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  1. Foreign body granuloma is a rare surgery-related complication that can masquerade as cancer recurrence during postoperative surveillance. It may therefore deceive clinicians and lead to unnecessary interventio...

    Authors: Shih-Feng Huang, Chia-Ling Chiang and Ming-Hung Lee
    Citation: Surgical Case Reports 2021 7:164
  2. The narrowness of the thoracic inlet is often a problem in retrosternal reconstruction after esophagectomy. We report here three cases in which compression of the gastric conduit behind the sternoclavicular jo...

    Authors: Yasunori Kurahashi, Yudai Hojo, Tatsuro Nakamura, Tsutomu Kumamoto, Yoshinori Ishida and Hisashi Shinohara
    Citation: Surgical Case Reports 2021 7:163
  3. Spontaneous regression of hepatocellular carcinoma (HCC) is a rare event, and its clinicopathological features and underlying mechanism are not fully understood.

    Authors: Toshihisa Kimura, Takanori Goi, Shigehiro Yokoi, Kenji Ohnishi, Tamotsu Togawa, Atsushi Iida, Makoto Ishida and Yasunori Sato
    Citation: Surgical Case Reports 2021 7:162
  4. Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of...

    Authors: Liming Wang, Taku Maejima, Susumu Fukahori, Shoji Nishihara, Daitaro Yoshikawa and Toru Kono
    Citation: Surgical Case Reports 2021 7:161
  5. Gastrointestinal stromal tumor (GIST) is a rare tumor, however, simultaneous development of gastric cancer and gastric GIST has been documented more frequently in recent years. Rupture of gastric GIST is even ...

    Authors: Raisuke Nishiyama, Toshihito Ogasawara, Nana Mamuro, Yutarou Kamei, Misuzu Yamada, Daisuke Furukawa, Toshiyuki Suzuki, Takayuki Nishi and Hideo Shimada
    Citation: Surgical Case Reports 2021 7:160
  6. Myotonic dystrophy (dystrophia myotonica [DM]) is an autosomal-dominant inheritance, and myasthenia gravis (MG) is an autoimmune disease characterized by weakness of skeletal muscles. Cases of both DM and MG a...

    Authors: Michiyo Miyawaki, Mika Jikumaru, Kosuke Kamada, Noda Daiki, Miyuki Abe, Kentaro Anami, Hideya Takeuchi, Atsushi Osoegawa, Sintaro Iwao, Etsuro Matsubara and Kenji Sugio
    Citation: Surgical Case Reports 2021 7:159
  7. Currently, there is an unwavering consensus that the standard surgery for congenital biliary dilation (CBD) is extrahepatic bile duct resection and choledochojejunostomy. However, decades prior, choledochocyst...

    Authors: Shunryo Minezaki, Takeyuki Misawa, Makoto Watanabe, Hideki Takahashi, Takashi Koenuma, Rie Kondo, Hiroe Toyoda, Kentaro Nemoto, Hiroyuki Tsukayama, Makoto Shibuya, Keita Wada, Keiji Sano, Yasunori Ohta, Satoe Numakura, Yuko Sasajima and Hiroshi Uozaki
    Citation: Surgical Case Reports 2021 7:157
  8. Contrary to the increasing incidence of gastroenteropancreatic neuroendocrine tumors (GEP-NETs), GEP-NETs of the accessory papilla of the duodenum are extremely rare. Furthermore, there have been no recommenda...

    Authors: Kosei Takagi, Yuzo Umeda, Ryuichi Yoshida, Kazuhiro Yoshida, Kazuya Yasui, Hiroki Sato, Takahito Yagi and Toshiyoshi Fujiwara
    Citation: Surgical Case Reports 2021 7:156
  9. Pancreatic serous cystic neoplasm (SCN) is an uncommon exocrine neoplasm, which is believed to be a benign entity. However, some of these neoplasms may occasionally attain metastatic ability. Von Hippel–Lindau...

