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  1. Breast cancer is well known to tends to invade through the lymphatic chains mainly to the axillary and subclavian nodes or occasionally to the internal mammary nodes. However, inguinal lymph node metastasis fr...

    Authors: Takeo Kimoto, Norio Kohno, Akiko Okamoto, Kyosuke Ota, Takafumi Tani, Takeshi Kondo and Mari Nishio

    Citation: Surgical Case Reports 2021 7:99

    Content type: Case Report

    Published on:

  2. Salvage surgery is an effective therapeutic option for patients experiencing relapses after chemoradiotherapy for advanced-stage lung cancer or after high-dose radiotherapy for early-stage lung cancer. We repo...

    Authors: Haruaki Hino, Kahori Nakahama, Makoto Ogata, Kayoko Kibata, Chika Miyasaka, Takahiro Utsumi, Natsumi Maru, Hiroshi Matsui, Yohei Taniguchi, Tomohito Saito, Koji Tsuta and Tomohiro Murakawa

    Citation: Surgical Case Reports 2021 7:98

    Content type: Case Report

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  3. The prognosis of recurrent and unresectable gastric cancer remains poor despite the development of multidisciplinary treatments. Ramucirumab (RAM) has been proven effective against unresectable or recurrent ga...

    Authors: Naoyuki Uehata, Keita Kouzu, Hironori Tsujimoto, Hidekazu Sugasawa, Kotaro Wakamatsu, Yoji Kishi and Hideki Ueno

    Citation: Surgical Case Reports 2021 7:97

    Content type: Case Report

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  4. Intussusception occurs when a segment of the bowel (the intussusceptum) telescopes into an adjacent segment (the intussuscipiens). Adult intussusception occurs rarely and often requires surgical resection for ...

    Authors: Hayato Shimoyama, Kimihiko Ueno and Masahiro Samizo

    Citation: Surgical Case Reports 2021 7:96

    Content type: Case Report

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  5. Gastrobronchial fistulas are rare, but life-threatening, complications of esophagectomy. They are caused by anastomotic leakage and mainly occur around anastomotic sites. In the present paper, we report a rare...

    Authors: Tohru Nishimura, Chisakou Fuse, Masayuki Akita, Nobuhisa Takase, Eri Maeda, Koichiro Abe, Akihito Kozuki, Kunio Yokoyama, Tomohiro Tanaka, Shinji Kishi, Toshihiko Sakamoto, Tetsuya Sakai and Kunihiko Kaneda

    Citation: Surgical Case Reports 2021 7:95

    Content type: Case Report

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  6. Abdominal cocoon syndrome is a rare cause of intestinal obstruction in which loops of small bowel get entrapped inside a fibro-collagenous membrane. Condition is also known in the literature as sclerosing peri...

    Authors: Sabah Uddin Saqib, Rimsha Farooq, Omair Saleem, Sarosh Moeen and Tabish Umer Chawla

    Citation: Surgical Case Reports 2021 7:93

    Content type: Case Report

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  7. Symptomatic congenital biliary dilatation (CBD) during early infancy is always characterized by cystic dilation of the common bile duct with a narrow segment connecting the pancreatic duct.

    Authors: Shoko Kato, Kenitiro Kaneko, Nozomi Matsushita, Shintaro Kurahashi, Takaaki Osawa, Tatsuki Matsumura, Takuya Saito, Yasuyuki Fukami, Shunichiro Komatsu and Tsuyoshi Sano

    Citation: Surgical Case Reports 2021 7:92

    Content type: Case Report

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  8. The majority of ingested foreign bodies pass through the gastrointestinal tract smoothly, with less than 1% requiring surgery. Fish bone could perforate through the wall of stomach or duodenum and then migrate...

    Authors: Yang Wang, Xianzhang Luo and Jiefeng Zhang

    Citation: Surgical Case Reports 2021 7:91

    Content type: Case Report

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  9. Pancreatic acinar cell carcinoma (PACC) is a rare exocrine malignant tumor. Its widespread intraductal extension into the main pancreatic duct (MPD) is also rare.

