Pub Date : 2024-05-04DOI: 10.36346/sarjs.2024.v05i03.001
K. Ghebouli, Abelnacer Haddam, Karim Meskouri, M-A Kecir, M. Belbekri, S. Merouani, Houda Amrane, Kenza Bendjoudi
Introduction: Pulmonary hydatid disease is a parasitic infestation endemic in many sheep and cattle farming regions, particularly in Algeria. Complicated forms are a frequent occurrence and characterized by radio-clinical polymorphism and therapeutic difficulties. Material and Methods: This is a retrospective study (2017—2023) including 94 cases of complicated hydatid cyst of lung. Results: Complicated hydatid cyst of lung represented 22.76% of all hydatid cyst of lung treated surgically in our department. The average age was 27.8 years (4—56 years) with a slight male predominance 57.45%. The circumstances of discovery were dominated by cough in 54.26% and hemoptysis in 32.99%. The definitive diagnosis was made on the radio-clinical and biological findings. The treatment was surgical in all cases, conservative treatment was practiced in 87.03%, and parenchymal resection was performed in 16 patients. Postoperative hydatid recurrence was noted in only one patient. Conclusion: Hydatid cyst of the lung is a common zoonosis in Algeria. Its treatment is essentially surgical and must be initiated quickly once the diagnosis is established in order to avoid progression towards complications that are sources of diagnostic and therapeutic difficulties.
{"title":"Surgical Management for Complicated Hydatid Cyst of the Lung about 94 Cases","authors":"K. Ghebouli, Abelnacer Haddam, Karim Meskouri, M-A Kecir, M. Belbekri, S. Merouani, Houda Amrane, Kenza Bendjoudi","doi":"10.36346/sarjs.2024.v05i03.001","DOIUrl":"https://doi.org/10.36346/sarjs.2024.v05i03.001","url":null,"abstract":"Introduction: Pulmonary hydatid disease is a parasitic infestation endemic in many sheep and cattle farming regions, particularly in Algeria. Complicated forms are a frequent occurrence and characterized by radio-clinical polymorphism and therapeutic difficulties. Material and Methods: This is a retrospective study (2017—2023) including 94 cases of complicated hydatid cyst of lung. Results: Complicated hydatid cyst of lung represented 22.76% of all hydatid cyst of lung treated surgically in our department. The average age was 27.8 years (4—56 years) with a slight male predominance 57.45%. The circumstances of discovery were dominated by cough in 54.26% and hemoptysis in 32.99%. The definitive diagnosis was made on the radio-clinical and biological findings. The treatment was surgical in all cases, conservative treatment was practiced in 87.03%, and parenchymal resection was performed in 16 patients. Postoperative hydatid recurrence was noted in only one patient. Conclusion: Hydatid cyst of the lung is a common zoonosis in Algeria. Its treatment is essentially surgical and must be initiated quickly once the diagnosis is established in order to avoid progression towards complications that are sources of diagnostic and therapeutic difficulties.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"216 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141012927","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 : 2024-04-01DOI: 10.36346/sarjs.2024.v05i02.001
N. Agarwal, Abhijit S. Joshi
Herein, we report the case of a 72 year old female patient who underwent surgery for hiatus hernia – Laparoscopic Nissen’s Fundoplication in some other hospital. She developed progressively worsening dysphagia in the postoperative period. Multiple sessions of Endoscopic balloon dilatation were attempted, but to no lasting symptomatic relief. She then underwent a successful redo laparoscopic surgery, after due investigations.