    Authors: Takashi Kokumai, Masamichi Mizuma, Katsuya Hirose, Hideaki Karasawa, Masaharu Ishida, Hideo Ohtsuka, Kei Nakagawa, Takanori Morikawa, Takashi Kamei, Atsushi Masamune, Toru Furukawa and Michiaki Unno
    Citation: Surgical Case Reports 2021 7:155
  10. Metastatic breast tumors from extramammary malignancies are quite rare. Characteristics of such tumors are unclear due to small number of reported cases. During 2012–2019, approximately 3,500 malignant breast ...

    Authors: Ryoko Semba, Yoshiya Horimoto, Atsushi Arakawa and Mitsue Saito
    Citation: Surgical Case Reports 2021 7:154
  11. Cap polyposis (CP) is extremely rare in Japan, and there is no established cure. We report a case in which CP was improved by surgical treatment.

    Authors: Tomohiro Minagawa, Hiroki Ikeuchi, Kurando Kusunoki, Ryuichi Kuwahara, Yuki Horio, Takako Kihara, Seiichi Hirota and Motoi Uchino
    Citation: Surgical Case Reports 2021 7:153
  12. Colorectal cancer (CRC) is the most malignant complication in patients with Crohn’s disease (CD). We report 6 cases of CD-related CRC treated surgically at our hospital.

    Authors: Kazuhide Ishimaru, Tetsuro Tominaga, Takashi Nonaka, Akiko Fukuda, Masaaki Moriyama, Shosaburo Oyama, Mitsutoshi Ishii, Terumitu Sawai and Takeshi Nagayasu
    Citation: Surgical Case Reports 2021 7:152
  13. Ipsilateral recurrent laryngeal nerve paralysis is one of the rare complications during the superior mediastinal node dissection for lung cancer. However, very few reports of contralateral recurrent laryngeal ...

    Authors: Yasuyuki Nakamura, Yuma Shindo, Wataru Arai, Kodai Tsuruta, Ryunosuke Maki, Masahiro Miyajima and Atsushi Watanabe
    Citation: Surgical Case Reports 2021 7:151
  14. Breast cancer patients are known to develop brain metastasis at a relatively high frequency. However, imaging findings of brain metastases vary, and it is sometimes very difficult to distinguish these from oth...

    Authors: Toshitaka Uomori, Yoshiya Horimoto, Masashi Takanashi, Ayana Shikanai, Katsuya Nakai, Astushi Arakawa and Mitsue Saito
    Citation: Surgical Case Reports 2021 7:150
  15. Acute mediastinitis is a rare disease that rapidly progresses with a high mortality rate. Its most common cause is direct injury of the mediastinum, including iatrogenic causes such as cardiac surgery or upper...

    Authors: Yoko Zaitsu, Takashi Nishizaki, Takuma Izumi, Daisuke Taniguchi, Yuichiro Kajiwara, Yumi Oshiro and Kazuhito Minami
    Citation: Surgical Case Reports 2021 7:149
  16. Shotgun injuries are a relatively uncommon type of trauma, and therefore may present a challenge in management for trauma surgeons. This is particularly true in the case of surgeons unfamiliar with the unique ...

    Authors: J. Alford Flippin, Sami Kishawi, Hannah Braunstein and Alaina M. Lasinski
    Citation: Surgical Case Reports 2021 7:148
  17. Leiomyosarcoma is a rare tumor that could originate from the gastrointestinal tract, uterus, kidney, retroperitoneum, and the soft tissues of the extremities. It accounts for only 1% of all gastrointestinal me...

    Authors: Toru Takagi, Shin Saito, Shinichiro Yokota, Yuki Kaneko, Kazuya Takahashi, Rihito Kanamaru, Kentaro Kurashina, Yoshinori Hosoya, Joji Kitayama, Hirotoshi Kawata, Hiroyuki Osawa and Naohiro Sata
    Citation: Surgical Case Reports 2021 7:146
  18. Advanced hepatocellular carcinoma (HCC) can often spread as intrahepatic metastases. Extrahepatic metastasis (e.g., lung, lymph nodes, and bones) is rare, and gallbladder metastasis from HCC is extremely rare.

