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  1. 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
    Citation: Surgical Case Reports 2019 5:205
  2. 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
    Citation: Surgical Case Reports 2019 5:204
  3. 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
    Citation: Surgical Case Reports 2019 5:203
  4. 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
    Citation: Surgical Case Reports 2019 5:202
  5. 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
    Citation: Surgical Case Reports 2019 5:201
  6. 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
    Citation: Surgical Case Reports 2019 5:200
  7. 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
    Citation: Surgical Case Reports 2019 5:199
  8. 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
    Citation: Surgical Case Reports 2019 5:198
  9. 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
    Citation: Surgical Case Reports 2019 5:197
  10. 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
    Citation: Surgical Case Reports 2019 5:196
  11. 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
    Citation: Surgical Case Reports 2019 5:195
  12. 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
    Citation: Surgical Case Reports 2019 5:192
  13. 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
    Citation: Surgical Case Reports 2019 5:191
  14. 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
    Citation: Surgical Case Reports 2019 5:190
  15. 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
    Citation: Surgical Case Reports 2019 5:189
  16. 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
    Citation: Surgical Case Reports 2019 5:188
  17. 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
    Citation: Surgical Case Reports 2019 5:187
  18. 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
    Citation: Surgical Case Reports 2019 5:186
  19. 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
    Citation: Surgical Case Reports 2019 5:185
  20. 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
    Citation: Surgical Case Reports 2019 5:184
  21. 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
    Citation: Surgical Case Reports 2019 5:183
  22. 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
    Citation: Surgical Case Reports 2019 5:182
  23. 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…
    Citation: Surgical Case Reports 2019 5:181
  24. 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
    Citation: Surgical Case Reports 2019 5:180
  25. 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
    Citation: Surgical Case Reports 2019 5:179
  26. 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
    Citation: Surgical Case Reports 2019 5:178
  27. 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
    Citation: Surgical Case Reports 2019 5:177
  28. 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
    Citation: Surgical Case Reports 2019 5:176
  29. 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
    Citation: Surgical Case Reports 2019 5:175
  30. 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
    Citation: Surgical Case Reports 2019 5:174
  31. 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
    Citation: Surgical Case Reports 2019 5:173
  32. 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
    Citation: Surgical Case Reports 2019 5:172
  33. 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
    Citation: Surgical Case Reports 2019 5:171
  34. 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
    Citation: Surgical Case Reports 2019 5:170
  35. 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
    Citation: Surgical Case Reports 2019 5:169
  36. 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
    Citation: Surgical Case Reports 2019 5:168
  37. 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
    Citation: Surgical Case Reports 2019 5:167
  38. 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
    Citation: Surgical Case Reports 2019 5:166
  39. 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
    Citation: Surgical Case Reports 2019 5:165
  40. 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
    Citation: Surgical Case Reports 2019 5:164
  41. 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
    Citation: Surgical Case Reports 2019 5:163
  42. 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
    Citation: Surgical Case Reports 2019 5:162
  43. 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
    Citation: Surgical Case Reports 2019 5:161
  44. 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
    Citation: Surgical Case Reports 2019 5:160
  45. 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
    Citation: Surgical Case Reports 2019 5:159
  46. 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
    Citation: Surgical Case Reports 2019 5:158
  47. 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
    Citation: Surgical Case Reports 2019 5:157
  48. 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
    Citation: Surgical Case Reports 2019 5:156

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