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  1. Since indocyanine green (ICG) accumulates selectively in hepatocellular carcinoma (HCC) cells, it can be used to detect metastatic lesions. Lymph node metastasis of HCC is rarely observed, both simultaneously ...

    Authors: Shunsuke Furukawa, Takao Ide, Kotaro Ito, Tomokazu Tanaka and Hirokazu Noshiro
    Citation: Surgical Case Reports 2023 9:211
    Content type: Case Report Published on:

  2. Mitral-aortic intervalvular fibrosa (MAIVF) is a fibrous region connecting the anterior mitral leaflet (AML) and aortic valve. Pseudoaneurysm of the MAIVF is a rare condition that has been reported as a sequel...

    Authors: Kosuke Nakata, Shuji Moriyama, Jun Takaki, Masahiro Takeo, Hideki Doi, Toshiyuki Matsumura and Toshihiro Fukui
    Citation: Surgical Case Reports 2023 9:210
    Content type: Case Report Published on:

  3. CA15-3 is often elevated in breast cancer recurrence and rarely in ductal carcinoma in situ (DCIS). We report a case of DCIS with elevated CA15-3 levels, which was diagnosed after over 2 years of follow-up.

    Authors: Mutsumi Fujimoto, Yoshie Kobayashi, Kazuya Kuraoka, Tomoyuki Yoshiyama and Hideo Shigematu
    Citation: Surgical Case Reports 2023 9:209
    Content type: Case Report Published on:

  4. Thyroid storm can be complicated by liver dysfunction, which may occasionally progress to acute liver failure. We herein report a case of acute liver failure following thyroid storm that was treated with livin...

    Authors: Kantoku Nagakawa, Akihiko Soyama, Takanobu Hara, Hajime Matsushima, Hajime Imamura, Takayuki Tanaka, Michi Morita, Sakaya Kuba, Tomohiko Adachi, Masaaki Hidaka, Hisamitsu Miyaaki, Satoru Akazawa, Ichiro Horie, Motohiro Sekino, Tetsuya Hara, Shinji Okano…
    Citation: Surgical Case Reports 2023 9:208
    Content type: Case Report Published on:

  5. Gastrocutaneous fistulas are a rare complication of enterocutaneous fistulas and can be caused by intestinal injury, infection, and anastomotic leakage. They are typically treated conservatively or endoscopica...

    Authors: Yuji Kobayashi, Shusuke Yagi, Kazuhiko Yamada, Daiki Kato, Naoki Enomoto, Kyoko Nohara and Norihiro Kokudo
    Citation: Surgical Case Reports 2023 9:207
    Content type: Case Report Published on:

  6. There are several options for the treatment of gastrointestinal stricture, including endoscopic stent placement and bypass surgery. However, a benign stricture is difficult to manage in a reconstructed gastric...

    Authors: Koji Shindo, Kenoki Ohuchida, Tomohiro Nagasue, Taiki Moriyama, Fumika Goto, Koji Tamura, Kinuko Nagayoshi, Yusuke Mizuuchi, Naoki Ikenaga, Kohei Nakata and Masafumi Nakamura
    Citation: Surgical Case Reports 2023 9:206
    Content type: Case Report Published on:

  7. Primary angiosarcomas of the breast are rare and highly aggressive. We herein report a rare case of multiple angiosarcomas detected concurrently in both breasts.

    Authors: Ryota Matsuda, Michiyo Saimura, Keisei Anan, Kento Katsuyama, Yuki Tahara, Kanako Kurata, Kohei Horioka, Mitsuhiro Nakamoto, Kenichiro Koga, Shoshu Mitsuyama, Eiichi Sato, Shinichi Wakamatsu and Sadafumi Tamiya
    Citation: Surgical Case Reports 2023 9:205
    Content type: Case Report Published on:

  8. Severe scoliosis can cause reflux esophagitis, and is a risk factor for Barrett's adenocarcinoma of the esophagus. Severe scoliosis is associated with respiratory dysfunction, impaired operative tolerance, and...

