate compounds are mainly used in the agriculture and domestic pesticides. The widespread\u0000availability of these pesticides results in the inadvertent usage leading to the main agent used in suicide\u0000attempts in the developing countries. The severity of the poisoning greatly depends on the type of exposure,\u0000quantity and the product. They can cause life threatening complications mainly by the respiratory depression\u0000leading to coma and death. Early identification and appropriate management enable to reduce the morbidity\u0000and mortality. Atropine, oximes, intravenous fluids are administered for the successful management. A\u0000detailed medline search of the associated complications, although rare, necrosis of tongue is reported in only\u0000one case associated with organophosphate poisoning. The etiological factors were not mentioned in the\u0000found literature. In this case report, we discuss the sequela of complications associated with the acute\u0000poisoning cases and the role of maxillofacial surgeons in the management.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82394379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-26DOI: 10.31487/j.jscr.2020.04.01
A. Brubaker, Angela Lee, David P. Perrault, M. Melcher, P. Than
Background: Arteriovenous fistulas and grafts are preferred access for hemodialysis. Outflow stenosis is a common complication that can be managed with angioplasty and stenting. Stent placement can be complicated by thrombosis, limited area of cannulation, fracture, and migration. Objective: This case reports a rare complication of endovascular stents, namely stent migration to the pulmonary artery in the setting of renal transplantation. Methods: A 55-year-old woman with end stage renal disease secondary to diabetes mellitus on hemodialysis via a left arm basilic vein transposition. She subsequently developed outflow stenosis that was treated with a stent placement. She was admitted for deceased donor kidney transplantation and preoperative x-ray showed migration of the stent into a segmental pulmonary artery. After a pre-operative, multidisciplinary discussion between interventional radiology, cardiothoracic surgery, transplant nephrology and transplant surgery, the decision was made to proceed with rental transplantation followed by stent removal. Interventional radiology removed the stent on postoperative day two without complication. She has not experienced any complications in the year following her transplantation. Conclusion: Postoperative stent removal by interventional radiology is a feasible management option in lieu of lifelong anticoagulation.
{"title":"Pulmonary Artery Migration of a Peripheral Endovascular Stent Discovered Prior to Renal Transplantation: A Case Report","authors":"A. Brubaker, Angela Lee, David P. Perrault, M. Melcher, P. Than","doi":"10.31487/j.jscr.2020.04.01","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.04.01","url":null,"abstract":"Background: Arteriovenous fistulas and grafts are preferred access for hemodialysis. Outflow stenosis is a\u0000common complication that can be managed with angioplasty and stenting. Stent placement can be\u0000complicated by thrombosis, limited area of cannulation, fracture, and migration.\u0000Objective: This case reports a rare complication of endovascular stents, namely stent migration to the\u0000pulmonary artery in the setting of renal transplantation.\u0000Methods: A 55-year-old woman with end stage renal disease secondary to diabetes mellitus on\u0000hemodialysis via a left arm basilic vein transposition. She subsequently developed outflow stenosis that was\u0000treated with a stent placement. She was admitted for deceased donor kidney transplantation and preoperative\u0000x-ray showed migration of the stent into a segmental pulmonary artery. After a pre-operative,\u0000multidisciplinary discussion between interventional radiology, cardiothoracic surgery, transplant\u0000nephrology and transplant surgery, the decision was made to proceed with rental transplantation followed\u0000by stent removal. Interventional radiology removed the stent on postoperative day two without\u0000complication. She has not experienced any complications in the year following her transplantation.\u0000Conclusion: Postoperative stent removal by interventional radiology is a feasible management option in\u0000lieu of lifelong anticoagulation.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80699389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-19DOI: 10.31487/j.jscr.2020.03.06
C. A. C. Lima, Juliana Karine Ferreira Santos Lessa, Luciana M. Silva, M. Martins, R. L. Santos
Background: Squamous cell carcinoma (SCC) of the rectum is a rare malignancy, and retroperitoneal nodal metastasis (RNM) represent 1-2% of colorectal cancer metastasis (CRC), and radical retroperitoneal lymphadenectomy (RRL) in this setting remains controversial. However, there are no reports in the literature on how to treat SCC retroperitoneal lymph node metastasis. Case Presentation: The patient was a 47-years-old woman with SCC of the rectum. Concomitant chemoradiotherapy (CRT) followed by surgery was planned. After 8 weeks, CT of the abdomen for restaging showed a 6 cm para-aortic mass involving and obstructing the medium third of the left ureter. The patient was submitted to abdominoperineal rectal resection with left nephrectomy and en-bloc resection of para-aortic tumor (nodal bulking). Conclusion: After a thorough review of the literature regarding RNM for rectal SCC, we found no mention of how to treat RNM for rectal SCC. The purpose of this paper is to report a very rare case of RNM for rectal SCC and to discuss the surgical approach. Surgery seems to be the best option for local control and improvement in overall survival (OS).
