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Extended radical resection and chest wall reconstruction for a pulmonary sarcomatoid carcinoma: a case report Surg. Case Rep. Pub Date : 2024-03-18 Yingzhi Zhao, Shaohua Xie, Haoqian Zheng, Kaixin Zhang, Xin Gao, Wenwu Liu, Wei Dai, Hongfan Yu, Qiuling Shi, Bin Hu, Qiang Li, Tianpeng Xie, Xing Wei
Pulmonary sarcomatoid carcinoma (PSC) is a rare and highly malignant type of non-small cell lung cancer (NSCLC), for which the treatment of choice is surgery. For peripheral PSC growing outward and invading the chest wall, a complete resection of the affected lung lobes and the invaded chest wall can improve long-term prognosis. However, when the extent of the resected chest wall is large, reconstruction
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Ectopic bile duct concomitant with gastric ulcer hemorrhage: report of a case Surg. Case Rep. Pub Date : 2024-03-15 Yuiko Nagasawa, Masayuki Ohta, Yuki Shitomi, Hiroshi Satoh, Masanori Aramaki
An ectopic bile duct opening into the stomach is a rare congenital anomaly of the biliary system, and thus, there are few case reports with gastric ulcer hemorrhage. Herein, we presented a case of ectopic bile duct concomitant with gastric ulcer hemorrhage. A 75-year-old woman was referred to our hospital because she repeatedly vomited blood and had melena. Endoscopic hemostasis was attempted for hemorrhage
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Gastric inflammatory myofibroblastic tumor: a case report Surg. Case Rep. Pub Date : 2024-03-15 Taku Hattori, Yutaka Tanizawa, Tadakazu Shimoda, Yusuke Koseki, Kenichiro Furukawa, Keiichi Fujiya, Daisuke Aizawa, Takashi Sugino, Masanori Terashima, Etsuro Bando
Inflammatory myofibroblastic tumor (IMT) of the stomach is an uncommon mesenchymal neoplasm. We present a case of gastric submucosal tumor (SMT) where the final diagnosis was IMT. A 69-year-old man presented with a 24-mm SMT on the posterior wall of the middle third of the stomach that was detected by screening upper gastrointestinal endoscopy. Abdominal contrast-enhanced computed tomography showed
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Tracheostomy for the pediatric patient with fibrodysplasia ossificans progressiva: a case report Surg. Case Rep. Pub Date : 2024-03-15 Megumi Kobayashi, Misako Hirai, Makoto Suzuki, Akira Sasaki
Fibrodysplasia ossificans progressiva (FOP) is an extremely rare connective tissue disease characterized by subsequent ossification of skeletal muscles, tendons, ligaments, and other fibrous tissues. The ossification of these tissues progresses during childhood and leads to limb and trunk deformities. Since any surgery may trigger subsequent ossification, it is relatively contraindicated for patients
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Successful management of splenic artery dissection after sigmoid colon perforation in vascular Ehlers–Danlos syndrome Surg. Case Rep. Pub Date : 2024-03-15 Moegi Yoshizaki, Yasuko Matsuo, Satoshi Yasuda, Shunsuke Doi, Takeshi Sakata, Minako Nagai, Kota Nakamura, Yuichiro Kohara, Shohei Toyoda, Toshihiro Tanaka, Masayuki Sho
Ehlers–Danlos syndrome (EDS) is a genetic disorder that causes fragility of the systemic connective tissues. Of the 13 subtypes, vascular EDS (vEDS) is associated with abnormalities in collagen production, resulting in arterial rupture and intestinal perforation. Herein, we report the case of a man with confirmed vEDS who survived a ruptured dissected splenic artery aneurysm triggered by perforation
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The combination of preoperative celiac axis stenting and neoadjuvant chemotherapy in an elderly patient with pancreatic cancer: a case report Surg. Case Rep. Pub Date : 2024-03-12 Susumu Doita, Hideki Aoki, Hiroki Kajioka, Kohji Tanakaya, Kenji Kawamoto
Celiac axis stenosis (CAS) is frequently observed in patients undergoing pancreaticoduodenectomy (PD). This poses challenges because of the potential disruption of the hepatic arterial blood flow. We present the case of an 81-year-old woman diagnosed with pancreatic head cancer and severe CAS caused by calcification. The patient received neoadjuvant chemotherapy (NAC) and underwent preoperative endovascular
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Esophageal cancer in an adult with congenital esophageal stenosis: a case report Surg. Case Rep. Pub Date : 2024-03-12 Yushi Fujiwara, Hidehiko Kitagami, Tomohiro Kikkawa, Keita Sakashita, Takaya Kusumi, Yasunori Nishida
Congenital esophageal stenosis (CES) is a rare condition. We encountered a case of esophageal cancer that developed in an adult with persistent CES. Although many studies have investigated the therapeutic outcomes and performed surveillance for symptoms after treatment for CES, few have performed long-term surveillance or reported on the development of esophageal cancer. We report this case because
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Successful removal of an intra-pericardic Kirschner wire via fluoroscopy-guided minimal invasive approach: a case report Surg. Case Rep. Pub Date : 2024-03-11 Olivier Georges, Florence De Dominicis, Malek Ben Rahal, Jules Le Pessot, Pascal Berna, Osama Abou Arab, Christophe Beyls
Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis
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Pulmonary cyst newly formed after lobectomy in various underlying lung conditions Surg. Case Rep. Pub Date : 2024-03-11 Satona Tanaka, Naoki Date, Yoshito Imamura, Takafumi Kabuto, Hidenao Kayawake, Hideki Motoyama, Akihiro Aoyama, Hirohi Date