    Authors: Masato Kayahara, Ichiro Onishi, Naoki Makita, Shunsuke Kano, Masayoshi Munemoto, Yasumichi Yagi, Makiko Minami, Noriaki Orita, Takuya Komura and Nozomu Kurose

    Citation: Surgical Case Reports 2021 7:90

    Content type: Case Report

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  10. We have introduced the Senhance Digital Laparoscopy System and actively use for colorectal cancer surgery. Recently, we also try to perform surgery by reduce port as less invasive method. For the first time, w...

    Authors: Yume Minagawa, Yasumitsu Hirano, Atsuko Kataoka, Satoshi Shimamura, Masahiro Kataoka, Masahiro Asari, Takatsugu Fujii, Shintaro Ishikawa, Toshimasa Ishii, Hiroshi Sato, Shinichi Sakuramoto, Kojun Okamoto and Isamu Koyama

    Citation: Surgical Case Reports 2021 7:89

    Content type: Case Report

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  11. Traditionally, the surgery for simultaneous double cancer of the stomach and colon required a large incision to the upper and lower region of the abdomen. In this case, an artificial blood vessel was located u...

    Authors: Koichi Takiguchi, Shinji Furuya, Makoto Sudo, Kazuyoshi Hirayama, Ryo Saito, Atsushi Yamamoto, Katsutoshi Shoda, Hidenori Akaike, Naohiro Hosomura, Yoshihiko Kawaguchi, Hidetake Amemiya, Hiromichi Kawaida, Hiroshi Kono and Daisuke Ichikawa

    Citation: Surgical Case Reports 2021 7:88

    Content type: Case Report

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  12. The COVID-19 pandemic has rapidly spread worldwide. As it is a novel disease, we have less experience in its possible appearances. Predominantly affecting the respiratory tract, about 20–43% patients also pres...

    Authors: Stefanie Sinz, Florian Glaser-Gallion and Thomas Steffen

    Citation: Surgical Case Reports 2021 7:87

    Content type: Case Report

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  13. Desmoplastic fibroblastoma is an uncommon, benign, fibrous tumor exhibiting infiltrative growth. Most of these tumors are small, slow-growing, and develop as subcutaneous lesions in the extremities. Cases of d...

    Authors: Hideki Ota, Hirotaka Ishida, Hidekazu Matsumoto and Tomoharu Ishiyama

    Citation: Surgical Case Reports 2021 7:86

    Content type: Case Report

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  14. Pyogenic granuloma is a benign vascular tumor, usually occurring on the skin or in the oral cavity. Small intestinal pyogenic granuloma is extremely rare, but intestinal intussusception due to the tumor is eve...

    Authors: Kodai Nagakari, Akikazu Yago, Yu Ohkura, Daisuke Tomita, Shusuke Haruta, Yutaka Takazawa and Masaki Ueno

    Citation: Surgical Case Reports 2021 7:85

    Content type: Case Report

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  15. Immunoglobulin G4 (IgG4)-related diseases are characterized by abnormal IgG4 levels, swelling, and marked infiltration and fibrosis of the lymphocytes and IgG4-positive plasma cells, causing hypertrophic lesio...

    Authors: Yoshihito Iijima, Shun Iwai, Nozomu Motono, Katsuo Usuda, Akihiro Shioya, Shingo Takeuchi, Shigeki Yamagishi, Kiyoshi Koizumi, Sohsuke Yamada and Hidetaka Uramoto

    Citation: Surgical Case Reports 2021 7:84

    Content type: Case Report

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  16. Obturator hernia is a life-threatening condition, requiring emergency intervention due to strangulation, if non-invasive repair for strangulation cannot be complete. Change from emergency surgery to elective s...

