Jacobs Journal of Surgery
Articles in Press
Volume 2 Issue 3
A Rare Case of Colon Perforation due to Colon Diverticulitis and Adenocarcinoma
Ping-Tze Chen MD, Chi-Yi Lin MD, Hong-Ming Chao MD
Colon perforation initially presents as peritonitis but can rapidly progress to septic shock, which has a high mortality rate. Here, we report on a 79-year-old male with a history of past asthma and type II diabetes mellitus. The patient presented to the emergency department after suffering from abdominal pain and tarry stool for several days. His vital signs were normal; however, a blood test revealed elevated levels of band form neutrophils. A physical examination further revealed diffuse abdominal tenderness and muscle guarding.
Nephroprotective Strategy in Aortic Surgery: A Review of 3 Cases
Bryce Renwick, Mohammad Goodarzi, Daniel Forbes, Colette Pickard, Donald Bain, Raj Velu, Doanld B Reid
Close liaison between urology and vascular teams is an essential component of modern aortic surgery. The close anatomical relations of the aorta and urinary tract, together with the unique demands placed on the renal tract by aortic surgery, necessitate that safe and effective aortic intervention can only be achieved with an optimised nephroprotective strategy.
Total Thoracoscopic Anatomical Right S1a+S2a Bisubsegmentectomy
Taijiro Mishina, MD PhD*, Atsushi Watanabe, MD PhD, Masahiro Miyajima, MD PhD, Junji Nakazawa, MD
Total thoracoscopic segmentectomy or subsegmentectomy is a very difficult procedure for early stage non-small cell lung cancer. There are few reports on thoracoscopic subsegmentectomy. A 63-year-old male with gradually enlarging ground glass lesions in right lung segment 2 was admitted to our institute for surgical diagnosis and treatment. Preoperative threedimensional computed tomography precisely showed the tumor location in intersegmental plane between segment 1 and segment 2, and the complex segmental/subsegmental vessel structure.
Adult Infected Salmonella Complicated with Appendicitis
Chung-Yen Lin# MD, Hsuan-Chu Hsu# MD, Chi-Yi Lin MD, Hong-Ming Chao* MD
Salmonella is transmitted via a variety of consuming contaminated food products or water. The incidence of non-typhoidal Salmonella infection increased steadily in the past two decades. Enteric infection in many people is clinically mild and selflimited or even asymptomatic. However, some serious complications have been reported in children. This report described a case of adult woman who presented with symptoms including right lower quadrant abdominal pain, nausea and vomiting, fever, and diarrhea for one day at emergency room
Inguinal Hernia with Tuberculous Peritonitis: A Case Report and Literature Review
Kai Min, Hui Xia#, Cheng Zhou*, Qing-bin Meng, Biao Wu, Jun Ren, Feng-yu Cao, Wojciech Konrad Karcz
A rare case of inguinal hernia with tuberculous peritonitis is described, as well as a review of the pertinent literature. A 56-year-old male patient admitted to our emergency department because of reducible mass presenting in his left inguinal region. After preoperative preparation, we did a laparoscopic totally extraperitoneal hernia repair (TEP) for this patient. During TEP, we unexpectedly found tuberculous peritonitis, which was confirmed by postoperative pathology. With this case report and review, we hope the relevant knowledge about such rare situation, the inguinal hernia coexist with tuberculous peritonitis, could be augmented, and helps might be offered on early diagnosis and treatment of abdominal tuberculosis.
Modified Insall Procedure for Recurrent Patellar Dislocation: A Case Report of Four Cases
Takatomo Mine, M.D*, Koichiro Ihara, M.D, Hiroyuki Kawamura, M.D, Ryutaro Kuriyama, M.D, Ryo Date, M.D, Kazuki Chagawa, M.D
Many surgical techniques for the treatment of recurrent patellar dislocation have been described in the literature. We report four cases of recurrent patellar dislocation in which the patients underwent arthroscopic lateral release and advancement of the medial patellofemoral ligament (MPFL). The attachments between the MPFL and the peripatellar retinaculum and periosteum were strengthened with 2 anchor sutures and Ethibond sutures. The patients’ symptoms improved after surgery, and no recurrence of their symptoms has been observed since. Our procedure is simple and minimally invasive.
Nutrition and Survival of Patients with Head and Neck Cancers after Pharyngo-Laryngo-Esophagectomy followed by Free Jejunal Reconstruction
Masahide Ikeguchi*, Yoji Fukumoto and Hiroaki Saito
Locally advanced carcinomas arising in the hypopharynx, cervical esophagus, or thyroid have been traditionally treated by resection of the hypopharynx, larynx, and cervical esophagus, respectively. Among the various methods of reconstruction, we previously reported the postoperative nutritional advantages of free jejunal graft reconstruction. In the present study, we retrospectively analyzed the correlation between postoperative nutritional status and the survival of patients treated at a high-volume center in Japan.