Articles

Complete resection of local advanced thymic carcinoma with total aortic arch replacement after chemotherapy: a case report

Although complete surgical resection of thymic carcinoma is a prognostic factor, it is not always an option for advanced tumors because of locoregional invasion. Extended surgery combined with a major blood ve...

Authors: Hidenori Kuno, Soichiro Funaki, Kenji Kimura, Kazuo Shimamura, Keiwa Kin, Toru Kuratani, Yoshiki Sawa and Yasushi Shintani

Laparoscopic treatment in a patient with median arcuate ligament syndrome identified at the onset of superior mesenteric artery dissection: a case report

Median arcuate ligament syndrome (MALS) is a rare clinical entity caused mainly by extrinsic compression of the celiac axis by the median arcuate ligament (MAL). Severe celiac artery stenosis can lead to the d...

Authors: Haruhiko Okada, Kazuhisa Ehara, Hisashi Ro, Masaki Yamada, Tetsuya Saito, Naoki Negami, Yasunori Ishido and Masahiko Sato

Emergency laparoscopic cholecystectomy for intraabdominal hemorrhage in a patient with a left ventricular assist device: a case report

Continuous-flow left ventricular assist devices (LVADs), called “second generation LVADs,” have significantly improved the survival and quality of life outcomes. Accordingly, non-cardiac surgery in a patient w...

Authors: Akihiko Takagi, Erina Nagai, Takeo Toda, Hayato Kosaka, Hisato Ishimatsu, Yusuke Kyoden, Takehide Akimoto, Hideyuki Kanemoto and Noriyuki Oba

Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus i...

Authors: Tomoyuki Ishida, Jun Kanamori and Hiroyuki Daiko

Primary peritoneal carcinoma with late-phase pulmonary metastases: a case report

Primary peritoneal carcinoma (PPC) is a very rare and aggressive type of malignancy with a poor prognosis.

Authors: Naoki Ozeki, Shuhei Hakiri, Hisashi Tateyama, Kohei Yokoi and Toyofumi Chen-Yoshikawa

Distal bypass with a varicose vein graft for critical limb ischemia: report of a case

A saphenous vein complicated with varicose veins is generally thought to be unsuitable for bypass grafting.

Authors: Atsushi Guntani, Ryosuke Yoshiga and Shinsuke Mii

Multidisciplinary treatment of left hepatic artery pseudoaneurysm after hepatobiliary resection for gallbladder cancer: a case report

When a postoperative hepatic artery pseudoaneurysm develops after massive hepatectomy, both an intervention for the pseudoaneurysm and patency of hepatic artery should be considered because occlusion of the re...

Authors: Ryusei Yamamoto, Teiichi Sugiura, Yukiyasu Okamura, Takaaki Ito, Yusuke Yamamoto, Ryo Ashida, Katsuhisa Ohgi, Takeshi Aramaki and Katsuhiko Uesaka

Pancreaticoduodenectomy following surgery for esophageal cancer with gastric tube reconstruction: a case report and literature review

Synchronous and asynchronous multiple cancers have become more pervasive in recent years despite advances in medical technologies. However, there have been only six cases (including the present case) that unde...

Authors: Hideki Izumi, Hisamichi Yoshii, Rin Abe, Soichiro Yamamoto, Masaya Mukai, Eiji Nomura, Tomoko Sugiyama, Takuma Tajiri and Hiroyasu Makuuchi

Axial torsion of Meckel’s diverticulum causing acute peritonitis in the first trimester of pregnancy: a case report

Meckel’s diverticulum is considered the most prevalent congenital anomaly of the gastrointestinal tract. Approximately 4% of patients are symptomatic with complications such as bleeding, intestinal obstruction...

Authors: Hiromitsu Nagata, Hiroyasu Nishizawa, Susumu Mashima and Yasuyuki Shimahara

Incarcerated sigmoid colon cancer in an inguinal hernia sac associated with an abdominal wall abscess: a case report

An inguinal hernia is a common disease; however, a malignant tumor within the inguinal hernia sac is rare, and perforated colon cancer in the hernia sac is extremely rare.

