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  1. Hepatocellular carcinoma (HCC) patients with metastases to the cervical lymph nodes are extremely rare, and its clinical course is characterized by rapidly progressive disease. Hence, there have been no report...

    Authors: Kiyonori Tanoue, Yota Kawasaki, Yoichi Yamasaki, Satoshi Iino, Masahiko Sakoda, Yuko Mataki, Tetsuya Idichi, Yoshiaki Kita, Yuto Hozaka, Akihiro Nakajo, Takaaki Arigami, Hiroshi Kurahara and Takao Ohtsuka
    Citation: Surgical Case Reports 2021 7:260
  2. Rectourethral fistula is a rare disease with a wide variety of etiologies and clinical presentations. A definitive surgical procedure for rectourethral fistula repair has not been established.

    Authors: Toshinori Hirano, Hiroki Ohge, Yusuke Watadani, Shinnosuke Uegami, Norimitsu Shimada, Ikki Nakashima, Kosuke Yoshimura and Shinya Takahashi
    Citation: Surgical Case Reports 2021 7:259
  3. Adult cases of retroperitoneal isolated enteric duplication cyst (IEDC) are rare, with only 17 case reports in the relevant literature. We herein present a case, which was characterized by changes in intra-cys...

    Authors: Mayu Inomata, Kengo Kai, Takuto Ikeda, Akiko Ichihara, Rie Masuda, Takumi Kiwaki, Hiroyuki Tanaka, Hiroaki Kataoka and Atsushi Nanashima
    Citation: Surgical Case Reports 2021 7:258
  4. Ectopic opening of the common bile duct is a rare congenital biliary anomaly. Herein, we present a case of duodenal stenosis with ectopic opening of the common bile duct into the duodenal bulb.

    Authors: Kazuki Kobayashi, Michinori Murayama, Hidekazu Sugasawa, Makoto Nishikawa, Kiyoshi Nishiyama and Hiroaki Takeo
    Citation: Surgical Case Reports 2021 7:257
  5. Intraoperative bleeding from the celiac axis (CA) can occur during pancreatic surgery, and appropriate management is essential to avoid critical complications. Here, we have reported a case that was managed wi...

    Authors: Yuki Takano, Shuichi Fujioka, Hironori Shozaki, Naoki Toya and Toru Ikegami
    Citation: Surgical Case Reports 2021 7:256
  6. Carcinoma of the uterine cervix (cervical cancer) metastasising to the thyroid gland is a rare phenomenon and only a few cases have been reported. We discuss a patient with cervical cancer presenting with thyr...

    Authors: Sanjeevan Ravindrakumar, Nanduni Thalahitiyage, Nagenthiram Harivallavan, Umesh Jayarajah and Vitharanage Srimantha Dewsiri Rodrigo
    Citation: Surgical Case Reports 2021 7:255
  7. The treatment for the locally advanced esophageal cancer invading adjacent organs is controversial. We performed a radical surgery for a patient suffering from lower esophageal cancer with pancreatic invasion,...

    Authors: Yoshiki Kaneko, Katsuji Hisakura, Koichi Ogawa, Yoshimasa Akashi, Yusuke Ohara, Yohei Owada, Tsuyoshi Enomoto, Kinji Furuya, Shoko Moue, Manami Doi, Kazuhiro Takahashi, Osamu Shimomura, Shinji Hashimoto, Noriaki Sakamoto, Tsunehiko Maruyama and Tatsuya Oda
    Citation: Surgical Case Reports 2021 7:254
  8. The abscopal effect is a rare phenomenon in which local irradiation causes tumor regression outside the irradiated area. There have been no reports of abscopal effect in patients with gastrointestinal melanoma...

    Authors: Takahisa Yamaguchi, Sachio Fushida, Jun Kinoshita, Hiroto Saito, Mari Shimada, Shiro Terai, Hideki Moriyama, Koichi Okamoto, Keishi Nakamura, Itasu Ninomiya and Noriyuki Inaki
    Citation: Surgical Case Reports 2021 7:253
  9. Bladder hernias are rare conditions that are difficult to diagnose preoperatively; many cases are diagnosed intraoperatively or postoperatively due to bladder injury. Most bladder hernias are direct inguinal h...

