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  1. 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
    Content type: Case Report Published on:

  2. 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
    Content type: Case Report Published on:

  3. 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
    Content type: Case Report Published on:

  4. 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
    Content type: Case Report Published on:

  5. 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
    Content type: Case Report Published on:

  6. 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
    Content type: Case Report Published on:

  7. 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
    Content type: Case Report Published on:

  8. 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
    Content type: Case Report Published on:

  9. 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
    Content type: Case Report Published on:

  10. 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
    Content type: Case Report Published on:

  11. 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
    Content type: Case Report Published on:

  12. 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
    Content type: Case Report Published on:

  13. 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
    Content type: Case Report Published on:

  14. 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
    Content type: Case Report Published on:

  15. 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
    Content type: Case Report Published on:

  16. 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
    Content type: Case Report Published on:

  17. 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
    Content type: Case Report Published on:

  18. 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
    Content type: Case Report Published on:

  19. 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
    Content type: Case Report Published on:

  20. Pancreatic exocrine insufficiency (PEI) is known to occur after total gastrectomy. We experienced a case of PEI occurring 18 years after surgery, leading to a potentially fatal condition of capillary leak synd...

    Authors: Yu Igata, So Okubo, Yu Ohkura, Masaki Ueno and Harushi Udagawa
    Citation: Surgical Case Reports 2019 5:155
    Content type: Case Report Published on:

  21. Massive intraluminal bleeding requires urgent intervention and management. However, the source of bleeding on the small intestine is difficult to determine. Intestinal tumor with intussusception is a rare and ...

    Authors: Min Sung Kim, In Teak Woo, Young Min Jo, Jin Hyung Lee and Byung Sam Park
    Citation: Surgical Case Reports 2019 5:154
    Content type: Case Report Published on:

  22. The hydrocele of the femoral hernia sac, an extremely rare occurrence, is termed femorocele. Very few authentically reported cases of femorocele are available in the literature. The present case, diagnosed as ...

    Authors: Sabyasachi Bakshi
    Citation: Surgical Case Reports 2019 5:153
    Content type: Case Report Published on:

  23. Spontaneous esophageal perforation is a potentially life-threatening condition with high morbidity and mortality rates. While surgical treatment has been employed for esophageal perforation, we have adopted co...

    Authors: Ryu Matsumoto, Ken Sasaki, Itaru Omoto, Masahiro Noda, Yasuto Uchikado, Takaaki Arigami, Yoshiaki Kita, Shinichiro Mori, Kosei Maemura and Shoji Natsugoe
    Citation: Surgical Case Reports 2019 5:152
    Content type: Case Report Published on:

  24. Rectal metastasis from pulmonary adenocarcinoma is rare, and it has been regarded as an end-stage phenomenon. Recently, however, advances in lung cancer treatment have improved the chance of long-term survival...

    Authors: Yozo Suzuki, Mitsunobu Imasato, Yujiro Nakahara, Atsushi Naito, Manabu Mikamori, Masahisa Ohtsuka, Kenta Furukawa, Jeong Ho Moon, Tadafumi Asaoka, Kentaro Kishi, Hironao Yasuoka, Kiyoshi Komuta and Hiroki Akamatsu
    Citation: Surgical Case Reports 2019 5:151
    Content type: Case Report Published on:

  26. Spontaneous esophageal rupture is a rare but serious disease with high mortality. Conservative treatment and endoscopic therapy have been reported, but surgical treatment is still a basic modality of therapy. ...

    Authors: Shunsuke Hayakawa, Akira Mitsui, Yuko Kato, Shota Morimoto, Kaori Watanabe, Tomonari Shamoto, Takehiro Wakasugi and Yoshiyuki Kuwabara
    Citation: Surgical Case Reports 2019 5:149
    Content type: Case Report Published on:

  27. The external oblique myocutaneous flap has been previously described for reconstruction of chest-thoracic wall defects smaller than 400–500 cm2. However, it is utilized less often than workhorse flaps such as the...

    Authors: David Matera, Richard Huynh, Terrance Hanley and Amir B. Behnam
    Citation: Surgical Case Reports 2019 5:148
    Content type: Case Report Published on:

  28. Intestinal nonrotation is a rare congenital condition that causes fatal colonic volvulus at any age. Once volvulus attack occurs, radical surgical therapy is required for treatment and the prevention of recurr...

    Authors: Yusuke Sakimura, Hirotaka Kitamura, Noriyuki Inaki and Hiroyuki Bando
    Citation: Surgical Case Reports 2019 5:147
    Content type: Case Report Published on:

  29. Although primary duodenal adenocarcinoma (DA) is a rare malignancy representing ~ 0.5% of all gastrointestinal cancers, the incidence of DA is more frequent in Lynch syndrome. Because of its rarity, treatment ...

