Pub Date : 2023-07-17DOI: 10.31487/j.jscr.2023.02.03
Niall Fitzpatrick, A. Bilal, A. Pillai
Epithelial inclusion cysts are benign lesions that rarely occur in the extremities in the absence of trauma. They may demonstrate slow but progressive enlargement. This case relates to a 50 year old female who presented with a grade 1 pressure ulcer to the plantar surface of her right foot, associated with discomfort mobilising and pain upon wearing traditional footwear. Surgical excision was performed, and histology demonstrated an epithelial inclusion cyst, leading to complete recovery and resolution of the plantar pressure ulcer.
{"title":"Epithelial Inclusion Cyst of the Foot Causing Pressure Ulcer and Skin Breach","authors":"Niall Fitzpatrick, A. Bilal, A. Pillai","doi":"10.31487/j.jscr.2023.02.03","DOIUrl":"https://doi.org/10.31487/j.jscr.2023.02.03","url":null,"abstract":"Epithelial inclusion cysts are benign lesions that rarely occur in the extremities in the absence of trauma. They may demonstrate slow but progressive enlargement.\u0000This case relates to a 50 year old female who presented with a grade 1 pressure ulcer to the plantar surface of her right foot, associated with discomfort mobilising and pain upon wearing traditional footwear.\u0000Surgical excision was performed, and histology demonstrated an epithelial inclusion cyst, leading to complete recovery and resolution of the plantar pressure ulcer.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"282 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86551066","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 : 2023-07-15DOI: 10.31487/j.jscr.2023.03.02
Ajil Antony, Y. S, Ananth Vijay
Gallstone ileus is a rare complication of cholelithiasis which represent 1-3% of the causes of intestinal obstruction in the general population and is more commonly seen in females. Gallstone ileus does not present with unique symptoms, making the diagnosis difficult. Symptoms are often non-specific with intermittent intestinal obstruction. The management is surgical, but there is no consensus as to which of the different surgical techniques is the procedure of choice. We report an interesting case of a 78-year-old male brought to casualty with abdominal pain following a history of fall. Managed as a case of blunt trauma abdomen initially. Surprisingly investigations showed features of small bowel obstruction, a hyperdense structure in the distal jejunum with dilated proximal jejunal loops suggestive of gallstone ileus. The patient had undergone exploratory laparotomy with enterotomy and removal of gallstones without any postoperative complications. Intraoperatively cholecystoduodenal fistula was identified and the patient was electively planned for cholecystectomy and fistula repair.
{"title":"Enterolithotomy for Gallstone Ileus: An Uncommon Cause of Intestinal Obstruction","authors":"Ajil Antony, Y. S, Ananth Vijay","doi":"10.31487/j.jscr.2023.03.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2023.03.02","url":null,"abstract":"Gallstone ileus is a rare complication of cholelithiasis which represent 1-3% of the causes of intestinal obstruction in the general population and is more commonly seen in females. Gallstone ileus does not present with unique symptoms, making the diagnosis difficult. Symptoms are often non-specific with intermittent intestinal obstruction. The management is surgical, but there is no consensus as to which of the different surgical techniques is the procedure of choice. We report an interesting case of a 78-year-old male brought to casualty with abdominal pain following a history of fall. Managed as a case of blunt trauma abdomen initially. Surprisingly investigations showed features of small bowel obstruction, a hyperdense structure in the distal jejunum with dilated proximal jejunal loops suggestive of gallstone ileus. The patient had undergone exploratory laparotomy with enterotomy and removal of gallstones without any postoperative complications. Intraoperatively cholecystoduodenal fistula was identified and the patient was electively planned for cholecystectomy and fistula repair.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76571968","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 : 2023-05-13DOI: 10.31487/j.jscr.2023.02.01
K. Kawaguchi, Yuta Kishi, Mami Suzuki, Nahoko Miyashita, Ryota Matsubara, Masaaki Yasukawa
A conduit for peripheral nerve regeneration (NERBRIDGE®; Toyobo Co., Japan) in cases of disconnection or deficiency of the peripheral nerve was approved in Japan in 2013. NERBRIDGE® is a polyglycolic acid-collagen (PGA) product derived from porcine skin. The use of NERBRIDGE® has been reported mainly in orthopaedic surgery. Reports on its use for sensory nerve injuries in the oral region are scarce. This case report describes a case of significant sensory recovery obtained by nerve repair using NERBRIDGE® in a patient with schwannoma-induced inferior alveolar nerve resection. At the 1-year postoperative evaluation, sensory nerve recovery using the two-point discrimination test was confirmed.
