Articles

A long-term survivor of recurrent esophagogastric junction adenocarcinoma treated with multidisciplinary therapy: a case report

Patients with esophagogastric junction cancer are increasing in Western and Eastern countries. Conversely, the clinical significance of surgical resection remains controversial in these patients. We report a l...

Authors: Takako Tanaka, Takaaki Arigami, Yoshikazu Uenosono, Shigehiro Yanagita, Daisuke Matsushita, Keishi Okubo, Takashi Kijima, Yasuto Uchikado, Yoshiaki Kita, Shinichiro Mori, Ken Sasaki, Itaru Omoto, Hiroshi Kurahara, Kosei Maemura, Sumiya Ishigami and Shoji Natsugoe

A case of esophagojejunal varices rupture after proximal gastrectomy with double-tract reconstruction

The varices after proximal or total gastrectomy are uncommon because the supplying vessels are all divided. Emergent upper gastrointestinal endoscopy is the cornerstone of first-line management for the diagnos...

Authors: Naoki Shinno, Ryohei Kawabata, Haruna Furukawa, Seiichi Goda, Toshinori Sueda, Tae Matsumura, Chikato Koga, Shingo Noura, Junzo Shimizu, Atsuya Okada and Junichi Hasegawa

Massive hiatal hernia involving prolapse of the entire stomach and pancreas resulting in pancreatitis and bile duct dilatation: a case report

Hiatal hernia is defined by the permanent or intermittent prolapse of any abdominal structure into the chest through the diaphragmatic esophageal hiatus. Prolapse of the stomach, intestine, transverse colon, a...

Authors: Hidenori Tomida, Masahiro Hayashi and Shinichi Hashimoto

Synchronous NET and colorectal cancer development: a case report

The incidence of synchronous gastrointestinal neuroendocrine tumors (GI-NETs) and colorectal cancer is very low.

Authors: Shinsei Yumoto, Yuji Miyamoto, Takahiko Akiyama, Yuki Kiyozumi, Kojiro Eto, Yukiharu Hiyoshi, Yohei Nagai, Masaaki Iwatsuki, Yoshifumi Baba, Shiro Iwagami, Naoya Yoshida and Hideo Baba

A case of ileus surgery using the water pressure method against ileus caused by incarceration into the inverted bladder diverticulum

Ileus is quite a common disease, but is associated with various causes. As far as we know, there have only been one case of ileus due to inverted bladder diverticulum, which is extremely rare.

Authors: Hirotsugu Morioka, Jun Aoki, Kazuyoshi Fujino, Yuki Sugahara, Michihiro Orihata, Michitoshi Goto, Shigeru Kobayashi and Yu Okazawa

Development of transomental hernia shortly after laparoscopic colonic surgery: a case report

A transomental hernia is defined as bowel invagination into an abnormal hiatus of the omentum. It is a rare type of internal hernia that is sometimes lethal. We herein report a case of a transomental hernia de...

Authors: Takahiro Haruna, Akihisa Matsuda, Michihiro Koizumi, Takeshi Yamada, Seiichi Shinji, Yasuyuki Yokoyama, Goro Takahashi, Masahiro Hotta, Takuma Iwai, Keisuke Hara, Kohki Takeda and Hiroshi Yoshida

Partial portal vein arterialization during living-donor liver transplantation: a case report

Hepatic artery thrombosis can lead to graft loss associated with severe hepatic infarction or bile duct ischemia. When anatomical hepatic artery reconstruction is impossible in liver transplantation or hepato-...

Authors: Yasuhiro Maruya, Masaaki Hidaka, Florian Pecquenard, Alzhan Baubekov, Yuki Nunoshita, Shinichiro Ono, Tomohiko Adachi, Mitsuhisa Takatsuki, Katsumi Tanaka, Shinichiro Ito, Kengo Kanetaka and Susumu Eguchi

Torsion of vermiform appendix: case report and review of the literature

Torsion of the vermiform appendix is a rare disease with symptoms very similar to those of acute appendicitis. We herein report a case of torsion of the vermiform appendix diagnosed by intraoperative findings.

Authors: Kosuke Endo, Masahito Sato, Kenichi Saga, Atsushi Higashio, Yoshiaki Yuba and Yoshiki Morotomi

Mixed adenoneuroendocrine carcinoma with loss of HER2 positivity after trastuzumab-based chemotherapy for HER2-positive gastric cancer: a case report

Trastuzumab (T-mab)-based chemotherapy is a standard regimen for human epithelial growth factor 2 (HER2)-positive gastric cancer. However, some patients have demonstrated a change in HER2 status after T-mab-ba...

Authors: Hiromi Nagata, Hironori Tsujimoto, Yoshihisa Yaguchi, Keita Kouzu, Yujiro Itazaki, Yusuke Ishibashi, Satoshi Tsuchiya, Takao Sugihara, Nozomi Ito, Manabu Harada, Shinsuke Nomura, Yoshitaka Utsumi, Hideyuki Shimazaki, Yoji Kishi and Hideki Ueno

Congenital hyperinsulinism associated with Hirschsprung’s disease—a report of an extremely rare case

Congenital hyperinsulinism (CH) is a rare disease, characterized by severe hypoglycemia induced by inappropriate insulin secretion from pancreatic beta-cells in neonate and infant. Hirschsprung’s disease (HD) ...