It has been recently recognized that pulmonary cyst may develop after pulmonary resection, causing various symptoms. Most previously reported cases were after upper lobectomy in patients with chronic obstructive lung disease (COPD). Case 1 was a man in his 70 s with interstitial pneumonia (IP). Right lower lobectomy was performed for metastatic lung tumor using video-assisted thoracoscopic surgery
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Combined resection of lung cancer and thoracic aortic wall with simultaneous thoracic aortic endografting: a case report Surg. Case Rep. Pub Date : 2024-03-08 Hiroaki Komatsu, Nao Furukawa, Hirotaka Kinoshita, Atsutaka Aratame, Toshio Baba, Kazunori Okabe
Combined resection of lung cancer and the thoracic aortic wall with thoracic aortic endografting has been reported. However, whether the resection and endografting should be performed simultaneously or in two steps remains controversial. A 68-year-old man was referred to our hospital because of left chest pain. Chest contrast-enhanced computed tomography revealed a huge tumor of the left lower lung
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Ectopic epipericardial fat necrosis: a case report Surg. Case Rep. Pub Date : 2024-03-08 Ryusei Yoshino, Masaki Nakatsubo, Nanami Ujiie, Akane Ito, Nana Yoshida, Naoko Aoki, Masahiro Kitada
Epipericardial fat necrosis (EFN) is a rare disease in which local inflammation and necrosis occur in the adipose tissue surrounding the heart, particularly epicardial fat. Few cases of EFN in which surgical resection was performed have been reported. We report a case of EFN after surgical resection of a right extrapulmonary tumor, in which a malignant disease could not be excluded. A 75-year-old male
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Retrograde transvenous thoracic duct embolization for lymphatic leakage after retroperitoneal tumor and lymph node resection: a case report and literature review Surg. Case Rep. Pub Date : 2024-03-08 Go Kinoshita, Koichi Morisaki, Daisuke Okamoto, Takehiko Aoyagi, Shinichiro Yoshino, Kentaro Inoue, Tomoharu Yoshizumi
Postoperative lymphatic leakage is a complication of ineffective conservative treatment for retroperitoneal mass. Herein, we report a case of lymphatic leakage that arose after retroperitoneal tumor resection and that was treated with retrograde transvenous thoracic duct embolization. A 28-year-old man with persistent abdominal pain was diagnosed with a large retroperitoneal metastatic tumor measuring
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Endoscopic retroperitoneal repair of superior lumbar hernia (Grynfeltt hernia) using self-fixating mesh to prevent nerve injury: a case report Surg. Case Rep. Pub Date : 2024-03-05 Ryosuke Mizuno, Shusaku Honma
The primary superior lumbar hernia, also called the Grynfeltt Hernia, is a rare entity; hence, a standard surgical repair method has not been established. It is important for this repair procedure not only to prevent recurrence by placing an adequate size of mesh but also to avoid nerve injury. The endoscopic retroperitoneal approach is considered a useful technique for this procedure, requiring no
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Successful subtotal gastrectomy and hepatectomy for HER2-positive gastric cancer with liver metastasis after trastuzumab-based chemotherapy: a case report Surg. Case Rep. Pub Date : 2024-03-05 Yuki Hirase, Takaaki Arigami, Yota Kawasaki, Daisuke Matsushita, Masataka Shimonosono, Yusuke Tsuruda, Ken Sasaki, Yoichi Yamasaki, Takahiko Hagihara, Hidetoshi Noma, Michiyo Higashi, Hiroshi Kurahara, Takao Ohtsuka
Conversion surgery (CS) after chemotherapy is weakly recommended as a promising tool for improving prognoses in patients with unresectable gastric cancer. Moreover, several investigators have demonstrated the clinical efficacy of subtotal gastrectomy (sTG) with a small remnant stomach for the nutritional status and surgical outcome compared with total gastrectomy. Here, we report a patient with liver
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Primary splenic abscess in an adult female patient: a case report Surg. Case Rep. Pub Date : 2024-03-01 Burce Isik, Matthew G. Davey, Sarah Gaffney, Patrick J. Stapleton, Javier Mohigefer, Efthymios Koutroumanos
Primary splenic abscess is rare and typically presents in patients who are immunocompromised. We present a case of a 47-year-old apparently immunocompetent female patient who was diagnosed with primary splenic abscess from a Salmonella Typhimurium infection following emergency laparotomy. A 47-year-old female patient presented with subjective fever and severe epigastric and left flank pain. She was
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A case of late-onset bleeding from an intercostal artery pseudoaneurysm after hemostasis using soft coagulation Surg. Case Rep. Pub Date : 2024-02-28 Rie Shimizu, Kenichi Suda, Toshiki Takemoto, Shota Fukuda, Masato Chiba, Masaki Shimoji, Junichi Soh, Tetsuya Mitsudomi, Yasuhiro Tsutani
The use of soft coagulation is becoming common in thoracic surgery. Soft coagulation provides rapid hemostasis from small vessels during surgery by dehydrating tissue and denaturing proteins, without burning the tissue. A 68-year-old man, with a history of right lower lobectomy 3 years prior, underwent a partial resection of the right upper lobe for a pulmonary nodule suspicious for secondary lung