    Authors: Satoshi Yasuda, Suzuka Harada, Akinori Tsujimoto, Satoko Aoki, Takeshi Takei, Kazuhiro Migita, Masato Ueno, Mitsutoshi Tatsumi and Akihiko Watanabe
    Citation: Surgical Case Reports 2019 5:146
    Content type: Case Report Published on:

  30. Anti-epidermal growth factor receptor (EGFR) antibody is widely used for the treatment of patients with metastatic colorectal cancer. Hypomagnesemia is a comparatively frequent adverse event of this drug, whic...

    Authors: Taro Fukui, Koichi Suzuki, Sawako Tamaki, Iku Abe, Yuhei Endo, Hideki Ishikawa, Nao Kakizawa, Fumiaki Watanabe, Masaaki Saito, Shingo Tsujinaka, Kazushige Futsuhara, Yasuyuki Miyakura, Hiroshi Noda and Toshiki Rikiyama
    Citation: Surgical Case Reports 2019 5:145
    Content type: Case Report Published on:

  31. Mature presacral (retrorectal) teratoma is very rare. We report a case in which a mature retrorectal teratoma in an adult was successfully treated with laparoscopic surgery.

    Authors: Liming Wang, Yasumitsu Hirano, Toshimasa Ishii, Hiroka Kondo, Kiyoka Hara, Shintaro Ishikawa, Takuhisa Okada, Nao Obara and Shigeki Yamaguchi
    Citation: Surgical Case Reports 2019 5:144
    Content type: Case Report Published on:

  33. Solitary fibrous tumor (SFT) is a rare mesenchymal tumor that typically arises from the pleura. Although it may appear in other organs, it rarely develops in the pancreas. We report herein a rare case of metas...

    Authors: Hironori Yamashita, Yasuhiro Fujino, Tadayuki Ohara, Keitaro Kakinoki, Takemi Sugimoto, Kazuyoshi Kajimoto and Masahiro Tominaga
    Citation: Surgical Case Reports 2019 5:142
    Content type: Case Report Published on:

  34. Portal venous gas has been considered as a radiological sign requiring urgent operative intervention; however, the reports concerning portal venous gas associated with favorable outcome are recently increasing.

    Authors: Ryuichiro Hirose, Hiroki Kai, Kaori Inatomi, Tsuyoshi Iwanaka, Naomi Morishima, Momotoshi Ikeda, Reiko Masaki and Akinori Iwasaki
    Citation: Surgical Case Reports 2019 5:141
    Content type: Case Report Published on:

  35. Very few literatures can be found reporting cases and treatment strategies of late-onset mesh infection after abdominal incisional hernia reconstruction. Here, we report a rare case of delayed mesh infection d...

    Authors: Tetsuro Tamura, Yoshihiro Ohata and Fujio Katsumoto
    Citation: Surgical Case Reports 2019 5:140
    Content type: Case Report Published on:

  36. Cholangiolocellular carcinoma (CoCC) is a rare primary liver tumor that shows mass-forming growth in most cases. At present, no effective treatment for hepatic recurrence CoCC has been established. We present ...

    Authors: Keishi Hakoda, Tomoyuki Abe, Hironobu Amano, Tomoyuki Minami, Tsuyoshi Kobayashi, Keiji Hanada, Kenji Nishida, Shuji Yonehara, Masahiro Nakahara, Hideki Ohdan and Toshio Noriyuki
    Citation: Surgical Case Reports 2019 5:139
    Content type: Case Report Published on:

  37. Thymic mucosa-associated lymphoid tissue (MALT) lymphoma is rare and also known for its association with autoimmune diseases, especially Sjögren’s syndrome (SjS), which could affect the systemic organs, and pu...

    Authors: Yusuke Hirokawa, Ryo Fujikawa, Yoshifumi Arai, Yoshiro Otsuki and Toru Nakamura
    Citation: Surgical Case Reports 2019 5:138
    Content type: Case Report Published on:

  38. The incidence of metastatic spread of gastrointestinal malignancies to the thyroid gland is relatively low and most of these malignancies originate from the colorectum. Thyroid metastasis originating from the ...

    Authors: Shinsei Yumoto, Yoshifumi Baba, Daichi Nomoto, Kazutaka Oozono, Kojiro Eto, Yukiharu Hiyoshi, Yohei Nagai, Masaaki Iwatsuki, Shiro Iwagami, Yuji Miyamoto, Naoya Yoshida, Yoshiki Mikami and Hideo Baba
    Citation: Surgical Case Reports 2019 5:137
    Content type: Case Report Published on:

  39. Pericardio-pleural fenestration by video-assisted thoracoscopic surgery is an efficient procedure for malignant pericardial effusion, but requires general anesthesia with single-lung ventilation.

    Authors: Masatsugu Ohuchi, Shuhei Inoue, Yoshitomo Ozaki, Yuki Namura and Keiko Ueda
    Citation: Surgical Case Reports 2019 5:136
    Content type: Case Report Published on:

  40. A few reports to date have described the effectiveness of surgical resection for recurrent intrahepatic cholangiocarcinoma (ICC). We report in this study a patient who achieved long-term survival after surgica...