{"title":"Management of Para-Aortic Lymph Node Metastasis in Rectal Squamous Carcinoma","authors":"C. A. C. Lima, Juliana Karine Ferreira Santos Lessa, Luciana M. Silva, M. Martins, R. L. Santos","doi":"10.31487/j.jscr.2020.03.06","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.03.06","url":null,"abstract":"Background: Squamous cell carcinoma (SCC) of the rectum is a rare malignancy, and retroperitoneal nodal\u0000metastasis (RNM) represent 1-2% of colorectal cancer metastasis (CRC), and radical retroperitoneal\u0000lymphadenectomy (RRL) in this setting remains controversial. However, there are no reports in the literature\u0000on how to treat SCC retroperitoneal lymph node metastasis.\u0000Case Presentation: The patient was a 47-years-old woman with SCC of the rectum. Concomitant\u0000chemoradiotherapy (CRT) followed by surgery was planned. After 8 weeks, CT of the abdomen for\u0000restaging showed a 6 cm para-aortic mass involving and obstructing the medium third of the left ureter. The\u0000patient was submitted to abdominoperineal rectal resection with left nephrectomy and en-bloc resection of\u0000para-aortic tumor (nodal bulking).\u0000Conclusion: After a thorough review of the literature regarding RNM for rectal SCC, we found no mention\u0000of how to treat RNM for rectal SCC. The purpose of this paper is to report a very rare case of RNM for\u0000rectal SCC and to discuss the surgical approach. Surgery seems to be the best option for local control and\u0000improvement in overall survival (OS).","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73346205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-05-29DOI: 10.31487/j.jscr.2020.03.02
Cobos Cm, F. Laxague, L. McCormack, R. Darío
Few studies have examined the postoperative long-term complications after partial pancreatoduodenectomy and there are mainly focused in the presence of biliary strictures. The occurrence of intra-pancreatic lithiasis secondary to the presence of late stenosis of the duct-to-mucosa pancreaticojejunostomy is an extremely rare condition. We observed that the late occurrence of a pancreaticojejunostomy stricture could be a potential cause for acute pancreatitis in long-term survivors following partial pancreatoduodenectomy. The importance of this report is to emphasize that the strategy of a redo of this difficult anastomosis is a very challenging abdominal operation but provides excellent early and long-term results
{"title":"A Redo of Duct-To-Mucosa Pancreaticojejunostomy for Recurrent Acute Pancreatitis Due to Intra-Pancreatic Lithiasis and Anastomotic Stricture: Is This a Reasonable Strategy?","authors":"Cobos Cm, F. Laxague, L. McCormack, R. Darío","doi":"10.31487/j.jscr.2020.03.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.03.02","url":null,"abstract":"Few studies have examined the postoperative long-term complications after partial pancreatoduodenectomy\u0000and there are mainly focused in the presence of biliary strictures. The occurrence of intra-pancreatic lithiasis\u0000secondary to the presence of late stenosis of the duct-to-mucosa pancreaticojejunostomy is an extremely\u0000rare condition. We observed that the late occurrence of a pancreaticojejunostomy stricture could be a\u0000potential cause for acute pancreatitis in long-term survivors following partial pancreatoduodenectomy. The\u0000importance of this report is to emphasize that the strategy of a redo of this difficult anastomosis is a very\u0000challenging abdominal operation but provides excellent early and long-term results","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89455215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-17DOI: 10.31487/j.jscr.2020.01.08
L. Benjamin, L. S. Kiat, Koh Li-Tsa
We report the 11th case of gas containing renal stone. A 92-year-old Chinese female presented with fever and lower urinary tract symptoms. Urine culture grew Escherichia coli (E. coli). CT abdomen pelvis showed a large gas containing partial staghorn stone. She was managed conservatively with two weeks of antibiotics. Follow up plain kidney, ureter and bladder (KUB) radiograph at 3 months showed that the stone was stable in size. She remained asymptomatic at follow up.