{"title":"Laparoscopic Redo Fundoplication – Indications and Challenges: A Case Report with Review of Literature","authors":"N. Agarwal, Abhijit S. Joshi","doi":"10.36346/sarjs.2024.v05i02.001","DOIUrl":"https://doi.org/10.36346/sarjs.2024.v05i02.001","url":null,"abstract":"Herein, we report the case of a 72 year old female patient who underwent surgery for hiatus hernia – Laparoscopic Nissen’s Fundoplication in some other hospital. She developed progressively worsening dysphagia in the postoperative period. Multiple sessions of Endoscopic balloon dilatation were attempted, but to no lasting symptomatic relief. She then underwent a successful redo laparoscopic surgery, after due investigations.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"26 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140785637","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 : 2024-01-28DOI: 10.36346/sarjs.2023.v04i05.001
Jorge Alonso Silverio Calles, J. A. T. Ramirez, Juan M. Baglietto Hernandez, Cristina Peralta Rivera, Carmen A. Ruiz Meza, Jairo I. Mendoza Argaez, Josue B. Gonzalez Gonzalez, Walter Kunz Martinez, Maria G. Gil Romero, Yesenia F. Perez Maya, Oscar J. Dominguez Banda, Alejandro Zavala Contreras
Colon and rectal cancer is now the third most diagnosed in the West. About 40% of cases are diagnosed after age 75, and the incidence increases with age. Mucinous colorectal adenocarcinoma is a subtype of colon cancer. The effect of diet on the development of colon and rectal cancers is unclear. The clinical picture divides the colon into 2: Right-sided colon (cecum, ascending colon, hepatic flexure) versus the left-sided colon (splenic flexure, descending colon, sigmoid, rectosigmoid) and rectum. Arbitrarily, two-thirds of the transverse colon is on the right side. Patients are usually asymptomatic for the most part, when symptoms exist, they present as transrectal bleeding, changes in intestinal habits, anemia, or abdominal pain. In younger patients, additional factors are used to identify those at higher risk for colorectal cancer. (e.g., having a family history of colorectal cancer, changes in bowel habits, unexplained weight loss, and blood mixed with the stool instead of blood on the surface of the stool).
{"title":"Mucinous Colorectal Adenocarcinoma on a 21-Year-Old Female. Case Report and Literature Review","authors":"Jorge Alonso Silverio Calles, J. A. T. Ramirez, Juan M. Baglietto Hernandez, Cristina Peralta Rivera, Carmen A. Ruiz Meza, Jairo I. Mendoza Argaez, Josue B. Gonzalez Gonzalez, Walter Kunz Martinez, Maria G. Gil Romero, Yesenia F. Perez Maya, Oscar J. Dominguez Banda, Alejandro Zavala Contreras","doi":"10.36346/sarjs.2023.v04i05.001","DOIUrl":"https://doi.org/10.36346/sarjs.2023.v04i05.001","url":null,"abstract":"Colon and rectal cancer is now the third most diagnosed in the West. About 40% of cases are diagnosed after age 75, and the incidence increases with age. Mucinous colorectal adenocarcinoma is a subtype of colon cancer. The effect of diet on the development of colon and rectal cancers is unclear. The clinical picture divides the colon into 2: Right-sided colon (cecum, ascending colon, hepatic flexure) versus the left-sided colon (splenic flexure, descending colon, sigmoid, rectosigmoid) and rectum. Arbitrarily, two-thirds of the transverse colon is on the right side. Patients are usually asymptomatic for the most part, when symptoms exist, they present as transrectal bleeding, changes in intestinal habits, anemia, or abdominal pain. In younger patients, additional factors are used to identify those at higher risk for colorectal cancer. (e.g., having a family history of colorectal cancer, changes in bowel habits, unexplained weight loss, and blood mixed with the stool instead of blood on the surface of the stool).","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"14 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139592066","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 : 2024-01-19DOI: 10.36346/sarjs.2024.v05i01.001
Ahmad Reza Shahraki, Reza Abaee, Elham Shahraki
Small bowel perforation is a rare injury following blunt abdominal trauma, and is rarely reported in a sports setting. Computed tomography (CT) appears to be the diagnostic method of choice to assess hemodynamic stable patients. A delay in diagnosis and definitive treatment of bowel injury may result in increased morbidity and mortality. Our case was a 16 years old male with abdominal blunt trauma, we diagnosed perforation of Jejenum and ileum with Laparatomy and negative FAST. The treatment for small intestine lesions with smaller defects is the primary closure while bowel resection is the treatment of choice for larger lesions and Ischemic segments.