{"title":"Nerve Regeneration Using Polyglycolic Acid-Collagen Tube Following Tumor Resection in The Inferior Alveolar Nerve","authors":"K. Kawaguchi, Yuta Kishi, Mami Suzuki, Nahoko Miyashita, Ryota Matsubara, Masaaki Yasukawa","doi":"10.31487/j.jscr.2023.02.01","DOIUrl":"https://doi.org/10.31487/j.jscr.2023.02.01","url":null,"abstract":"A conduit for peripheral nerve regeneration (NERBRIDGE®; Toyobo Co., Japan) in cases of disconnection or deficiency of the peripheral nerve was approved in Japan in 2013. NERBRIDGE® is a polyglycolic acid-collagen (PGA) product derived from porcine skin. The use of NERBRIDGE® has been reported mainly in orthopaedic surgery. Reports on its use for sensory nerve injuries in the oral region are scarce. This case report describes a case of significant sensory recovery obtained by nerve repair using NERBRIDGE® in a patient with schwannoma-induced inferior alveolar nerve resection. At the 1-year postoperative evaluation, sensory nerve recovery using the two-point discrimination test was confirmed.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89462383","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 : 2022-10-31DOI: 10.31487/j.jscr.2022.02.02
Diwakar Phuyal, E. Jacob, Lydia Rafferty, E. S. Yang, Luis Oceguera, Raul Monzon
Background: Massive retroperitoneal and pelvic hematoma leading to hemorrhagic shock following stapled hemorrhoidectomy is rare. To the best of our knowledge at the time of this publication, there are no reported cases of postoperative pelvic or retroperitoneal hematoma without intraluminal bleeding reported after stapled hemorrhoidopexy. We describe such a case in a patient with grade III internal hemorrhoid who was treated with colonoscopy and stapled hemorrhoidectomy. Case Summary: A 64-year-old female with a past medical history significant for deep vein thrombosis and pulmonary embolism for which she was anticoagulated with warfarin presented with hemorrhoids and rectal bleeding and associated iron deficiency anemia. The warfarin was held five days prior to the planned combined colonoscopy and hemorrhoidectomy procedure. While still recovering in the post-anaesthesia care unit (PACU) a few hours post-operatively, she was found to be hypotensive, tachycardic, and somnolent. A CT abdomen/pelvis was obtained, which identified a large collection of blood in the pelvis and retroperitoneum. She was taken back to the OR for an emergent exploratory laparotomy and flexible sigmoidoscopy. She was admitted to the ICU where she required placement on BiPAP for respiratory acidosis and resuscitation with a total of seven units of pRBCs and two units of FFP. She was clinically stable three days later. Conclusion: In a patient with a history of chronic anticoagulation, one should consider intraluminal, retroperitoneal, and pelvic bleeding if the patient is in hemorrhagic shock after stapled hemorrhoidectomy. Furthermore, one should not rule out the possibility of retroperitoneal or pelvic bleeding even if there is no evidence of intraluminal bleeding. Emergent laparotomy and sigmoidoscopy may be considered for unstable patients with unidentified external bleeding.
{"title":"Hemorrhagic Shock from Massive Retroperitoneal and Pelvic Hematoma After Stapled Hemorrhoidopexy","authors":"Diwakar Phuyal, E. Jacob, Lydia Rafferty, E. S. Yang, Luis Oceguera, Raul Monzon","doi":"10.31487/j.jscr.2022.02.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2022.02.02","url":null,"abstract":"Background: Massive retroperitoneal and pelvic hematoma leading to hemorrhagic shock following stapled hemorrhoidectomy is rare. To the best of our knowledge at the time of this publication, there are no reported cases of postoperative pelvic or retroperitoneal hematoma without intraluminal bleeding reported after stapled hemorrhoidopexy. We describe such a case in a patient with grade III internal hemorrhoid who was treated with colonoscopy and stapled hemorrhoidectomy.\u0000Case Summary: A 64-year-old female with a past medical history significant for deep vein thrombosis and pulmonary embolism for which she was anticoagulated with warfarin presented with hemorrhoids and rectal bleeding and associated iron deficiency anemia. The warfarin was held five days prior to the planned combined colonoscopy and hemorrhoidectomy procedure. While still recovering in the post-anaesthesia care unit (PACU) a few hours post-operatively, she was found to be hypotensive, tachycardic, and somnolent. A CT abdomen/pelvis was obtained, which identified a large collection of blood in the pelvis and retroperitoneum. She was taken back to the OR for an emergent exploratory laparotomy and flexible sigmoidoscopy. She was admitted to the ICU where she required placement on BiPAP for respiratory acidosis and resuscitation with a total of seven units of pRBCs and two units of FFP. She was clinically stable three days later.\u0000Conclusion: In a patient with a history of chronic anticoagulation, one should consider intraluminal, retroperitoneal, and pelvic bleeding if the patient is in hemorrhagic shock after stapled hemorrhoidectomy. Furthermore, one should not rule out the possibility of retroperitoneal or pelvic bleeding even if there is no evidence of intraluminal bleeding. Emergent laparotomy and sigmoidoscopy may be considered for unstable patients with unidentified external bleeding.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85607443","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 : 2022-09-27DOI: 10.31487/j.jscr.2022.02.03