Authors: Hironori Mizuno, Hidemasa Nagai, Shingo Maeda, Hideo Miyake, Yuichiro Yoshioka and Norihiro Yuasa

True brachial artery aneurysm after arteriovenous fistula closure following renal transplantation: a case report and literature review

A brachial artery aneurysm (BAA) is a rare condition accounting for 5% of all peripheral arterial aneurysms. More cases of true BAAs after arteriovenous fistula (AVF) closure have been reported in the past two...

Authors: Satoshi Toyota, Kentaro Inoue, Shun Kurose, Shinichiro Yoshino, Ken Nakayama, Sho Yamashita, Koichi Morisaki, Tadashi Furuyama and Masaki Mori

Right inferior phrenic artery pseudoaneurysm after a laparoscopic gastrectomy: a case report

Ruptured pseudoaneurysms are a rare complication of gastrectomy, but when they do develop, they are often fatal. We presented herein the first report of a case of pseudoaneurysm arising from the right inferior...

Authors: Kaoruko Funakoshi, Yuji Ishibashi, Shuntaro Yoshimura, Ryoto Yamazaki, Fumihiko Hatao, Yasuhiro Morita and Kazuhiro Imamura

Pure pancreatic hepatoid carcinoma: a surgical case report and literature review

Hepatoid carcinoma (HC) is an extra-hepatic neoplasm that shares the morphological and immunohistochemical features of hepatocellular carcinoma. Pancreatic HC exists as either pure or combined type. Pure pancr...

Authors: Takahiro Tomino, Mizuki Ninomiya, Rumi Matono, Fumiya Narutomi, Yumi Oshiro, Kenji Watanabe, Daisuke Taniguchi, Sho Nishimura, Yoko Zaitsu, Yuichiro Kajiwara, Tomoyuki Yokota, Kazuhito Minami and Takashi Nishizaki

Correctable biliary atresia and cholangiocarcinoma: a case report of a 63-year-old patient

Although cancer occurrence following surgery for biliary atresia has gradually increased, the development of cholangiocarcinoma in a native liver survivor of biliary atresia is extremely rare.

Authors: Masaki Nio, Motoshi Wada, Hideyuki Sasaki, Hiromu Tanaka, Masatoshi Hashimoto and Yudai Nakajima

Filiform polyposis with sigmoid colon adenocarcinoma: a case report

Filiform polyposis is a rare form of inflammatory polyposis, which is occasionally formed in the colon of patients with history of inflammatory bowel disease (IBD). It is characterized by presence of several t...

Authors: Takayuki Okuno, Takamitsu Kanazawa, Hirohisa Kishi, Hiroyuki Anzai, Koji Yasuda and Soichiro Ishihara

Paracecal hernia due to membranous adhesion of the omentum to the right paracolic gutter

Paracecal hernias, also known as pericecal hernias, are an exceptionally rare type of internal hernia. We report a unique case of paracecal hernia due to membranous adhesion of the omentum to the right paracol...

Authors: Taro Yokota, Kazuhiro Otani, Junichi Yoshida, Naoki Mochidome, Eiji Miyatake, Chihiro Nakahara, Toshiyuki Ishimitsu and Masao Tanaka

Successful combination strategy of preoperative placement of an endoscopic nasopancreatic drainage catheter and pancreas preservation surgery for pancreatic injury with major pancreatic duct disruption: a case report

The guidelines recommend pancreatic resection for grade III and IV pancreatic injuries. On the other hand, organ preservation is an important issue. Herein, we present the first case of pancreatic injury with ...