小肠穿孔是腹部钝性创伤后的一种罕见损伤，在体育运动中也鲜有报道。计算机断层扫描（CT）似乎是评估血流动力学稳定患者的首选诊断方法。肠道损伤的诊断和明确治疗延误可能会导致发病率和死亡率上升。我们的病例是一名 16 岁的男性，腹部钝性创伤，我们通过腹腔镜手术和阴性 FAST 诊断为盲肠和回肠穿孔。对于缺损较小的小肠病变，治疗方法是先行闭合，而对于较大的病变和缺血肠段，肠切除术是首选治疗方法。
{"title":"Jejenoileal Perforation Secondary to Kick during Soccer Game with Negative Fast: A Case Report","authors":"Ahmad Reza Shahraki, Reza Abaee, Elham Shahraki","doi":"10.36346/sarjs.2024.v05i01.001","DOIUrl":"https://doi.org/10.36346/sarjs.2024.v05i01.001","url":null,"abstract":"Small bowel perforation is a rare injury following blunt abdominal trauma, and is rarely reported in a sports setting. Computed tomography (CT) appears to be the diagnostic method of choice to assess hemodynamic stable patients. A delay in diagnosis and definitive treatment of bowel injury may result in increased morbidity and mortality. Our case was a 16 years old male with abdominal blunt trauma, we diagnosed perforation of Jejenum and ileum with Laparatomy and negative FAST. The treatment for small intestine lesions with smaller defects is the primary closure while bowel resection is the treatment of choice for larger lesions and Ischemic segments.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"496 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140502671","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 : 2023-09-29DOI: 10.36346/sarjs.2023.v04i04.004
Jose Angel Tovar Ramirez, Fabiola E. Padilla Azuara, Lizbeth Garcia Sanchez, Juan M. Baglietto Hernandez, Carlos R. Perez Garcia, Rodolfo L. Valdes Ramos, Jairo I. Mendoza Argaez, Carmen A. Ruiz Meza, Sergio E. Vazquez Lara, Minerva I. Hernandez Rejon, Gabriel U. Hernandez De Rubin
Type 2 endoleak after endovascular aneurysm repair of abdominal aortic aneurysms remains the most prevalent type of endoleak. Depending on the time of appearance, can be classified as primary, or secondary, those that appear after the first month after endoprosthesis implantation. Type II endoleaks, due to retrograde filling of the aneurysmal sac from a collateral artery, constitute the most frequent subgroup. Most of the type II endoleaks resolve spontaneously. Which is why they must be treated. The surgical treatment of type 2 endoleaks is through a transarterial approach, In this case, This technique is complicated even in expert hands, and migration of the coils proximally or distally is not uncommon. In general, EVAR is associated, for the moment, with a non-negligible risk of other postoperative complications, such as ischemic complications, those associated with rupture or mobilization of the endoprosthesis, and endoleaks. These complications can affect up to 35% Of the patients who undergo EVAR compared to 8% After CAC. Of cases, and in addition, in the long-term evolution, failures may occur due to material fatigue, with it, the pressurization of the sac and eventually the evolution towards rupture. Follow-up is something inherent to EVAR.