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Cardiac tamponade complicating esophagectomy and retrosternal gastric tube reconstitution in a patient with an abnormal ascending aorta position: a case report Surg. Case Rep. Pub Date : 2024-02-28 Shu Aoyama, Yasuhiro Miyazaki, Masaaki Motoori, Masashi Hirota, Takefumi Itami, Sayaka Matsumoto, Masataka Hirano, Michihiro Aomatsu, Takasumi Goto, Mutsunori Kitahara, Yuki Ozato, Yujiro Nishizawa, Hisateru Komatsu, Akira Inoue, Yoshinori Kagawa, Akira Tomokuni, Kazuhiro Iwase, Hiroyuki Nishi, Kazumasa Fujitani
Cardiac tamponade is a rare postoperative complication of esophageal cancer surgery, which leads to rapid hemodynamic changes and can be fatal if not treated properly and promptly. Herein, we report a case of cardiac tamponade after thoracoscopic subtotal esophagectomy and retrosternal gastric tube reconstitution for esophageal cancer that was successfully treated with surgical drainage. An 86-year-old
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Successful sutureless repair of multiple left ventricular free wall ruptures due to Takotsubo cardiomyopathy: a case report Surg. Case Rep. Pub Date : 2024-02-23 Hiroto Yasumura, Koji Tao, Ryo Imada, Yushi Yamashita, Naoki Tateishi, Tamahiro Kinjo
Takotsubo cardiomyopathy (TCM) is a temporary and reversible systolic abnormality of the left ventricular apical area resembling a myocardial infarction. Cardiac rupture due to TCM is a rare but fatal complication. Without cardiac surgery, 94% of patients with left ventricular free wall rupture (LVFWR) due to TCM die. Furthermore, successful surgical cases are rare. We report herein the successful
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Ectopic pancreatic adenocarcinoma in Meckel’s diverticulum: a case report Surg. Case Rep. Pub Date : 2024-02-23 Shoichi Inokuchi, Kohjiro Shirabe, Satoshi Tsutsumi, Hiroomi Takayama, Takahiro Terashi, Kazuhiro Yasuda, Masahiko Ikebe, Toshio Bandoh, Junpei Wada, Shogo Urabe, Tohru Utsunomiya
Malignant neoplasms arising from Meckel’s diverticulum are rare and an adenocarcinoma in Meckel’s diverticulum originating from ectopic pancreatic tissue is even rarer. Herein, we report a patient with an ectopic pancreatic adenocarcinoma in Meckel’s diverticulum who was successfully treated with surgery and chemotherapy. A woman in her sixties presented to another hospital with abdominal pain. Plain
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Peritoneal dissemination of appendiceal goblet cell adenocarcinoma mimicking white pus caused by peritonitis following appendicitis: an instructive case report Surg. Case Rep. Pub Date : 2024-02-22 Keigo Nakashima, Masakazu Hashimoto, Yoshihito Kitamura, Makoto Shinohara, Mizuki Yamaguchi, Michinori Hamaoka, Masashi Miguchi, Toshihiro Misumi, Nobuaki Fujikuni, Satoshi Ikeda, Yasuhiro Matsugu, Takashi Nishisaka, Hideki Nakahara
Goblet cell adenocarcinoma is an extremely rare tumor in which the same cells exhibit both mucinous and neuroendocrine differentiation. It is considered more aggressive compared to conventional carcinoids and more likely to cause metastasis. We report a case of goblet cell adenocarcinoma with peritoneal metastases. A 62-year-old man underwent appendectomy for acute appendicitis. Intraoperatively, inflammatory
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Retrograde drainage for duodenal stump leakage using ileal decompression tube guided by double-balloon endoscopy: a novel case report Surg. Case Rep. Pub Date : 2024-02-18 Ryozan Naito, Nobuhiro Nakazawa, Dan Zennyoji, Takehiro Shimizu, Nobuhiro Hosoi, Takayoshi Watanabe, Ikuma Shioi, Yuta Shibasaki, Katsuya Osone, Takuhisa Okada, Takuya Shiraishi, Akihiko Sano, Makoto Sakai, Hiroomi Ogawa, Makoto Sohda, Toshio Uraoka, Ken Shirabe, Hiroshi Saeki
Duodenal stump leakage is a serious post-gastrectomy complication, and there have been no reports on endoscopic drainage. We report a case of duodenal stump leakage after laparoscopic gastrectomy with Roux-en-Y reconstruction in a 68-year-old man. First-line conservative management was ineffective. Reoperation was performed because of severe abdominal pain and increased ascites. After reoperation,
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Non-invasive intraductal oncocytic papillary neoplasm forming a protruding lesion toward the duodenum from the accessory papilla: a case report Surg. Case Rep. Pub Date : 2024-02-15 Shinnosuke Kawahara, Naoto Yamamoto, Kota Washimi, Rei Kanemoto, Daishi Takahashi, Yuto Kamioka, Itaru Hashimoto, Mariko Kamiya, Aya Kato, Yukio Maezawa, Keisuke Kazama, Masaaki Murakawa, Sho Sawazaki, Toru Aoyama, Hiroshi Tamagawa, Takashi Oshima, Norio Yukawa, Yasushi Rino, Tomoyuki Yokose, Aya Saito, Soichiro Morinaga
Intraductal oncocytic papillary neoplasm (IOPN), previously classified as a subtype of intraductal papillary mucinous neoplasm (IPMN), has been described as an independent disease by the WHO since 2019. IOPN is a rare tumor, with few reported cases. Herein, we report a case of resected non-invasive IOPN that formed a lesion protruding toward the duodenum from the accessory papilla. An 80-year-old woman
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Duodenal tuberculosis with gastric outlet obstruction: a case report of successful diagnosis and treatment, with review of literature Surg. Case Rep. Pub Date : 2024-02-15 Nami Sato, Masayuki Shiobara, Kazuo Wakatsuki, Kosuke Suda, Kotaro Miyazawa, Toshiaki Aida, Yoshihiro Watanabe, Katsunobu Tawada, Yoshiki Matsubara, Yohei Hosokawa, Shigeru Yoshioka
Duodenal tuberculosis (TB) is extremely rare, and its diagnosis is challenging owing to the lack of specific symptoms and radiological or endoscopic findings. When it leads to gastric outlet obstruction (GOO), diagnosing it accurately and providing appropriate treatment is crucial. However, this is often overlooked. A 35-year-old man presented with abdominal pain, fullness, vomiting, and weight loss