    Authors: Ryoma Yokoi, Shigetoshi Yamada, Yuji Hatanaka and Hiroki Kato
    Citation: Surgical Case Reports 2021 7:252
  10. For recurrent pseudomyxoma peritonei (PMP), repeat cytoreductive surgery (CRS) with or without hyperthermic intraperitoneal chemotherapy (HIPEC) can provide survival benefits if patients are carefully selected...

    Authors: Kenya Yamanaka, Norishige Iizuka and Toshiyuki Kitai
    Citation: Surgical Case Reports 2021 7:251
  11. Two cases of laparoscopic remnant cholecystectomy using near-infrared fluorescence cholangiography (NIFC) for remnant gallbladder calculi following subtotal-cholecystectomy are reported. Case 1: a 36-year-old ...

    Authors: Takeshi Utsunomiya, Katsunori Sakamoto, Kyousei Sogabe, Ryoichi Takenaka, Tatsuya Hayashi, Fumiya Ogura, Hisato Yamamoto, Naoki Ishida, Taro Nakamura, Akimasa Sakamoto, Miku Iwata, Chihiro Ito, Takashi Matsui, Yusuke Nishi, Mikiya Shine, Mio Uraoka…
    Citation: Surgical Case Reports 2021 7:250
  12. Composite hemangioendothelioma is an extraordinarily rare form of vascular neoplasm which develops predominantly in the skins and soft tissues of the adults. Neuroendocrine marker expression in composite heman...

    Authors: Ei Miyamoto, Kenji Seki, Hiroyuki Katsuragawa, Yuji Yoshimoto, Yuki Ohsumi, Takamasa Fukui, Masashi Gotoh and Tatsuo Nakagawa
    Citation: Surgical Case Reports 2021 7:249
  13. Mycoplasma hominis is a human commensal bacterium of the urogenital tract, and extragenital infection caused by M. hominis has rarely been reported. The identification of M. hominis is challenging, and surgeons a...

    Authors: Hiroki Kitagawa, Haruna Shimizu, Keijiro Katayama, Kayoko Tadera, Toshihito Nomura, Kietaro Omori, Norifumi Shigemoto, Taiichi Takasaki, Hiroki Ohge and Shinya Takahashi
    Citation: Surgical Case Reports 2021 7:248
  14. Sternal splintage is known as an effective maneuver to stabilize hemodynamics during the immediate postoperative period, particularly in very sick infants. On the other hand, its wound management is not always...

    Authors: Shinya Yokoyama, Rei Tonomura, Ryohei Fukuba, Kazuhiro Mitani and Hideki Uemura
    Citation: Surgical Case Reports 2021 7:247
  15. Having a broad differential and knowing how to manage the different possibilities in a patient with chest pain is important. Esophageal bezoars are rare entities and are even less common in patients without an...

    Authors: Kevin Climaco, Daniel Roubik and Robert Gorrell
    Citation: Surgical Case Reports 2021 7:245
  16. Primary liposarcoma arising from the liver is exceedingly rare. There have been very few reports documenting primary hepatic liposarcoma, especially of the pleomorphic subtype. Surgery is currently the only es...

    Authors: Yuri Terunuma, Kazuhiro Takahashi, Manami Doi, Osamu Shimomura, Yoshihiro Miyazaki, Kinji Furuya, Shoko Moue, Yohei Owada, Koichi Ogawa, Yusuke Ohara, Yoshimasa Akashi, Shinji Hashimoto, Tsuyoshi Enomoto and Tatsuya Oda
    Citation: Surgical Case Reports 2021 7:244
  17. Early gastric cancer (EGC) is often associated with lymphatic metastasis, but it is extremely rare to be found as a single giant lymph node. Cancer often becomes more malignant in metastatic lesions than in pr...