    Authors: Yuto Maeda, Osamu Nakahara, Seiya Saito, Jiro Nasu and Hideo Baba

    Citation: Surgical Case Reports 2021 7:83

    Content type: Case Report

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  17. An amendment to this paper has been published and can be accessed via the original article.

    Authors: Haruaki Hino, Noriyuki Tanaka, Hiroshi Matsui, Takahiro Utsumi, Natsumi Maru, Yohei Taniguchi, Tomohito Saito, Koji Tsuta and Tomohiro Murakawa

    Citation: Surgical Case Reports 2021 7:82

    Content type: Correction

    Published on:

    The original article was published in Surgical Case Reports 2021 7:69

  18. Metachronous pancreatic and gallbladder cancer is a rare condition and has a dismal prognosis. Herein, we present a patient with triple metachronous primary pancreatic and gallbladder cancer associated with pa...

    Authors: Yuta Kuhara, Yasushi Hashimoto, Satoshi Hirahara, Haruna Kubota, Kenji Shirakawa, Kazuhiro Toyota, Raita Yano, Hironori Kobayashi, Yujiro Yokoyama, Yoshihiro Sakashita, Yoshiaki Murakami, Kiyomi Taniyama and Katsunari Miyamoto

    Citation: Surgical Case Reports 2021 7:81

    Content type: Case Report

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  19. In Japan, the prevalence of synchronous multiple intramucosal gastric carcinoma is reported to be 5–15%. Here is a case of a synchronous small gastric carcinoma fulfilling the definite indication and curative ...

    Authors: En Amada, Hirofumi Kawakubo, Satoru Matsuda, Shuhei Mayanagi, Rieko Nakamura, Tomoyuki Irino, Norihito Wada, Shuji Mikami and Yuko Kitagawa

    Citation: Surgical Case Reports 2021 7:80

    Content type: Case Report

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  20. Bronchial necrosis is a rare but fatal complication after radiation therapy. Because of the anatomical complexity and rarity of this condition, determining the most appropriate management for individual patien...

    Authors: Yuya Nobori, Masaaki Sato, Mizuki Morota, Yoshikazu Shinohara, Daisuke Yoshida, Takahiro Karasaki, Kentaro Kitano and Jun Nakajima

    Citation: Surgical Case Reports 2021 7:79

    Content type: Case Report

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  21. Foramen of Winslow hernia (FWH) is a rare but emergent condition caused by an increase in the foramen diameter, visceral mobility, and intra-abdominal pressure. To the best of our knowledge, this is the first ...

    Authors: Shusaku Honma, Takenori Itohara, Seigo Sha and Hirohiko Onoyama

    Citation: Surgical Case Reports 2021 7:77

    Content type: Case Report

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  22. Ascertaining the origin of large tumors located in the region of the pancreas head and adjacent mesocolon can pose a challenge preoperatively. En bloc pancreatoduodenectomy with hemicolectomy is often required...

    Authors: Susumu Ohwada, Amika Moro, Nair Amit, Kazunari Sasaki, Shinji Sakurai, Atsuko Takada-Owada, Masaru Izumi, Yuhei Nakano, Yasushige Kashima and Hideki Matsuyama

    Citation: Surgical Case Reports 2021 7:76

    Content type: Case Report

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  23. Ehlers–Danlos syndrome (EDS) is an inherited disorder that causes connective tissue fragility. The vascular type of EDS (vEDS) caused by defective collagen type III production accounts for 5%–10% of all EDS ca...

    Authors: Daisuke Kakinuma, Takeshi Yamada, Yoshikazu Kanazawa, Kunihiko Matsuno, Tomoko Sahara and Hiroshi Yoshida

    Citation: Surgical Case Reports 2021 7:74

    Content type: Case Report

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  24. Bone marrow transplantation is now an established treatment for some hematopoietic disorders and hematopoietic malignancies, and secondary solid tumors that develop after bone marrow transplantation have begun...