Authors: Kenji Kandori, Wataru Ishii and Ryoji Iizuka

A case report of successful management of fulminant Clostridium difficile colitis post-ileostomy reversal with administration of vancomycin through a transverse colostomy

Authors: Keiji Matsuda, Yojiro Hashiguchi, Mitsuo Tsukamoto, Kohei Ohno, Yuka Okada, Takahiro Yagi, Yoshihisa Fukushima, Atsushi Horiuchi, Ryu Shimada, Tsuyoshi Ozawa, Tamuro Hayama, Takeshi Tsuchiya, Junko Tamura, Hisae Iinuma, Keijiro Nozawa, Yuko Sasajima…

A rare anastomosis between the root of common hepatic artery and proper hepatic artery: implications for pancreaticoduodenectomy

Hepatic artery anomalies are often observed, and the variations are wide-ranging. We herein report a case of pancreatic cancer involving the common hepatic artery (CHA) that was successfully treated with pancr...

Authors: Takeshi Morinaga, Katsunori Imai, Keisuke Morita, Kenichiro Yamamoto, Satoshi Ikeshima, Kei Horino, Shinya Shimada and Hideo Baba

Adenocarcinoma of the duodenum arising from Brunner’s gland resected by partial duodenectomy: a case report

Duodenal carcinoma originating in Brunner’s gland is rare. Herein, we report a case of duodenal carcinoma arising from Brunner’s gland in a 63-year-old man.

Authors: Tetsuya Mochizuki, Nobuaki Fujikuni, Koichi Nakadoi, Masahiro Nakahara, Kazuaki Tanabe, Shuji Yonehara and Toshio Noriyuki

Pathological complete response after afatinib treatment of stage IV oligometastatic adenocarcinoma of the lung: the role of pulmonary surgery

Some oligometastatic lung cancer patients, after induction systemic chemotherapy or tyrosine kinases inhibitor treatment, followed by aggressive radical consolidative treatment, have improved overall survival....

Authors: Ping-Chung Tsai, Yi-Chen Yeh, Chien-Sheng Huang and Chao-Hua Chiu

A case of small in situ perihilar cholangiocarcinoma incidentally accompanied by benign bile duct stricture after open cholecystectomy

In situ cholangiocarcinoma is difficult to detect by imaging studies. Thus, cholangiocarcinoma is rarely resected with a preoperative definitive diagnosis, especially nonpapillary flat type in situ carcinoma, ...

Authors: Takashi Maeda, Tomoki Ebata, Yukihiro Yokoyama, Tsuyoshi Igami, Takashi Mizuno, Junpei Yamaguchi, Shunsuke Onoe, Nobuyuki Watanabe and Masato Nagino

Intraductal dissemination of ampullary carcinoma after pancreatoduodenectomy

Clinical evidence of intraductal dissemination through the pancreatic duct has been rare. We herein describe a case of ampullary carcinoma that disseminated in the remnant pancreas through the pancreatic duct.

Authors: Koichi Mohri, Kazuhiro Hiramatsu, Yoshihisa Shibata, Motoi Yoshihara, Taro Aoba, Atsuki Arimoto, Akira Ito and Takehito Kato

A case of portal venous gas after obstructive transverse colon cancer surgery

Portal venous gas has traditionally been considered an inevitable harbinger of death due to its association with bowel necrosis. Recently, an increasing number of cases of portal venous gas have been reported ...

Authors: Yuichiro Furutani, Chikashi Hiranuma, Masakazu Hattori, Kenji Doden and Yasuo Hashizume

Computed tomography-guided thoracoscopic debridement for multiple loculated organizing empyema: a case report

Video-assisted thoracoscopic surgery (VATS) for organizing empyema is challenging because fibrous septa and peel within the cavity are thickened and hardened. Some patients have multiple isolated empyema cavit...

Authors: Masaya Aoki, Tadashi Umehara, Shoichiro Morizono, Yasuhiro Tokuda, Go Kamimura, Takuya Tokunaga, Souichi Suzuki, Aya Harada Takeda, Koki Maeda, Toshiyuki Nagata, Naoya Yokomakura, Kota Kariatsumari, Kazuhiro Ueda and Masami Sato

Transanal total mesorectal excision of giant villous tumor of the lower rectum with McKittrick–Wheelock syndrome: a case report of a novel surgical approach

McKittrick–Wheelock syndrome (MKWS) is caused by a villous tumor of the rectosigmoid colon with hypersecretion of mucus containing electrolytes. Complete resection of the tumor is needed to cure this disease. ...

