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  1. 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

    Content type: Case Report

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  2. 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

    Content type: Case Report

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  4. 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

    Content type: Case Report

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  5. 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

    Content type: Case Report

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  6. 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

    Content type: Case Report

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  7. 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

    Content type: Case Report

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  8. 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

    Content type: Case Report

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  9. 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

    Content type: Case Report

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  10. 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

    Content type: Case Report

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  11. 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

    Content type: Case Report

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  12. 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

    Content type: Case Report

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  13. 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

    Content type: Case Report

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  14. 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

    Content type: Case Report

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  15. 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

    Content type: Case Report

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  16. 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

    Content type: Case Report

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  17. 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

    Content type: Case Report

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  18. 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

    Content type: Case Report

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  19. 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

    Content type: Case Report

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  20. 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

    Content type: Case Report

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  21. 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

    Content type: Case Report

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  22. 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

    Content type: Case Report

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  23. 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

    Content type: Case Report

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  24. 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

    Content type: Case Report

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  25. 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

    Content type: Case Report

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  26. 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

    Content type: Case Report

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  27. 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

    Content type: Case Report

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  28. 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

    Content type: Case Report

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  29. 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

    Content type: Case Report

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  30. 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

    Content type: Case Report

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  31. 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

    Content type: Case Report

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  32. 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

    Content type: Case Report

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  34. 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

    Content type: Case Report

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  35. 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

    Content type: Case Report

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  36. 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

    Content type: Case Report

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  37. 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

    Content type: Case Report

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  38. 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

    Content type: Case Report

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  39. Suture granuloma with hydronephrosis after abdominal surgery is extremely rare. We herein report a successfully treated case of suture granuloma with hydronephrosis caused by ileostomy closure after rectal can...

    Authors: Yasuhiro Takano, Koichiro Haruki, Shu Tsukihara, Tadashi Abe, Muneyuki Koyama, Daisuke Ito, Hironori Kanno, Kyonsu Son, Nobuyoshi Hanyu and Ken Eto

    Citation: Surgical Case Reports 2021 7:210

    Content type: Case Report

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  40. Idiopathic multicentric Castleman disease (iMCD) is a rare polyclonal lymphoproliferative disease caused by the overrepresentation of interleukin-6 (IL-6). Tocilizumab (TCZ) is a humanized monoclonal antibody ...

    Authors: Yasuaki Tomioka, Shinji Otani, Shin Tanaka, Kazuhiko Shien, Ken Suzawa, Kentaroh Miyoshi, Hiromasa Yamamoto, Mikio Okazaki, Seiichiro Sugimoto, Masaomi Yamane and Shinichi Toyooka

    Citation: Surgical Case Reports 2021 7:209

    Content type: Case Report

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  41. Fibrolamellar hepatocellular carcinoma (FL-HCC) is a liver tumor that occurs almost exclusively in young adults without underlying liver disease. In spite of its distinct clinical characteristics and specific ...

    Authors: Atsushi Takahashi, Hiroshi Imamura, Ryota Ito, Fumihiro Kawano, Yu Gyoda, Hirofumi Ichida, Ryuji Yoshioka, Yoshihiro Mise, Yuki Fukumura, Katsuhiro Sano and Akio Saiura

    Citation: Surgical Case Reports 2021 7:208

    Content type: Case Report

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  42. Gomez gastroplasty, which was developed in the 1970s as one of the gastric restrictive surgeries for severe obesity, partitions the stomach using a stapler from the lesser towards the greater curvature at the ...

    Authors: Yudai Hojo, Yasunori Kurahashi, Toshihiko Tomita, Tsutomu Kumamoto, Tatsuro Nakamura, Yoshinori Ishida and Hisashi Shinohara

    Citation: Surgical Case Reports 2021 7:207

    Content type: Case Report

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  43. Percutaneous radiofrequency ablation (RFA) is an effective treatment for hepatocellular carcinoma (HCC), but delayed thermal damage can cause diaphragmatic hernia (DH). Surgery is recommended for DH, and open ...

    Authors: Yasuaki Kimura, Daisuke Ishioka, Hidenori Kamiyama, Shingo Tsujinaka and Toshiki Rikiyama

    Citation: Surgical Case Reports 2021 7:206

    Content type: Case Report

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  44. Spontaneous common bile duct (CBD) perforation is an extremely rare disease in adults. We report an adult case of CBD perforation due to choledocolithiasis accompanied with pancreaticobiliary maljunction, whic...

    Authors: Risa Sakamoto, Kengo Kai, Masahide Hiyoshi, Naoya Imamura, Koichi Yano, Takeomi Hamada, Takahiro Nishida, Fumiaki Kawano, Daichi Sakurahara, Yukako Uchise, Koji Yamamoto, Hiroaki Kataoka and Atsushi Nanashima

    Citation: Surgical Case Reports 2021 7:205

    Content type: Case Report

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  45. Small intestinal arteriovenous malformation (AVM) can cause bleeding. Most small intestinal AVMs occur during adulthood, rarely in infancy. We report a case of an infant with hemorrhage due to small intestinal...

    Authors: Wataru Kudo, Katsunori Kouchi, Ayako Takenouchi, Aki Matsuoka, Kiyoaki Yabe, Tadao Nakazawa and Atsuko Hasegawa

    Citation: Surgical Case Reports 2021 7:204

    Content type: Case Report

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  46. Although a few cases of accessory breast cancer (ABC) have been reported, most were in the axillary region. We encountered an extremely rare case of ABC in the inframammary region (IMR).

    Authors: Yuka Eguchi, Heiji Yoshinaka, Naoki Hayashi, Kazunobu Sueyoshi, Keiichiro Uchikura, Yuki Nomoto, Ayako Nagata, Hazuki Saho, Yoshiaki Shinden and Takao Ohtsuka

    Citation: Surgical Case Reports 2021 7:203

    Content type: Case Report

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  47. Colloid carcinoma derived from intraductal papillary mucinous neoplasm (IPMN) of the pancreatic head with prominent calcification is exceedingly rare. Only a few studies about this entity have been reported in...

    Authors: Ryoichi Miyamoto, Katsumi Amikura, Shinichi Matsudaira, Hiroyuki Ishida, Toshiro Ogura, Amane Takahashi, Atsushi Kihara, Hiroaki Kanda and Yoshiyuki Kawashima

    Citation: Surgical Case Reports 2021 7:202

    Content type: Case Report

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  49. Treatment options for complete rectal prolapse include over 100 procedures. In previous reports, operative rectal prolapse repair, regardless of the technique by perineal approach, was associated with high rec...

    Authors: Teppei Kamada, Hironori Ohdaira, Junji Takahashi, Yoshinobu Fuse, Wataru Kai, Keigo Nakashima, Yuichi Nakaseko, Norihiko Suzuki, Masashi Yoshida, Takeo Usui and Yutaka Suzuki

    Citation: Surgical Case Reports 2021 7:200

    Content type: Case Report

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  50. Plexiform schwannoma is one of the least common variants of schwannoma, accounting for only 5% of all schwannoma cases. It generally occurs in the skin and subcutaneous tissues and is uncommon in deep soft tis...

    Authors: Kenji Fukushima, Makoto Shinzeki, Kentaro Tai, Masaki Omori, Natsuko Yamauchi, Tomoko Tanaka, Yasunori Matsuda, Hiroshi Ashitani and Kenichi Tanaka

    Citation: Surgical Case Reports 2021 7:199

    Content type: Case Report

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