    Authors: Mihoko Yamada, Atsuki Arimoto, Yoshitaka Toyoda, Shinya Watanabe, Keiji Aizu, Fumiya Sato, Akinori Fujieda and Ryuzo Yamaguchi
    Citation: Surgical Case Reports 2019 5:135
    Content type: Case Report Published on:

  41. Sternoturnover is a surgical procedure for pectus excavatum. Cardiac surgery in patients with a history of sternoturnover has been rarely reported and is a surgical challenge because it is unknown how median s...

    Authors: Mamoru Hamuro, Kenji Yamamoto, Tomoyuki Yamada and Sakae Enomoto
    Citation: Surgical Case Reports 2019 5:134
    Content type: Case Report Published on:

  43. Biliary atresia (BA) cases are generally not associated with congenital abnormalities. However, accurate diagnosis of BA is often challenging because the histopathological features of BA overlap with those of ...

    Authors: Daisuke Masui, Suguru Fukahori, Tatsuki Mizuochi, Yoriko Watanabe, Kaori Fukui, Shinji Ishii, Nobuyuki Saikusa, Naoki Hashizume, Naruki Higashidate, Saki Sakamoto, Aiko Takato, Koh-ichiro Yoshiura, Yoshiaki Tanaka and Minoru Yagi
    Citation: Surgical Case Reports 2019 5:132
    Content type: Case Report Published on:

  44. Hepatocellular adenoma (HCA) is a rare liver tumor that has the potential for rupture and malignant transformation. Here, we report a case of multiple hepatocellular adenomas (HCAs) that were treated by surgic...

    Authors: Kentaro Oji, Takeshi Urade, Yoshiteru Iwatani, Katsuhide Tanaka, Hirotaka Hirano, Tsuyoshi Sanuki, Masaru Tomita, Yuki Yamamoto, Yoh Zen and Daisuke Kuroda
    Citation: Surgical Case Reports 2019 5:131
    Content type: Case Report Published on:

  45. A case of gastrointestinal stromal tumor (GIST) coexisting with disseminated peritoneal leiomyomatosis (DPL) is rare. We report a case of GIST coexisting with DPL.

    Authors: Kenri Akamine, Jun Kadono, Hirofumi Otsuka, Kazuto Ueno, Takeshi Shimizu, Yuki Nagata, Teruhiko Watanabe, Masahiko Osako, Naoki Ishizaki and Mineo Tabata
    Citation: Surgical Case Reports 2019 5:130
    Content type: Case Report Published on:

  46. Arrhythmias are known as one of the complications of lung cancer surgery, and most of them are not lethal. Life-threatening arrhythmias have been reported in the literature but in reality very rare.

    Authors: Kurumi Fukui, Shingo Ikeda, Toshiya Yokota and Tatsuhiro Hoshino
    Citation: Surgical Case Reports 2019 5:129
    Content type: Case Report Published on:

  47. There is no definitive strategy for gastrointestinal bleeding due to left-sided portal hypertension after pancreaticoduodenectomy (PD) for pancreatic cancer (PC) with concomitant portal vein resection (PVR).

    Authors: Hiroki Kushiya, Takehiro Noji, Daisuke Abo, Takeshi Soyama, Kimitaka Tanaka, Yoshitsugu Nakanishi, Toshimichi Asano, Toru Nakamura, Takahiro Tsuchikawa, Keisuke Okamura and Satoshi Hirano
    Citation: Surgical Case Reports 2019 5:128
    Content type: Case Report Published on:

  49. The malignant transformation of an ectopic pancreas in the duodenum is extremely rare. Herein, we report a case of an adenocarcinoma that arose from an ectopic pancreas. We also reviewed 14 cases of malignant ...

    Authors: Tsukasa Kaneko, Masanori Ohara, Kunishige Okamura, Aki Fujiwara-Kuroda, Daisuke Miyasaka, Takumi Yamabuki, Ryo Takahashi, Kazuteru Komuro, Masato Suzuoki, Nozomu Iwashiro, Mototsugu Kato, Noriko Kimura, Hiroshi Kijima, Toru Nakamura and Satoshi Hirano
    Citation: Surgical Case Reports 2019 5:126
    Content type: Case Report Published on:

  50. Florida sleeve technique was reported by Hess et al. as a new technique of valve sparing aortic root replacement without the requirement of entire aortic root wall resection and coronary artery reconstruction....

    Authors: Kosuke Saku, Satoru Tobinaga, Atsunobu Oryoji, Tomofumi Fukuda, Yasuyuki Zaima, Hiroyuki Saisho, Takahiro Shojima, Kazuyoshi Takagi, Tohru Takaseya and Hiroyuki Tanaka
    Citation: Surgical Case Reports 2019 5:125
    Content type: Case Report Published on:
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