Pub Date : 2021-01-01DOI: 10.47829/ajsccr.2021.31001
Osuagwu Cc
{"title":"Coxsackie Virus Infection in A 61-Year-Old Female","authors":"Osuagwu Cc","doi":"10.47829/ajsccr.2021.31001","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.31001","url":null,"abstract":"","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85547522","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 : 2021-01-01DOI: 10.47829/ajsccr.2021.31202
Shakya H, Yuan M, Wang Hy, L. Z, Xiao K, Zhou Zk
{"title":"In Hospital Cost Assessment and Prevalence of Total Hip Arthroplasty in China: A10-Years Real-World Study","authors":"Shakya H, Yuan M, Wang Hy, L. Z, Xiao K, Zhou Zk","doi":"10.47829/ajsccr.2021.31202","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.31202","url":null,"abstract":"","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76548302","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 : 2021-01-01DOI: 10.47829/ajsccr.2021.31302
S. P.
{"title":"Zeehan Hospital, Zeehan, Tasmania. The First Forty Years, During The Mining Boom 1894-1934 The Curious Case of the Missing Lead Poisoning","authors":"S. P.","doi":"10.47829/ajsccr.2021.31302","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.31302","url":null,"abstract":"","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86659736","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 : 2021-01-01DOI: 10.47829/ajsccr.2021.4101
Nando Gallese
{"title":"Acute Anus (Gallese’s Desease)","authors":"Nando Gallese","doi":"10.47829/ajsccr.2021.4101","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.4101","url":null,"abstract":"","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91245663","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 : 2021-01-01DOI: 10.47829/ajsccr.2021.31401
Ilkovska B, Trifunova Bk, A. M, Avramovski P
Other Aneuploidy in Pregnant Woman in Bitola in 2020 Year Ilkovska B1*, Trifunova BK2, Avramovska M3 and Avramovski P4 1Department for Biomedical Biochemistry, PHO Clinical hospital Bitola, North Macedonia 2Department of dermato-venerology, Tokuda Hospital, Sofia, Bulgaria 3Department for genecology, PHO Clinical hospital Bitola, North Macedonia 4Department for Internal diseases, PHO Clinical hospital Bitola, North Macedonia
{"title":"Gestational Diabetes Mellitus and Prisca Test for Increased Risk for Trisomy 21 And Other Aneuploidy in Pregnant Woman in Bitola in 2020 Year","authors":"Ilkovska B, Trifunova Bk, A. M, Avramovski P","doi":"10.47829/ajsccr.2021.31401","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.31401","url":null,"abstract":"Other Aneuploidy in Pregnant Woman in Bitola in 2020 Year Ilkovska B1*, Trifunova BK2, Avramovska M3 and Avramovski P4 1Department for Biomedical Biochemistry, PHO Clinical hospital Bitola, North Macedonia 2Department of dermato-venerology, Tokuda Hospital, Sofia, Bulgaria 3Department for genecology, PHO Clinical hospital Bitola, North Macedonia 4Department for Internal diseases, PHO Clinical hospital Bitola, North Macedonia","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80595196","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 : 2021-01-01DOI: 10.47829/ajsccr.2021.31301
Dannaoui K, H. M, Young A, Clouse K, Gomez J, Matlin C, A. A.