    Authors: Masato Yoshikawa, Misaki Tamario, Masayoshi Obatake, Koichi Sato, Shigehiko Yagi, Hiromi Otani and Katsumi Kito
    Citation: Surgical Case Reports 2021 7:243
  18. Soft coagulation is widely used for hemostasis because of its significant advantage in inducing tissue coagulation and denaturation without carbonization. However, a few cases of airway damage have been report...

    Authors: Sakiko Kumata, Katsunari Matsuoka, Shinjiro Nagai, Mitsuhiro Ueda, Yoshinori Okada and Yoshihiro Miyamoto
    Citation: Surgical Case Reports 2021 7:242
  19. The number of elderly patients with gastric cancer is increasing, with the very elderly often refusing radical gastrectomy with lymph node dissection. Such a patient presented to us and we proposed a palliativ...

    Authors: Marie Washio, Naoki Hiki, Kei Hosoda, Masahiro Niihara, Motohiro Chuman, Mikiko Sakuraya, Takuya Wada, Hiroki Harada, Takeo Sato, Kiyoshi Tanaka, Takeshi Naitoh, Yusuke Kumamoto, Takafumi Sangai, Satoshi Tanabe and Keishi Yamashita
    Citation: Surgical Case Reports 2021 7:241
  20. Primary squamous cell carcinoma (SCC) of stomach is extremely rare. The pathogenesis of SCC of stomach remains unclear. There is only one report that Epstein Barr virus (EBV) infection may be involved in the p...

    Authors: Yuki Katsura, Takehiro Okabayashi, Kazuhiro Ozaki, Yuichi Shibuya and Jun Iwata
    Citation: Surgical Case Reports 2021 7:240
  21. Pancreatic juice is constantly activated by contaminated bile in patients with pancreaticobiliary maljunction (PBM). Here, we report a case of laparoscopic distal pancreatectomy for a patient with PBM and sphi...

    Authors: Yoshifumi Morita, Tomohiro Akutsu, Mitsumasa Makino, Miku Obayashi, Shinya Ida, Ryuta Muraki, Ryo Kitajima, Amane Hirotsu, Makoto Takeda, Hirotoshi Kikuchi, Yoshihiro Hirmatsu, Yasushi Hamaya, Ken Sugimoto, Hiromi Kato, Matsuyuki Doi, Yukichi Tanahashi…
    Citation: Surgical Case Reports 2021 7:239
  22. Intraductal papillary neoplasm of the bile duct (IPNB) is a subtype of biliary tumor. The 5-year survival rate of patients with IPNB who underwent curative resection is 81%. However, IPNB is known to often rec...

    Authors: Yuki Nakayama, Takahiro Tomino, Mizuki Ninomiya, Ryosuke Minagawa, Yumi Oshiro, Takuma Izumi, Daisuke Taniguchi, Kosuke Hirose, Yuichiro Kajiwara, Kazuhito Minami and Takashi Nishizaki
    Citation: Surgical Case Reports 2021 7:238
  23. Massive hemoptysis is a life-threatening complication after transbronchial biopsy (TBB). Reports on massive hemoptysis occurring several days after TBB are scarce.

    Authors: Harushi Ueno, Hideki Tsubouchi, Keita Nakanishi, Tomoshi Sugiyama, Yuka Kadomatsu, Masaki Goto, Naoki Ozeki, Shota Nakamura, Takayuki Fukui and Toyofumi Fengshi Chen-Yoshikawa
    Citation: Surgical Case Reports 2021 7:237
  24. Primary hepatic neuroendocrine carcinomas (NECs) are extremely rare. The rate of recurrence after resection is extremely high, and the prognosis is poor. It is debatable whether chemotherapy or surgical resect...

    Authors: Yusuke Seki, Hiroki Sakata, Toshimasa Uekusa, Hirokazu Momose, Satomi Yoneyama, Akio Hidemura, Yusuke Tajima, Hiroyuki Suzuki and Masahiro Ishimaru
    Citation: Surgical Case Reports 2021 7:236
  25. Non-traumatic mesenteric hematomas are usually well controlled, with no resulting symptoms. Herein, we report a case in which collapse of a large mesenteric hematoma, after rupture of a right colic artery aneu...

