Endoscopic submucosal tunnel dissection for a giant adenoma of the cecum (case report)

Endoscopic removal of giant adenomas of the cecum is associated with high risk of perforation and conversion to laparoscopic procedure. Endoscopic submucosal dissection for cecal adenomas had technical limitations due to the adjacent ileocecal valve and appendix opening, perpendicular operating angle. Case presentation of the possibility of successful removal of a large laterally spreading cecal adenoma by the method of endoscopic submucosal tunnel dissection (ESTD) never been described before for this tumor site and size. Patient 54 years old, an LST-G adenoma (5 cm in diameter, according to Kudo – IIIL, according to Sano – II) was detected in the dome of the cecum during colonoscopy. ESTD. The postoperative period without any unfavorable events; the patient was discharged on the 5th day after surgery. The morphological conclusion: tubulo-villous adenoma with moderate epithelial dysplasia, R0. ESTD is suitable for cecal giant adenomas.

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Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

JA Clinical Reports ◽

10.1186/s40981-021-00430-2 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Junnosuke Kimura ◽

Kento Kawamura ◽

Manami Minoura ◽

Ayako Hiramoto ◽

Yoshifumi Suga ◽

...

Keyword(s):

Case Report ◽

High Risk ◽

Cesarean Section ◽

General Anesthesia ◽

Pregnant Women ◽

Cesarean Delivery ◽

Business Communication ◽

Communication Tools ◽

Case Presentation ◽

Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

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Complete excision of esophageal bronchogenic cyst by endoscopic submucosal tunnel dissection: a case presentation

BMC Gastroenterology ◽

10.1186/s12876-019-1072-3 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Xun Yang ◽

Ye Zong ◽

Hai-Ying Zhao ◽

Yong-Dong Wu ◽

Ming Ji

Keyword(s):

Bronchogenic Cyst ◽

Complete Excision ◽

Case Presentation ◽

Submucosal Tunnel ◽

Endoscopic Submucosal Tunnel Dissection

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Total Endoscopic Left Ventricle Lipoma Removal: A Case Report

10.21203/rs.3.rs-518777/v1 ◽

2021 ◽

Author(s):

Tom Langenaeken ◽

Alaaddin Yilmaz ◽

Aydin Basoglu

Keyword(s):

Case Report ◽

Left Ventricle ◽

Cardiac Tumor ◽

Memory Loss ◽

Mass Effect ◽

Endoscopic Approach ◽

Endoscopic Removal ◽

Left Ventricle Mass ◽

Case Presentation ◽

Benign Cardiac Tumor

Abstract Background: Left ventricle (LV) lipoma is a very rare, benign cardiac tumor. Due to its rarity, LV lipoma is often misdiagnosed. Aspecific symptoms such as murmurs, arrhythmias, memory loss and palpitation may occur due to the mass effect. Case presentation: We report a case report of a 42 year old woman who was found to have left ventricle mass after check-up for arrhytmia. By a fully endoscopic approach, the mass was successfully resected from the left ventricle without the need for sternotomy. Conclusion: Total endoscopic removal of left ventricle lipoma’s can be done safely and has several advantages to conventional sternotomy. Larger studies are needed to confirm this hypothesis.

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Total endoscopic left ventricle lipoma removal

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01602-y ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Tom Langenaeken ◽

Aydin Basoglu ◽

Abdullah Kaya ◽

Alaaddin Yilmaz

Keyword(s):

Case Report ◽

Left Ventricle ◽

Cardiac Tumor ◽

Memory Loss ◽

Mass Effect ◽

Endoscopic Approach ◽

Endoscopic Removal ◽

Left Ventricle Mass ◽

Case Presentation ◽

Benign Cardiac Tumor

Abstract Background Left ventricle (LV) lipoma is a very rare, benign cardiac tumor. Due to its rarity, LV lipoma is often misdiagnosed. Aspecific symptoms such as murmurs, arrhythmias, memory loss and palpitation may occur due to the mass effect. Case presentation We report a case report of a 42 year old woman who was found to have left ventricle mass after check-up for arrhytmia. By a fully endoscopic approach, the mass was successfully resected from the left ventricle without the need for sternotomy. Conclusion Total endoscopic removal of left ventricle lipoma’s can be done safely and has several advantages to conventional sternotomy. Larger studies are needed to confirm this hypothesis.

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Trimodality approach, using modern radiation techniques, for management of locally advanced adrenocortical carcinoma – case report

Journal of Radiotherapy in Practice ◽

10.1017/s1460396921000509 ◽

2021 ◽

pp. 1-4

Author(s):

André Laranja ◽

Carolina Ferreira

Keyword(s):

Case Report ◽

High Risk ◽

Local Recurrence ◽

Adrenocortical Carcinoma ◽

Postoperative Radiotherapy ◽

Locally Advanced ◽

Volumetric Modulated Arc Therapy ◽

Case Presentation ◽

Risk Of Recurrence ◽

Arc Therapy

Abstract Background: Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy. Surgery is the mainstay of treatment, still even after a R0 surgical margins, there is a high risk of recurrence. Case Presentation: A 26-year-old female diagnosed with a large functioning ACC treated with a trimodality approach (surgery, radiotherapy and chemotherapy). Postoperative radiotherapy was proposed regarding the high risk of recurrence. A dose of 50.4 Gy in 28 fractions was delivered to the patient using a volumetric-modulated arc therapy plan. Radiotherapy was safe and well tolerated, and no local recurrence was observed so far (13 months after radiotherapy). Conclusions: Due to the rarity of ACC and the lack of evidence regarding this entity, therapeutic approach can be challenging. Recent evidence suggests that radiotherapy could have an important role in the therapeutic arsenal.