{"title":"Incidental Diagnosis of a High Grade Mucinous Neoplasm of the Appendix: A Case Report","authors":"Dannaoui K, H. M, Young A, Clouse K, Gomez J, Matlin C, A. A.","doi":"10.47829/ajsccr.2021.31301","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.31301","url":null,"abstract":"","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79714216","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 : 2021-01-01DOI: 10.47829/ajsccr.2021.31201
Zhang J, H. H, L. H, L. Y., W. M, C. X
{"title":"The Use Extracorporeal Membrane Oxygenation Therapy in A Severe Blunt Chest Trauma with A Main Tracheal Injury","authors":"Zhang J, H. H, L. H, L. Y., W. M, C. X","doi":"10.47829/ajsccr.2021.31201","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.31201","url":null,"abstract":"","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87111860","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 : 2021-01-01DOI: 10.47829/ajsccr.2021.4202
Mazhar U. Khan, M. Iftikhar
Rectourethral fistula is a rare condition with multiple etiology. The surgical treatment is a challenge as the site is difficult to reach and also there are usually several associated comorbidities from the etiological cause which needs to be dealt with. This pathology involves different speciality i.e., general surgery, colorectal surgery, minimal access surgery, urology and reconstructive surgery etc. This being one of the reasons that several different surgical technique and approaches are devised to treat this condition. Our study is based on 19 patients in whom the etiology was trauma. The surgical approach was transperineal andwe utilizing scrotal fibrofatty vascularized flap for interposition layer. We had 89.5% (n=17) success rate and10.5% (n=2) recurrence. It is therefore concluded that perineal approach is safe and far less complication.It is also important to place vascularize interposition tissue flap for successful outcome.While more radical trans sphincteric approach with defunctional colostomy should only be reserved for more complex and recurrent cases.
{"title":"Rectourethral Fistula Management Via Urological Prospective","authors":"Mazhar U. Khan, M. Iftikhar","doi":"10.47829/ajsccr.2021.4202","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.4202","url":null,"abstract":"Rectourethral fistula is a rare condition with multiple etiology. The surgical treatment is a challenge as the site is difficult to reach and also there are usually several associated comorbidities from the etiological cause which needs to be dealt with. This pathology involves different speciality i.e., general surgery, colorectal surgery, minimal access surgery, urology and reconstructive surgery etc. This being one of the reasons that several different surgical technique and approaches are devised to treat this condition. Our study is based on 19 patients in whom the etiology was trauma. The surgical approach was transperineal andwe utilizing scrotal fibrofatty vascularized flap for interposition layer. We had 89.5% (n=17) success rate and10.5% (n=2) recurrence. It is therefore concluded that perineal approach is safe and far less complication.It is also important to place vascularize interposition tissue flap for successful outcome.While more radical trans sphincteric approach with defunctional colostomy should only be reserved for more complex and recurrent cases.","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77315794","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 : 2021-01-01DOI: 10.47829/ajsccr.2021.31502
Y. H, Z. Y
1. Abstract Ovarian Granulosa Cell Tumors (GCTs) are the most common type of ovarian sex cord-stromal tumor. They follow an indolent course and are characterized by a long natural history The optimal management of Recurrent GCT has never been determined by randomized trials ,Hormone therapy maybe an alternative here we report a case of Recurrent GCT treated with GnRHa and achieved clinical cure.A 46-year-old woman presented with third recurrence after primary treatment for adult granulosa cell tumor. She developed tumor progression and drug-induced nephritis after 6 cycles of TP chemotherapy for the second recurrence and failed to benefit from chemotherapy, after the third Optimal cytoreduction and tumor progression after Letrozole treatent for 6 months. we try to Experimental treatment with Diphereline achieved Good therapeutic effect. 2. Highlights • There is no optimal treatment for recurrent granulocell tumor. For this patient, we tried to use hormone therapy replace of chemotherapy and radiotherapy. • Considering the different mechanisms of action of Letrozole and GnRHa, we tried GnRHa treatment after letrozole resistance. • The literature reported that letrozole had the highest response rate, but this patient still benefited from GnRHa even after letrozole resistance, as we know, no similar case has been reported. 