    Authors: Taro Ikeda, Masaaki Mitsutsuji, Takuya Okada, Isamu Yamada, Ryunosuke Konaka, Yukari Adachi, Akiko Matsumoto, Takahiro Wada, Naoki Harada and Masahiro Samizo
    Citation: Surgical Case Reports 2021 7:235
  26. The damage control approach is known to reduce the mortality rate in severely injured patients and has now become a common practice. Transcatheter arterial embolization (TAE) has been shown to be useful with c...

    Authors: Masahiro Hagiwara, Yoshihiro Iwata, Hiroyuki Takahashi, Koji Imai, Hideki Yokoo, Shunta Ishitoya, Miki Ogata, Naoto Matsuno, Yasuo Sumi and Hiroyuki Furukawa
    Citation: Surgical Case Reports 2021 7:234
  27. Perivascular epithelioid cell tumors (PEComas) are rare mesenchymal neoplasms with malignant potential. No effective treatment other than surgical resection has been established for lung metastases of PEComas....

    Authors: Yoshinobu Fuse, Shohei Mori, Shun Sato, Daiki Kato, Takamasa Shibazaki, Takeo Nakada, Mitsuo Yabe, Hideki Matsudaira, Jun Hirano and Takashi Ohtsuka
    Citation: Surgical Case Reports 2021 7:233
  28. Liver cysts are common, with most cases being asymptomatic. In symptomatic cases, the disease is amenable to treatment. However, huge or multiple liver cysts with vascular narrowing and associated systemic sym...

    Authors: Sho Ishikawa, Shintaro Kuroda, Keigo Chosa, Kenjiro Okada, Naoki Tanimine, Hiroyuki Tahara, Masahiro Ohira, Kentaro Ide, Tsuyoshi Kobayashi and Hideki Ohdan
    Citation: Surgical Case Reports 2021 7:232
  29. Non-intubated video-assisted thoracic surgery is a therapeutic option for intractable secondary spontaneous pneumothorax in patients who are poor candidates for surgery with endotracheal intubation under gener...

    Authors: Hiroya Yamagishi, Yusuke Wakatsuki, Toshihiko Tada and Tadashi Matsukura
    Citation: Surgical Case Reports 2021 7:231
  30. Anorectal malignant melanoma (ARMM) has an extremely poor prognosis, and there is no report of resection of liver metastases so far. We report herein a rare case of postoperative laparoscopic partial hepatic S...

    Authors: Makoto Takahashi, Yasuhiro Morita, Tatsuya Hayashi, Susumu Yanagibasi, Shunsuke Sato, Shu Sasaki, Kunio Takuma and Haruka Okada
    Citation: Surgical Case Reports 2021 7:230
  31. The intracystic papillary neoplasm (ICPN) is a newly established disease concept. It has been regarded as a preinvasive neoplastic lesion, similar to intraductal papillary mucinous neoplasm of the pancreas. Li...

    Authors: Takashi Aida, Masashi Tsunematsu, Kenei Furukawa, Koichiro Haruki, Yoshihiro Shirai, Shinji Onda, Yoichi Toyama, Kazutaka Gomisawa, Hiroyuki Takahashi and Toru Ikegami
    Citation: Surgical Case Reports 2021 7:229
  32. Hereditary breast and ovarian cancer (HBOC) syndrome is a susceptibility syndrome for cancers, such as breast and ovarian cancer, and BRCA1/2 are its causative genes. Annual breast-enhanced magnetic resonance ima...

    Authors: Megumi Takaoka, Shozo Ohsumi, Yuichiro Miyoshi, Mina Takahashi, Seiki Takashima, Kenjiro Aogi, Teruhiko Shimizu, Norihiro Teramoto, Yasuko Yamamoto and Miki Okamura
    Citation: Surgical Case Reports 2021 7:228
  33. Anastomotic leak is a major cause of morbidity and mortality of patients worldwide, and it has remained stable over the last years. Routine construction of protective ileostomy is associated with stoma and neg...

