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  1. Arteriovenous malformations (AVM) developed in the small intestine are rare, and it is sometimes difficult to identify and treat bleeding from small intestinal AVMs endoscopically because of their localization...

    Authors: Makiko So, Yoshiro Itatani, Kazutaka Obama, Shigeru Tsunoda, Shigeo Hisamori, Kyoichi Hashimoto and Yoshiharu Sakai
    Citation: Surgical Case Reports 2018 4:78
  2. Epithelioid sarcoma (ES) is a rare variant of soft tissue sarcoma. The proximal type of ES occurs in various locations. We present a resected case with proximal-type ES that occurred in the chest wall and disc...

    Authors: Teiko Sakurai, Hidenori Kusumoto, Tomoko Wakasa, Yoshio Ohta, Eiichi Konishi and Hiroyuki Shiono
    Citation: Surgical Case Reports 2018 4:77
  3. Radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC) is already fully established worldwide. Needle tract implantation and peritoneal seeding occasionally occur by RFA, and the prognosis of these c...

    Authors: Masashi Nakamura, Shinya Hayami, Masaki Ueno, Manabu Kawai, Atsushi Miyamoto, Norihiko Suzaki, Seiko Hirono, Ken-ichi Okada, Motoki Miyazawa, Yuji Kitahata and Hiroki Yamaue
    Citation: Surgical Case Reports 2018 4:76
  4. Nonoperative management (NOM) has been established as the standard treatment for isolated blunt organ injury in hemodynamically stable pediatric patients. Although delayed splenic rupture or bleeding is a rare...

    Authors: Toko Shinkai, Kentaro Ono, Kouji Masumoto, Yasuhisa Urita and Chikashi Gotoh
    Citation: Surgical Case Reports 2018 4:75
  5. Pulmonary epithelial-myoepithelial carcinoma (P-EMC) is a rare subset of salivary gland-type tumors of the lung. Because of its rarity and unproven malignant potential, the optimal therapy for P-EMC has not be...

    Authors: Yasuhiro Nakashima, Riichiro Morita, Akiko Ui, Kuniko Iihara and Takuya Yazawa
    Citation: Surgical Case Reports 2018 4:74
  6. Breast cancer frequently metastasizes to the bone, lung, and liver. However, metastasis to the bladder is uncommon. Bladder metastasis due to direct infiltration from peripheral organs, such as the colon and r...

    Authors: Kimiyasu Yoneyama, Motohito Nakagawa and Asuka Hara
    Citation: Surgical Case Reports 2018 4:73
  7. Post-transplant lymphoproliferative disorder (PTLD) is a life-threatening complication that can be difficult to treat; moreover, determination of the pathophysiological type is difficult. We report a rare case...

    Authors: Hiroyuki Kumata, Chikashi Nakanishi, Keigo Murakami, Shigehito Miyagi, Noriko Fukuhara, Joaquim Carreras, Naoya Nakamura, Ryo Ichinohasama, Michiaki Unno, Takashi Kamei and Hironobu Sasano
    Citation: Surgical Case Reports 2018 4:72
  8. Although a recent randomized clinical trial has demonstrated that the objective response rate to nivolumab for metastatic gastric cancer was 11.2%, there was no patients confirmed complete response. Herein, we...

    Authors: Tsutomu Namikawa, Nobuko Ishida, Sachi Tsuda, Kazune Fujisawa, Eri Munekage, Jun Iwabu, Masaya Munekage, Sunao Uemura, Shigehiro Tsujii, Hiromichi Maeda, Hiroyuki Kitagawa, Michiya Kobayashi and Kazuhiro Hanazaki
    Citation: Surgical Case Reports 2018 4:71
  9. Cap polyposis is a rare gastrointestinal disease with endoscopically and pathologically distinctive features. Its exact etiology has not been fully elucidated. In a few cases, there was recurrence after inadeq...

    Authors: Koichi Tamura, Kenji Matsuda, Shozo Yokoyama, Hiromitsu Iwamoto, Yuki Mizumoto, Yuki Nakamura, Daisuke Murakami and Hiroki Yamaue
    Citation: Surgical Case Reports 2018 4:69
  10. Safety is of vital importance for lung resection. The dissection of pulmonary vessels is associated with vascular injury and bleeding, and identification of the vessels is necessary. The most common abnormal b...