3. Introduction Granulosa cell tumors constitute less than 5% of all ovarian tumors. Unlike epithelial ovarian tumors, they occur in a younger age group, are usually detected in an early stage. They follow an indolent course and are characterized by a long natural history. Due to the chance of recurrence even years after apparent clinical cure of the primary tumor, lifelong follow up is recommended. About 25 % GCT develop recurrence and the median time to recur is usually 4–5 years [1]. Most recurrences are intraperitoneal and usually a complete debulking of the disease is feasible even in the recurrent setting. Postoperative chemotherapy (platinum based) is usually given after surgery more so in cases with widespread disease or after sub-optimal cytoreduction. Recurrent chemoresistant, progressive non-responding GCT or patients with high surgical risk are ideal candidates for targeted therapy [2]. During the last decade, our understanding of the molecular pathogenesis of AGCTs has significantly improved, whereas the developments of chemotherapeutic regimens and targeted therapies have remained modest. Here we report a case of Recurrent Adult Granulosa cell tumors, after three times of cytoreduction, we use letrozole as postoperative treatment for 6 mouths, Radiographic findings showed recurrence, and letrozole resistance was considered. We tried GnRHa treatment and achieved clinical cure. 4. Case Presentation The patient is a 46-year-old female with the third recurrence after primary treatment for adult granulosa cell tumor. 15 years ago, total abdominal hysterectomy, bilateral salpingo-oophorectomy
{"title":"GnRHa as A Treatment for Letrozole-Resistent Recurrent Adult Granulosa Cell Tumors:A Case Report and Literature Review","authors":"Y. H, Z. Y","doi":"10.47829/ajsccr.2021.31502","DOIUrl":"https://doi.org/10.47829/ajsccr.2021.31502","url":null,"abstract":"1. Abstract Ovarian Granulosa Cell Tumors (GCTs) are the most common type of ovarian sex cord-stromal tumor. They follow an indolent course and are characterized by a long natural history The optimal management of Recurrent GCT has never been determined by randomized trials ,Hormone therapy maybe an alternative here we report a case of Recurrent GCT treated with GnRHa and achieved clinical cure.A 46-year-old woman presented with third recurrence after primary treatment for adult granulosa cell tumor. She developed tumor progression and drug-induced nephritis after 6 cycles of TP chemotherapy for the second recurrence and failed to benefit from chemotherapy, after the third Optimal cytoreduction and tumor progression after Letrozole treatent for 6 months. we try to Experimental treatment with Diphereline achieved Good therapeutic effect. 2. Highlights • There is no optimal treatment for recurrent granulocell tumor. For this patient, we tried to use hormone therapy replace of chemotherapy and radiotherapy. • Considering the different mechanisms of action of Letrozole and GnRHa, we tried GnRHa treatment after letrozole resistance. • The literature reported that letrozole had the highest response rate, but this patient still benefited from GnRHa even after letrozole resistance, as we know, no similar case has been reported. 3. Introduction Granulosa cell tumors constitute less than 5% of all ovarian tumors. Unlike epithelial ovarian tumors, they occur in a younger age group, are usually detected in an early stage. They follow an indolent course and are characterized by a long natural history. Due to the chance of recurrence even years after apparent clinical cure of the primary tumor, lifelong follow up is recommended. About 25 % GCT develop recurrence and the median time to recur is usually 4–5 years [1]. Most recurrences are intraperitoneal and usually a complete debulking of the disease is feasible even in the recurrent setting. Postoperative chemotherapy (platinum based) is usually given after surgery more so in cases with widespread disease or after sub-optimal cytoreduction. Recurrent chemoresistant, progressive non-responding GCT or patients with high surgical risk are ideal candidates for targeted therapy [2]. During the last decade, our understanding of the molecular pathogenesis of AGCTs has significantly improved, whereas the developments of chemotherapeutic regimens and targeted therapies have remained modest. Here we report a case of Recurrent Adult Granulosa cell tumors, after three times of cytoreduction, we use letrozole as postoperative treatment for 6 mouths, Radiographic findings showed recurrence, and letrozole resistance was considered. We tried GnRHa treatment and achieved clinical cure. 4. Case Presentation The patient is a 46-year-old female with the third recurrence after primary treatment for adult granulosa cell tumor. 15 years ago, total abdominal hysterectomy, bilateral salpingo-oophorectomy","PeriodicalId":7649,"journal":{"name":"American Journal of Surgery and Clinical Case Reports","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73840422","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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