Authors: Takeshi Shono, Kumiko Shono, Yoshiko Hashimoto, Shohei Taguchi, Masanori Masuda, Kastumi Muramori and Tomoaki Taguchi

Spontaneous pneumoperitoneum with duodenal diverticulosis in an elderly patient: a case report

Pneumoperitoneum commonly occurs as a result of a viscus perforation and usually presents with peritoneal signs requiring emergent laparotomy. Spontaneous pneumoperitoneum is a rare condition characterized by ...

Authors: Takeshi Ueda, Tetsuya Tanaka, Takashi Yokoyama, Tomomi Sadamitsu, Suzuka Harada and Atsushi Yoshimura

Isolated myeloid sarcoma presenting with small bowel obstruction: a case report

Myeloid sarcoma (MS) is a solid tumor consisting of myeloid blasts or immature myeloid cells, which are unusual outside the bone marrow.

Authors: Rie Mizumoto, Masanori Tsujie, Tomoko Wakasa, Kotaro Kitani, Hironobu Manabe, Shuichi Fukuda, Kaoru Okada, Shumpei Satoi, Hajime Ishikawa, Toshihiko Kawasaki, Hitoshi Hanamoto, Masao Yukawa and Masatoshi Inoue

Laceration of the transverse mesocolon in an old man with a habit of abdominal massage for constipation: a case report

Abdominal massage for the resolution of constipation has been reported to be safe and recommended in some studies. It is conventionally performed for the elderly suffering from intractable constipation. Meanti...

Authors: Shusuke Mori, Tomohiko Ai and Yasuhiro Otomo

Small bowel adenocarcinoma incarcerated within an inguinal hernia

Small bowel adenocarcinomas are rare malignant tumors that account for less than 2% of gastrointestinal malignancies. In addition, tumor incarceration in an inguinal hernia is also rare entity. We herein repor...

Authors: Hironari Kawai, Koichiro Haruki, Naoki Takada, Toshio Iino, Masahiro Ikegami and Katsuhiko Yanaga

Effect of drug-coated balloons in treatment of stenosis of the femoral artery and vein bypass graft not responding to plain old balloon angioplasty: a case report

The use of drug-coated balloons (DCBs) with anti-proliferative agents in treating femoropopliteal lesions was approved in Japan in 2017. A better limb salvage rate or amputation-free rate of DCBs relative to p...

Authors: Sohei Matsuura, Kota Yamamoto, Takafumi Akai, Toshihiko Isaji, Toshio Takayama and Katsuyuki Hoshina

Successful treatment of hepatic lymphorrhea by percutaneous transhepatic lymphangiography followed by sclerotherapy using OK-432

Conventional lymphangiography cannot detect leakage sites of hepatic lymphatic vessels. Percutaneous transhepatic lymphangiography can be used to visualize leakage sites, and once the leakage site has been con...

Authors: Masayuki Kojima, Masanori Inoue, Seiichiro Yamamoto, Toshio Kanai, Seishi Nakatsuka and Motohito Nakagawa

The importance of simulation education for the management of traumatic cardiac injuries: a case series

The management of cardiac trauma requires rapid intervention in the emergency room, facilitated by a surgeon with prior experience to have good outcomes. Many surgeons have little experience in the requisite p...

Authors: Takashi Nagata, Tomohiko Akahoshi, Michiko Sugino, Wataru Ishii, Ryoji Iizuka, Takafumi Shinjo, Yoshimitsu Izawa, Michiaki Hata and Alan Kawarai Lefor

Emergent laparoscopic dome resection and omental suturing to the splenic parenchymal edge for a spontaneously ruptured non-parasitic large splenic cyst in a pediatric patient: a case report

Spontaneously ruptured large splenic cyst is a rare in children, and traditionally total or partial splenectomy has been performed for treating an emergent case. We herein present a first case with spontaneous...

Authors: Kumiko Shono, Yoshiko Hashimoto and Takeshi Shono

Two extremely rare cases of extrapleural hematoma

Extrapleural hematoma is uncommon. However, according to the size of hematoma and/or the progression of anemia, surgical treatment to control bleeding might be necessary because a huge hematoma can cause venti...

Authors: Soichi Oka, Kenji Ono, Kenta Kajiyama and Katsuma Yoshimatsu

Congenital perianal lipoma: a case report and review of the literature

The surgical strategy for congenital perineal lipoma varies depending on the size, location, and accompanying congenital anomalies, with the optimum approach remaining to be determined. We herein report a case...

Authors: Yudai Goto, Kazuaki Takiguchi, Hirofumi Shimizu, Hayato Go and Hideaki Tanaka

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