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Laparoscopic median arcuate ligament section for median arcuate ligament compression syndrome initially detected as splenic infarction: a case report Surg. Case Rep. Pub Date : 2024-02-15 Toru Takagi, Yoshifumi Morita, Akio Matsumoto, Shinya Ida, Ryuta Muraki, Ryo Kitajima, Satoru Furuhashi, Makoto Takeda, Hirotoshi Kikuchi, Yoshihiro Hiramatsu, Hiroya Takeuchi
Median arcuate ligament compression syndrome (MALS) causes upper abdominal pain and at times hemodynamic abnormalities in the pancreaticoduodenal region. Herein, we present a case of a 70 year-old man, initially diagnosed with splenic infarction and was successfully treated laparoscopically. A 70-year-old man with abdominal pain admitted to our hospital. Abdominal-enhanced computed tomography revealed
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Pathological complete response of initially unresectable multiple liver metastases achieved using combined peptide receptor radionuclide therapy and somatostatin analogs following pancreatic neuroendocrine tumor resection: a case report Surg. Case Rep. Pub Date : 2024-02-14 Ryosuke Umino, Satoshi Nara, Noritoshi Kobayashi, Takahiro Mizui, Takeshi Takamoto, Daisuke Ban, Minoru Esaki, Nobuyoshi Hiraoka, Kazuaki Shimada
Peptide receptor radionuclide therapy (PRRT) serves as a novel and effective treatment option for somatostatin receptor-positive unresectable liver metastases of pancreatic neuroendocrine tumors (PNETs). However, there are few reported cases of surgical resection for initially unresectable liver metastases of PNET that were converted to resectable after PRRT. Here we report a case where PRRT and somatostatin
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Delayed traumatic aortic valve perforation after blunt chest trauma Surg. Case Rep. Pub Date : 2024-02-14 Kazuki Noda, Yosuke Takahashi, Akimasa Morisaki, Yoshito Sakon, Kenta Nishiya, Goki Inno, Yukihiro Nishimoto, Yosuke Sumii, Munehide Nagao, Toshihiko Shibata
Aortic valve perforation is a rare complication of blunt chest trauma. We report a case of delayed aortic insufficiency presenting several months after trauma. A 17-year-old male presented to the emergency department with traumatic brain injuries and blunt chest trauma, but no evidence of cardiac injuries. Three months later, he developed acute heart failure due to severe aortic valve regurgitation
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Robotic distal gastrectomy plus spleen-preserving distal pancreatectomy: optimal resection for simultaneous gastric cancer and intraductal papillary mucinous neoplasm of the pancreatic body Surg. Case Rep. Pub Date : 2024-02-09 Sunao Ito, Hiroyuki Sagawa, Kohei Fujita, Masaki Saito, Shinnosuke Harata, Shunsuke Hayakawa, Kenta Saito, Tatsuya Tanaka, Mamoru Morimoto, Ryo Ogawa, Hiroki Takahashi, Yoichi Matsuo, Shuji Takiguchi
Organ-preserving surgery has recently gained increasing attention. However, performing the surgery for duplicated gastric and distal pancreatic tumors is difficult because of procedural complexity and concerns of remnant gastric necrosis. We present the first case of simultaneous robotic distal gastrectomy plus spleen-preserving distal pancreatectomy in a patient with overlapping gastric cancer and
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Mitral valve repair for infective endocarditis after esophageal reconstruction: a case report Surg. Case Rep. Pub Date : 2024-02-09 Shingo Tsushima, Yutaka Iba, Tomohiro Nakajima, Junji Nakazawa, Tsuyoshi Shibata, Akihito Ohkawa, Itaru Hosaka, Ayaka Arihara, Nobuyoshi Kawaharada
In patients with retrosternal neo-esophageal conduit after right thoracotomy, the approach to cardiac surgery could be challenging. Particularly, in patients with infective endocarditis, there is a risk of injury to the conduit through standard median sternotomy. Moreover, right lung adhesions could be predicted. Herein, we present a case of successful mitral valve repair in a patient with infective
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Two cases of pararenal artery aortic aneurysm treatment after pancreaticoduodenectomy and abdominal aortic aneurysm stent grafting Surg. Case Rep. Pub Date : 2024-02-09 Kazuhiro Yamazaki, Kenji Minatoya, Kazuhisa Sakamoto, Masafumi Kudo, Ken Fukumitsu, Takashi Kobayashi, Hideaki Okajima
Acute pancreatitis caused by surgical procedures may occur less frequently in surgeries for aortic aneurysm involving the abdominal branch. However, in such cases, the associated mortality rate increases significantly. There have been few reports on abdominal aortic aneurysm surgery after pancreatoduodenectomy; as such the incidence of postoperative pancreatitis remains unclear. Two cases of pararenal
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Pathological complete response following neoadjuvant chemotherapy for locally advanced intrahepatic cholangiocarcinoma Surg. Case Rep. Pub Date : 2024-02-09 Yoshitaka Shimamaki, Isamu Hosokawa, Tsukasa Takayashiki, Shigetsugu Takano, Itaru Sonoda, Masayuki Ohtsuka
Intrahepatic cholangiocarcinoma (ICC) is the second most common primary liver cancer. Cases when found are often advanced with vascular invasion, and radical resection is often difficult. Despite curative resection, the postoperative recurrence rate of patients with histological lymph node metastasis is high, and their prognosis is poor. Therefore, there is an urgent need to establish multidisciplinary
