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  1. Although patients with stage IV gastric cancer who respond well to systemic chemotherapy can be treated with gastrectomy, the prognosis of patients with unresectable gastric cancer with para-aortic lymph node ...

    Authors: Akiko Serizawa, Kiyoaki Taniguchi, Takuji Yamada, Kunihiko Amano, Sho Kotake, Shunichi Ito and Masakazu Yamamoto
    Citation: Surgical Case Reports 2018 4:88
    Content type: Case Report Published on:

  2. Epicardial cysts are rarer benign tumors than pericardial cysts. There have been few reports on surgical management for epicardial cysts.

    Authors: Daisuke Kaneyuki, Tomoki Sakata, Anan Nomura, Manabu Sakurai, Kenji Mogi and Yoshiharu Takahara
    Citation: Surgical Case Reports 2018 4:87
    Content type: Case Report Published on:

  3. Diversion colitis (DC) is characterized by nonspecific inflammation in the remaining colon or rectum, and loss of the fecal stream plays a major role in the disease’s development. Although the majority of pati...

    Authors: Nao Kakizawa, Shingo Tsujinaka, Yasuyuki Miyakura, Rina Kikugawa, Fumi Hasegawa, Hideki Ishikawa, Sawako Tamaki, Jun Takahashi and Toshiki Rikiyama
    Citation: Surgical Case Reports 2018 4:86
    Content type: Case Report Published on:

  4. The indications for negative pressure wound therapy (NPWT) continue to expand, and NPWT has become a powerful tool for the treatment of interactive wounds. Recently, the use of NPWT over closed incisions has b...

    Authors: Takahiro Yoshioka, Yoshitaka Kondo and Toshiyoshi Fujiwara
    Citation: Surgical Case Reports 2018 4:85
    Content type: Case Report Published on:

  5. Peutz–Jeghers syndrome (PJS) is an autosomal dominant disorder characterized by mucocutaneous pigmentation and hamartomatous gastrointestinal polyposis. It is well known that individuals with PJS are at an inc...

    Authors: Toru Yoshikawa, Tomoyuki Abe, Hironobu Amano, Keiji Hanada, Tomoyuki Minami, Tsuyoshi Kobayashi, Shuji Yonehara, Masahiro Nakahara, Hideki Ohdan and Toshio Noriyuki
    Citation: Surgical Case Reports 2018 4:84
    Content type: Case Report Published on:

  6. The demand for breast reconstruction after mastectomy is rising. The use of deep inferior epigastric perforator (DIEP) flap in autologous reconstruction is a popular approach. There were some reports about abd...

    Authors: Jun Iwabu, Tsutomu Namikawa, Hiroyuki Kitagawa, Kazune Fujisawa, Toyokazu Oki, Maho Ogawa, Natsuko Iwai, Akiko Yano, Motone Kuriyama, Takeki Sugimoto and Kazuhiro Hanazaki
    Citation: Surgical Case Reports 2018 4:83
    Content type: Case Report Published on:

  7. Coronary vasospasm after coronary artery bypass grafting (CABG) is a rare but potentially lethal complication. It is often refractory to several vasodilators. We report a case of refractory coronary vasospasm ...

    Authors: Akira Fujita, Hiroshi Kurazumi, Ryo Suzuki, Masaya Takahashi, Akihito Mikamo and Kimikazu Hamano
    Citation: Surgical Case Reports 2018 4:82
    Content type: Case Report Published on:

  8. Extramammary Paget’s disease (EMPD) of the esophagus is a rare tumor, with most cases originating from invasive adenocarcinoma of the esophagus. Pure esophageal Paget’s disease, in which no underlying invasive...

    Authors: Akihiko Sano, Shinji Sakurai, Chika Komine, Yuichi Tabe, Kana Saito, Takaharu Fukasawa, Shinsuke Kiriyama, Hideki Yamamoto, Masachika Tani, Hiroshi Naitoh, Ken Shirabe and Hiroyuki Kuwano
    Citation: Surgical Case Reports 2018 4:81
    Content type: Case Report Published on:

  9. Medullary carcinoma of the pancreas (MCP) is a rare malignant pancreatic tumor. The World Health Organization classification defines the tumor as a subtype of pancreatic ductal carcinomas. MCP is histologicall...

    Authors: Akikazu Yago, Mitsuko Furuya, Ryutaro Mori, Yasuhiro Yabushita, Yu Sawada, Takafumi Kumamoto, Ryusei Matsuyama, Michio Shimizu and Itaru Endo
    Citation: Surgical Case Reports 2018 4:80
    Content type: Case Report Published on:

  10. Juvenile polyposis is an autosomal dominant inherited disease characterized by the development of numerous hamartomatous and nonneoplastic polyps of the gastrointestinal tract. Juvenile polyposis has also rece...

    Authors: Tomoko Jogo, Eiji Oki, Minako Fujiwara, Junji Kurashige, Ryota Nakanishi, Masahiko Sugiyama, Yuichiro Nakashima, Hiroshi Saeki, Shinichi Tsuruta, Masataka Nishimura, Yoshinao Oda and Yoshihiko Maehara
    Citation: Surgical Case Reports 2018 4:79
    Content type: Case Report Published on:

  11. 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
    Content type: Case Report Published on:

  12. 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
    Content type: Case Report Published on:

  13. 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
    Content type: Case Report Published on:

  14. 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
    Content type: Case Report Published on:

  15. 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
    Content type: Case Report Published on:

  16. 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
    Content type: Case Report Published on:

  17. 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
    Content type: Case Report Published on:

  18. 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
    Content type: Case Report Published on:

  20. 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
    Content type: Case Report Published on:

  21. 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
    Content type: Case Report Published on:

  23. 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
    Content type: Case Report Published on:

  24. 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
    Content type: Case Report Published on:

  25. 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
    Content type: Case Report Published on:

  26. 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
    Content type: Case Report Published on:

  27. 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
    Content type: Case Report Published on:

  28. 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
    Content type: Case report Published on:

  29. 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
    Content type: Case Report Published on:

  30. 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
    Content type: Case Report Published on:

  31. 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
    Content type: Case Report Published on:

  32. 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
    Content type: Case Report Published on:

  33. 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
    Content type: Case Report Published on:

  34. 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
    Content type: Case Report Published on:

  35. 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
    Content type: Case report Published on:

  37. 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
    Content type: Case Report Published on:

  38. 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
    Content type: Case report Published on:

  39. 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
    Content type: Case Report Published on:

  40. 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
    Content type: Case Report Published on:

  41. 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
    Content type: Case Report Published on:

  42. 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
    Content type: Case Report Published on:

  43. 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
    Content type: Case Report Published on:

  44. 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
    Content type: Case Report Published on:

  45. 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
    Content type: Case Report Published on:

  46. 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
    Content type: Case report Published on:

  47. 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
    Content type: Case Report Published on:

  48. 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
    Content type: Case Report Published on:

  49. 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
    Content type: Case Report Published on:
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