Surgical Case Reports

Optimal Surgical Strategy for Kommerell’s Diverticulum Associated with a Right-Sided Aortic Arch: A Report of Four Cases

Yumeka Tamai et al.

INTRODUCTION: Kommerell’s diverticulum is often associated with a right-sided aortic arch. It presents as a saccular aneurysm. Although various surgical strategies have been reported, optimal treatment has not been established.

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Jejunal Interposition with Overlap Esophago-Jejunal Anastomosis for an Esophageal Stricture due to Repeated Endoscopic Dilation for Esophageal Achalasia: A Case Report

Yasuto Suzuki et al.

INTRODUCTION: Achalasia is a primary esophageal motility disorder of unknown origin. The clinical manifestations are caused by the loss of peristalsis of the esophagus and functional obstruction at the esophagogastric junction. There are several treatment strategies for esophageal achalasia, such as medications, endoscopic treatment, and surgery. The successful treatment of a case of jejunal interposition surgery with overlap esophago-jejunal anastomosis for an esophageal stricture due to repeated endoscopic dilation for esophageal achalasia is reported.

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Thymoma with Extensive Necrosis: A Case Report and Literature Review

Yuki Katsumata, et al.

INTRODUCTION: Thymomas are associated with necrosis and hemorrhage in approximately 5% of cases; however, cases in which necrotic tissue constitutes the majority of tumors are rare.

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Two Cases of Small Intestinal Follicular Lymphoma Presenting with Intestinal Stricture

Akihiro Nakamura, et al.

INTRODUCTION: Primary gastrointestinal follicular lymphoma (FL) rarely causes intestinal stricture. We report two cases of small intestinal FL presenting with stricture.

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Necrotic Thymoma Discovered Due to Subjective Symptoms: A Report of Three Cases

Takuya Tokunaga, et al.

INTRODUCTION: Thymomas are solid tumors that usually grow slowly and rarely cause symptoms or spontaneously regression. We have observed three cases of thymoma in which the patient presented with fever and chest pain, and pathological examination showed relatively extensive necrosis. The tumors spontaneously shrank during the course of the diseases.

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Successful Emergency Stenting of a Visceral Branch Prior to Central Aortic Repair in Type A Aortic Dissection with Mesenteric Malperfusion: A Case Report

Sho Akita, et al.

INTRODUCTION: Stanford Type A acute aortic dissection (AAD) complicated by mesenteric malperfusion has a mortality rate exceeding 60%. Conventional immediate central aortic repair may be inadequate in such complex cases. Emerging evidence suggests that a staged approach may improve outcomes.

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