    Authors: Takaaki Hanazawa, Yasuyuki Fukami, Takaaki Osawa, Shintaro Kurahashi, Tatsuki Matsumura, Takuya Saito, Shunichiro Komatsu, Kenitiro Kaneko, Toyonori Tsuzuki and Tsuyoshi Sano
    Citation: Surgical Case Reports 2021 7:145
  19. We describe herein an extremely rare case of intracardiac ectopic thymoma—only two pure cases have been reported to date—associated with myasthenia gravis, an infrequent complication of ectopic thymoma.

    Authors: Satoshi Takebayashi, Yasuji Yoshikawa, Masato Morita, Ryotaro Nagashima, Yuichi Nakazono and Shinji Miyamoto
    Citation: Surgical Case Reports 2021 7:144
  20. Accessory liver lobe (ALL) is a rare liver malformation. An ALL develops due to malformation of the endodermal caudal foregut and segmentation of the hepatic bud in the third week of gestation. Most ALLs are a...

    Authors: Ayaka Nagano, Shun Onishi, Chihiro Kedoin, Mayu Matsui, Masakazu Murakami, Koshiro Sugita, Keisuke Yano, Toshio Harumatsu, Koji Yamada, Waka Yamada, Makoto Matsukubo, Mitsuru Muto, Tatsuru Kaji and Satoshi Ieiri
    Citation: Surgical Case Reports 2021 7:143
  21. Idiopathic free-floating thrombus (FFT) of the aorta is a rare occurrence, but it can lead to catastrophic consequences. The initial symptoms are typically cerebral or peripheral embolisms. Surgical thrombecto...

    Authors: Naohiko Oki, Yoshito Inoue and Sohsyu Kotani
    Citation: Surgical Case Reports 2021 7:141
  22. Median arcuate ligament syndrome (MALS), which results from compression of the median arcuate ligament (MAL), is a rare cause of abdominal pain and weight loss. Treatment is dissection of the MAL; however, the...

    Authors: Hiroshi Saito, Koichiro Sawada, Jyunichi Ogawa, Masashi Hashimoto, Masahiro Oshima, Masahiro Hada, Yosuke Kato, Kaeko Oyama, Masanori Kotake and Takuo Hara
    Citation: Surgical Case Reports 2021 7:140
  23. Simultaneous pancreas and kidney transplantation (SPK) is a treatment option for patients with end-stage renal disease due to type 1 diabetes mellitus. We report a patient with a refractory fistula due to leak...

    Authors: Chisato Shirakawa, Masaaki Watanabe, Tsuyoshi Shimamura, Yasuyuki Koshizuka, Norio Kawamura, Ryoichi Goto, Takeshi Soyama, Daiki Iwami, Kiyohiko Hotta, Akinobu Taketomi and Daisuke Abo
    Citation: Surgical Case Reports 2021 7:139
  24. Definitive chemoradiotherapy (dCRT) is the first choice treatment for patients with locally advanced non-small cell lung cancer (NSCLC), but up to 35% of dCRT-treated tumors may have persistent or recurrent di...

    Authors: Hsuan-Hsuan Yu, Yi-Wei Chen, Yi-Chen Yeh, Chien-Sheng Huang and Chao-Hua Chiu
    Citation: Surgical Case Reports 2021 7:138
  25. Clostridioides (Clostridium) difficile infection (CDI) has become an increasingly significant disease not only as healthcare-associated infection, but also as community-acquired (CA) infection worldwide. CDI caus...

    Authors: Masayuki Hiraki, Rei Suzuki, Nobuo Tanaka, Hiroki Fukunaga, Yoshinori Kinoshita, Hayato Kimura, Shusaku Tsutsui, Masaru Murata and Shunji Morita
    Citation: Surgical Case Reports 2021 7:137
  26. In living donor liver transplantation (LDLT) for patients with Budd‒Chiari syndrome (BCS), there are several concerns about reconstruction of the inferior vena cava (IVC) and hepatic veins. Herein, we report t...

    Authors: Norikazu Une, Kazuaki Tokodai, Norifumi Kanai, Yoshikatsu Saitoh, Mineto Ohta, Kengo Sasaki, Koji Miyazawa, Toshiaki Kashiwadate, Atsushi Fujio, Wataru Nakanishi, Shigehito Miyagi, Michiaki Unno and Takashi Kamei
    Citation: Surgical Case Reports 2021 7:136
  27. The strategy for treating obstructive colon cancers with metastatic lesions remains unclear. Herein, we report a case of laparoscopic ileo-transverse colon bypass (LITB) before preoperative chemotherapy for an...