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Three-year progression-free survival of a patient with concomitant mucinous adenocarcinoma of the colon with peritoneal dissemination and multiple myeloma who received lenalidomide: a case report Surg. Case Rep. Pub Date : 2024-02-07 Koki Tamai, Hajime Hirose, Yo Akazawa, Yukihiro Yoshikawa, Masatoshi Nomura, Hiroshi Takeyama, Masahiro Tokunaga, Mitsuyoshi Tei, Shu Okamura, Yusuke Akamaru
Concomitant multiple myeloma (MM) and other primary malignancies is rare. Therefore, the treatment outcomes of patients with these conditions have not been well discussed. Lenalidomide is an oral thalidomide analog drug used for MM. Recently, the antitumor effect of lenalidomide has been gaining attention, and lenalidomide has been applied for managing solid tumors. The current case showed the treatment
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Surgery for long tubular intestinal duplication with massive hemorrhage: a case report and literature review Surg. Case Rep. Pub Date : 2024-02-02 Chiyoshi Toyama, Hiroto Mizushima, Kenichi Kinjo, Yohei Masunaga, Yasuko Fujisawa, Isao Miyairi, Yukichi Tanahashi, Satoshi Osawa, Toshio Sawai
Long tubular duplication is a rare congenital intestinal disease, that can lead to emergency situations marked by massive hemorrhage. However, preoperative diagnosis and surgical treatment are challenging. This report presents preoperative images and details a surgical procedure for long tubular intestinal duplications with massive hemorrhage. A 3-year-old boy presented to the emergency department
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IgG4-related mastitis managed without excision or steroid therapy Surg. Case Rep. Pub Date : 2024-02-02 Hirokazu Matsushima, Masayuki Kikuchi, Rika Miyabe, Sota Yamaguchi, Hidenori Kita, Junko Kobayashi, Takashi Ando, Koji Atsuta, Takayoshi Soga, Tsunehiro Shintani
IgG4-related mastitis is an extremely rare IgG4-related sclerosing disease involving the breast that must be differentiated from breast cancer. There is currently no consensus regarding the optimal treatment strategies. Here, we report a case of IgG4-related mastitis followed up without excision or steroid therapy. Although the association between IgG4-related mastitis and breast cancer remains unclear
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Totally laparoscopic surgery for a hydrocele of the canal of Nuck extending from the abdominal cavity to the subcutaneous space: a case report Surg. Case Rep. Pub Date : 2024-02-02 Kenichi Nakamura, Takahiko Higashiguchi, Yuko Chikaishi, Kazuhiro Matsuo, Tomoyoshi Endo, Koji Morohara, Kenji Kikuchi, Susumu Shibasaki, Hidetoshi Katsuno, Ichiro Uyama, Koichi Suda, Zenichi Morise
Hydrocele of the canal of Nuck (HCN) is a rare disease, and its indications for laparoscopic surgery are not well-established. A 53-year-old woman was referred to our hospital due to an uncomfortable thumb-sized inguinal mass. Preoperative computed tomography scan and magnetic resonance imaging revealed a hydrocele extending from the abdominal cavity around the left deep inguinal ring via the inguinal
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A rare case of liver regenerative and non-neoplastic lesion resembling a well-differentiated hepatocellular carcinoma Surg. Case Rep. Pub Date : 2024-02-01 Kosuke Hirose, Takeo Toshima, Taro Tobo, Satohiro Kai, Masakazu Hirakawa, Satoshi Higuchi, Takashi Ofuchi, Kiyotaka Hosoda, Yusuke Yonemura, Yuichi Hisamatsu, Takaaki Masuda, Shinichi Aishima, Koshi Mimori
Nodular regenerative hyperplasia (NRH) is a rare disease that presents pathologically as diffuse hepatic nodules without fibrous septa. It is believed to be caused by vasculopathy against a background of various systemic diseases, such as hematologic, autoimmune, and drug-induced diseases, with various symptoms. In spite of the recent imaging advances, various atypical cases of nodular lesions are
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Vacuum-assisted closure for chest wall reconstruction infection caused by Streptococcus mitis after surgery of lung cancer: a case report Surg. Case Rep. Pub Date : 2024-01-31 Nozomu Motono, Takaki Mizoguchi, Masahito Ishikawa, Shun Iwai, Yoshihito Iijima, Hidetaka Uramoto
Among a cohort of patients who underwent chest wall resection and reconstruction by rigid prosthesis, 6% required removal of the prosthesis, and in 80% of these cases the indication for prosthesis removal was infection. Although artificial prosthesis removal is the primary approach in such cases of infection, the usefulness of vacuum-assisted closure (VAC) has also been reported. A 64-year-old man
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Duodenal neuroendocrine tumor after bilateral breast cancer with type 1 neurofibromatosis: a case report Surg. Case Rep. Pub Date : 2024-01-29 Sho Fujiwara, Nozomi Koyamada, Koji Miyazawa, Yuriko Saiki, Akira Horii, Shukichi Miyazaki
Young women with NF1 are at a high risk of developing breast cancer. Although they are at risk for abdominal tumors, such as gastrointestinal stromal tumors and neuroendocrine tumors, follow-up strategies for other tumors after breast cancer have not yet been established. Here, we present a case of duodenal neuroendocrine tumor found during follow-up after bilateral mastectomy for breast cancer with
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Portal vein wedge resection and patch venoplasty with autologous vein grafts for hepatobiliary–pancreatic cancer Surg. Case Rep. Pub Date : 2024-01-26 Tadafumi Asaoka, Kenta Furukawa, Manabu Mikamori, Satoshi Hyuga, Tomofumi Ohashi, Iwamoto Kazuya, Yujiro Nakahara, Atsushi Naito, Hidekazu Takahashi, Jeongho Moon, Mitsunobu Imasato, Chu Matsuda, Kazuhiro Nishikawa, Tsunekazu Mizushima