    Authors: Daisuke Taguchi, Kotaro Yamashita, Kota Momose, Koji Tanaka, Tomoki Makino, Takuro Saito, Kazuyoshi Yamamoto, Tsuyoshi Takahashi, Yukinori Kurokawa, Kiyokazu Nakajima, Hidetoshi Eguchi and Yuichiro Doki
    Citation: Surgical Case Reports 2023 9:204
    Content type: Case Report Published on:

  9. A self-expandable metal stent is often placed as a bridge to elective surgical treatment of left-sided malignant obstruction of the colon because it allows for primary anastomosis without the need for a tempor...

    Authors: Taro Tanabe, Genki Tsukuda, Takahiro Hobo, Noboru Yokoyama and Haruhiro Inoue
    Citation: Surgical Case Reports 2023 9:203
    Content type: Case Report Published on:

  10. The rate of residual liver recurrence after the resection of colorectal liver metastases is high, and most cases recur within 5 years of the initial hepatectomy. Here, we report two cases of residual liver rec...

    Authors: Shotaro Yagi, Makoto Takahashi, Taiki Tsuji, Susumu Yanagibashi, Taku Higashihara, Hideo Ohtsuka, Tatsuya Hayashi, Kunio Takuma, Yasuhiro Morita, Ayano Nakazono, Haruka Okada and Masayuki Ohtsuka
    Citation: Surgical Case Reports 2023 9:202
    Content type: Case Report Published on:

  11. A colovesical fistula (CVF) is commonly treated by resection of the intestine containing the fistula or creation of a defunctioning stoma. We herein report a case of successful fistula closure and avoidance of...

    Authors: Goro Takahashi, Akihisa Matsuda, Takeshi Yamada, Kay Uehara, Seiichi Shinji, Yasuyuki Yokoyama, Takuma Iwai, Kohki Takeda, Sho Kuriyama, Toshimitsu Miyasaka, Shintaro Kanaka, Tai Terayachi, Tetsuya Okino and Hiroshi Yoshida
    Citation: Surgical Case Reports 2023 9:201
    Content type: Case Report Published on:

  12. Left-sided portal hypertension including gastric venous congestion may be caused by ligating the splenic vein during pancreaticoduodenectomy with portal vein resection or total pancreatectomy. The usefulness o...

    Authors: Sanshiro Hatai, Keizo Kaku, Shinsuke Kubo, Yu Sato, Hiroshi Noguchi, Yasuhiro Okabe, Naoki Ikenaga, Kohei Nakata and Masafumi Nakamura
    Citation: Surgical Case Reports 2023 9:200
    Content type: Case Report Published on:

  13. Perforation of the pyriform sinus, included in hypopharyngeal injury, is a rare condition typically caused by iatrogenic factors. We present a case of an infant who developed deep cervical and mediastinal absc...

    Authors: Noboru Oyachi, Fuminori Numano, Tomohiro Saito, Minako Hoshiai and Keiichi Koizumi
    Citation: Surgical Case Reports 2023 9:199
    Content type: Case Report Published on:

  14. Oxaliplatin-based regimens are commonly used as adjuvant chemotherapy following surgery for colorectal cancer. Adverse events associated with oxaliplatin include blue liver, which is caused by sinusoidal dilat...

    Authors: Akira Dejima, Yasuji Seyama, Daisuke Nakano, Misato Takao, Soichiro Natsume, Mikiya Takao, Sakiko Nakamori, Tatsuya Kanai, Shinichiro Horiguchi and Kazushige Kawai
    Citation: Surgical Case Reports 2023 9:198
    Content type: Case Report Published on:

  15. Anorectal fistula cancer is often diagnosed in an advanced state, and radical resection is difficult when invasion of the pelvic wall is observed. In addition, there is currently no clear evidence for perioper...

    Authors: Takuya Inoue, Yuki Sekido, Takayuki Ogino, Tsuyoshi Hata, Norikatsu Miyoshi, Hidekazu Takahashi, Mamoru Uemura, Tsunekazu Mizushima, Yuichiro Doki and Hidetoshi Eguchi
    Citation: Surgical Case Reports 2023 9:197
    Content type: Case Report Published on:

  16. Colorectal cancer (CRC) metastasizes to various organs, while cutaneous metastases are rare. Although there have been several previous reports of axillary cutaneous metastases with other metastases of CRC, the...

