Pub Date : 2022-02-10DOI: 10.31487/j.crss.2021.02.05
L. Xanicia, Welras Jirui
Retroperitoneal benign lipoid lesions are extremely rare, representing about 2.9% of all primary retroperitoneal tumors. Despite being of benign origin, they can have severe complications. We report a case of an elderly Chinese male presenting with urinary obstruction and lower limb deep vein thrombosis, with computer tomography findings of an extending pre-sacral retroperitoneal lesion. Histology and fluorescence in situ hybridization investigations confirmed that the lesion was of benign lipoid origin. Patient was offered surgical intervention which he declined in view of age.
{"title":"Benign Lipoid Neoplasm or Malignant Liposarcoma in Disguise? Diagnostic Dilemmas Pertaining to Lipomatous Neoplasms of the Retroperitoneum","authors":"L. Xanicia, Welras Jirui","doi":"10.31487/j.crss.2021.02.05","DOIUrl":"https://doi.org/10.31487/j.crss.2021.02.05","url":null,"abstract":"Retroperitoneal benign lipoid lesions are extremely rare, representing about 2.9% of all primary retroperitoneal tumors. Despite being of benign origin, they can have severe complications. We report a case of an elderly Chinese male presenting with urinary obstruction and lower limb deep vein thrombosis, with computer tomography findings of an extending pre-sacral retroperitoneal lesion. Histology and fluorescence in situ hybridization investigations confirmed that the lesion was of benign lipoid origin. Patient was offered surgical intervention which he declined in view of age.","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"98 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134124622","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 : 2022-02-03DOI: 10.31487/j.crss.2021.02.06
L. Xanicia
Angiomyolipoma (AML) of the kidney is a benign hamartomatous neoplasm which is usually asymptomatic and picked up incidentally on radiological imaging. AMLs that present symptomatically are typically those of large sizes exceeding 4cm with complications of rupture and retroperitoneal bleed. The classical triad in symptomatic cases includes flank pain, flank mass and gross haematuria. In cases of severe hemorrhage, patients may even turn hypotensive. AMLs rarely present as fever or urinary tract infection. This report presents a case of a middle-aged lady who presented with fever and lower urinary tract symptoms, and urinary studies performed were suggestive of a urinary tract infection. Radiological investigations revealed a right sided renal AML. This report discusses how renal AMLs can present atypically and includes a review of literature.
{"title":"Anomalous Presentation of a Renal Angiomyolipoma","authors":"L. Xanicia","doi":"10.31487/j.crss.2021.02.06","DOIUrl":"https://doi.org/10.31487/j.crss.2021.02.06","url":null,"abstract":"Angiomyolipoma (AML) of the kidney is a benign hamartomatous neoplasm which is usually asymptomatic and picked up incidentally on radiological imaging. AMLs that present symptomatically are typically those of large sizes exceeding 4cm with complications of rupture and retroperitoneal bleed. The classical triad in symptomatic cases includes flank pain, flank mass and gross haematuria. In cases of severe hemorrhage, patients may even turn hypotensive. AMLs rarely present as fever or urinary tract infection. This report presents a case of a middle-aged lady who presented with fever and lower urinary tract symptoms, and urinary studies performed were suggestive of a urinary tract infection. Radiological investigations revealed a right sided renal AML. This report discusses how renal AMLs can present atypically and includes a review of literature.","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122457196","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 : 2021-10-12DOI: 10.31487/j.crss.2021.02.04
Michael A. Herzog, A. Velten, Benjamin Velten, V. Bogdanov, D. Grafmans
Background: Radiation-related hypopharyngeal stenoses are considered as complications after larynx sparing therapy of hypopharyngeal or laryngeal tumors. Methods: The reported patient suffered from chondronecrosis of the cricoid after radiation of a larynx carcinoma and was treated by removing the necrotic cartilage. To prevent emerging stenosis of the hypopharynx, a customized hypopharyngeal stent was constructed on the basis of CT scan data. The Y-shaped stent was placed dorsal to the larynx, caudal to the arytenoid cartilages and remained in place without dislocation or irritation of the larynx for 8 weeks. During that time, the hypopharynx was stented, and the mucosa grew around the stent covering the complete circumference of the hypopharynx again. 18 weeks after removal of the stent, the hypopharynx did not reveal any re-stenosis. Conclusion: This customized hypopharyngeal stent is the first reported approach applied with spared larynx, which has been tolerated for a long period of time.