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PENs in the PENis: a case report and brief review of the literature

African Journal of Urology ◽

10.1186/s12301-021-00180-8 ◽

2021 ◽

Vol 27 (1) ◽

Author(s):

Vasileios Bonatsos ◽

Deepak Batura

Keyword(s):

Case Report ◽

Foreign Bodies ◽

General Anaesthetic ◽

Biopsy Forceps ◽

Endoscopic Removal ◽

Review Of The Literature ◽

Case Presentation ◽

Adults And Children ◽

Erotic Stimulation ◽

Psychiatric Conditions

Abstract Background According to the literature, there have been reports of introduction of foreign bodies into the urethra predominantly in males, both adults and children. Erotic stimulation, intoxication, assault and psychiatric conditions are the most frequent contributors. Case presentation A 70-year-old male presented with difficulty in passing urine for one week after having inserted two plastic ballpoint pens into his urethra. The patient had a failed attempt at removal using a rigid cystoscope and biopsy forceps. A Liga-clip applicator allowed successful blind removal of both pens while the patient was under a general anaesthetic. Conclusions Removal of urethral foreign bodies can be challenging as endoscopic removal may fail, and open or blind procedures may be required. Moreover, complications can be significant. On occasions, improvisations in techniques may be helpful, such as in our patient. A psychiatric review is vital to try and ensure the prevention of repeat incidents.

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Multiple asystoles in a patient undergoing total knee arthroplasty - a case report

10.21203/rs.2.329/v2 ◽

2019 ◽

Author(s):

Anna-Maria Burgdorff ◽

Lilit Flöther ◽

David Wohlrab

Keyword(s):

Total Knee Arthroplasty ◽

Cardiac Arrest ◽

Case Report ◽

High Risk ◽

Knee Arthroplasty ◽

Cardiac Disease ◽

Case Presentation ◽

Total Knee ◽

Additional Monitoring

Abstract Background Unexpected cardiac arrest in patients during surgery is associated with high mortality. Reasons are often multifactorial and not exactly clear. Case presentation Therefore, this case report describes a patient, who developed reversible asystoles during knee surgery under general anesthesia. All diagnostic cardiac examinations were unremarkable. After surgery the patient showed no further symptoms. Conclusion To prevent cardiac arrest due to non-cardiac reasons, patients with high risk for asystole caused by vasovagal reflex or pain need to be identified. Preoperative conditions like hypovolemia need to be improved and additional monitoring should be used. Further investigations to find the influence of non-cardiac disease and long-term medication are necessary.

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Subcutaneous Uptake on [18F]Florbetaben PET/CT: a Case Report of Possible Amyloid-Beta Immune-Reactivity After COVID-19 Vaccination

SN Comprehensive Clinical Medicine ◽

10.1007/s42399-021-01058-0 ◽

2021 ◽

Author(s):

Riccardo Laudicella ◽

Irene Andrea Burger ◽

Francesco Panasiti ◽

Costanza Longo ◽

Salvatore Scalisi ◽

...

Keyword(s):

Heart Disease ◽

Case Report ◽

High Risk ◽

Large Scale ◽

Immune Reactivity ◽

Case Presentation ◽

Vaccination Programs ◽

Pet Ct ◽

Risk Patients ◽

History Of

Abstract Introduction Large-scale worldwide COVID-19 vaccination programs are being rapidly deployed, and high-risk patients with comorbidity are now receiving the first doses of the vaccine. Physicians should be, therefore, aware of new pitfalls associated with the current pandemic vaccination program, also in the case of [18F]Florbetaben PET/CT. Case Presentation We described the first image of [18F]Florbetaben PET/CT in the evaluation of a 70-year-old male with suspicious Alzheimer disease and unclear history of heart disease. We detailed the diagnostic imaging PET/CT workup with different findings. Conclusion In this case, [18F]Florbetaben PET/CT can demonstrate potential beta-amyloid immune-reactivity and deposition associated with the current COVID-19 pandemic vaccination programs.

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Giant Darier–Ferrand dermatofibrosarcoma protuberans of the abdomen and pelvis: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-021-02687-8 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

A. Triki ◽

M. Aloui ◽

M. Ghalleb ◽

I. Jbir ◽

Ben Naceur ◽

...

Keyword(s):

Case Report ◽

High Risk ◽

Skin Flap ◽

Dermatofibrosarcoma Protuberans ◽

Metastatic Potential ◽

Wide Excision ◽

Skin Tumor ◽

Local Skin ◽

Case Presentation ◽

Local Skin Flap

Abstract Background Darier–Ferrand dermatofibrosarcoma (DFS) is a rare malignant cutaneous neoplasm characterized by local aggressiveness, high risk of recurrence, and low metastatic potential. Case presentation A 60-year-old Tunisian man with recurrent abdominopelvic DFS for which he had undergone multiple excisions presented with an extensive DFS that invaded the external genitals. He underwent a large excision with emasculation and thin cutaneous graft of the abdominal wall and local skin flap in the pelvis. Conclusion DFS is a rare yet recurrent skin tumor. Wide excision with free margins remains the cornerstone of treatment. We report a case of a giant DFS treated with wide excision and reconstructive surgery to cover the defect.

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