Hirotaka Kato, M. Deguchi, Y. Sakata
Introduction: Urachal remnants, such as the vesicourachal diverticulum, or urachal cysts are rarely involved in calculus or calcification. There are currently no case reports of urachal remnants with calculus just below the umbilicus. Case Presentation: A healthy 28-year-old man presented with umbilical drainage. Abdominal computed tomography showed inflammation just below the umbilicus with calculus. The patient was diagnosed with ombilitis with a urachal remnant and underwent laparoscopic resection for the urachal remnant after the attenuation of ombilitis. Surgical findings showed that the omentum adhered to the abdominal wall along with the urachal duct. The urachal duct with calculus was resected at the top of the bladder. The main component of calculus was silicic acid. Pathological findings were compatible with a urachal remnant and there was no evidence of a malignant tumor. Discussion: The main component of calculus is derived from necrotic material caused by inflammation because silicic acid was detected, indicating a different etiology from that of urinary calculus. Conclusion: We encountered a rare case of a urachal remnant with calculus below the umbilicus.
{"title":"A Rare Case of Urachal Remnant with Calculus Just Below Umbilicus","authors":"Hirotaka Kato, M. Deguchi, Y. Sakata","doi":"10.31487/j.jscr.2022.02.03","DOIUrl":"https://doi.org/10.31487/j.jscr.2022.02.03","url":null,"abstract":"Introduction: Urachal remnants, such as the vesicourachal diverticulum, or urachal cysts are rarely involved in calculus or calcification. There are currently no case reports of urachal remnants with calculus just below the umbilicus.\u0000Case Presentation: A healthy 28-year-old man presented with umbilical drainage. Abdominal computed tomography showed inflammation just below the umbilicus with calculus. The patient was diagnosed with ombilitis with a urachal remnant and underwent laparoscopic resection for the urachal remnant after the attenuation of ombilitis. Surgical findings showed that the omentum adhered to the abdominal wall along with the urachal duct. The urachal duct with calculus was resected at the top of the bladder. The main component of calculus was silicic acid. Pathological findings were compatible with a urachal remnant and there was no evidence of a malignant tumor.\u0000Discussion: The main component of calculus is derived from necrotic material caused by inflammation because silicic acid was detected, indicating a different etiology from that of urinary calculus.\u0000Conclusion: We encountered a rare case of a urachal remnant with calculus below the umbilicus.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77900357","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 : 2022-09-12DOI: 10.31487/j.jscr.2022.02.01
C. Mehta, Sandeep N. Bharadwaj, Stephen F. Chiu
Background: A 49-year-old male presented with a delayed diagnosis of infective endocarditis leading to extensive intracardiac destruction. Such cases present technical challenges to operative debridement as crucial anchoring points for replacement conduits are compromised. Case Presentation: Our patient presented at age 49 with nausea, lethargy, and diarrhea 2 weeks after recent travel. His prior history included bioprosthetic valve replacement for a bicuspid aortic valve. The patient was first given a trial of antimicrobials for a suspected UTI. Subsequently, he was admitted briefly to an outside hospital for a “cardiac work-up,” which returned negative. The patient sought care for the third time, during which he developed unstable supraventricular tachycardia, prompting echocardiography 16 days following the onset of symptoms. Echocardiography demonstrated a 6 cm abscess cavity invading the interventricular septum with a fistula into the left ventricular outflow tract, multiple ventricular septal defects (VSD), and suspected fistulae into the right ventricular outflow tract. The patient was treated with valve explant and extensive debridement. A valved-conduit for the aorta could not be sewn to the aortic annulus in the usual fashion due to destruction and debridement of the annulus, so a neo-annulus was created using the anterior leaflet of the mitral valve and the left ventricular outflow tract of the heart below the level of the VSDs. A mechanical-valved conduit was implanted onto the neo-annulus. A pacemaker was subsequently implanted. Conclusion: In patients with extensive intracardiac destruction with the compromise of the aortic annulus due to infective endocarditis, a low-seated, mechanical-valved conduit implanted directly to the aorto-mitral curtain and left ventricular outflow tract should be considered a novel, durable reconstructive option that allows complete debridement of infected tissues.