{"title":"Gas-Containing Renal Stones: A Case Report and Literature Review","authors":"L. Benjamin, L. S. Kiat, Koh Li-Tsa","doi":"10.31487/j.jscr.2020.01.08","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.01.08","url":null,"abstract":"We report the 11th case of gas containing renal stone. A 92-year-old Chinese female presented with fever\u0000and lower urinary tract symptoms. Urine culture grew Escherichia coli (E. coli). CT abdomen pelvis showed\u0000a large gas containing partial staghorn stone. She was managed conservatively with two weeks of antibiotics.\u0000Follow up plain kidney, ureter and bladder (KUB) radiograph at 3 months showed that the stone was stable\u0000in size. She remained asymptomatic at follow up.\u0000","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74091201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-27DOI: 10.31487/j.jscr.2020.01.02
C. Arvinius, E. Manrique-Gamo, H. Marcelo, J. Cebrián, R. García-Maroto, Susana Martín-Albarrán
Background: Oncological femoral or pelvic resections and reconstruction have become an alternative to large amputations. However, one of the frequent risks is the neurological injury. The use of intraoperative evoked potentials allows its control in order to modify the surgical gestures. The purpose of this study was to evaluate the results of intraoperative neurophysiologic monitoring in large reconstructive arthroplasty surgeries. Case presentation: A prospective study (2012-2018) was performed, including 8 patients with 6 complete resections of the femur and 2 resections of the pelvis. In all cases, intraoperative lumbar plexus monitoring was performed using evoked potentials in order to analyze variations during surgery as well as a postoperative control. 100% could be correctly monitored throughout the surgery. In 4 cases, intraoperative anomalies were detected requiring modification of the surgery. Of these, postoperatively only one nerve injury persisted: a complete sciatic nerve injury due to an intraoperative vascular injury. Conclusion: Intraoperative neurophysiological monitoring is a very useful resource in large oncological resection, allowing detection of nerve distress due to manipulation or excessive limb traction during reconstruction. The use of somatosensory evoked potentials in large oncological resections can predict and minimize the risk of relevant postoperative nerve complications
{"title":"Neurophysiological Monitoring During Large Femoral and Pelvic Tumoral Resections","authors":"C. Arvinius, E. Manrique-Gamo, H. Marcelo, J. Cebrián, R. García-Maroto, Susana Martín-Albarrán","doi":"10.31487/j.jscr.2020.01.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2020.01.02","url":null,"abstract":"Background: Oncological femoral or pelvic resections and reconstruction have become an alternative to\u0000large amputations. However, one of the frequent risks is the neurological injury. The use of intraoperative\u0000evoked potentials allows its control in order to modify the surgical gestures. The purpose of this study was\u0000to evaluate the results of intraoperative neurophysiologic monitoring in large reconstructive arthroplasty\u0000surgeries.\u0000Case presentation: A prospective study (2012-2018) was performed, including 8 patients with 6 complete\u0000resections of the femur and 2 resections of the pelvis. In all cases, intraoperative lumbar plexus monitoring\u0000was performed using evoked potentials in order to analyze variations during surgery as well as a\u0000postoperative control. 100% could be correctly monitored throughout the surgery. In 4 cases, intraoperative\u0000anomalies were detected requiring modification of the surgery. Of these, postoperatively only one nerve\u0000injury persisted: a complete sciatic nerve injury due to an intraoperative vascular injury.\u0000Conclusion: Intraoperative neurophysiological monitoring is a very useful resource in large oncological\u0000resection, allowing detection of nerve distress due to manipulation or excessive limb traction during\u0000reconstruction. The use of somatosensory evoked potentials in large oncological resections can predict and\u0000minimize the risk of relevant postoperative nerve complications","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75183484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-18DOI: 10.31487/j.jscr.2019.01.02
A. Schuh, A. Scheller, S. Sesselmann, W. Hönle
Femoral component fracture in total knee replacement (TKR) is a rare complication. In the majority of case reports, stress fractures of the femoral component have predominantly affected the medial condyle, following uncemented implantation of fixed-bearing knees. We report the case of fracture of the lateral condyle of a cemented fixed TKR due to bad cementing technique.
{"title":"Fracture of the Femoral Component in TKR – A Case Report","authors":"A. Schuh, A. Scheller, S. Sesselmann, W. Hönle","doi":"10.31487/j.jscr.2019.01.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2019.01.02","url":null,"abstract":"Femoral component fracture in total knee replacement (TKR) is a rare complication. In the majority of case\u0000reports, stress fractures of the femoral component have predominantly affected the medial condyle,\u0000following uncemented implantation of fixed-bearing knees. We report the case of fracture of the lateral\u0000condyle of a cemented fixed TKR due to bad cementing technique.\u0000","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90076739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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