{"title":"Type 2 Endoleak Hybrid Repair with Open Approach and Endovascular Angioembolization on a 10 Centimeters Aortoiliac Aneurysm: Case Report and Literature Review","authors":"Jose Angel Tovar Ramirez, Fabiola E. Padilla Azuara, Lizbeth Garcia Sanchez, Juan M. Baglietto Hernandez, Carlos R. Perez Garcia, Rodolfo L. Valdes Ramos, Jairo I. Mendoza Argaez, Carmen A. Ruiz Meza, Sergio E. Vazquez Lara, Minerva I. Hernandez Rejon, Gabriel U. Hernandez De Rubin","doi":"10.36346/sarjs.2023.v04i04.004","DOIUrl":"https://doi.org/10.36346/sarjs.2023.v04i04.004","url":null,"abstract":"Type 2 endoleak after endovascular aneurysm repair of abdominal aortic aneurysms remains the most prevalent type of endoleak. Depending on the time of appearance, can be classified as primary, or secondary, those that appear after the first month after endoprosthesis implantation. Type II endoleaks, due to retrograde filling of the aneurysmal sac from a collateral artery, constitute the most frequent subgroup. Most of the type II endoleaks resolve spontaneously. Which is why they must be treated. The surgical treatment of type 2 endoleaks is through a transarterial approach, In this case, This technique is complicated even in expert hands, and migration of the coils proximally or distally is not uncommon. In general, EVAR is associated, for the moment, with a non-negligible risk of other postoperative complications, such as ischemic complications, those associated with rupture or mobilization of the endoprosthesis, and endoleaks. These complications can affect up to 35% Of the patients who undergo EVAR compared to 8% After CAC. Of cases, and in addition, in the long-term evolution, failures may occur due to material fatigue, with it, the pressurization of the sac and eventually the evolution towards rupture. Follow-up is something inherent to EVAR.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135294012","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 : 2023-09-15DOI: 10.36346/sarjs.2023.v04i04.002
Sergio Sandoval Tapia, Karla Yuniva Quintero Barajas, Erick Gerardo Martinez Martinez, Jose Eduardo Rosales Jimenez, Rebeca Pamela Parra Enciso, Mariano Tovar Ponce, Sergio Ivan Castaneda Rocha, Emmanuel Stephano Bracho Ruiz
Thumb polydactyly, also known as radial polydactyly, is the prevailing manifestation of polydactyly. Its existence has been documented in the hand literature from Digby's initial description in 1645. Preaxial polydactyly, specifically bifid thumb, has been extensively observed, with a frequency ranging from 0.08 to 1.4 per 1000 live births. Traditionally, radial polydactyly is classified into three distinct categories: severe hypoplasia, partial duplication, and entire duplication, which can sometimes be mistaken for pseudo duplication. The classification system developed by Wassel has emerged as the widely accepted standard for the categorization of thumb polydactyly. The classifications of surgical treatment procedures are associated with variations. Thumb duplication is categorized as a "duplication" (group 3) in the International Federation of Societies for Surgery of the Hand (IFSSH)/Swanson classification of congenital malformations of the hand and upper limb. The objective of surgical reconstruction is to achieve a thumb that is both stable and mobile, while also possessing appropriate dimensions and form. The prevailing method of reconstruction often involves the excision of the minor digit followed by the subsequent reconstruction of the major digit. Surgical procedures aim to rectify issues pertaining to deviation, instability, and insufficient dimensions. Moreover, it is worth noting that a significant proportion of instances will necessitate an additional intervention in order to enhance the cosmetic and/or functional result.
{"title":"Wassel Type IV Thumb Duplication A Case Report and Literature Review","authors":"Sergio Sandoval Tapia, Karla Yuniva Quintero Barajas, Erick Gerardo Martinez Martinez, Jose Eduardo Rosales Jimenez, Rebeca Pamela Parra Enciso, Mariano Tovar Ponce, Sergio Ivan Castaneda Rocha, Emmanuel Stephano Bracho Ruiz","doi":"10.36346/sarjs.2023.v04i04.002","DOIUrl":"https://doi.org/10.36346/sarjs.2023.v04i04.002","url":null,"abstract":"Thumb polydactyly, also known as radial polydactyly, is the prevailing manifestation of polydactyly. Its existence has been documented in the hand literature from Digby's initial description in 1645. Preaxial polydactyly, specifically bifid thumb, has been extensively observed, with a frequency ranging from 0.08 to 1.4 per 1000 live births. Traditionally, radial polydactyly is classified into three distinct categories: severe hypoplasia, partial duplication, and entire duplication, which can sometimes be mistaken for pseudo duplication. The classification system developed by Wassel has emerged as the widely accepted standard for the categorization of thumb polydactyly. The classifications of surgical treatment procedures are associated with variations. Thumb duplication is categorized as a \"duplication\" (group 3) in the International Federation of Societies for Surgery of the Hand (IFSSH)/Swanson classification of congenital malformations of the hand and upper limb. The objective of surgical reconstruction is to achieve a thumb that is both stable and mobile, while also possessing appropriate dimensions and form. The prevailing method of reconstruction often involves the excision of the minor digit followed by the subsequent reconstruction of the major digit. Surgical procedures aim to rectify issues pertaining to deviation, instability, and insufficient dimensions. Moreover, it is worth noting that a significant proportion of instances will necessitate an additional intervention in order to enhance the cosmetic and/or functional result.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"209 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135486172","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 : 2023-09-15DOI: 10.36346/sarjs.2023.v04i04.003