    Authors: Shunsuke Tabe, Toru Tonooka, Isamu Hoshino, Nobuhiro Takiguchi, Hiroaki Soda, Hisashi Gunji, Yoshihiro Nabeya and Masayuki Ohtsuka
    Citation: Surgical Case Reports 2021 7:135
  28. Probiotics have been reported to be beneficial for the prevention of postoperative complications and are often used during the perioperative period. Among the probiotic-related adverse events, bacteremia is ra...

    Authors: Mitsuhiro Shimura, Masamichi Mizuma, Kei Nakagawa, Shuichi Aoki, Takayuki Miura, Tatsuyuki Takadate, Kyohei Ariake, Shimpei Maeda, Kei Kawaguchi, Kunihiro Masuda, Masaharu Ishida, Hideo Ohtsuka, Takanori Morikawa, Takashi Kamei and Michiaki Unno
    Citation: Surgical Case Reports 2021 7:133
  29. Radiofrequency ablation (RFA) is widely used as a minimally invasive treatment for hepatocellular carcinoma (HCC). RFA has a low risk of complications, especially compared with liver resection. Nevertheless, v...

    Authors: Atsushi Morito, Shigeki Nakagawa, Katsunori Imai, Norio Uemura, Hirohisa Okabe, Hiromitsu Hayashi, Yo-ichi Yamashita, Akira Chikamoto and Hideo Baba
    Citation: Surgical Case Reports 2021 7:130
  30. Video-assisted thoracoscopic surgery (VATS) is being used to treat esophageal submucosal tumors (SMTs) all over the world. However, this technique is difficult when the tumor is large and located on the left s...

    Authors: Kohei Kemuriyama, Satoru Motoyama, Yusuke Sato, Akiyuki Wakita, Yushi Nagaki, Hiromu Fujita, Ryohei Sasamori, Kazuhiro Imai, Masaki Aokawa and Yoshihiro Minamiya
    Citation: Surgical Case Reports 2021 7:129
  31. Several reports have documented that the pulmonary sequestration is in communication with the gastrointestinal tract and the concept of bronchopulmonary foregut malformation (BPFM) has become more widespread. ...

    Authors: Noboru Oyachi, Fuminori Numano, Keiichi Koizumi, Tamao Shinohara and Hirochika Matsubara
    Citation: Surgical Case Reports 2021 7:128
  32. Solitary fibrous tumor (SFT) is a relatively rare mesenchymal tumor that mainly affects adults. Its prognosis is good after curative resection, but distant recurrences after 10 years or longer have been report...

    Authors: Kozue Matsuishi, Kojiro Eto, Atsushi Morito, Hirokazu Hamasaki, Keisuke Morita, Satoshi Ikeshima, Kei Horino, Shinya Shimada and Hideo Baba
    Citation: Surgical Case Reports 2021 7:127
  33. Traumatic esophageal injury leads to severe complications such as mediastinitis, pyothorax, and tracheoesophageal fistula. Although prompt diagnosis and treatment are required, there are no established protoco...

    Authors: Masaki Honda, Toshiro Tanioka, Shigeo Haruki, Yuko Kamata, Hiromasa Hoshi, Kyoko Ryu, Kenta Yagi, Kodai Ueno, Satoshi Matsui, Yoshiteru Ohata, Fumi Hasegawa, Akio Kaito, Kaida Arita, Koji Ito and Noriaki Takiguchi
    Citation: Surgical Case Reports 2021 7:126
  34. Port site metastasis (PSM) after curative gastrectomy for gastric cancer and muscular metastasis from gastric cancer are rare manifestations. Similarly, subcutaneous metastasis from gastric cancer is rare, and...

    Authors: Yasuhiro Fukui, Naoshi Kubo, Katsunobu Sakurai, Yutaka Tamamori, Kiyoshi Maeda and Masaichi Ohira
    Citation: Surgical Case Reports 2021 7:124
  35. Apart from Kasai’s procedure, liver transplantation (LTx) has dramatically improved the outcome of children with biliary atresia (BA). However, de novo malignancy has been reported to be one of the major cause...