    Authors: Daisuke Yamai, Yoshifumi Shimada, Hikaru Ozeki, Akio Matsumoto, Kaoru Abe, Yosuke Tajima, Mae Nakano, Hiroshi Ichikawa, Jun Sakata and Toshifumi Wakai
    Citation: Surgical Case Reports 2023 9:196
    Content type: Case Report Published on:

  17. Systemic sclerosis (SSc) is an autoimmune disease characterized by frequent esophageal involvement. However, there are few reports on esophagectomy for esophageal strictures associated with SSc. Herein, we pre...

    Authors: Yuho Ebata, Yasue Kimura, Kentaro Nonaka, Sho Nambara, Qingjiang Hu, Ryota Nakanishi, Tomonori Nakanoko, Mitsuhiko Ota, Eiji Oki and Tomoharu Yoshizumi
    Citation: Surgical Case Reports 2023 9:195
    Content type: Case Report Published on:

  19. Pleuropulmonary blastoma (PPB) is an extremely rare and malignant pediatric lung tumor. Purely cystic PPB has a more favorable prognosis than solid PPB, but may be difficult to distinguish from a certain type ...

    Authors: Mitsumasa Okamoto, Shoka Kimura, Machiko Hotta, Yudai Tsuruno and Hiroaki Fukuzawa
    Citation: Surgical Case Reports 2023 9:193
    Content type: Case Report Published on:

  20. IgG4-related diseases are characterized by marked infiltration and IgG4-positive plasma cells and fibrosis, and involve multiple organs. However, IgG4-related mastitis is rare. We report a case of mastitis ass...

    Authors: Moe Itakura, Yoshiya Horimoto, Yumiko Ishizuka, Hiroko Onagi, Takuo Hayashi, Toshio Kawamoto, Junichiro Watanabe and Kotaro Iijima
    Citation: Surgical Case Reports 2023 9:192
    Content type: Case Report Published on:

  21. Sacrococcygeal teratomas (SCTs) are known to cause urological complications, but urethrovaginal (UV) fistula as a complication of SCT is rare. We herein report a case of SCT with UV fistula and hydrocolpos.

    Authors: Yuichi Shibui, Satoshi Obata, Ryuichiro Hirose, Ryo Nakano, Takashi Setoue, Takeshi Miyazaki, Hirofumi Matsuoka and Toshihiko Sato
    Citation: Surgical Case Reports 2023 9:191
    Content type: Case Report Published on:

  22. This case report highlights the exceptional rarity of appendix duplication in adults, a condition that closely mimics appendiceal tumors, posing diagnostic challenges. The novelty of this case lies in its pres...

    Authors: Jumpei Shibata, Akihiro Tomida, Masaoki Hattori, Akihiro Hirata, Hiromitsu Imataki, Yukiya Orihara, Hideharu Shintomi, Keiya Aono and Motoi Yoshihara
    Citation: Surgical Case Reports 2023 9:190
    Content type: Case Report Published on:

  23. An Inflammatory myofibroblastic tumor (IMT) is a rare intermediate malignancy characterized by myofibroblast proliferation and inflammatory cell infiltration. Various organs are the primary sites of origin. Ho...

    Authors: Naoya Kimura, Masatsugu Hiraki, Michiaki Akashi, Koichi Miyahara, Minori Imamura, Shunsuke Furukawa and Ryuichiro Samejima
    Citation: Surgical Case Reports 2023 9:189
    Content type: Case Report Published on:

  24. Small bowel cancer is very rare, accounting for less than 5% of all gastrointestinal cancers, and small bowel adenocarcinoma accounts for approximately 40% of all small bowel cancers. Small bowel adenocarcinom...

    Authors: Yuri Nishioka, Yasunori Matsumoto, Shunsuke Imanishi, Satoshi Endo, Takeshi Toyozumi, Yoshihiro Kurata, Takuma Sasaki, Gaku Ohira, Koichi Hayano and Hisahiro Matsubara
    Citation: Surgical Case Reports 2023 9:188
    Content type: Case Report Published on:

  25. Spontaneous regression of malignant tumors is a rare phenomenon, especially in primary lung cancer. The underlying mechanisms remain unclear, but they may often involve immunological mechanisms.