{"title":"Radiation-Related Hypopharynx-Stenosis with Spared Larynx Treated by a Novel-Shaped Silicone Stent","authors":"Michael A. Herzog, A. Velten, Benjamin Velten, V. Bogdanov, D. Grafmans","doi":"10.31487/j.crss.2021.02.04","DOIUrl":"https://doi.org/10.31487/j.crss.2021.02.04","url":null,"abstract":"Background: Radiation-related hypopharyngeal stenoses are considered as complications after larynx sparing therapy of hypopharyngeal or laryngeal tumors.\u0000Methods: The reported patient suffered from chondronecrosis of the cricoid after radiation of a larynx carcinoma and was treated by removing the necrotic cartilage. To prevent emerging stenosis of the hypopharynx, a customized hypopharyngeal stent was constructed on the basis of CT scan data. The Y-shaped stent was placed dorsal to the larynx, caudal to the arytenoid cartilages and remained in place without dislocation or irritation of the larynx for 8 weeks. During that time, the hypopharynx was stented, and the mucosa grew around the stent covering the complete circumference of the hypopharynx again. 18 weeks after removal of the stent, the hypopharynx did not reveal any re-stenosis.\u0000Conclusion: This customized hypopharyngeal stent is the first reported approach applied with spared larynx, which has been tolerated for a long period of time.","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131058307","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 : 2021-10-01DOI: 10.31487/j.crss.2021.02.01
G. H. Gunasekaran, W. Sabri, Mohd Ezrul Helmi Bin Jamaluddin
Deep Vein Thrombosis (DVT) is a common treatment-related complication following surgery and chemotherapy. We are reporting a case of colorectal cancer-associated thrombosis during platinum-based chemotherapy. The patient was treated with Rivaroxaban (Xarelto), a highly selective direct Factor Xa inhibitor. This case report highlights the concurrent use of novel oral anticoagulants, which does not interrupt the chemotherapy schedule among patients receiving cytotoxic agents.
{"title":"Treatment of Deep Vein Thrombosis Using Factor Xa Inhibitor Concurrent with Platinum Based Chemotherapy Regimen: A Case Report","authors":"G. H. Gunasekaran, W. Sabri, Mohd Ezrul Helmi Bin Jamaluddin","doi":"10.31487/j.crss.2021.02.01","DOIUrl":"https://doi.org/10.31487/j.crss.2021.02.01","url":null,"abstract":"Deep Vein Thrombosis (DVT) is a common treatment-related complication following surgery and chemotherapy. We are reporting a case of colorectal cancer-associated thrombosis during platinum-based chemotherapy. The patient was treated with Rivaroxaban (Xarelto), a highly selective direct Factor Xa inhibitor. This case report highlights the concurrent use of novel oral anticoagulants, which does not interrupt the chemotherapy schedule among patients receiving cytotoxic agents.","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114841501","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 : 2021-09-03DOI: 10.31487/j.crss.2021.02.02
Dimitri Sigounas, Kenneth Sack, G. Thomas
Aim: Middle Meningeal Artery (MMA) embolization has emerged as a viable neuroendovascular technique for the management of chronic subdural hematoma (SDH). Comparative analysis of various endovascular techniques for embolization is lacking. Guidance on operative techniques in situations of prior embolization failure is rare. Materials and Methods: In this case report, we present a patient with a chronic subdural hematoma that failed previous coil embolization of the MMA. Digital Subtraction Angiography showed the previously placed coil and continued distal flow to the dural membranes. Results: Onyx liquid embolization was completed successfully, effectively halting both anterograde flow to the MMA and retrograde flow from external circulation collaterals. Conclusion: This case report suggests that in situations of MMA embolization failure, follow-up angiography may be completed to determine if further embolization through other procedural techniques may be possible. The angiographic images contained here highlight the advantages of liquid embolization over coil embolization of the MMA in halting SDH angiogenesis.