{"title":"Feasibility of Low-Seated Composite Aortic Conduit for Surgical Treatment of Prosthetic Valve Endocarditis: A Case Report","authors":"C. Mehta, Sandeep N. Bharadwaj, Stephen F. Chiu","doi":"10.31487/j.jscr.2022.02.01","DOIUrl":"https://doi.org/10.31487/j.jscr.2022.02.01","url":null,"abstract":"Background: A 49-year-old male presented with a delayed diagnosis of infective endocarditis leading to extensive intracardiac destruction. Such cases present technical challenges to operative debridement as crucial anchoring points for replacement conduits are compromised. \u0000Case Presentation: Our patient presented at age 49 with nausea, lethargy, and diarrhea 2 weeks after recent travel. His prior history included bioprosthetic valve replacement for a bicuspid aortic valve. The patient was first given a trial of antimicrobials for a suspected UTI. Subsequently, he was admitted briefly to an outside hospital for a “cardiac work-up,” which returned negative. The patient sought care for the third time, during which he developed unstable supraventricular tachycardia, prompting echocardiography 16 days following the onset of symptoms. Echocardiography demonstrated a 6 cm abscess cavity invading the interventricular septum with a fistula into the left ventricular outflow tract, multiple ventricular septal defects (VSD), and suspected fistulae into the right ventricular outflow tract. The patient was treated with valve explant and extensive debridement. A valved-conduit for the aorta could not be sewn to the aortic annulus in the usual fashion due to destruction and debridement of the annulus, so a neo-annulus was created using the anterior leaflet of the mitral valve and the left ventricular outflow tract of the heart below the level of the VSDs. A mechanical-valved conduit was implanted onto the neo-annulus. A pacemaker was subsequently implanted. \u0000Conclusion: In patients with extensive intracardiac destruction with the compromise of the aortic annulus due to infective endocarditis, a low-seated, mechanical-valved conduit implanted directly to the aorto-mitral curtain and left ventricular outflow tract should be considered a novel, durable reconstructive option that allows complete debridement of infected tissues.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90594418","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 : 2022-07-09DOI: 10.31487/j.jscr.2022.01.02
Nigro Belen, Ferrari-Ayarragaray Javier Eduardo
Takayasu´s arteritis is a rare inflammatory disease of large- and medium-sized arteries which predominantly affects women of middle-aged. We report an unusual case of Takayasu arteritis in a 54-year-old woman presenting with progressive lower limbs intermittent claudication. Aneurysmal and stenotic vascular lesions involving both common iliac arteries were identified which also represents a very uncommon anatomical distribution in this pathology. In addition, we share our experience with endovascular intervention for stenotic lesions.
{"title":"Takayasu Arteritis and Lower Limbs Claudication: A Rare Presentation","authors":"Nigro Belen, Ferrari-Ayarragaray Javier Eduardo","doi":"10.31487/j.jscr.2022.01.02","DOIUrl":"https://doi.org/10.31487/j.jscr.2022.01.02","url":null,"abstract":"Takayasu´s arteritis is a rare inflammatory disease of large- and medium-sized arteries which predominantly affects women of middle-aged. We report an unusual case of Takayasu arteritis in a 54-year-old woman presenting with progressive lower limbs intermittent claudication. Aneurysmal and stenotic vascular lesions involving both common iliac arteries were identified which also represents a very uncommon anatomical distribution in this pathology. In addition, we share our experience with endovascular intervention for stenotic lesions.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80763558","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 : 2022-07-07DOI: 10.31487/j.jscr.2022.01.05
Lim Han Sim, Khoh Phaik Shan, Chan Sook Kwan, Zairul Anuar B Kamarul Bahrin
Tongue bite injuries (TBI) resulting from the use of intra-operative neuromonitoring (IONM) during spinal surgeries are not as uncommon a complication as previously thought, especially when using transcranial motor evoked potential (TcMEP). The incidence of bite injuries ranged from 0.14% to 0.63%, with TBI occurring four times more frequently than lip injuries, and of these, 0.15% of tongue lacerations required surgical repair. Through our literature search, we discovered that these injuries have never been reported in Malaysia; additionally, this is the first incidence encountered by our team. We are reporting a 20-year-old male who sustained a TBI during posterior scoliosis corrective surgery while using TcMEP. We report on its management and reviewed literatures to explain the causes and the recommendations for the prevention of this injury. In conclusion, TBI is an unpleasant complication in spinal surgery related to the use of IONM. Safety precautions need to be taken during surgical preparation, and we propose using two to three soft bite blocks (SBB) to aid in reducing the rate of this complication.