    Authors: Mohsen Ezzy, Moustafa Elshafei, Khalid Hamdi, Thomas Kraus, Peter Heinz, Michael Svoboda, Katrin Fleischer, Kersten Grimm and Stefan Berkhoff
    Citation: Surgical Case Reports 2021 7:227
  34. Polymyositis and myocarditis associated with thymoma are exceptionally rare conditions and usually accompanied by myasthenia gravis (MG) and have been recognized as critical conditions. Thymoma-associated mult...

    Authors: Chihiro Furuta, Motoki Yano, Hiroki Numanami, Masayuki Yamaji, Rumiko Taguchi and Masayuki Haniuda
    Citation: Surgical Case Reports 2021 7:226
  35. Primary gastric synovial sarcoma is extremely rare, only 44 cases have been reported so far, and there have been no reports of laparoscopic endoscopic cooperative surgery for this condition.

    Authors: Ryosuke Shibata, Marina Morishita, Nobuhiko Koreeda, Yousuke Hirano, Hiroki Kaida, Toshihiro Ohmiya, Shugo Uwatoko, Makoto Kawamoto, Akira Komono, Ryohei Sakamoto, Yoshihiro Miyasaka, Daijiro Higashi, Hiroshi Tanabe, Satoshi Nimura and Masato Watanabe
    Citation: Surgical Case Reports 2021 7:225
  36. Fissureless lobectomies are beneficial for preventing prolonged air leaks (PALs). Despite the widespread use of this technique in lobectomy cases, there have been no reports on fissureless bilobectomies to date.

    Authors: Suiha Uchiyama, Shuhei Iizuka and Toru Nakamura
    Citation: Surgical Case Reports 2021 7:224
  37. Acute coronary syndrome (ACS) caused by mechanical obstruction of the coronary artery with a vegetation is extremely rare but associated with high mortality. The optimal management strategy of this condition r...

    Authors: Rena Usui, Masato Mutsuga, Yuji Narita, Yoshiyuki Tokuda, Sachie Terazawa, Hideki Ito, Wataru Uchida and Akihiko Usui
    Citation: Surgical Case Reports 2021 7:223
  38. Pulmonary spindle cell carcinoma (PSCC) is an extremely rare tumor that is highly malignant and fast-growing. As chemotherapy and radiation therapy are ineffective, early surgical resection is effective for PSCC.

    Authors: Akihiro Koen, Hideyuki Maeda, Yoji Nagashima and Masato Kanzaki
    Citation: Surgical Case Reports 2021 7:222
  39. Metastatic neuroendocrine carcinoma has an extremely poor prognosis, and no effective second-line treatment is available. Herein, we describe a case of multiple metastases after primary resection of esophageal...

    Authors: Kuniyasu Takagi, Teppei Kamada, Yoshinobu Fuse, Wataru Kai, Junji Takahashi, Keigo Nakashima, Yuichi Nakaseko, Norihiko Suzuki, Masashi Yoshida, Shinya Okada, Hironori Ohdaira and Yutaka Suzuki
    Citation: Surgical Case Reports 2021 7:221
  40. Severe electrical burns are a rare cause of admission to major burn centers. Incidence of electrical injury causing full-thickness injury to viscera is an increasingly scarce, but severe presentation requiring...

    Authors: Davit Shahmanyan, Matthew T. Joy, Bryan R. Collier, Emily R. Faulks and Mark E. Hamill
    Citation: Surgical Case Reports 2021 7:220
  41. There are only few reported cases of remnant gastric cancer with concomitant afferent loop syndrome. Emergency surgery is the standard treatment strategy for this disease. However, some afferent loop syndrome ...