    Authors: Madoka Goto, Koichi Fukumoto, Yasuhisa Ichikawa, Hideki Tsubouchi, Mika Uchiyama and Shoichi Mori
    Citation: Surgical Case Reports 2023 9:187
    Content type: Case Report Published on:

  27. Few cases of traumatic pneumothorax complicated by thoracic empyema have been reported. The indication of antibiotic prophylaxis administration for traumatic pneumothorax during tube thoracostomy remains contr...

    Authors: Teppei Tokumaru, Hideaki Kurata, Jin Mitsui and Joji Tomioka
    Citation: Surgical Case Reports 2023 9:185
    Content type: Case Report Published on:

  28. Edwardsiella tarda (E. tarda) is a Gram-negative facultative anaerobe belonging to Enterobacteriales and is commonly isolated from fishes and reptiles. Infection due to E. tarda is uncommon among humans, with a r...

    Authors: Chisato Hara, Tetsuya Tanaka, Satoshi Nishiwada, Yuki Kirihataya and Atsushi Yoshimura
    Citation: Surgical Case Reports 2023 9:184
    Content type: Case Report Published on:

  29. Familial gastrointestinal stromal tumors (GISTs) are mesenchymal tumors of the digestive tract caused by germline gain-of-function mutations in the KIT gene or platelet-derived growth factor receptor alpha gene (

    Authors: Asami Arita, Tsuyoshi Takahashi, Kiyokazu Nakajima, Yukinori Kurokawa, Seiichi Hirota, Toshirou Nishida, Kotaro Yamashita, Takuro Saito, Koji Tanaka, Tomoki Makino, Makoto Yamasaki, Kunihiko Kawai, Yuichi Motoyama, Eiichi Morii, Hidetoshi Eguchi and Yuichiro Doki
    Citation: Surgical Case Reports 2023 9:183
    Content type: Case Report Published on:

  30. Gastric cancer metastatic to the extrahepatic bile duct or accompanied by portal vein tumor thrombus (PVTT) is rare. To our knowledge, there have been no cases complicated with both of these factors.

    Authors: Naohiko Otsuka, Yasuhiko Nakagawa, Hiroshi Uchinami, Yuzo Yamamoto and Junichi Arita
    Citation: Surgical Case Reports 2023 9:182
    Content type: Case Report Published on:

  31. Although metastatic spread of breast cancer to the gastrointestinal tract is very rare, it is more likely to occur in invasive lobular carcinoma (ILC) than in ductal carcinoma. Colonic metastasis is particular...

    Authors: Shinya Otsuka, Kazuteru Komuro, Masato Suzuoki, Shuhei Hayasaka, Momoko Tsuda, Kimitoshi Kubo, Tomone Ueki, Yumi Moriya, Noriko Kimura and Masanori Ohara
    Citation: Surgical Case Reports 2023 9:181
    Content type: Case Report Published on:

  32. Anastomotic recurrence of colorectal cancer is rare, but reoperation improves prognosis. However, there is no clear evidence regarding the extent of dissection, and there are few reports on the details of surg...

    Authors: Keita Sato, Yosuke Yamauchi and Koji Takahashi
    Citation: Surgical Case Reports 2023 9:180
    Content type: Case Report Published on:

  33. Appendiceal bleeding is very rare, accounting for about 0.4% of all lower gastrointestinal bleeding. We present a case of laparoscopic appendectomy in a patient with a diagnosis of appendiceal bleeding.

    Authors: Takuya Nakashima, Bun Sano, Aiko Ikawa, Kakeru Tawada, Tomohito Shinoda, Shinya Ohno and Reo Tachikawa
    Citation: Surgical Case Reports 2023 9:179
    Content type: Case Report Published on:

  34. Internal hernias are relatively rare and difficult to diagnose. Diagnostic delays lead to the progression of strangulation. In particular, pararectal fossa hernias are extremely rare. We encountered a case in ...

    Authors: Kozue Matsuishi, Seiya Saito, Mayuko Ohuchi, Yuki Kiyozumi, Jiro Nasu, Norihisa Hanada and Hideo Baba
    Citation: Surgical Case Reports 2023 9:178
    Content type: Case Report Published on:

  35. Extremely low birth weight (< 1000 g) still influences postsurgical prognosis in the neonatal and infantile periods. Additionally, the life expectancy of neonates with trisomy 18 is extremely poor owing to var...

