ISSN 1941-5923


Welcome to the American Journal of Case Reports

Clinical case reports are an invaluable first-hand source of evidence in medicine and a tool most often used in practice to exchange information and generate a more expanded search for evidence. In addition to the “evidence of what happened”, single or multiple cases are an important basis for further and more advanced research on diagnosis,  treatment effectiveness, causes and outcomes of disease. However limited their... read more

Published: 2014-07-29

A Novel “Salvage” Indication to Intestinal Derotation Procedure: Reconstruction after Duodenopancreatectomy

Paolo Bechi, Gherardo Maltinti

(Department of Surgery and Translational Medicine, University of Florence, Florence, Italy)

Am J Case Rep 2014; 15:322-325

DOI: 10.12659/AJCR.889793

Background: The purpose of the present paper is to stress the relevance for surgeons of being familiar with the procedure of intestinal derotation. This procedure is usually ignored by atlases of surgical technique and only few dedicated papers have been published since its first descriptions both in the U.S. and Europe more than 50 yrs ago.
Case Report: The occasion for this message has been provided by a recent application of this procedure, which has also provided a brand new indication to it. In the case which is reported in the paper the reconstruction, after the resection phase of Whipple procedure, appeared impossible. As a matter of fact, a lipomatosis of the jejunal mesentery reaching up the vasa recta made impossible to raise up the jejunum in order to perform anastomoses with the remaining pancreas and the bile duct. After a minute in which we felt lost, intestinal derotation solved the problem.
Conclusions: In conclusion, intestinal derotation represents a valuable technical tool, which in very selected cases may be helpful in solving otherwise insoluble surgical problems. Therefore, it seems to be a necessary part of the armamentarium of any good surgeon

Keywords: intestinal derotation, Pancreaticoduodenectomy, Lipomatosis

Published: 2014-07-28

Chondroblastoma of the Medial Cuneiform Bone in a 32-Year-Old Woman

Murat Arıkan, Erdem Aktas, Guray Toğral, Ahmet Yıldırım, Olcay Kandemir

Am J Case Rep 2014; 15:317-321

DOI: 10.12659/AJCR.890684

Published: 2014-07-24

Thyroid Storm Complicated by Bicytopenia and Disseminated Intravascular Coagulation

Yoshinori Tokushima, Yuta Sakanishi, Kou Nagae, Midori Tokushima, Masaki Tago, Motosuke Tomonaga, Tsuneaki Yoshioka, Masaki Hyakutake, Takashi Sugioka, Shu-ichi Yamashita

Am J Case Rep 2014; 15:312-316

DOI: 10.12659/AJCR.890519