Authors: Masahiko Fukase, Hiroshi Oshio, Sho Murai, Tomomi Kawana, Yusuke Saito, Emiko Kono, Yukiko Oshima, Gen Yunome, Shin Teshima and Masaaki Ito

Resection of Kommerell’s diverticulum in an infant with prenatal diagnosis of right aortic arch

A right aortic arch is a congenital vascular anomaly that is present in up to 0.1% of pregnancies. The anomaly observed by fetal ultrasonography was recently reported to indicate vascular and chromosomal abnor...

Authors: Kenji Suzuki, Takashi Sasaki, Shinobu Kunugi, Yoshio Shima, Ryuji Fukazawa, Akira Shimizu and Takashi Nitta

Adult-onset primary Ewing’s sarcoma of the right atrium: a case report

Primary cardiac tumors, which are only detected in 0.001–0.03% of autopsies, are rare. Only 25% of primary cardiac tumors are malignant, of which 95% are sarcomas. Ewing’s sarcoma, one of the Ewing’s sarcoma o...

Authors: Jun Ushigusa, Yosuke Mukae, Masanori Takamatsu, Eijiro Nogami, Akira Furutachi, Manabu Itoh, Junji Yunoki and Takahiro Nishida

Fairly rare small-diameter hepatocellular carcinoma with right adrenal gland metastasis having an inferior vena cava tumor thrombus: a case report

Hepatocellular carcinoma (HCC) may lead to extrahepatic metastasis (EHM). Most patients with EHM had either intrahepatic stage III or IVA tumor at the site of metastases. Herein, we present the case of a fairl...

Authors: Takamichi Igarashi, Norifumi Harimoto, Nozomi Matsumura, Masaya Sugiyama, Kenichiro Araki, Takehiko Yokobori, Takashi Kosone, Hitoshi Takagi, Shinichi Aishima, Hideaki Yokoo and Ken Shirabe

Two cases of a perforated duodenal diverticulum after gastrectomy with Roux-en-Y reconstruction

What type of reconstruction procedure should be applied is one of the important issues in surgery for gastric cancer. We have several options for reconstruction procedure after distal gastrectomy. The Billroth...

Authors: Shusuke Yagi, Satoshi Ida, Manabu Ohashi, Koshi Kumagai, Naoki Hiki, Takeshi Sano and Souya Nunobe

Pancreaticoduodenectomy following total occlusion of the superior mesenteric artery: a case report and literature review

Patients with chronic occlusion of the celiac artery and superior mesenteric artery (SMA) are often asymptomatic, and occlusion may be caused by arteriosclerosis or median arcuate ligament compression. Pancrea...

Authors: Reo Ohtsuka, Hodaka Amano, Michiyo Hashimoto and Toshiyasu Iwao

Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair

Esophageal hiatal hernia and gastroesophageal reflux have been recognized as inevitable complications after the definitive gastroschisis operation. Patients with refractory gastroesophageal reflux require anti...

Authors: Ryuichiro Hirose, Satoshi Obata, Manabu Tojigamori, Masatoshi Nakamura, Shohei Taguchi and Toru Arima

Perforation of small intestinal metastasis of lung adenocarcinoma treated with pembrolizumab: a case report

Pembrolizumab is an immune checkpoint inhibitor and is an anti-human programmed cell death-1 (PD-1) monoclonal antibody. Pembrolizumab is used for non-small cell lung carcinoma with high programmed cell death ...

Authors: Shoki Sato, Naoto Senmaru, Keita Ishido, Takahiro Saito, Saseem Poudel, Jun Muto, Yasuhito Syouji, Ryunosuke Hase and Satoshi Hirano

Adenocarcinoma with fetal features invading the right superior sulcus treated with neoadjuvant chemoradiotherapy followed by complete video-assisted thoracoscopic right upper lobectomy: a case report

Fetal adenocarcinoma of the lung is a rare lung neoplasm that accounts for only 0.5% of all primary lung cancers. Because of its rarity, effective treatments for the management of the tumor are poorly understo...