    Authors: Yasushi Mizukami, Nobuhito Ueda and Hirofumi Adachi
    Citation: Surgical Case Reports 2018 4:68
  11. Horseshoe kidney is a congenital malformation in which the bilateral kidneys are fused. It is frequently complicated by other congenital malformations and is often accompanied by anomalies of the ureteropelvic...

    Authors: Naoki Kubo, Norihiko Furusawa, Shinichiro Imai and Masaru Terada
    Citation: Surgical Case Reports 2018 4:66
  12. Secondary small bowel volvulus is a rare condition caused by adhesions after laparotomy or tumors. There are no clear guidelines for indication of laparoscopic surgery.

    Authors: Koichi Inukai, Hidehiko Kitagami, Shuhei Uehara, Hirotaka Miyai, Nobuhiro Takashima, Minoru Yamamoto, Kenji Kobayashi, Moritsugu Tanaka and Tetsushi Hayakawa
    Citation: Surgical Case Reports 2018 4:65
  13. Surgeons sometimes must plan pancreatoduodenectomy (PD) for patients with a variant common hepatic artery (CHA) branching from the superior mesenteric artery (SMA) penetrating the pancreatic parenchyma, known ...

    Authors: Takashi Miyata, Yusuke Yamamoto, Teiichi Sugiura, Yukiyasu Okamura, Takaaki Ito, Ryo Ashida, Sunao Uemura, Yoshiyasu Kato, Katsuhisa Ohgi, Atsushi Kohga, Tsuneyuki Uchida, Shusei Sano and Katsuhiko Uesaka
    Citation: Surgical Case Reports 2018 4:64
  14. Anal gland carcinoma with perianal Paget’s disease is rare, and anal gland carcinoma in situ is extremely rare. No cases of anal gland carcinoma in situ with pagetoid spread have been previously reported.

    Authors: Kohei Ishioka, Fumikazu Koyama, Hiroyuki Kuge, Takashi Inoue, Shinsaku Obara, Takayuki Nakamoto, Yoshiyuki Sasaki, Yasuyuki Nakamura, Maiko Takeda, Chiho Ohbayashi, Masamitsu Kuwahara and Masayuki Sho
    Citation: Surgical Case Reports 2018 4:63
  15. In patients with esophageal cancer, differentiation between lymph node metastasis and lymphadenopathies from sarcoidosis or sarcoid-like reactions of lymph nodes is clinically important. Herein, we report two ...

    Authors: Takayoshi Kishino, Keiichi Okano, Yasuhisa Ando, Hironobu Suto, Eisuke Asano, Minoru Oshima, Masao Fujiwara, Hisashi Usuki, Hideki Kobara, Tsutomu Masaki, Emi Ibuki, Yoshio Kushida, Reiji Haba and Yasuyuki Suzuki
    Citation: Surgical Case Reports 2018 4:62
  16. Bile leakage after hepatectomy still causes relatively serious problems, and some types of bile leakage are intractable.

    Authors: Norio Kubo, Norifumi Harimoto, Kei Shibuya, Norihiro Ishii, Mariko Tsukagoshi, Takamichi Igarashi, Akira Watanabe, Kenichiro Araki, Masaya Miyazaki, Hiroyuki Kuwano and Ken Shirabe
    Citation: Surgical Case Reports 2018 4:61
  17. Hepatic sclerosing hemangioma, a very rare benign tumor, is characterized by fibrosis and hyalinization occurring in association with degeneration of a hepatic cavernous hemangioma. Such atypical hemangiomas c...

    Authors: Kyohei Yugawa, Tomoharu Yoshizumi, Noboru Harada, Takashi Motomura, Norifumi Harimoto, Shinji Itoh, Toru Ikegami, Yuji Soejima and Yoshihiko Maehara
    Citation: Surgical Case Reports 2018 4:60
  18. Appendiceal metastasis from lung cancer is rare. However, it often causes acute appendicitis that requires emergency surgery. We herein report a thought-provoking case of appendiceal metastasis from lung cancer.

    Authors: Yusuke Kimura, Takafumi Machimoto, Daiki Yasukawa, Yuki Aisu and Tomohide Hori
    Citation: Surgical Case Reports 2018 4:59
  19. The oncological effectiveness of preoperative radiotherapy for locally advanced colon cancer is unclear. We report a case of pathological complete response in a patient with locally advanced ascending colon ca...

