scholarly journals Elective laparoscopic colectomy in a patient 3 weeks after coronavirus disease 2019 infection: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yuki Tateno ◽  
Kimito Harada ◽  
Fumiki Okamoto ◽  
Hideo Katsuragawa
Keyword(s):  
Colon Cancer ◽  
Laparoscopic Colectomy ◽  
Sigmoid Colon Cancer ◽  
Optimal Timing ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Elective Colectomy ◽  
Tomography Scan ◽  
Preoperative Examination ◽  
Selection Of

Abstract Background According to previous reports, surgery is not recommended until at least 4 weeks after the symptoms of coronavirus disease 2019 resolve. However, strong evidence has not been established regarding the optimal timing and preoperative examination for elective laparoscopic colectomy for colorectal cancer in individuals with a previous coronavirus disease 2019 infection. Case presentation A 63-year-old Asian man underwent elective laparoscopic colectomy for sigmoid colon cancer 3 weeks after asymptomatic coronavirus disease 2019. The postoperative course was good, and none of the surgical staff was infected with coronavirus disease 2019. Conclusion In this patient infected with coronavirus disease 2019 within 4 weeks of surgery, preoperative venous ultrasound of the lower extremities and a chest computed tomography scan were useful examinations for ensuring a safe surgical procedure for the patient and the staff. Surgery within 4 weeks may be possible with careful selection of cases based on thorough preoperative examination. This report may contribute to the development of a consensus on performing safe elective colectomy for colon cancer in persons previously infected with coronavirus disease 2019.

scholarly journals Excessive dynamic airway collapse during general anesthesia: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Shunichi Murakami ◽  
Shunsuke Tsuruta ◽  
Kazuyoshi Ishida ◽  
Atsuo Yamashita ◽  
Mishiya Matsumoto
Keyword(s):  
General Anesthesia ◽  
Airway Pressure ◽  
Positive End Expiratory Pressure ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Airway Lumen ◽  
Asthma Attack ◽  
Airway Collapse ◽  
History Of ◽  
Tomography Scan

Abstract Background Excessive dynamic airway collapse (EDAC) is an uncommon cause of high airway pressure during mechanical ventilation. However, EDAC is not widely recognized by anesthesiologists, and therefore, it is often misdiagnosed as asthma. Case presentation A 70-year-old woman with a history of asthma received anesthesia with sevoflurane for a laparotomic cholecystectomy. Under general anesthesia, she developed wheezing, high inspiratory pressure, and a shark-fin waveform on capnography, which was interpreted as an asthma attack. However, treatment with a bronchodilator was ineffective. Bronchoscopy revealed the collapse of the trachea and main bronchi upon expiration. We reviewed the preoperative computed tomography scan and saw bulging of the posterior membrane into the airway lumen, leading to a diagnosis of EDAC. Conclusions Although both EDAC and bronchospasm present as similar symptoms, the treatments are different. Bronchoscopy proved useful for distinguishing between these two entities. Positive end-expiratory pressure should be applied and bronchodilators avoided in EDAC.

scholarly journals Synchronous NET and colorectal cancer development: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Shinsei Yumoto ◽  
Yuji Miyamoto ◽  
Takahiko Akiyama ◽  
Yuki Kiyozumi ◽  
Kojiro Eto ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Colon Cancer ◽  
Systemic Therapy ◽  
Multiple Organ ◽  
Cancer Development ◽  
Sigmoid Colon Cancer ◽  
Synchronous Tumors ◽  
Case Presentation ◽  
The Difference ◽  
Rectal Neuroendocrine Tumor

Abstract Background The incidence of synchronous gastrointestinal neuroendocrine tumors (GI-NETs) and colorectal cancer is very low. Case presentation We present a 72-year-old man diagnosed with a rectal neuroendocrine tumor (NET) with multiple organ metastases and simultaneous sigmoid colon cancer. Although the NET was his prognostic factor, he underwent a laparoscopic sigmoidectomy at first because it was expected that the colon cancer would cause obstruction or bleeding during NET treatment. Subsequently, he started taking everolimus. Conclusions We should consider surgical resection of the synchronous cancer before systemic therapy for a GI-NET regardless of the difference in prognosis between synchronous tumors, if the cancer may impair the continuation of systemic therapy.

scholarly journals 55 year-old Female with Hematuria

2020 ◽  
Vol 4 (2) ◽  
pp. 232-233
Author(s):  
Drew Long ◽  
Brit Long
Keyword(s):  
Computed Tomography ◽  
Renal Mass ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Flank Pain ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Left Ureter ◽  
Tomography Scan

Case Presentation: A 55 year-old female presented to the emergency department with left sided abdominal pain and hematuria. Computed tomography scan of her abdomen and pelvis demonstrated a large left renal mass with extension into the left ureter, left renal vein, and inferior vena cava. She was admitted and treated for presumed renal cell carcinoma (RCC). Discussion: RCC may present with abdominal or flank pain and hematuria, but more commonly presents with vague symptoms. RCC should be suspected in a patient presenting with hematuria and abdominal or flank pain, especially if vague symptoms such as fatigue or anorexia are also present.

scholarly journals The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Samid M. Farooqui ◽  
Houssein Youness
Keyword(s):  
Fungal Infections ◽  
Left Lung ◽  
Sporothrix Schenckii ◽  
Computed Tomography Scan ◽  
Dimorphic Fungus ◽  
Carcinoma Of The Esophagus ◽  
Case Presentation ◽  
The Past ◽  
Thoracic Computed Tomography ◽  
Tomography Scan