Advanced hepatobiliary–pancreatic cancer often invades critical blood vessels, including the portal vein (PV) and hepatic artery. Resection with tumor-free resection margins is crucial to achieving a favorable prognosis in these patients. Herein, we present our cases and surgical techniques for PV wedge resection with patch venoplasty using autologous vein grafts during surgery for pancreatic ductal
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Severe hemothorax due to traumatic fracture of thoracic vertebra Surg. Case Rep. Pub Date : 2024-01-24 Keigo Ozono, Kiwa Son, Kenta Momii, Yoshihiro Morifuji, Naoki Ikenaga, Masafumi Nakamura
Hemothorax occurs in approx. 0.4% of all chest injury patients, but hemothorax due to a thoracic vertebral fracture is rare. A 76-year-old Japanese man was transported to our hospital for right hemothorax due to a car accident. We performed emergency hemostasis surgery and tried to stop the bleeding by several methods, but it was difficult to control the bleeding because the bleeding point was an artery
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An ampullary adenoma presenting with jaundice caused by duodenal intussusception: a case report Surg. Case Rep. Pub Date : 2024-01-22 Hiroyuki Nojima, Hiroaki Shimizu, Mihono Hirota, Takashi Murakami, Masato Yamazaki, Kazuto Yamazaki, Kiyohiko Shuto, Chihiro Kosugi, Mikihito Mori, Akihiro Usui, Tetsutaro Sazuka, Keiji Koda
Ampullary adenomas are premalignant lesions. However, biliary obstruction causing jaundice is rare. Duodenal intussusception secondary to an ampullary adenoma rarely occurs because of the fixed position of the duodenum in the retroperitoneum. Herein, we have described a rare case of ampullary adenoma with jaundice caused by duodenal intussusception. A 40-year-old woman presenting with vomiting and
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Unveiling the complexities of lung transplantation in situs inversus Surg. Case Rep. Pub Date : 2024-01-19 Chitaru Kurihara, Taisuke Kaiho, Ankit Bharat
Lung transplantation for situs inverse is considered technically challenging because of the reverse positioning of the organs. By providing a detailed description of the surgical procedure, perioperative care, and post-transplant follow-up, we aim to contribute valuable information to the existing knowledge base. We presented two cases of successful bilateral sequential lung transplantation in situs
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Curative resection after percutaneous drainage followed by preoperative panitumumab monotherapy for locally advanced sigmoid colon cancer with intra-abdominal abscess: a case report Surg. Case Rep. Pub Date : 2024-01-18 Yusuke Asada, Fumitaka Nakayama, Takashi Takenoya, Ippei Oto, Tetsuya Nakamura, Koji Osumi, Noriaki Kameyama
The gold standard treatment for locally advanced colon cancer is curative surgery followed by adjuvant chemotherapy, although this approach is associated with serious concerns, such as high recurrence rates and occasionally unnecessary oversurgery. Neoadjuvant chemotherapy may be a promising strategy for overcoming these issues. This study reports a case of a recurrence-free patient who underwent curative
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Robotic spleen-preserving distal pancreatectomy using the first domestic surgical robot platform (the hinotori™ Surgical Robot System): a case report Surg. Case Rep. Pub Date : 2024-01-18 Kazuki Tomihara, Takao Ide, Kotaro Ito, Tomokazu Tanaka, Hirokazu Noshiro
Robotic pancreatectomy has been performed worldwide mainly using the da Vinci® Surgical System (Intuitive Surgical, Inc., Sunnyvale, CA, USA). Recently, because of the death of some patents related to the da Vinci® system, new surgical robot systems have been introduced that are characterized by unique technical refinements. In Japan, the hinotori™ Surgical Robot System (Medicaroid Corporation, Kobe
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Simultaneous resection of a neuroendocrine tumor in an incidental Meckel’s diverticulum with transabdominal preperitoneal hernial repair: a case report Surg. Case Rep. Pub Date : 2024-01-17 Shoko Kato, Takuya Saito, Shintaro Kurahashi, Yasuyuki Fukami, Shunichiro Komatsu, Kenitiro Kaneko, Tsuyoshi Sano
As laparoscopic surgery becomes more prevalent worldwide, Meckel’s diverticula are increasingly being discovered incidentally during surgery. There is no consensus on whether to follow up or resect such diverticula, which are usually asymptomatic. In cases of transabdominal preperitoneal inguinal hernia repair, resection of such a diverticulum might add the risk of mesh infection. Thus, it is unclear
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A case series of prophylactic negative pressure wound therapy use with purse-string closure in stoma closure wounds in infants Surg. Case Rep. Pub Date : 2024-01-17 Yuka Kumata, Daisuke Ishii, Seiya Ishii, Keita Motoki, Naomi Ueno, Ranko Hinooka, Hisayuki Miyagi
The study introduces the application of negative pressure wound therapy (NPWT) in pediatric stoma closure, emphasizing the importance of enhancing aesthetics and minimizing surgical site infections (SSI). The case series involves four infants undergoing non-umbilical stoma closure with a combination of purse-string closure (PSC) and NPWT, focusing on aesthetic outcomes and infection prevention. NPWT