{"title":"Repeated Middle Meningeal Artery Embolization for Chronic Subdural Hematoma Management: Case Report","authors":"Dimitri Sigounas, Kenneth Sack, G. Thomas","doi":"10.31487/j.crss.2021.02.02","DOIUrl":"https://doi.org/10.31487/j.crss.2021.02.02","url":null,"abstract":"Aim: Middle Meningeal Artery (MMA) embolization has emerged as a viable neuroendovascular technique \u0000for the management of chronic subdural hematoma (SDH). Comparative analysis of various endovascular \u0000techniques for embolization is lacking. Guidance on operative techniques in situations of prior embolization \u0000failure is rare. \u0000Materials and Methods: In this case report, we present a patient with a chronic subdural hematoma that \u0000failed previous coil embolization of the MMA. Digital Subtraction Angiography showed the previously \u0000placed coil and continued distal flow to the dural membranes. \u0000Results: Onyx liquid embolization was completed successfully, effectively halting both anterograde flow \u0000to the MMA and retrograde flow from external circulation collaterals. \u0000Conclusion: This case report suggests that in situations of MMA embolization failure, follow-up \u0000angiography may be completed to determine if further embolization through other procedural techniques \u0000may be possible. The angiographic images contained here highlight the advantages of liquid embolization \u0000over coil embolization of the MMA in halting SDH angiogenesis.","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114540620","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 : 2021-05-24DOI: 10.31487/J.CRSS.2021.01.03
Ageng Budiananti, Sapta Prihartono
An 11-year-old boy presented to the emergency room with generalized abdominal pain, inability to pass gas nor stool in 2 days, along with stepladder pattern fever which he had been having in the past 2 weeks before being admitted to the hospital. Abdominal surgical complications are one of most common complications (10-15% of typhoid fever patients) in pediatric typhoid fever, but gallbladder perforation is an uncommon one. Emergency surgical exploration with cholecystectomy was initiated and showed satisfying outcome [1].
{"title":"Rare Case of Gallbladder Perforation in Pediatric Patient: A Pitfall in Generalized Peritonitis in Late Presented Typhoid Fever","authors":"Ageng Budiananti, Sapta Prihartono","doi":"10.31487/J.CRSS.2021.01.03","DOIUrl":"https://doi.org/10.31487/J.CRSS.2021.01.03","url":null,"abstract":"An 11-year-old boy presented to the emergency room with generalized abdominal pain, inability to pass gas nor stool in 2 days, along with stepladder pattern fever which he had been having in the past 2 weeks before being admitted to the hospital. Abdominal surgical complications are one of most common complications (10-15% of typhoid fever patients) in pediatric typhoid fever, but gallbladder perforation is an uncommon one. Emergency surgical exploration with cholecystectomy was initiated and showed satisfying outcome [1].","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122697397","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 : 2021-02-19DOI: 10.31487/J.CRSS.2021.01.01
A. Mahdi, Ben Saad Soumaya, Zribi Hazem, Zairi Sarra, B. Imen, M. Adel
Vascular lesions in Von Recklinghausen’s disease also known as Neurofibromatosis type 1 (NF1), are rare but have a fatal and potentially life threatening complications such as spontaneous hemothorax. An emergent thoracotomy is indicated when there is an active bleeding associated unstable hemodynamic status. Despites surgery is laborious and unpredictable but it have a merit to stop hemorrhage. A conservative management with endovascular embolization or non-operative approach have also been reported in case of hemodynamic stability. We report two case report of spontaneous hemothorax in patient with Recklinghausen disease. A chest tube was immediately inserted for two patients. Due to continuous bleeding and hemodynamic instability (Patient 1), and the increase of pleural effusion volume (Patients 1 & 2), emergent surgery of thorax was done with favourable post-operative follow up.