    Authors: Mitsumasa Okamoto, Sachiyo Fukushima, Satoshi Okada, Yudai Tsuruno, Hiroaki Fukuzawa, Tomoaki Ioroi and Masaaki Kugo
    Citation: Surgical Case Reports 2023 9:177
    Content type: Case Report Published on:

  36. Pulmonary sequestration is a rare pulmonary malformation, with intralobar pulmonary sequestration being the most common subtype. Lobectomy has generally been performed for its treatment, owing to unclear bound...

    Authors: Chiaki Kanno, Yujin Kudo, Ryosuke Amemiya, Jun Matsubayashi, Hideyuki Furumoto, Satoshi Takahashi, Sachio Maehara, Masaru Hagiwara, Masatoshi Kakihana, Toshitaka Nagao, Tatsuo Ohira and Norihiko Ikeda
    Citation: Surgical Case Reports 2023 9:176
    Content type: Case Report Published on:

  37. The prognosis of hepatocellular carcinoma (HCC) with vascular invasion is extremely poor, especially in patients with tumor thrombus (TT) of the inferior vena cava (IVC), which is an oncological emergency with...

    Authors: Hiroki Kushiya, Yoshiyasu Ambo, Minoru Takada, Takahiko Masuda, Shuichi Naraoka and Satoshi Hirano
    Citation: Surgical Case Reports 2023 9:175
    Content type: Case Report Published on:

  38. Pulmonary extended segmentectomy is an optional surgical treatment for early-stage non-small cell lung cancer that helps to achieve optimal surgical margins. Here, we describe a challenging instance of extende...

    Authors: Masahiro Yanagiya, Ami Wada, Nobuyasu Awano, Takehiro Izumo and Yoshiaki Furuhata
    Citation: Surgical Case Reports 2023 9:174
    Content type: Case Report Published on:

  39. Liver metastasis of pure squamous cell carcinoma (SCC) from pancreatic ductal adenocarcinoma has not been previously reported.

    Authors: Yohei Mano, Keishi Sugimachi, Tomonari Shimagaki, Takahiro Tomino, Emi Onishi, Lingaku Lee, Terumasa Hisano, Yutaka Koga, Kenichi Taguchi, Masaru Morita and Yasushi Toh
    Citation: Surgical Case Reports 2023 9:173
    Content type: Case Report Published on:

  40. Postoperative recurrence is frequently encountered in the management of patients with Crohn’s disease and is most often found at the anastomotic site. A novel technique, the Sasaki-W anastomosis, is an antimes...

    Authors: Takahiro Asai, Hiroharu Shinozaki, Satoshi Shinozaki, Akitsugu Makino, Masashi Nakagawa, Kenji Kobayashi, Alan Kawarai Lefor, Seigo Yukisawa and Yoshiro Ogata
    Citation: Surgical Case Reports 2023 9:172
    Content type: Case Report Published on:

  41. Thoracic duct cysts are extremely rare mediastinal tumors. We report a case of a thoracic duct cyst extending from the caudal aspect of the left main bronchus to the left renal artery that was safely and compl...

    Authors: Hironari Miyamoto, Shigeru Lee, Takemi Ishidate, Kenji Kuroda, Hiroaki Kasashima, Yuichiro Miki, Mami Yoshii, Tatsunari Fukuoka, Tatsuro Tamura, Masatsune Shibutani, Takahiro Toyokawa and Kiyoshi Maeda
    Citation: Surgical Case Reports 2023 9:171
    Content type: Case Report Published on:

  42. Indocyanine green (ICG) fluorescence imaging is widely used in gastrointestinal surgery and is considered useful for reducing anastomotic leakage; however, because ICG remains in the tissue for a certain amoun...

    Authors: Tomohiro Kako, Masahiro Kimura, Ryo Nomura, Shuhei Uehara, Hiroshi Uematsu, Seiichi Nakaya, Yuzo Maeda, Ken Tsuboi, Koshiro Harata and Shuji Takiguchi
    Citation: Surgical Case Reports 2023 9:170
    Content type: Case Report Published on:

  43. An esophageal anastomotic stricture (EAS) after an esophageal atresia surgery occurs in approximately 4–60% of the cases, and its first-line therapy includes balloon dilatation. Oral balloon dilatation cannot ...