    Authors: Naruki Higashidate, Suguru Fukahori, Shinji Ishii, Nobuyuki Saikusa, Naoki Hashizume, Yoshinori Koga, Daisuke Masui, Saki Sakamoto, Shiori Tsuruhisa, Hirotomo Nakahara, Yoshiaki Tanaka, Masaru Fukahori, Keisuke Miwa, Yoshiki Naito and Minoru Yagi
    Citation: Surgical Case Reports 2021 7:123
  36. The improved prognosis of Crohn’s disease may increase the opportunities of surgical treatment for patients with Crohn’s disease and the risk of development of colorectal cancer. We herein describe a patient w...

    Authors: Shin Emoto, Shigenori Homma, Tadashi Yoshida, Nobuki Ichikawa, Yoichi Miyaoka, Hiroki Matsui, Ryo Takahashi, Keita Ishido, Takuya Otsuka, Tomoko Mitsuhashi, Takehiko Katsurada and Akinobu Taketomi
    Citation: Surgical Case Reports 2021 7:122
  37. Left atrial dissection is a rare complication of cardiac surgery, most commonly associated with mitral valve surgery. Herein, we report on the successful conservative treatment of left atrial dissection while ...

    Authors: Kentaro Kiryu, Takayuki Kadohama, Yoshinori Itagaki, Gembu Yamaura, Fuminobu Tanaka, Daichi Takagi, Takuya Wada, Itaru Igarashi, YuYa Yamazaki and Hiroshi Yamamoto
    Citation: Surgical Case Reports 2021 7:120
  38. Non-functioning parathyroid carcinoma is an extremely rare malignancy among endocrine tumors. We report a case in which non-functional oxyphilic parathyroid carcinoma was diagnosed from clinical symptoms and p...

    Authors: Masaomi Sen, Ryuta Nagaoka, Hiroko Kazusaka, Mami Matsui, Marie Saitou, Iwao Sugitani, Takashi Sakatani and Kaori Kameyama
    Citation: Surgical Case Reports 2021 7:119
  39. Invasive aspergillosis (IA) is one of the most serious causes of death after liver transplantation (LT). IA is the second most common fungal infection, and its mortality rate exceeds 80%.

    Authors: Takahiro Tomiyama, Takashi Motomura, Norifumi Iseda, Akinari Morinaga, Tomonari Shimagaki, Takeshi Kurihara, Huanlin Wang, Takeo Toshima, Yoshihiro Nagao, Shinji Itoh, Noboru Harada, Tomoharu Yoshizumi and Masaki Mori
    Citation: Surgical Case Reports 2021 7:118
  40. Ectopic decidua is the presence of decidual tissue outside the uterus. Ectopic decidua of the appendix is a rare entity that can present with abdominal symptoms mimicking appendicitis. We report a case of a 39...

    Authors: Manabu Kaneko, Hiroaki Nozawa, Hirofumi Rokutan, Koji Murono, Tetsuo Ushiku and Soichiro Ishihara
    Citation: Surgical Case Reports 2021 7:117
  41. A bronchial fistula is a relatively rare and potentially fatal complication after lung transplantation. Thoracic surgeons and pulmonologists often face challenges when selecting treatment options. We herein re...

    Authors: Yuya Nobori, Masaaki Sato, Yasutaka Hirata, Haruo Yamauchi, Chihiro Konoeda, Kentaro Kitano and Jun Nakajima
    Citation: Surgical Case Reports 2021 7:116
  42. The Fontan procedure (FP) is a palliative surgery for functional single ventricle. The Fontan circulation maintains pulmonary circulation by a high central venous pressure, leading to chronic congestive liver....

    Authors: Miku Iwata, Katsunori Sakamoto, Chihiro Ito, Akimasa Sakamoto, Mio Uraoka, Tomoyuki Nagaoka, Kei Tamura, Naotake Funamizu, Akihiro Takai, Kohei Ogawa and Yasutsugu Takada
    Citation: Surgical Case Reports 2021 7:115

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