Transmesenteric small bowel herniation causing intestinal obstruction following laparoscopic transperitoneal nephrectomy
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Mohammed M. Hajhamad, Reynu Rajan, Nik R. Kosai, Badrulhisham Bahadzor In the field of urology, laparoscopic nephrectomy has become the most frequently performed laparoscopic procedure. Bowel-related complications are rare and predominantly ileus related. In addition, intestinal obstruction (IO) secondary to internal herniation is rarely documented. According to our review of the literature, only a few such cases have been reported worldwide. Here, we report a 72-year-old man with painless macroscopic hematuria. He was dia...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Delayed cerebral venous infarction after transarterial embolization of intracranial dural arteriovenous fistula: A rare complication
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Chee-Tat Lam, Yong-Hui Liu, Chen-Yu Hsiao, Hang-Wei Liu, Ming-Dar Tsai A 34-year-old male patient presented with seizure and was finally diagnosed with intracerebral hematoma because of dural arteriovenous fistula bleeding. Acute onset of hemiplegia developed after 9 days of endovascular therapy. Angiography confirmed venous thrombosis. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Spontaneous ureteral rupture
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Yu-Chuang Chu, An-Hsun Chou, Wing-Keung Cheung, Kuang-Chau Tsai, Min-Po Ho Spontaneous ureteral rupture is defined as the nontraumatic leakage of urine from the ureter. This is a rare urological disorder, and only a small number of cases have been reported. Here, we report a rare case of a patient with spontaneous ureteral rupture who presented at our emergency department with abdominal distension and flank pain; the final diagnosis was confirmed through computed tomography (CT). The patient received urgent right percutan...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Anastomotic aneurysm formation after superficial temporal artery – middle cerebral artery bypass surgery in 5 months
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Chien-Lun Tang, Chiung-Chyi Shen Direct revascularization is beneficial in patients with moyamoya disease under selective conditions. Here, we report the case of a patient with moyamoya disease who developed a complication following revascularization through cerebrovascular bypass surgery. A 42-year-old man experienced an acute onset of weakness in the right limbs with slurred speech. He was initially treated for a suspected transient ischemic attack. Further workup revealed luminal narrowing in the left M1 segment (from the...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Buried penis
Publication date: August 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 4 Author(s): Tai-Wai Chin Buried penis is a congenital anomaly in which the penis is normal in size but appears to be small (i.e., the external genitalia appear small). This anomaly is usually associated with inadequate outer penile skin, fibrosis of the Dartos fascia, inadequate subcutaneous attachment to Buck's fascia, and narrow opening of the prepuce. Various systems have been used to classify this anomaly and its related conditions. Several symptoms such as difficulty maintaining hygiene and holding the penis during voiding, balaniti...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Incarcerated internal hernia of the broad ligament
Publication date: Available online 6 August 2016 Source:Formosan Journal of Surgery Author(s): Chi-Feng Yen, Cheng-Yu Lee, Hung-Bun Lam Internal hernia-related small-bowel loop obstruction is very rare, and hernia through a defect of the broad ligament is especially rare. Here, we report a case of a 45-year-old woman with small-bowel obstruction secondary to internal hernia through a defect in the broad ligament and diagnosed through multiple detector computed tomography (MDCT) and confirmed at surgery. The CT findings that enabled the diagnosis of this extremely rare cause of small-bowel obstruction are presented her...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Management for primary thyroid lymphoma: Experience from a single tertiary care centre in Taiwan
Conclusion Core-needle biopsy is superior to fine-needle biopsy for diagnosing primary thyroid lymphomas without increasing complications. Thyroidectomy in localized, low-grade MALT lymphoma of the thyroid can cure the disease and exclude high-grade malignancies in the remaining glands. By contrast, DLBCL should be treated with chemotherapy and radiotherapy after diagnosis through biopsy, and extensive surgery should be avoided. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Acute appendicitis following blunt abdominal trauma in children: by chance or a cause?