    Authors: Sho Sekiya, Kiyotaka Imamura, Shintaro Takeuchi, Koichi Teramura, Yusuke Watanabe, Eiji Tamoto, Minoru Takada, Yoshihiro Kinoshita, Yoshiyasu Anbo, Fumitaka Nakamura, Nobuichi Kashimura, Hiroko Noguchi, Katsutoshi Miura and Satoshi Hirano
    Citation: Surgical Case Reports 2018 4:58
  20. Few cases of postoperative arterioportal fistula (APF) have been documented. APF after hepatectomy is a very rare surgery-related complication.

    Authors: Yusuke Kimura, Tomohide Hori, Takafumi Machimoto, Tatsuo Ito, Toshiyuki Hata, Yoshio Kadokawa, Shigeru Kato, Daiki Yasukawa, Yuki Aisu, Yuichi Takamatsu, Taku Kitano and Tsunehiro Yoshimura
    Citation: Surgical Case Reports 2018 4:57
  21. Mixed adenoneuroendocrine carcinoma (MANEC) is a tumor of the gastrointestinal tract that contains both exocrine and endocrine components, with each component exceeding 30% of the total tumor area. Because MAN...

    Authors: Miho Yamamoto, Soji Ozawa, Kazuo Koyanagi, Junya Oguma, Akihito Kazuno, Yamato Ninomiya, Kentaro Yatabe and Kazuhito Hatanaka
    Citation: Surgical Case Reports 2018 4:56
  22. Ectopic ACTH-producing thymic carcinoid tumors are rare, but often behave aggressively with local invasion and distant metastasis. We herein report a case of ACTH-producing thymic typical carcinoid tumor with ...

    Authors: Wakako Fujiwara, Tomohiro Haruki, Yoshiteru Kidokoro, Takashi Ohno, Yohei Yurugi, Ken Miwa, Yuji Taniguchi and Hiroshige Nakamura
    Citation: Surgical Case Reports 2018 4:55
  23. Spontaneous esophageal rupture, also known as Boerhaave syndrome, is a very serious life-threatening benign disease of the gastrointestinal tract. It is typically caused by vomiting after heavy eating and drin...

    Authors: Hideharu Tanaka, Norihisa Uemura, Daisuke Nishikawa, Keisuke Oguri, Tetsuya Abe, Eiji Higaki, Takahiro Hosoi, Byonggu An, Yasuhisa Hasegawa and Yasuhiro Shimizu
    Citation: Surgical Case Reports 2018 4:54
  24. Metastatic recurrence after resection of pancreatic cancer is considered to be an incurable disease, and discoid lupus erythematosus (DLE)-like lesions are known as a side effect of fluorouracil agents. We rep...

    Authors: Ryosuke Yamaga, Koji Tezuka, Shuichiro Sugawara, Toshihiro Watanabe, Ichiro Hirai, Tamio Suzuki and Wataru Kimura
    Citation: Surgical Case Reports 2018 4:52
  25. Surgical resection is the first choice for intralobar sequestration (ILS). A lobectomy is often performed, though we consider that a segmentectomy may be sufficient for benign cases if the sequestration is com...

    Authors: Naoko Ose, Yukiyasu Takeuchi, Yuko Kobori, Akio Hayashi, Daieuke Ishida and Teruka Kawai
    Citation: Surgical Case Reports 2018 4:51
  26. Primary hernias in the triangle of Grynfeltt are very rare and therefore pose a difficulty in diagnosis and treatment. Due to the lack of systematic studies, the surgical approach must be chosen individually f...

    Authors: Torben Glatz, Hannes Neeff, Philipp Holzner, Stefan Fichtner-Feigl and Oliver Thomusch
    Citation: Surgical Case Reports 2018 4:50
  27. Treatment for tracheoesophageal fistula (TEF), a life-threatening complication after esophagectomy, is challenging.

    Authors: Yoji Fukumoto, Tomoyuki Matsunaga, Yuji Shishido, Masataka Amisaki, Yusuke Kono, Yuki Murakami, Hirohiko Kuroda, Tomohiro Osaki, Teruhisa Sakamoto, Soichiro Honjo, Keigo Ashida, Hiroaki Saito and Yoshiyuki Fujiwara
    Citation: Surgical Case Reports 2018 4:49
  28. Inguinal hernias and colorectal cancers are common conditions, but the presentation of a loop of bowel containing cancer within a hernia is rare. Principles of surgery include oncological resection of the invo...