{"title":"Tongue Bite Injury Resulting from Intra-operative Neuromonitoring during Posterior Scoliosis Corrective Surgery Not an Uncommon Complication: Case Report and Literature Review","authors":"Lim Han Sim, Khoh Phaik Shan, Chan Sook Kwan, Zairul Anuar B Kamarul Bahrin","doi":"10.31487/j.jscr.2022.01.05","DOIUrl":"https://doi.org/10.31487/j.jscr.2022.01.05","url":null,"abstract":"Tongue bite injuries (TBI) resulting from the use of intra-operative neuromonitoring (IONM) during spinal surgeries are not as uncommon a complication as previously thought, especially when using transcranial motor evoked potential (TcMEP). The incidence of bite injuries ranged from 0.14% to 0.63%, with TBI occurring four times more frequently than lip injuries, and of these, 0.15% of tongue lacerations required surgical repair. Through our literature search, we discovered that these injuries have never been reported in Malaysia; additionally, this is the first incidence encountered by our team. We are reporting a 20-year-old male who sustained a TBI during posterior scoliosis corrective surgery while using TcMEP. We report on its management and reviewed literatures to explain the causes and the recommendations for the prevention of this injury. In conclusion, TBI is an unpleasant complication in spinal surgery related to the use of IONM. Safety precautions need to be taken during surgical preparation, and we propose using two to three soft bite blocks (SBB) to aid in reducing the rate of this complication.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87833704","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 : 2022-06-29DOI: 10.31487/j.jscr.2022.01.04
H. Aliter, Daniel Neira, Claudio Diquinzio, M. Castonguay, Keir Stewart
We report a case of early thrombosis of a sutureless Perceval valve after aortic valve replacement (AVR). Previous reports described Perceval AV thrombosis between 1-12 months [1, 2]. However, the patient was diagnosed with valve dysfunction 3 days later.
{"title":"Early Perceval Valve Thrombosis","authors":"H. Aliter, Daniel Neira, Claudio Diquinzio, M. Castonguay, Keir Stewart","doi":"10.31487/j.jscr.2022.01.04","DOIUrl":"https://doi.org/10.31487/j.jscr.2022.01.04","url":null,"abstract":"We report a case of early thrombosis of a sutureless Perceval valve after aortic valve replacement (AVR). Previous reports described Perceval AV thrombosis between 1-12 months [1, 2]. However, the patient was diagnosed with valve dysfunction 3 days later.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78499029","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 : 2022-06-29DOI: 10.31487/j.jscr.2022.01.03
A. Fernandes, Pedro A Rebello, Melina C Morales, Juliana HS Mascato, Rodrigo B Fernandes
Choroidal melanoma is the most common primary intraocular malignancy in adults. Herein, the authors report two cases of subretinal hemorrhage associated with it. The first case presented with a large choroidal mass associated with subretinal hemorrhage, no history of trauma and choroidal melanoma diagnosis on ultrasound. The second case was initially diagnosed with retinal detachment but during the surgery a pigmented subretinal mass was observed, starting to bleed after scleral depression. Subretinal hemorrhage can occur due to ruptures in Bruch's membrane spontaneously or precipitated by inadvertent trauma. Despite an unusual manifestation, it should always be considered avoiding misdiagnosis.
{"title":"Spontaneous and Indentation Subretinal Hemorrhage from Choroidal Melanoma","authors":"A. Fernandes, Pedro A Rebello, Melina C Morales, Juliana HS Mascato, Rodrigo B Fernandes","doi":"10.31487/j.jscr.2022.01.03","DOIUrl":"https://doi.org/10.31487/j.jscr.2022.01.03","url":null,"abstract":"Choroidal melanoma is the most common primary intraocular malignancy in adults. Herein, the authors report two cases of subretinal hemorrhage associated with it. The first case presented with a large choroidal mass associated with subretinal hemorrhage, no history of trauma and choroidal melanoma diagnosis on ultrasound. The second case was initially diagnosed with retinal detachment but during the surgery a pigmented subretinal mass was observed, starting to bleed after scleral depression. Subretinal hemorrhage can occur due to ruptures in Bruch's membrane spontaneously or precipitated by inadvertent trauma. Despite an unusual manifestation, it should always be considered avoiding misdiagnosis.","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87280564","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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