    Authors: Shu Aoyama, Masaaki Motoori, Yasuhiro Miyazaki, Tomoki Sugimoto, Yujiro Nishizawa, Hisateru Komatsu, Akira Inoue, Yoshinori Kagawa, Akira Tomokuni, Kazuhiro Iwase and Kazumasa Fujitani
    Citation: Surgical Case Reports 2021 7:219
  42. Neurofibromatosis type 1 is an autosomal dominant inherited disease associated with multiple skin neurofibromas or other neurogenic tumors, such as nodular plexiform neurinoma or cerebrospinal tumor. Gastroint...

    Authors: Tadaaki Shimizu, Nao Hondo, Yusuke Miyagawa, Masato Kitazawa, Futoshi Muranaka, Shigeo Tokumaru, Satoshi Nakamura, Makoto Koyama, Yuta Yamamoto, Takehito Ehara, Satoru Miyazaki, Yasuhiro Iijima, Mai Iwaya and Yuji Soejima
    Citation: Surgical Case Reports 2021 7:218
  43. Pleuroperitoneal communication is a rare disorder that interferes with peritoneal dialysis. Although favorable results of thoracoscopic fistula closure have been reported, there are some cases in which the fis...

    Authors: Satoko Yorinaga, Takehiro Maki, Noriko Kawai, Hiroyuki Kaneko, Kenjiro Misu, Hitoshi Inomata, Makoto Omi and Satoshi Hirano
    Citation: Surgical Case Reports 2021 7:217
  44. Appendectomy remains one of the most common emergency operations. Recent research supports the treatment of uncomplicated appendicitis with antibiotics alone. While nonoperative management of appendicitis may ...

    Authors: Davit Shahmanyan, Brian Saway, Hannah Palmerton, John S. Rudderow, Christopher M. Reed, Terri-Ann Wattsman, Emily R. Faulks, Bryan R. Collier, Robert E. Budin and Mark E. Hamill
    Citation: Surgical Case Reports 2021 7:215
  45. Bochdalek hernia is a rare disease in adults. Diaphragmatic hernia in adults has been repaired using minimally invasive surgery through laparoscopy or thoracoscopy. However, the literature regarding the combin...

    Authors: Sho Nambara, Yoshihisa Sakaguchi, Fumihiro Shoji, Yasuo Tsuda, Kensuke Kudou, Eiji Kusumoto, Kenkichi Hashimoto, Tetsuya Kusumoto and Koji Ikejiri
    Citation: Surgical Case Reports 2021 7:214
  46. Paraduodenal hernia is a rare internal hernia which accounts for only 1% of all intestinal hernias. There have been limited reported cases of paraduodenal hernia treated by laparoscopic surgery. We report a ca...

    Authors: Noboru Hasegawa, Hiroshi Takeyama, Yozo Suzuki, Shingo Noura, Kazuki Odagiri, Yoshitomo Yanagimoto, Masafumi Yamashita, Junzo Shimizu, Tomono Kawase, Hiroshi Imamura, Takashi Iwazawa, Naohiro Tomita and Keizo Dono
    Citation: Surgical Case Reports 2021 7:213
  47. Perivascular epithelioid cell neoplasm (PEComa) in a child is very rare. We herein report the first malignant case of PEComa developing in the liver of a pediatric patient.

    Authors: Tokuro Baba, Takafumi Kawano, Yusuke Saito, Shun Onishi, Koji Yamada, Waka Yamada, Ryuta Masuya, Kazuhiko Nakame, Yota Kawasaki, Satoshi Iino, Masahiko Sakoda, Mari Kirishima, Tatsuru Kaji, Akihide Tanimoto, Shoji Natsugoe, Takao Ohtsuka…
    Citation: Surgical Case Reports 2021 7:212
  48. Image-guided surgery with an open magnetic resonance imaging (MRI) system is applied for brain tumors in the neurosurgery field, but has rarely been reported in pediatric surgery. We report our initial experie...

    Authors: Shun Onishi, Chihiro Kedoin, Masakazu Murakami, Nayuta Higa, Akihiro Yoshida, Kazutoshi Onitsuka, Takahiro Moriyama, Koji Yoshimoto and Satoshi Ieiri
    Citation: Surgical Case Reports 2021 7:211

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