    Authors: Tien Yew Chern, Yeng Kwang Tay and Dayashan Shevantha Perera
    Citation: Surgical Case Reports 2018 4:48
  29. There are few reports of metastases from colon cancer to an inguinal hernia sac, and few reports of colon cancer originating in diverticula. We report a patient with carcinoma of the sigmoid colon arising in t...

    Authors: Jiro Kimura, Alan Kawarai Lefor, Shota Fukai, Kentaro Yoshikawa, Shingo Sasamatsu, Takashi Sakamoto, Ken Mizokami, Masaki Kanzaki, Tadao Kubota, Akira Saito, Hiroshi Izumi, Kunpei Honjo, Kunihiko Nagakari and Masaki Fukunaga
    Citation: Surgical Case Reports 2018 4:47
  30. Surgery for severe peritonitis often entails difficult wound closure and may require open abdominal management due to gut edema and/or concern of abdominal compartment syndrome. Negative pressure wound therapy...

    Authors: Hideki Kogo, Jun Hagiwara, Shiei Kin and Eiji Uchida
    Citation: Surgical Case Reports 2018 4:46
  31. Mixed adenoneuroendocrine carcinoma (MANEC) is defined as a neoplasm composed of both exocrine and endocrine carcinomas, each comprising at least 30% of the tumor. MANEC can occur in various organs of the gast...

    Authors: Tetsuro Kawazoe, Hiroshi Saeki, Keitaro Edahiro, Shotaro Korehisa, Daisuke Taniguchi, Kensuke Kudou, Ryota Nakanishi, Nobuhide Kubo, Koji Ando, Yuichiro Nakashima, Eiji Oki, Minako Fujiwara, Yoshinao Oda and Yoshihiko Maehara
    Citation: Surgical Case Reports 2018 4:45
  32. Although secondary liver involvement of the lymphoma is common and occurs in 50% of patients with non-Hodgkin’s lymphoma, liver tumor rupture in malignant lymphoma is extremely rare. We report a case of a spon...

    Authors: Ko Oshita, Toshiyuki Itamoto, Akihiko Oshita, Hideki Nakahara and Takashi Nishisaka
    Citation: Surgical Case Reports 2018 4:44
  33. Hepatocellular carcinoma (HCC) during pregnancy is rare, with a poor prognosis. Recently, however, increasing resection rates have improved survival rate. Currently, various surgeries are safely performed afte...

    Authors: Megumi Matsuo, Katsunori Furukawa, Hiroaki Shimizu, Hideyuki Yoshitomi, Tsukasa Takayashiki, Satoshi Kuboki, Shigetsugu Takano, Daisuke Suzuki, Nozomu Sakai, Shingo Kagawa, Hiroyuki Nojima and Masayuki Ohsuka
    Citation: Surgical Case Reports 2018 4:43
  34. Arterial tumor embolism (ATE) is a rare but life-threating complication.

    Authors: Sayuri Togo, Terutoshi Yamaoka, Kazutoyo Morita, Kazuomi Iwasa, Yukihiko Aoyagi, Yumi Oshiro, Takatoshi Fujishita, Hideki Yokoyama, Takashi Matsui and Takashi Nishizaki
    Citation: Surgical Case Reports 2018 4:42
  35. Mucinous cholangiocarcinoma (MC) is a very rare variant of intrahepatic cholangiocarcinoma. MC is characterized by rapid growth, widespread metastasis, and poor prognosis. We report a case of resected MC of th...

    Authors: Kei Hagiwara, Kenichiro Araki, Takahiro Yamanaka, Norihiro Ishii, Takamichi Igarashi, Akira Watanabe, Norio Kubo, Norifumi Harimoto, Hiroyuki Kuwano, Sumito Nobusawa, Shinichi Aishima and Ken Shirabe
    Citation: Surgical Case Reports 2018 4:41
  36. Critical limb ischemia with osteomyelitis is so difficult to treat that even appropriate revascularization and wound therapy cannot achieve limb salvage because of uncontrollable infection. It is still difficu...