Authors: Kensuke Kojima, Hyungeun Yoon, Tetsuki Sakamoto, Tomoki Utsumi, Teiko Sakurai, Naoko Takeuchi, Maiko Takeda, Takahiko Kasai, Shinji Atagi and Akihide Matsumura

Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report

Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment.

Authors: Shinichi Tanaka, Atsushi Fukuda, Eisuke Kawakubo and Takuya Matsumoto

Obstructive pneumonia owing to migration of a Teflon pledget at 8 years after surgery for a pulmonary carcinoid tumor: a case report

It is uncommon for a bronchial stump-related complication to develop during the remote postoperative period in a case of obstructive pneumonia owing to migration of the suture material. Here, we describe a cas...

Authors: Hikaru Watanabe, Kohei Abe and Naoki Kanauchi

Surgical treatment of isolated right ventricular metastasis from renal cell carcinoma

Cardiac metastasis from renal cell carcinoma is an exceptional event, particularly when there is lack of inferior vena cava involvement. Only a few cases have been reported worldwide so far.

Authors: Shuhei Miura, Akira Yamada, Yutaka Iba, Ryushi Maruyama, Eiichiro Hatta and Yoshihiko Kurimoto

Performing laparoscopic sleeve gastrectomy in an obese patient with systemic lupus erythematosus undergoing long-term steroid therapy: a case report

Systemic lupus erythematosus (SLE), an autoimmune disease characterized by systemic inflammatory lesions, is often associated with obesity. Obesity aggravates symptoms of SLE; however, these symptoms can be im...

Authors: Atsushi Gakuhara, Yasuhiro Miyazaki, Yukinori Kurokawa, Tsuyoshi Takahashi, Makoto Yamasaki, Tomoki Makino, Koji Tanaka, Kiyokazu Nakajima, Masaki Mori and Yuichiro Doki

Robot-assisted low anterior resection after aluminum potassium sulfate and tannic acid sclerosing therapy for internal hemorrhoids

Internal hemorrhoids are the most common anal diseases. Aluminum potassium sulfate and tannic acid (ALTA) injection is a new sclerosing therapy for the treatment of internal hemorrhoids. Although ALTA injectio...

Authors: Yoshiro Itatani, Tomoaki Okada, Kenji Kawada, Koya Hida, Nobu Oshima, Susumu Inamoto, Rei Mizuno, Yoshihisa Okuchi and Yoshiharu Sakai

Cranial-first approach of laparoscopic left colectomy for T4 descending colon cancer invading the Gerota’s fascia

The safety and feasibility of laparoscopic colectomy for T4 colorectal cancer remain controversial. We believe that setting a “Goal” that will guide the surgeons in returning from the deep layer could be the k...

Authors: Atsushi Ogura, Ryutaro Kobayashi, Satoru Kawai, Kenji Takagi, Kiyotaka Kawai, Takashi Maeda, Tsukasa Aritake, Natsuki Nagano and Satoaki Kamiya

Total thymectomy for thymic lymphoepithelioma-like carcinoma—report of two cases

Thymic carcinoma has been classified into 12 subtypes, thymic lymphoepithelioma-like carcinoma (LELC) is a type of them, and has a pathological organization similar to that of lymphoepithelioma, an undifferent...

Authors: Sachi Kawagishi, Naoko Ose, Masato Minami, Soichiro Funaki, Takashi Kanou, Kenji Kimura, Seiji Taniguchi, Eiichi Morii and Yasushi Shintani

A case of primary breast angiosarcoma with multiple discontinuous small lesions

Angiosarcoma of the breast is rare. It carries a poor prognosis because of its high risk of local recurrence and distant metastases. Presently, there are still no established systemic therapies. Thus, the main...