    Authors: Yamato Ninomiya, Soji Ozawa, Kazuo Koyanagi, Miho Yamamoto, Tadashi Higuchi, Kentaro Yatabe and Kohei Tajima

    Citation: Surgical Case Reports 2021 7:73

    Content type: Case Report

    Published on:

  25. Although duodenal neuroendocrine neoplasms (DuNENs) usually have indolent phenotypes, some DuNENs exhibit aggressive clinical manifestations. Tumor size > 1 cm, lymph node metastasis, and high grade have been ...

    Authors: Tomoya Kitada, Toshihiko Masui, Yosuke Kasai, Yuichiro Uchida, Satoshi Ogiso, Takashi Ito, Takamichi Ishii, Satoru Seo, Hiroyuki Katsuragawa and Shinji Uemoto

    Citation: Surgical Case Reports 2021 7:72

    Content type: Case Report

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  26. The optimal procedure for recurrent external rectal prolapse remains unclear, particularly in laparoscopic approach. In addition, pelvic organ prolapse (POP) is sometimes concomitant with rectal prolapse. We p...

    Authors: Kosuke Toda, Taro Aoyama, Kenjiro Hirai, Taisuke Uemura, Haruku Fujita, Asami Okabe, Hidenori Ohe, Tsuyoshi Tachibana and Akira Mitsuyoshi

    Citation: Surgical Case Reports 2021 7:71

    Content type: Case Report

    Published on:

  27.  Primary neuroendocrine tumors of the gallbladder (GB-NETs) are rare, accounting for 0.5% of all NETs and 2.1% of all gallbladder cancers. Among GB-NETs, mixed neuroendocrine–non-neuroendocrine neoplasms of th...

    Authors: Tatsuki Ishikawa, Katsunori Nakano, Masafumi Osaka, Kenichi Aratani, Kadotani Yayoi, Kiyokazu Akioka, Kuniyuki Tsuchiya and Yohei Hosokawa

    Citation: Surgical Case Reports 2021 7:70

    Content type: Case Report

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  28. Immunoglobulin G4-related disease (IgG4-RD) is a multi-organ disorder predominantly occurring in middle-aged to elderly male patients characterized by multi-organ fibrosis, specific pathological findings of st...

    Authors: Haruaki Hino, Noriyuki Tanaka, Hiroshi Matsui, Takahiro Utsumi, Natsumi Maru, Yohei Taniguchi, Tomohito Saito, Koji Tsuta and Tomohiro Murakawa

    Citation: Surgical Case Reports 2021 7:69

    Content type: Case Report

    Published on:

    The Correction to this article has been published in Surgical Case Reports 2021 7:82

  29. Rectovaginal fistula (RVF) after low anterior resection for rectal cancer is troublesome and refractory. Although various surgical procedures have been previously described, no definitive procedure has shown a...

    Authors: Hiroyuki Ohta, Kyozo Hashimoto, Tomoyuki Mizukuro, Byonggu An, Yumi Zen, Yusuke Nishina, Yoshitaka Terada, Naomi Kitamura, Hiroya Akabori, Mitsuhiro Fujino and Eiji Mekata

    Citation: Surgical Case Reports 2021 7:68

    Content type: Case Report

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  30. Iatrogenic ureteral injury (UI) is a potentially serious complication of colorectal cancer surgery. Performing perioperative placement of ureteral stents or intraoperative fluorescence navigation surgery for t...

    Authors: Teppei Kamada, Yuichi Nakaseko, Masashi Yoshida, Wataru Kai, Junji Takahashi, Keigo Nakashima, Norihiko Suzuki, Hironori Ohdaira, Eigoro Yamanouchi and Yutaka Suzuki

    Citation: Surgical Case Reports 2021 7:67

    Content type: Case Report

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  31. Aneurysm of the left brachiocephalic vein is a very rare clinical disease and only 40 cases have been reported so far.