Alexis Jared Paz Lopez, Brenda Aurora Llanos Salas, Emmanuel Stephano Bracho Ruiz, Jorge Boy Serratos, Sergio Sandoval Tapia, Mariano Tovar Ponce, Rebeca Pamela Parra Enciso
Normocalcemic primary hyperparathyroidism (PHP) has been proposed to be a new phenotype of the disease. It is characterized by persistently high levels of parathyroid hormone (PTH) and normal calcium levels. Since there are no known causes of secondary hyperparathyroidism or PTH elevation, the exact biological mechanism is not known. It could be the first stage of the disease or a unique situation marked by resistance of the kidneys and bones to the effects of PTH. This is a disease that is getting more and more common. It is often found when evaluating perimenopausal women with low bone mass or when evaluating or following up on patients with osteoporosis. Normocalcemic PHP has a diverse and varied phenotype that ranges from cases with no usual PHP symptoms to cases with symptoms and specific complications. The method to diagnosing secondary hyperparathyroidism should focus on ruling out all possible causes, especially vitamin D deficiency (25-OH vitamin D levels less than 30ng/mL) and kidney function impairment (glomerular filtration rate less than 60 mL/min, as measured by CKD- EPI). Not much is known about its past in the wild. Some people get hypercalcemia, but more than 75% of them don't. There don't seem to be any ways to predict who will get hypercalcemia, so measuring total and adjusted calcium levels once a year is recommended. Even though measuring ionic calcium is a part of what it means to have Normocalcemic PHP and is recommended by some writers during follow-up, there are a number of real problems with it that should be kept in mind.
{"title":"Normocalcemic Primary Hyperparathyroidism. A Case Report and Literature Review","authors":"Alexis Jared Paz Lopez, Brenda Aurora Llanos Salas, Emmanuel Stephano Bracho Ruiz, Jorge Boy Serratos, Sergio Sandoval Tapia, Mariano Tovar Ponce, Rebeca Pamela Parra Enciso","doi":"10.36346/sarjs.2023.v04i04.003","DOIUrl":"https://doi.org/10.36346/sarjs.2023.v04i04.003","url":null,"abstract":"Normocalcemic primary hyperparathyroidism (PHP) has been proposed to be a new phenotype of the disease. It is characterized by persistently high levels of parathyroid hormone (PTH) and normal calcium levels. Since there are no known causes of secondary hyperparathyroidism or PTH elevation, the exact biological mechanism is not known. It could be the first stage of the disease or a unique situation marked by resistance of the kidneys and bones to the effects of PTH. This is a disease that is getting more and more common. It is often found when evaluating perimenopausal women with low bone mass or when evaluating or following up on patients with osteoporosis. Normocalcemic PHP has a diverse and varied phenotype that ranges from cases with no usual PHP symptoms to cases with symptoms and specific complications. The method to diagnosing secondary hyperparathyroidism should focus on ruling out all possible causes, especially vitamin D deficiency (25-OH vitamin D levels less than 30ng/mL) and kidney function impairment (glomerular filtration rate less than 60 mL/min, as measured by CKD- EPI). Not much is known about its past in the wild. Some people get hypercalcemia, but more than 75% of them don't. There don't seem to be any ways to predict who will get hypercalcemia, so measuring total and adjusted calcium levels once a year is recommended. Even though measuring ionic calcium is a part of what it means to have Normocalcemic PHP and is recommended by some writers during follow-up, there are a number of real problems with it that should be kept in mind.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135486310","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 : 2023-09-06DOI: 10.36346/sarjs.2023.v04i04.001
Mariano Tovar Ponce, Mauricio Martinez Hurtado, Jose David Simonin Lopez, David Gonzalez Garcia, Claudia Monserrat Perez Quintanar, Jazmin Danae Chavez Hernandez, Horacio Sanchez Espinosa, Carlos Roberto Perez Garcia, Emmanuel Stephano Bracho Ruiz
The condition known as pediatric foot polydactyly can manifest itself in a broad range of malformations, from a single extra digit that is only connected to the rest of the foot by a thin band of connective tissue to intricate central foot duplications that involve the duplication of tarsal bones. The presentation of preaxial polydactyly of the foot is crucial to understand, even though it is quite uncommon. This is because in over half of the cases, several congenital malformations, such as syndactyly and atrial septum defects, have been described. The result of surgical reconstruction should be a foot that is stable, mobile, and pain-free, with five aesthetically pleasing toes. This should allow the patient to wear standard footwear and walk without experiencing any discomfort.