Authors: Asako Sasahara, Masahiko Tanabe, Kanako Hayashi, Takaaki Konishi, Mariko Oya, Kana Sakiyama, Arisa Morizono, Mayumi Harada, Kazutaka Otsuji, Yuko Ishibashi, Ayaka Sato, Yasuko Kikuchi, Takayoshi Niwa, Munetoshi Hinata, Kotoe Nishioka and Yasuyuki Seto

Robot-assisted laparoscopic surgery after placing a self-expanding metallic stent for malignant rectal obstruction: a case report

Approximately 20% of colorectal cancer patients show complete or incomplete bowel obstruction as an early symptom. Preoperative nonsurgical decompression such as placing a self-expanding metallic stent for mal...

Authors: Hiroshi Takeyama, Katsuki Danno, Takahiko Nishigaki, Masafumi Yamashita, Masami Yamazaki, Tsuyoshi Yamakita, Akihiro Nishihara, Hirokazu Taniguchi, Masayo Mizutani, Itsuko Nakamichi, Mamoru Yura, Kimimasa Ikeda and Yoshio Oka

Anasarca, steatorrhea, and hypoalbuminemia 18 years after total gastrectomy: a case report

Pancreatic exocrine insufficiency (PEI) is known to occur after total gastrectomy. We experienced a case of PEI occurring 18 years after surgery, leading to a potentially fatal condition of capillary leak synd...

Authors: Yu Igata, So Okubo, Yu Ohkura, Masaki Ueno and Harushi Udagawa

Life-threatening bleeding with intussusception due to gastrointestinal stromal tumor: a case report

Massive intraluminal bleeding requires urgent intervention and management. However, the source of bleeding on the small intestine is difficult to determine. Intestinal tumor with intussusception is a rare and ...

Authors: Min Sung Kim, In Teak Woo, Young Min Jo, Jin Hyung Lee and Byung Sam Park

Infected femorocele: case report of an extremely rare surgical condition in a middle-aged lady suffering from a painful inguinal swelling

The hydrocele of the femoral hernia sac, an extremely rare occurrence, is termed femorocele. Very few authentically reported cases of femorocele are available in the literature. The present case, diagnosed as ...

Authors: Sabyasachi Bakshi

Successful conservative treatment of spontaneous intrathoracic esophageal perforation using a temporary covered esophageal stent with a check valve: a case report

Spontaneous esophageal perforation is a potentially life-threatening condition with high morbidity and mortality rates. While surgical treatment has been employed for esophageal perforation, we have adopted co...

Authors: Ryu Matsumoto, Ken Sasaki, Itaru Omoto, Masahiro Noda, Yasuto Uchikado, Takaaki Arigami, Yoshiaki Kita, Shinichiro Mori, Kosei Maemura and Shoji Natsugoe

Metachronous rectal metastasis from pulmonary adenocarcinoma after 11 years of chemo-, immuno-, and radiotherapy for recurrent lesions: a case report

Rectal metastasis from pulmonary adenocarcinoma is rare, and it has been regarded as an end-stage phenomenon. Recently, however, advances in lung cancer treatment have improved the chance of long-term survival...

Authors: Yozo Suzuki, Mitsunobu Imasato, Yujiro Nakahara, Atsushi Naito, Manabu Mikamori, Masahisa Ohtsuka, Kenta Furukawa, Jeong Ho Moon, Tadafumi Asaoka, Kentaro Kishi, Hironao Yasuoka, Kiyoshi Komuta and Hiroki Akamatsu

Laparoscopic transhiatal suture closure for spontaneous esophageal rupture: a case report

Spontaneous esophageal rupture is a rare but serious disease with high mortality. Conservative treatment and endoscopic therapy have been reported, but surgical treatment is still a basic modality of therapy. ...

Authors: Shunsuke Hayakawa, Akira Mitsui, Yuko Kato, Shota Morimoto, Kaori Watanabe, Tomonari Shamoto, Takehiro Wakasugi and Yoshiyuki Kuwabara

Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects

The external oblique myocutaneous flap has been previously described for reconstruction of chest-thoracic wall defects smaller than 400–500 cm². However, it is utilized less often than workhorse flaps such as the...

Authors: David Matera, Richard Huynh, Terrance Hanley and Amir B. Behnam