    Authors: Harushi Ueno, Mari Yazawa, Hideki Tsubouchi, Keita Nakanishi, Tomoshi Sugiyama, Yuka Kadomatsu, Masaki Goto, Naoki Ozeki, Shota Nakamura, Takayuki Fukui, Masato Mutsuga and Toyofumi Fengshi Chen Yoshikawa

    Citation: Surgical Case Reports 2021 7:66

    Content type: Case Report

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  32. Undescended testes are associated with an increased risk of malignancy and infertility, and surgical treatment in childhood is recommended.

    Authors: Hirotake Gonda, Takuya Saito, Takaaki Osawa, Shintaro Kurahashi, Tatsuki Matsumura, Yasuyuki Fukami, Shunichiro Komatsu, Kenitiro Kaneko, Kazuhiro Hiramatsu, Takehito Kato and Tsuyoshi Sano

    Citation: Surgical Case Reports 2021 7:65

    Content type: Case Report

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  33. Pleuroperitoneal communication (PPC) is rarely observed, accounting for 1.6% of all patients who undergo continuous ambulatory peritoneal dialysis (CAPD). Although there have been several reports concerning th...

    Authors: Takehiko Manabe, Kenji Ono, Soichi Oka, Yuichiro Kawamura and Toshihiro Osaki

    Citation: Surgical Case Reports 2021 7:64

    Content type: Case Report

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  34. Sarcoid-like reaction (SLR) is a histological pattern of granulomatous inflammation that is clinically differentiated from sarcoidosis. Since SLR is known to occur in several neoplasias and occasionally causes...

    Authors: Tomoko Mizota, Masato Suzuoki, Saya Kaku, Kenichi Mizunuma, Kazuto Ohtaka, Ryo Takahashi, Kazuteru Komuro, Nozomu Iwashiro, Masanori Ohara, Noriko Kimura and Satoshi Hirano

    Citation: Surgical Case Reports 2021 7:63

    Content type: Case Report

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  35. Patients with stage IV gastric cancer have a poor prognosis despite improvements in intensive treatment regimens, including chemotherapy. Recently, conversion surgery has received much attention as it can prov...

    Authors: Masaki Suzuki, Hisashi Hosaka, Yasuyuki Fukai, Yasushi Mochida, Daigo Ozawa, Norimichi Kogure, Kazunosuke Yamada and Hitoshi Ojima

    Citation: Surgical Case Reports 2021 7:62

    Content type: Case Report

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  36. Bronchopleural fistula, which usually accompanies bronchial fistula and empyema, is a severe complication of lung cancer surgery. Negative-pressure wound therapy can enhance drainage and reduce the empyema cav...

    Authors: Masashi Iwasaki, Masanori Shimomura and Tsunehiro Ii

    Citation: Surgical Case Reports 2021 7:61

    Content type: Case Report

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  37. Solid pseudopapillary neoplasm of the pancreas is a rare tumor in young women, metastasizing in only 5–15% of cases, and most commonly to the liver. Although treatment guidelines have not been established, sur...

    Authors: Atsushi Morito, Kojiro Eto, Kozue Matsuishi, Hirokazu Hamasaki, Keisuke Morita, Satoshi Ikeshima, Kei Horino, Shinya Shimada and Hideo Baba

    Citation: Surgical Case Reports 2021 7:60

    Content type: Case Report

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  38. Post-infarction perforation of the ventricular septum is recognized as a major complication of post-myocardial infarction. However, post-infarction ventricle dissection is seldom reported, as the ventricular s...

    Authors: Yuji Kamikawa, Takeki Ohashi, Masao Tadakoshi, Akinori Kojima, Hirotaka Yamauchi, Kaoru Hioki, Takanori Hishikawa and Souichirou Kageyama

    Citation: Surgical Case Reports 2021 7:59

    Content type: Case Report

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  39. The presence of a foreign body in the common bile duct (CBD) is a rare phenomenon. Thus, the route and mechanism of its migration remain difficult to fully clarify, especially for cases that occur after gastre...