    Authors: Keisuke Miyake, Shinsuke Kikuchi, Hiroko Okuda, Atsuhiro Koya, Satomi Abe, Yoshiki Sawa, Tetsuo Ota and Nobuyoshi Azuma
    Citation: Surgical Case Reports 2018 4:40
  37. Preoperative evaluation and awareness of anatomical variations in the pulmonary vessel is essential for a secure pulmonary resection. We herein present a patient who underwent complex pulmonary resection for l...

    Authors: Tomoyuki Nakano, Shigemi Ishikawa, Yasunori Sohara and Shunsuke Endo
    Citation: Surgical Case Reports 2018 4:39
  38. One-stage closure and fenestration are the available surgical options for bronchopleural fistula (BPF). One-stage closure may be applicable in cases with favorable infection control. Closing the bronchopleural...

    Authors: Jun Suzuki, Hiroyuki Oizumi, Hirohisa Kato, Akira Hamada, Hikaru Watarai, Kenta Nakahashi, Takayuki Sasage and Mitsuaki Sadahiro
    Citation: Surgical Case Reports 2018 4:38
  39. Xanthogranulomatous inflammation is recognized as a subtype of cholecystitis; however, it can also occur in other organs. Xanthogranulomatosis of the kidney, bone, ovary, endometrium, vagina, prostate, lymph n...

    Authors: Goshi Fujimoto, Ken Hayashi, Shigetoshi Yamada, Hiroshi Kusanagi and Koichi Honma
    Citation: Surgical Case Reports 2018 4:36
  40. Transcatheter aortic valve replacement (TAVR) is a minimally invasive approach to aortic valve replacement. However, critical cardiovascular collapse can occur during the procedure for various reasons.

    Authors: Yoshiyuki Yamashita, Hiromichi Sonoda, Tomoki Ushijima and Akira Shiose
    Citation: Surgical Case Reports 2018 4:35
  41. Surgery for the treatment of recurrent pelvic malignancy is challenging. Sphincter-preserving surgery (SPS) has been applied in limited cases. Transanal endoscopic approach (TEA) has been used for primary rect...

    Authors: Seiji Ishiguro, Shunichiro Komatsu, Kenichi Komaya, Takuya Saito, Takashi Arikawa, Kenichiro Kaneko and Tsuyoshi Sano
    Citation: Surgical Case Reports 2018 4:33
  42. The patient was a 54-year-old female who presented with the chief complaint of melena. Lower gastrointestinal endoscopy detected a type 1 tumor extending from the anal canal to the rectum. CT did not detect an...

    Authors: Takahiro Yokose, Seiichiro Yamamoto, Takeshi Nagase, Toshio Kanai, Kiminori Takano, Taku Fujii, Mai Tsutsui, Motohito Nakagawa, Hiroki Ochiai and Kaori Kameyama
    Citation: Surgical Case Reports 2018 4:32
  43. Gastrointestinal tract metastasis from pancreatic cancer is quite rare. We present the case of a 58-year-old male patient who underwent distal pancreatectomy for pancreatic body cancer 5 years prior. Four year...

    Authors: Naoki Umezaki, Daisuke Hashimoto, Shigeki Nakagawa, Takanobu Yamao, Masayo Tsukamoto, Yuki Kitano, Kota Arima, Kensuke Yamamura, Tatsunori Miyata, Hirohisa Okabe, Akira Chikamoto, Fujio Matsumura and Hideo Baba
    Citation: Surgical Case Reports 2018 4:31
  44. Virtual-assisted lung mapping (VAL-MAP) is a novel marking technique to assist sub-lobar resection of small hardly palpable lung tumors. Here, we present the first case of synchronous bilateral multiple lung a...

    Authors: Naoko Imanishi, Shuichi Shinohara, Taiji Kuwata and Fumihiro Tanaka
    Citation: Surgical Case Reports 2018 4:30
  45. Cholesterol crystal embolism (CCE) is caused by small crystals of cholesterol dispersed from atherosclerotic plaques of the aorta. There is an increasing interest in CCE because of the increased use of endovas...

    Authors: Koji Murono, Kazushige Kawai, Keisuke Hata, Shigenobu Emoto, Manabu Kaneko, Kazuhito Sasaki, Takeshi Nishikawa, Kensuke Otani, Toshiaki Tanaka, Masako Ikemura and Hiroaki Nozawa
    Citation: Surgical Case Reports 2018 4:29

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