    Authors: Yoichi Nakagawa, Hiroo Uchida, Akinari Hinoki, Chiyoe Shirota, Wataru Sumida, Satoshi Makita, Kazuki Yokota, Hizuru Amano, Akihiro Yasui, Daiki Kato, Yousuke Gohda and Takuya Maeda
    Citation: Surgical Case Reports 2023 9:169
    Content type: Case Report Published on:

  44. Fibrolamellar hepatocellular carcinoma (HCC) (FL-HCC) is rare in Japan. FL-HCC develops in young patients with no history of cirrhosis and tends to manifest lymphatic metastasis with clinical features similar ...

    Authors: Akira Watanabe, Norifumi Harimoto, Hideyuki Saito, Reika Kawabata-Iwakawa, Takaomi Seki, Ryo Muranushi, Kouki Hoshino, Kei Hagiwara, Norihiro Ishii, Mariko Tsukagoshi, Takamichi Igarashi, Kenichiro Araki, Hayato Ikota, Takashi Ishige, Koshi Mimori and Ken Shirabe
    Citation: Surgical Case Reports 2023 9:168
    Content type: Case Report Published on:

  45. Tumor-associated sarcoid reactions have been observed with various tumors; however, they have not been reported with uterine cancer. We present two cases of splenic sarcoid reactions that mimicked metastases a...

    Authors: Kei Kitamura, Toshiro Ogura, Ryoichi Miyamoto, Hiroyuki Ishida, Shinichi Matsudaira, Amane Takahashi, Hiroaki Kanda and Takashi Fukuda
    Citation: Surgical Case Reports 2023 9:167
    Content type: Case Report Published on:

  46. Undifferentiated pleomorphic sarcoma is an uncommon sarcoma and its presence in the spleen is even rarer, with only a handful of cases reported in English literature. It is typically only diagnosed following h...

    Authors: Raphael Gatt, Luca Casingena, David Pisani, Rachel Agius and Noel Cassar
    Citation: Surgical Case Reports 2023 9:166
    Content type: Case Report Published on:

  47. An alpha-fetoprotein (AFP)-positive neuroendocrine tumor of the thymus is a rare thoracic malignancy. Few cases of AFP-positive thymic large cell neuroendocrine carcinoma have been reported, with no known prev...

    Authors: Masao Kobayashi, Soichiro Funaki, Eriko Fukui, Eiichi Morii and Yasushi Shintani
    Citation: Surgical Case Reports 2023 9:165
    Content type: Case Report Published on:

  48. Intrahepatic cholangiocarcinoma (ICC) is frequently associated with precursor lesions, and biliary intraepithelial neoplasia (BilIN) may play a significant role in the development of ICC. However, the exact se...

    Authors: Haruna Kubota, Yasushi Hashimoto, Kazuhiro Toyota, Raita Yano, Hironori Kobayashi, Yujiro Yokoyama, Yoshihiro Sakashita, Kiyomi Taniyama, Katsunari Miyamoto and Yoshiaki Murakami
    Citation: Surgical Case Reports 2023 9:164
    Content type: Case Report Published on:

  49. The use of extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation is an uncommon strategy in Japan owing to the severe donor shortage and absence of urgent allocation policy. Moreover, ...

    Authors: Yasuaki Tomioka, Kentaroh Miyoshi, Shin Tanaka, Seiichiro Sugimoto, Rie Kanai, Tetsuro Nikai, Shinichi Toyooka and Masaomi Yamane
    Citation: Surgical Case Reports 2023 9:163
    Content type: Case Report Published on:

  50. Double inferior vena cava (DIVC) is rare and usually detected incidentally. DIVC may be associated with several anatomical variants of the retroperitoneal and pelvic veins. These variants can pose a clinical p...

    Authors: Mikio Kawamura, Shinji Yamashita, Hiroki Imaoka, Tadanobu Shimura, Takahito Kitajima, Yoshinaga Okugawa, Yoshiki Okita, Masaki Ohi and Yuji Toiyama
    Citation: Surgical Case Reports 2023 9:162
    Content type: Case Report Published on:
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