Background. Pulmonary sporotrichosis is a rare disease caused by a dimorphic fungus, Sporothrix schenckii. It is rarely found in association with malignancy. We present a case of pulmonary sporotrichosis recurrence after chemotherapy. Case Presentation. A 44-year-old man, treated for pulmonary sporotrichosis in the past, presented with dysphagia and was found to have squamous cell carcinoma of the esophagus. After undergoing chemotherapy, extensive cavitary lesions were observed on thoracic computed tomography scan. A bronchoalveolar lavage revealed the presence of Sporothrix schenckii sensu lato. Despite treatment with itraconazole, he eventually required a left pneumonectomy for progressive destructive cavitary lesions involving the left lung. Conclusion. This case highlights the importance of considering past fungal infections, albeit cured, in patients initiating immunosuppressive therapy.

Visceral Obesity Predicts Surgical Outcomes after Laparoscopic Colectomy for Sigmoid Colon Cancer

2008 ◽  
Vol 51 (12) ◽  
pp. 1757-1767 ◽  
Author(s):  
Shingo Tsujinaka ◽  
Fumio Konishi ◽  
Yutaka J. Kawamura ◽  
Masaaki Saito ◽  
Naoshi Tajima ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Sigmoid Colon ◽  
Laparoscopic Colectomy ◽  
Surgical Outcomes ◽  
Visceral Obesity ◽  
Sigmoid Colon Cancer

Computed tomography scan-driven selection of treatment for retroperitoneal liposarcoma histologic subtypes

Cancer ◽  
2009 ◽  
Vol 115 (5) ◽  
pp. 1081-1090 ◽  
Author(s):  
Guy Lahat ◽  
John E. Madewell ◽  
Daniel A. Anaya ◽  
Wei Qiao ◽  
Daniel Tuvin ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Computed Tomography Scan ◽  
Retroperitoneal Liposarcoma ◽  
Tomography Scan ◽  
Histologic Subtypes ◽  
Selection Of

Treatment of upper extremity venous aneurysms with a polytetrafluoroethylene-covered stent

Vascular ◽  
2016 ◽  
Vol 25 (4) ◽  
pp. 439-441
Author(s):  
David Parizh ◽  
Jesse Victory ◽  
Syed Ali Rizvi ◽  
Anil Hingorani ◽  
Enrico Ascher
Keyword(s):  
Subclavian Vein ◽  
Covered Stent ◽  
Open Approach ◽  
Significant Morbidity ◽  
Computed Tomography Scan ◽  
Open Resection ◽  
Case Presentation ◽  
Aneurysm Resection ◽  
Viable Method ◽  
Tomography Scan

Background Venous aneurysms of the upper torso are uncommon in contrast to the abdomen and lower extremities. Mostly silent, they can cause significant morbidity. Large or symptomatic venous aneurysms are generally treated with open resection. To our knowledge, there are no documented cases of head and neck venous aneurysms treated by a hybrid endovascular and open approach. Case Presentation A 56-year-old female presented with the complaint of pain and increasing size of a supraclavicular mass. Imaging revealed a large saccular aneurysm of the subclavian vein with the presence of a large intramural thrombus on computed tomography scan with contrast. A covered stent was deployed in order to exclude the aneurysm from circulation. Three weeks later, the symptoms continued, and an aneurysmorrhaphy was performed to excise the stent and aneurysm resection. Discussion A combined endovascular and open approach to resection of symptomatic subclavian vein aneurysms is a viable method with minimal morbidity.

scholarly journals Laparoscopic colectomy for persistent descending mesocolon in sigmoid colon cancer: A case report

2021 ◽  
Vol 78 ◽  
pp. 307-309
Author(s):  
Teppei Matsuo ◽  
Koki Otsuka ◽  
Toshimoto Kimura ◽  
Mizunori Yaegashi ◽  
Kiyoharu Takashimizu ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Case Report ◽  
Sigmoid Colon ◽  
Laparoscopic Colectomy ◽  
Sigmoid Colon Cancer

scholarly journals Nonspecific orbital inflammation and thyroid eye disease, a rare comorbidity: report of two cases and review of literature

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bahram Eshraghi ◽  
Amin Dehghan ◽  
Niloofar Javadi ◽  
Mohammadreza Fazel
Keyword(s):  
Thyroid Eye Disease ◽  
Eye Disease ◽  
Review Of Literature ◽  
Computed Tomography Scan ◽  
Inflammatory Mass ◽  
Case Presentation ◽  
Orbital Inflammation ◽  
Tomography Scan ◽  
Pathological Assessment ◽  
New Onset

Abstract Background To present the very rare comorbidity of developing non-specific orbital inflammation (NSOI) in two patients with histories of definite thyroid eye disease (TED). Case presentation Both patients complained of new-onset progressive proptosis although their thyroid disease was controlled and computed tomography scan revealed an intraorbital inflammatory mass. The pathological assessment indicated that both patients had developed fibrosing NSOI. Therefore, intravenous corticosteroids were administered. The mass regressed and the amount of proptosis was decreased in both patients. Conclusions We reviewed all related cases in the literature and extracted their clinical and radiological characteristics for this paper. Ophthalmologists should consider TED and NSOI in patients with a new-onset complaint of proptosis. Despite rare comorbidity of TED and NSOI, it should be considered especially in patients with refractory proptosis, and lead to its further evaluation and prompt management.

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