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Closure of open window thoracostomy due to MRSA pyothorax by EWS bronchial occlusion and modified extraperiosteal air plombage: a case report Surg. Case Rep. Pub Date : 2024-01-17 Masami Kuramochi, Mayumi Shinonaga, Setsuo Kuraoka
Refractory pyothorax caused by methicillin-resistant Staphylococcus aureus (MRSA) is a challenging clinical condition; complications such as bronchopleural fistulae can further hinder its treatment. To avoid a fatal state caused by aspirating pneumonia, open window thoracotomy is not only sometimes performed, but subsequent closure of the window can also be difficult. In this report, we describe the
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A case of pancreaticoduodenal artery bleeding after laparoscopic right colectomy requiring open hemostasis Surg. Case Rep. Pub Date : 2024-01-16 Rika Ono, Tetsuro Tominaga, Takashi Nonaka, Yuma Takamura, Kaido Oishi, Toshio Shiraishi, Shintaro Hashimoto, Keisuke Noda, Terumitsu Sawai, Takeshi Nagayasu
Pancreatic and duodenal-related complications after right colectomy carry a higher risk of mortality. A 64-year-old woman underwent laparoscopic right colectomy for a laterally spreading tumor in the cecum. On postoperative day 10, she experienced sudden hematemesis. Contrast-enhanced computed tomography (CT) of the abdomen showed a large amount of hemorrhage in the stomach, but no obvious extravasation
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Combined thoracoscopic and laparoscopic surgery for epiphrenic diverticulum with associated gastroesophageal reflux disease: a case report Surg. Case Rep. Pub Date : 2024-01-15 Yusuke Uchi, Soji Ozawa, Tomofumi Ando, Koki Hayashi, Takuma Aoki, Motohide Shimazu
Surgery is indicated for symptomatic epiphrenic esophageal diverticula. Based on the features of a case, thoracoscopic or laparoscopic approaches may be used. Epiphrenic diverticula are often associated with esophageal motility disorders, but cases of reflux esophagitis have rarely been reported. In this report, we describe a case of an epiphrenic esophageal diverticulum with reflux esophagitis, which
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Familial multiple endocrine neoplasia type 1 with intrathoracic low-grade fibromyxoid sarcoma Surg. Case Rep. Pub Date : 2024-01-11 Hiroto Ishida, Soichiro Funaki, Seiji Taniguchi, Eiichi Morii, Yasushi Shintani
Multiple endocrine neoplasia type 1 (MEN1) is a hereditary tumor syndrome characterized by endocrine tumors with mainly a parathyroid, pancreatic, or anterior pituitary origin. Low-grade fibromyxoid sarcoma (LGFMS) is a rare low-grade soft tissue tumor. There is one known report of a patient with MEN1 complicated by LGFMS, which is very rare. Our report represents the second documented case, providing
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Successful surgical treatment of an intraoperatively ruptured lung abscess rupture using free pericardial fat implantation: a case report Surg. Case Rep. Pub Date : 2024-01-11 Yoshihito Iijima, Takaki Mizoguchi, Masahito Ishikawa, Shun Iwai, Nozomu Motono, Hidetaka Uramoto
Lung abscess treatment results the treatment results improved with the development of antibiotics; however, surgical treatment is indicated when pyothorax is present, surgical treatment is indicated. When a lung abscess ruptures, pyothorax and fistula occur, which are difficult to treat. A 74-year-old woman who experienced exacerbated dyspnea and left back pain for 10 days was diagnosed with a lung
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A successful case of deceased-donor liver transplantation from a donor with Marfan syndrome: a case report Surg. Case Rep. Pub Date : 2024-01-10 Takuma Ishikawa, Shinji Itoh, Takeo Toshima, Yuki Nakayama, Katsuya Toshida, Yuriko Tsutsui, Norifumi Iseda, Takuma Izumi, Shohei Yoshiya, Mizuki Ninomiya, Tomoharu Yoshizumi
Liver transplantation is the definitive therapy for patients with decompensated cirrhosis. Marfan syndrome is a systemic inheritable connective tissue disease associated with fibrillin-1 gene mutations, which cause abnormalities in connective tissue. Vascular changes due to Marfan syndrome occur mostly in the main vessels due to the high amount of connective tissue within the vessel wall and the high
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Multidisciplinary management of locally recurrent rectal cancer with carbon ion radiotherapy followed by prophylactic removal of the irradiated bowel: a case report Surg. Case Rep. Pub Date : 2024-01-10 K. Nagata, H. Takiyama, K. Tashiro, M. Yamadera, K. Okamoto, Y. Kajiwara, E. Shinto, Y. Kishi, S. Matsukuma, S. Yamada, H. Ueno
Locally recurrent rectal cancer (LRRC) involving the upper sacrum is typically incurable, and palliative treatment is the only option for most patients, resulting in a poor prognosis and reduced quality of life. Carbon ion radiotherapy (CIRT) has emerged as a promising modality for treating LRRC. This report presents a case of LRRC with sacral involvement that was managed via multidisciplinary therapy
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Pulmonary ligament rupture due to a bronchial artery aneurysm-induced hematoma: a case report Surg. Case Rep. Pub Date : 2024-01-10 Yasuaki Tomioka, Eiji Yamada, Tsuyoshi Hyodo, Masahiko Muro
Bronchial artery aneurysm (BAA) is a rare vascular anomaly with the potential for serious complications, such as rupture leading to hemothorax or hemoptysis. Although bronchial artery embolization (BAE) is recognized as an effective intervention for ruptured BAA, video-assisted thoracoscopic surgery (VATS) is a minimally invasive approach for the treatment of associated hemothorax. A 73-year-old woman