Conclusion Acute appendicitis or appendiceal perforation following significant BTA is rare. In the two corresponding cases in this study, the etiology may have been dislodgement of the appendicolith at the moment of injury. Moreover, children may erroneously implicate appendicular pain to be trivial trauma sustained during play (6.8% of the current cases). In all children presenting with right lower abdominal pain and vomiting following BTA (although trivial), the possibility of appendiceal pathology should be considered. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Successful treatment through single-port laparoscopy of a gastrojejunal fistula caused by an accidentally ingested toothpick
We report the case of a 46-year-old man who visited the emergency department with a 3-day history of dysuria, left upper abdominal pain, left flank soreness, and high fever. Physical examination revealed tenderness in the left upper abdominal quadrant and left costovertebral angle. Abdominal computed tomography and gastroduodenoscopy were inconclusive for gastrojejunal fistula with regional peritonitis caused by an ingested toothpick. A 7-cm toothpick was successfully removed through single-port laparoscopy. Toothpick ingestion is a medical emergency because it can lead to acute abdomen and gut perforation. Single-port lap...
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Spontaneous rupture of an extremely large gastrointestinal stromal tumor of the jejunum
In this report, we review the literature on this rare condition and discuss potential strategies for diagnosing and managing patients with a spontaneous rupture of an extremely large GIST of the jejunum. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - October 14, 2016 Category: Surgery Source Type: research
Supratentorial leptomeningeal hemangioblastoma resection after tumor  embolization
Publication date: April 2016 Source:Formosan Journal of Surgery, Volume 49, Issue 2 Author(s): Ching-Yi Lee, Shiu-Jau Chen Cerebral hemangioblastomas are vascular tumors and rarely occur in supratentorial locations. Here we present a case of a 52-year-old woman with a supratentorial hemangioblastoma mimicking a meningioma. Brain computed tomography and magnetic resonance imaging revealed an intensely contrast-enhanced dural-based solid mass in the left frontal region. We demonstrate that vascular supratentorial hemangioblastomas can be resected with limited blood loss through preoperative middle meningeal artery em...
Source: Formosan Journal of Surgery - June 17, 2016 Category: Surgery Source Type: research
Transmesenteric small bowel herniation that caused intestinal obstruction following laparoscopic transperitoneal nephrectomy
Publication date: Available online 11 June 2016 Source:Formosan Journal of Surgery Author(s): Mohammed M. Hajhamad, Reynu Rajan, Nik R. Kosai, Badrulhisham Bahadzor In the field of urology, laparoscopic nephrectomy has become the most frequently performed laparoscopic procedure. Bowel-related complications are rare and predominantly ileus related. In addition, intestinal obstruction (IO) secondary to internal herniation is rarely documented. According to our review of the literature, only a few such cases have been reported worldwide. Here, we report a 72-year-old man with painless macroscopic hematuria. He was...
Source: Formosan Journal of Surgery - June 11, 2016 Category: Surgery Source Type: research
Epidemiology and treatment of inpatients urolithiasis in Taiwan
Conclusion This study reveals patterns in the epidemiology and utilization of medical resources for inpatients with urolithiasis and provides a basis for the implementation of stone treatment guidelines in Taiwan. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - June 5, 2016 Category: Surgery Source Type: research
Treatment of locally advanced low rectal cancer
Publication date: Available online 3 June 2016 Source:Formosan Journal of Surgery Author(s): Po-Chuan Chen, Jenq-Chang Lee Rectal cancer is a formidable disease with high recurrence and metastasis rates, particularly before total mesorectal excision (TME) was first described by Heald and Ryall in 1982. Through this ground-breaking operative procedure, rectal cancer has become a potentially curable condition. Traditional abdominoperineal resection has gradually been replaced with TME and coloanal anastomosis for resectable low rectal cancer. In addition, improved overall survival and decreased local recurrence rates...
Source: Formosan Journal of Surgery - June 2, 2016 Category: Surgery Source Type: research
Role of the blood vessel and arachnoid as conflicting structures during microvascular decompression for treating typical trigeminal neuralgia
Conclusion The tightness of the junction between the offending artery and the trigeminal nerve may represent a major factor affecting different postoperative outcomes following MVD. An offending artery may be attached to the arachnoid thickening, resulting in a neurovascular compressive effect, whereas the role of venous contact as a cause of TN remains debatable. (Source: Formosan Journal of Surgery)
Source: Formosan Journal of Surgery - May 29, 2016 Category: Surgery Source Type: research