Von Recklinghausen病的血管病变也被称为1型神经纤维瘤病(NF1)，是罕见的，但有致命的和潜在威胁生命的并发症，如自发性血胸。当血流动力学状态不稳定并伴有活动性出血时，需要紧急开胸手术。尽管手术是费力的和不可预测的，但它有一个优点，以防止出血。在血流动力学稳定的情况下，采用血管内栓塞或非手术方法进行保守治疗也有报道。我们报告两例自发性血胸的病例报告，病人的雷克林豪森病。我们立即为两名患者插入了胸管。由于持续出血和血流动力学不稳定(患者1)，以及胸腔积液量增加(患者1和2)，急诊胸腔手术并进行了良好的术后随访。
{"title":"Hemostasis Surgery of Spontaneous Hemothorax Complicating Neurofibromatosis Type 1","authors":"A. Mahdi, Ben Saad Soumaya, Zribi Hazem, Zairi Sarra, B. Imen, M. Adel","doi":"10.31487/J.CRSS.2021.01.01","DOIUrl":"https://doi.org/10.31487/J.CRSS.2021.01.01","url":null,"abstract":"Vascular lesions in Von Recklinghausen’s disease also known as Neurofibromatosis type 1 (NF1), are rare but have a fatal and potentially life threatening complications such as spontaneous hemothorax. An emergent thoracotomy is indicated when there is an active bleeding associated unstable hemodynamic status. Despites surgery is laborious and unpredictable but it have a merit to stop hemorrhage. A conservative management with endovascular embolization or non-operative approach have also been reported in case of hemodynamic stability. We report two case report of spontaneous hemothorax in patient with Recklinghausen disease. A chest tube was immediately inserted for two patients. Due to continuous bleeding and hemodynamic instability (Patient 1), and the increase of pleural effusion volume (Patients 1 & 2), emergent surgery of thorax was done with favourable post-operative follow up.","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117262562","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 : 2020-10-05DOI: 10.31487/J.CRSS.2020.02.04
C. Ceribelli, M. David, A. Ayav, J. Raft, A. Leroux, F. Marchal
Pseudomyxoma peritonei (PMP) is a rare disease usually originating from appendiceal neoplasm and its incidence is 1-2 cases per million. Extra-appendicular origin is less common and is related to ovary, urachus, stomach, colon and pancreas cancer. A few cases of mature ovarian teratoma associated with PMP have been described. We report an extremely rare case of a man treated for a mature teratoma recurrence as a PMP. A 57-year-old man with multiple surgeries for mature teratoma excision as a newborn was addressed to our institution. At the age of 55, a surgical exploration found a low-grade PMP. The patient was asymptomatic, and surveillance was performed. Nine months later, a sub-complete cytoreductive surgery (CRS) with Mitomycin C HIPEC (hyperthermic intraperitoneal chemotherapy) was performed. One year later, the residual mass volume was treated by a new CRS with Mitomycin C HIPEC. After a two-year follow-up patient has no recurrence. PMP extra-appendiceal origin in less than 10%. This is the first reported case of PMP originating as a mature teratoma recurrence in a man. A few cases describe PMP from ovarian teratoma in women. Despite PMP’s different origins, gold standard treatment still remains CRS and HIPEC.