    Authors: Ken Hirata, Daichi Kawamura and Masahiko Orita

    Citation: Surgical Case Reports 2021 7:58

    Content type: Case Report

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  40. Epidermoid cyst arising from the cecum is extremely rare. Single-incision laparoscopic surgery is the latest innovation in minimally invasive surgery, and shortens incisions, improves cosmesis, and reduces pos...

    Authors: Tetsuro Tominaga, Takashi Nonaka, Akiko Fukuda, Masaaki Moriyama, Shosaburo Oyama, Mitsuhisa Ishii, Terumitsu Sawai, Nozomi Ueki and Takeshi Nagayasu

    Citation: Surgical Case Reports 2021 7:57

    Content type: Case Report

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  41. Bilateral empyema is rare and can be life-threatening. Few cases have ever been reported about bilateral empyema with fistula on both sides. We herein report a case of bilateral empyema with bilateral fistulae...

    Authors: Junko Okamura, Naohiro Kobayashi, Takahiro Yanagihara, Shinji Kikuchi, Yukinobu Goto and Yukio Sato

    Citation: Surgical Case Reports 2021 7:56

    Content type: Case Report

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  42. The mortality of abdominal vena caval injuries is as high as 50–80%. Yet, there were few reports on how to repair injured inferior vena cava (IVC). This report presents a method of vena caval repair in a case ...

    Authors: Reina Hirooka, Kyoji Ito, Nobuyuki Takemura, Fuminori Mihara and Norihiro Kokudo

    Citation: Surgical Case Reports 2021 7:55

    Content type: Case Report

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  43. Ischemic colitis is a common disease; however, its pathophysiology remains unclear, especially in ischemic proctitis after sigmoidectomy. We present a rare case of ischemic proctitis 6 months after laparoscopi...

    Authors: Takuto Yoshida, Nobuki Ichikawa, Shigenori Homma, Tadashi Yoshida, Shin Emoto, Yoichi Miyaoka, Hiroki Matsui and Akinobu Taketomi

    Citation: Surgical Case Reports 2021 7:54

    Content type: Case Report

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  44. Visceral artery aneurysms are rare, but they may cause heavy bleeding and high mortality. In addition, aneurysms originating from the superior mesenteric artery (SMA) account for only 1% of visceral artery ane...

    Authors: Toru Takematsu, Keisuke Kosumi, Takuya Tajiri, Kosuke Kanemitsu, Kosuke Mima, Mitsuhiro Inoue, Takao Mizumoto, Tatsuo Kubota, Nobutomo Miyanari and Hideo Baba

    Citation: Surgical Case Reports 2021 7:53

    Content type: Case Report

    Published on:

  45. Intrapelvic aberrant needles are rare in clinical practice. Long-term foreign bodies in the abdominal cavity may form granulation tissue or an abscess, and may cause organ injury. Therefore, such foreign bodie...

    Authors: Akira Yamamoto, Junichiro Hiro, Yusuke Omura, Takashi Ichikawa, Shozo Ide, Hiroki Imaoka, Hiromi Yasuda, Hiroyuki Fujikawa, Yoshiki Okita, Takeshi Yokoe, Masaki Ohi and Yuji Toiyama

    Citation: Surgical Case Reports 2021 7:51

    Content type: Case Report

    Published on:

  46. Mediastinal teratomas occasionally rupture into the thoracic cavity, which induces mediastinitis or various other severe complications. Surgical treatment is crucial for ruptured teratomas; however, few litera...

    Authors: Eri Nakajima, Yujin Kudo, Sachio Maehara, Hideyuki Furumoto, Jun Matsubayashi, Yoshihisa Shimada, Masaru Hagiwara, Toshitaka Nagao, Tatsuo Ohira and Norihiko Ikeda

    Citation: Surgical Case Reports 2021 7:48

    Content type: Case Report

    Published on:

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