臨床症例報告ジャーナル

Clinical question or problem Summary statement of why this case is noteworthy. What is the Educational Message? Can be done away with altogether if the Abstract is satisfactory

Case report is a main type of article that is published in general medical and scientific journal. This kind of article is very useful and valuable for the scientific community. For general author, the things to be known before writing and publishing a case report is "What", "Why" and "How" to report. In this editorial, these issues will be discussed.

Case report is a main type of article that is published in general medical and scientific journal. This kind of article is very useful and valuable for the scientific community. For general author, the things to be known before writing and publishing a case report is "What", "Why" and "How" to report. In this editorial, these issues will be discussed.

In a world of evidence-based medicine, where randomized trials are considered the gold standard of evidence, case reports and case series are at the bottom of this hierarchy. Whereas randomized control trials assess the level of uncertainty about a benefit or harm, case reports have a different fundamental function. Case reports typically highlight extremely unusual and novel findings. Case reports can rarely prove causation but generate a new hypothesis and stimulate further research. Only once a hypothesis is generated (a function of case reports), randomized trials will do final evaluation of therapies or tests. Case reports or case series are the only way to bring a new disease to the attention of the medical community. AIDS is a good example in the recent history, when astute physicians noticed immunodeficiency related diseases in a patient who had no reason to be immunodeficient [1]. New side effects of drugs are also usually reported in case reports or case series. The first case reports that suggested a link between the use of appetite suppressants and valvular heart disease were published in 1997

The number of bariatric procedures performed each year has increased exponentially worldwide. Thus, the bariatric surgeon will therefore off and on encounter rare conditions such as intestinal malrotation or encapsulation of the intestine. Here we describe a case of intestinal encapsulation, and discuss the challenges encountered in performing laparoscopic gastric bypass in a morbidly obese patient who was found to have the uncommon conditions of both peritoneal encapsulation and malrotation of the small bowel at the time of surgery. The procedure was performed with no complications.