{"title":"Lower Extremity Rare Preaxial Polydactyly. A Case Report and Literature Review","authors":"Mariano Tovar Ponce, Mauricio Martinez Hurtado, Jose David Simonin Lopez, David Gonzalez Garcia, Claudia Monserrat Perez Quintanar, Jazmin Danae Chavez Hernandez, Horacio Sanchez Espinosa, Carlos Roberto Perez Garcia, Emmanuel Stephano Bracho Ruiz","doi":"10.36346/sarjs.2023.v04i04.001","DOIUrl":"https://doi.org/10.36346/sarjs.2023.v04i04.001","url":null,"abstract":"The condition known as pediatric foot polydactyly can manifest itself in a broad range of malformations, from a single extra digit that is only connected to the rest of the foot by a thin band of connective tissue to intricate central foot duplications that involve the duplication of tarsal bones. The presentation of preaxial polydactyly of the foot is crucial to understand, even though it is quite uncommon. This is because in over half of the cases, several congenital malformations, such as syndactyly and atrial septum defects, have been described. The result of surgical reconstruction should be a foot that is stable, mobile, and pain-free, with five aesthetically pleasing toes. This should allow the patient to wear standard footwear and walk without experiencing any discomfort.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135205753","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 : 2023-08-28DOI: 10.36346/sarjs.2023.v04i03.006
Alexis Jared Paz Lopez, Brenda Aurora Llanos Salas, Michel Vladimir Alamo Hernandez, Emmanuel Stephano Bracho Ruiz, Greta Griselda Reyes Cardenas, Javier Martinez Martinez, Andrea Cecilia Muñoz Covarrubias, Alian Guzman Cardenas
Fibrolamellar carcinoma (FLC), a truly unique and uncommon variation of hepatocellular carcinoma (HCC), accounting for barely 1%–9% of all HCC cases. Fibrolamellar carcinoma, an unclear malignancy, appears to be more commonly observed in youthful individuals without any preexisting liver conditions. The nomenclature "fibrolamellar" originates from the presence of dense fibrous collagen bands enveloping the neoplastic cells. Contrary to hepatocellular carcinoma (HCC), cirrhosis and viral hepatitis infection do not serve as predisposing factors for fibrolamellar carcinoma (FLC). Additionally, FLC is not typically associated with increased levels of serum alpha-fetoprotein. Patients with FLC frequently manifest with nonspecific abdominal discomfort, queasiness, general discomfort, and decreased in body mass. Surgical intervention, specifically resection or liver transplantation, serves as the cornerstone of treatment and represents the sole potentially curative avenue. FLCs, or fibrolamellar carcinomas, have historically exhibited lower responsiveness to chemotherapy compared to conventional hepatocellular carcinomas (HCC). Nevertheless, it is important to note that in cases of advanced FLCs, the utilization of multi-modality treatments has shown promising effectiveness. The purpose of this review is to explain the clinical characteristics, diagnostic techniques, and therapeutic approaches for this uncommon tumor in order to enhance the knowledge of healthcare professionals.