{"title":"Unusual Case of Pseudomyxoma Peritonei of a Mature Teratoma in Adult Men","authors":"C. Ceribelli, M. David, A. Ayav, J. Raft, A. Leroux, F. Marchal","doi":"10.31487/J.CRSS.2020.02.04","DOIUrl":"https://doi.org/10.31487/J.CRSS.2020.02.04","url":null,"abstract":"Pseudomyxoma peritonei (PMP) is a rare disease usually originating from appendiceal neoplasm and its\u0000incidence is 1-2 cases per million. Extra-appendicular origin is less common and is related to ovary, urachus,\u0000stomach, colon and pancreas cancer. A few cases of mature ovarian teratoma associated with PMP have\u0000been described. We report an extremely rare case of a man treated for a mature teratoma recurrence as a\u0000PMP. A 57-year-old man with multiple surgeries for mature teratoma excision as a newborn was addressed\u0000to our institution. At the age of 55, a surgical exploration found a low-grade PMP. The patient was\u0000asymptomatic, and surveillance was performed. Nine months later, a sub-complete cytoreductive surgery\u0000(CRS) with Mitomycin C HIPEC (hyperthermic intraperitoneal chemotherapy) was performed. One year\u0000later, the residual mass volume was treated by a new CRS with Mitomycin C HIPEC. After a two-year\u0000follow-up patient has no recurrence. PMP extra-appendiceal origin in less than 10%. This is the first reported\u0000case of PMP originating as a mature teratoma recurrence in a man. A few cases describe PMP from ovarian\u0000teratoma in women. Despite PMP’s different origins, gold standard treatment still remains CRS and HIPEC.","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123839724","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.crss.2020.02.02
A. Buras, A. Chudzinski, A. Dinallo, Danielle Craigg, J. Wallen, M. Hoffman, T. Lippert
A 64-year-old woman with recurrent ovarian cancer isolated to the left pelvic sidewall underwent robotic resection of a tumor adherent to the external iliac vein and encasing the ureter and internal iliac vessels. A narrated video-clip of the case is included.
{"title":"Robotically Assisted Laterally Extended Endopelvic Resection (LEER) of an Isolated Ovarian Cancer Recurrence","authors":"A. Buras, A. Chudzinski, A. Dinallo, Danielle Craigg, J. Wallen, M. Hoffman, T. Lippert","doi":"10.31487/j.crss.2020.02.02","DOIUrl":"https://doi.org/10.31487/j.crss.2020.02.02","url":null,"abstract":"A 64-year-old woman with recurrent ovarian cancer isolated to the left pelvic sidewall underwent robotic\u0000resection of a tumor adherent to the external iliac vein and encasing the ureter and internal iliac vessels. A\u0000narrated video-clip of the case is included.","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121331231","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 : 2020-05-19DOI: 10.31487/j.crss.2020.01.10
B. Smith, Ellyn Smith, Lauren Smith
A gastro-splenic fistula is a rare complication of lymphoma, the etiology of which is poorly understood due to the narrow spectrum of cases. Additional case reports of this complication allow for increased understanding to facilitate treatment planning. This case report provides our detailed patient scenario and surgical approach to a gastro-splenic fistula in the setting of large B-cell lymphoma and compares this approach to similar cases provided in the literature review
{"title":"Gastro-Splenic Fistula from Diffuse Large B-Cell Lymphoma: Case Report","authors":"B. Smith, Ellyn Smith, Lauren Smith","doi":"10.31487/j.crss.2020.01.10","DOIUrl":"https://doi.org/10.31487/j.crss.2020.01.10","url":null,"abstract":"A gastro-splenic fistula is a rare complication of lymphoma, the etiology of which is poorly understood due\u0000to the narrow spectrum of cases. Additional case reports of this complication allow for increased\u0000understanding to facilitate treatment planning. This case report provides our detailed patient scenario and\u0000surgical approach to a gastro-splenic fistula in the setting of large B-cell lymphoma and compares this\u0000approach to similar cases provided in the literature review","PeriodicalId":137602,"journal":{"name":"Case Reports and Series in Surgery","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134281189","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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