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Juvenile polyposis syndrome with gastric and duodenal polyposis presenting with refractory anemia and protein-leakage gastroenteropathy in a patient with SMAD4 mutation: a case report Surg. Case Rep. Pub Date : 2024-01-09 Kenya Nakamura, Koji Kubota, Akira Shimizu, Tsuyoshi Notake, Tomohiko Ikehara, Kentaro Umemura, Atsushi Kamachi, Takamune Goto, Hidenori Tomida, Yoshiyuki Takahashi, Tadanobu Nagaya, Takeji Umemura, Yuji Soejima
Juvenile polyposis syndrome (JPS) is an autosomal dominant, inherited disorder characterized by multiple hyperproliferative polyps of the gastrointestinal tract, particularly of the colon, rectum, and stomach. SMAD4 mutations are frequently associated with multiple polyposis of the stomach; the condition causes severe bleeding and hypoproteinemia, which may progress to severe dysplasia and adenocarcinoma
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Pulmonary artery sarcoma and severe valvular diseases in late-septuagenarian women: was 2-stage surgery an appropriate strategy? A case report Surg. Case Rep. Pub Date : 2024-01-08 Sakiko Sato, Hideo Ichimura, Keisuke Kobayashi, Shuntaro Kawabata, Tomoyuki Kawamura, Hisashi Suzuki, Akito Imai, Kanji Matsuzaki, Akiko Sakata, Daisuke Matsubara, Yukio Sato
Pulmonary artery sarcomas (PASs) are rare, and complete tumor resection is often difficult at the time of detection. We encountered a case of PAS that was thought to be resectable; however, the patient had severe symptomatic valvular disease. We faced a difficult decision regarding the surgical strategy. A 76-year-old female presented with a history of polysurgery for multiple primary cancers. She
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A case of rapidly progressing sarcomatous intrahepatic cholangiocarcinoma with suddenly appearing lymph node metastasis Surg. Case Rep. Pub Date : 2024-01-08 Eisho Kanemitsu, Rei Takahashi, Setsuko Nakanishi, Satoru Sueyoshi, Atsushi Kobayashi, Takao Nishimura, Hiromitsu Nagata
The sarcomatous variant of carcinoma is relatively rare in intrahepatic cholangiocarcinoma (ICC). Sarcomatous ICC (SICC) is associated with a poorer prognosis compared with ICC. SICC is rarely diagnosed before surgery due to non-descriptive findings; it progresses rapidly, resulting in miserable prognosis. Here, we report a case of rapidly progressing SICC that showed a clinically significant tumor
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Gallbladder hemorrhage associated with segmental arterial mediolysis: a case report Surg. Case Rep. Pub Date : 2024-01-08 Yuichi Hirose, Yusuke Tajima, Hiroki Sakata, Toshimasa Uekusa, Kentaro Kamada, Takashi Ikehara, Izuru Matsuda, Satomi Yoneyama, Akio Hidemura, Hiroyuki Suzuki
Gallbladder hemorrhage is a rare but fatal condition. The reported causes of gallbladder hemorrhage include iatrogenesis, atherosclerotic changes in the cystic arteries, acute cholecystitis or cholelithiasis, malignancy, trauma, hemophilia, pseudoaneurysm, and the use of oral anticoagulant medications. Recently, segmental arterial mediolysis (SAM) has been reported as a possible etiology of life-threatening
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A giant liposarcoma originating from peripancreatic fat tissue with identification using 3D-CT angiography: a case report Surg. Case Rep. Pub Date : 2024-01-08 Kiyoshi Narita, Hiroshi Kaneko, Fumiya Hasegawa, Nozomi Akao, Tomoki Kusafuka, Ryosuke Desaki, Masaomi Ogura, Takashi Hamada, Kana Asakawa, Tetsuya Murata
Liposarcoma originating from peripancreatic fat tissue is extremely rare. This case report presents a surgical case of a giant liposarcoma originating from peripancreatic fat tissue with origin identification using 3-Dimensional Computed Tomography Angiography (3D-CTA). A 59-year-old female was referred to our hospital with a giant abdominal tumor. Computed tomography revealed a 34 cm tumor composed
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Usefulness of an intraoperative flipped monitor in laparoscopic surgery with situs inversus totalis: a case report of laparoscopic-assisted ileocecal resection Surg. Case Rep. Pub Date : 2024-01-08 Ryoma Yokoi, Jesse Yu Tajima, Shigeru Kiyama, Masahiro Fukada, Ryuichi Asai, Yuta Sato, Itaru Yasufuku, Yoshihiro Tanaka, Naoki Okumura, Katsutoshi Murase, Takao Takahashi, Nobuhisa Matsuhashi
Situs inversus totalis (SIT) is a rare congenital condition that involves complete transposition (right to left reversal) of the visceral organs. Laparoscopic surgery can be challenging because of the mirror-image anatomy. We describe a surgical innovation in laparoscopic surgery for SIT. A 41-year-old man with SIT was diagnosed with an appendiceal tumor and underwent laparoscopic-assisted ileocecal
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Gastric inflammatory myofibroblastic tumor presented with severe anemia and inflammation: a case report Surg. Case Rep. Pub Date : 2024-01-08 Sakura Hiramatsu, Ryo Ataka, Yusuke Nakayama, Miho Hirai, Ayako Hirata, Jun Takeshima, Kenjiro Hirai, Shinya Hamasu, Ikuo Aoyama, Tetsuro Hirose
Inflammatory myofibroblastic tumor (IMT) is a rare stromal tumor, often found in children and young adults, and most commonly occurs in the lungs. Surgical resection is considered the standard treatment for localized IMT, although only limited data exist. Gastric IMT in adults is extremely rare, and there are no established guidelines for its treatment. A 69-year-old male presented with persistent