{"title":"Fibrolamellar Hepatocellular Carcinoma in Young Adult: A Case Report and Literature Review","authors":"Alexis Jared Paz Lopez, Brenda Aurora Llanos Salas, Michel Vladimir Alamo Hernandez, Emmanuel Stephano Bracho Ruiz, Greta Griselda Reyes Cardenas, Javier Martinez Martinez, Andrea Cecilia Muñoz Covarrubias, Alian Guzman Cardenas","doi":"10.36346/sarjs.2023.v04i03.006","DOIUrl":"https://doi.org/10.36346/sarjs.2023.v04i03.006","url":null,"abstract":"Fibrolamellar carcinoma (FLC), a truly unique and uncommon variation of hepatocellular carcinoma (HCC), accounting for barely 1%–9% of all HCC cases. Fibrolamellar carcinoma, an unclear malignancy, appears to be more commonly observed in youthful individuals without any preexisting liver conditions. The nomenclature \"fibrolamellar\" originates from the presence of dense fibrous collagen bands enveloping the neoplastic cells. Contrary to hepatocellular carcinoma (HCC), cirrhosis and viral hepatitis infection do not serve as predisposing factors for fibrolamellar carcinoma (FLC). Additionally, FLC is not typically associated with increased levels of serum alpha-fetoprotein. Patients with FLC frequently manifest with nonspecific abdominal discomfort, queasiness, general discomfort, and decreased in body mass. Surgical intervention, specifically resection or liver transplantation, serves as the cornerstone of treatment and represents the sole potentially curative avenue. FLCs, or fibrolamellar carcinomas, have historically exhibited lower responsiveness to chemotherapy compared to conventional hepatocellular carcinomas (HCC). Nevertheless, it is important to note that in cases of advanced FLCs, the utilization of multi-modality treatments has shown promising effectiveness. The purpose of this review is to explain the clinical characteristics, diagnostic techniques, and therapeutic approaches for this uncommon tumor in order to enhance the knowledge of healthcare professionals.","PeriodicalId":105579,"journal":{"name":"SAR Journal of Surgery","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135088424","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 : 2023-08-17DOI: 10.36346/sarjs.2023.v04i03.005
Emmanuel Stephano Bracho Ruíz, Carlos Alberto Nungarai, Mariano Tovar Ponce, Mauricio Martínez Hurtado, Jose David Simonin Lopez, D. Garcia, Javier Martinez Martinez
The resolution of small to intermediate-sized anomalies affecting the craniofacial region can pose a formidable problem Proximal neuropathy of the median nerve (MN) is a relatively rare condition, accounting for approximately 1% of all compressive neuropathies affecting the upper limb. The existing body of literature documents two distinct clinical presentations, which are based upon the location of entrapment. These presentations are commonly referred to as pronator teres (PT) syndrome and anterior interosseous nerve (AIN) syndrome. Pronator teres syndrome, also known as median nerve compression in the upper forearm, manifests as a constellation of clinical manifestations and indications. Carpal tunnel syndrome is a dynamic condition that is commonly characterized by the compression of the median nerve within the carpal tunnel. Although relatively uncommon when compared to carpal tunnel syndrome, pronator syndrome and anterior interosseous nerve syndrome are conditions involving compression of the proximal median nerve. These conditions may be considered as potential diagnoses when a patient with carpal tunnel syndrome does not show improvement following conservative or surgical treatment. The process of differential diagnosis primarily relies on the evaluation of symptoms, the analysis of paresthesia patterns, and the identification of distinct patterns of muscle weakness. Initial management of all patients should primarily involve nonsurgical treatment modalities. However, it has been demonstrated through empirical evidence that surgical intervention may produce favorable outcomes. Many surgical methodologies have been established, with the majority of outcome data derived from retrospective case series. A full comprehension of the anatomical structure of the median nerve, possible points of compression, and distinctive clinical manifestations of carpal tunnel syndrome (CTS) is imperative for physicians in order to correctly identify and successfully manage their patients.
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