Surgery Case Reports最新文献

{"title":"Corrigendum to “Clinical characteristics and management of necrotizing retro-peritonitis: A case report and literature review” [Surg Case Rep: Adv Tech 8 (2026) 100186]","authors":"Majd N. Michael Alhadddain, Ahmad Ibrahim Musa, Omar Khaled Mohamedalhassan, Rawad Ahmed Taraf, Mohannad N. Michael Alhaddadin, Saleh Alghamdi","doi":"10.1016/j.sycrs.2026.100209","DOIUrl":"10.1016/j.sycrs.2026.100209","url":null,"abstract":"","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"8 ","pages":"Article 100209"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148565437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rare occurrence of colorectal adenocarcinoma in association with periampullary GIST: A case report with literature review","authors":"Shada Khaled Bashantoof,&nbsp;Kadi Tawfiq Alsayed,&nbsp;Reem Abdulmohsen Alsaeed,&nbsp;Sadeem Abdulrahman AlSubaie,&nbsp;Ali Mohammed Alzahrani","doi":"10.1016/j.sycrs.2026.100210","DOIUrl":"10.1016/j.sycrs.2026.100210","url":null,"abstract":"<div><h3>Introduction</h3><div>Colorectal cancer is highly prevalent globally and remains a leading cause of cancer-related mortality. Gastrointestinal stromal tumors (GISTs) are rare mesenchymal neoplasms. The synchronous occurrence of colorectal adenocarcinoma and small bowel GIST is exceptionally rare, making such cases noteworthy for their diagnostic and management implications. These tumors are typically detected incidentally, with the underlying mechanisms remaining unclear. This report presents a rare case of colorectal adenocarcinoma associated with a synchronous duodenal GIST and includes a literature review to examine potential links and relevant management considerations.</div></div><div><h3>Case presentation</h3><div>A 43-year-old woman presented with nonspecific symptoms and severe microcytic anemia (hemoglobin 4.9 g/dL). Imaging and biopsy identified concurrent non-obstructing sigmoid colon adenocarcinoma and a periampullary GIST, an unusual co-occurrence. The patient underwent staged surgery: laparoscopic sigmoidectomy with primary anastomosis (stage III), then pancreaticoduodenectomy one month later. The patient is planned for adjuvant chemotherapy, followed by three years of imatinib.</div></div><div><h3>Discussion</h3><div>Gastrointestinal stromal tumors (GISTs) are common. Most GISTs occur sporadically or as part of hereditary syndromes. Increasing reports describe synchronous GISTs found with other primary malignancies, suggesting possible shared factors. Coexistence with colorectal adenocarcinoma remains rare. Emerging molecular data suggest biological overlap between GIST and colorectal cancer molecular subtypes. Accurate staging and multidisciplinary planning are critical. Staged surgical resection may reduce operative morbidity.</div></div><div><h3>Conclusion</h3><div>Gastrointestinal stromal tumors (GISTs) have been identified in association with synchronous or metachronous tumors. A deeper understanding of this association is essential to reveal potential linkages and optimize management. Therefore, continued research remains a priority.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"8 ","pages":"Article 100210"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148565441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ischemic torsion of an ectopic accessory spleen in a young female: Case report and narrative review of the literature","authors":"Errika Alexandrou ,&nbsp;Kyriaki Maria Koutaliari ,&nbsp;Panagiotis Tsakos ,&nbsp;Alexandra Athanasiou ,&nbsp;Leonidas Boumbaris ,&nbsp;Maria Iliana Pantoula ,&nbsp;Makarios Vernikos ,&nbsp;Stefanos Alexandrou ,&nbsp;Georgia Panagi","doi":"10.1016/j.sycrs.2026.100176","DOIUrl":"10.1016/j.sycrs.2026.100176","url":null,"abstract":"<div><div>Ischemic torsion of an accessory spleen is a rare and under-recognized cause of acute abdomen, often mimicking more common conditions and contributing to diagnostic delay. We report the case of a 20-year-old female presenting with acute left lower quadrant abdominal pain and no prior medical or surgical history. Laboratory evaluation demonstrated leukocytosis with neutrophilia, while ultrasound revealed a splenic-like mass with absent Doppler flow. Contrast-enhanced CT identified a 50 × 74 × 76 mm non-enhancing, avascular splenic-density lesion distinct from the orthotopic spleen, raising strong suspicion of an ischemic accessory spleen. Urgent laparotomy confirmed torsion of the vascular pedicle, and an accessory splenectomy was performed. The postoperative course was uneventful, and the patient was discharged after 5 days of hospitalization, remaining asymptomatic at follow-up. A focused 15-year narrative review identified approximately 23 comparable cases, reinforcing the rarity of this entity. Most reports involve young patients presenting with non-specific abdominal pain, with CT serving as the most reliable diagnostic tool and surgical excision as treatment of choice. This case supports including ischemic accessory spleen in the differential diagnosis of unexplained acute abdomen in young patients and highlights the value of timely imaging-based recognition.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100176"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary nasopharyngeal germinal center Diffuse Large B Cell Lymphoma (DLBCL) presenting with multiple cranial neuropathies and skull base invasion: A case report","authors":"Irfan Ahmed Shaikh ,&nbsp;Ayesha Rasheed ,&nbsp;Syed Faizan Ali ,&nbsp;Mutiba Aslam ,&nbsp;Sadaf Zia ,&nbsp;Haissan Iftikhar","doi":"10.1016/j.sycrs.2025.100152","DOIUrl":"10.1016/j.sycrs.2025.100152","url":null,"abstract":"<div><div>Primary nasopharyngeal lymphoma is an uncommon manifestation of extra-nodal non-Hodgkin lymphoma. Additionally, diffuse large B-cell lymphoma (DLBCL) of germinal center origin in this location is exceptionally rare. Here, we report a case of a 60-year-old male presenting with bilateral nasal obstruction, blood-stained discharge, and left-sided ptosis, associated with oculomotor, abducens, and trigeminal nerve palsies. Imaging demonstrated a destructive nasopharyngeal mass with skull base erosion and intracranial erosion without nodal or systemic disease. Histopathology showed sheets of atypical lymphoid cells positive for CD20, CD10, BCL6, and c-MYC, consistent with high-grade germinal center DLBCL. After receiving two cycles of R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone), the patient showed remarkable neurological improvement. To the best of our knowledge, this is the first case in Pakistan of primary nasopharyngeal germinal center DLBCL with multiple cranial neuropathies and skull base invasion. This case underscores the importance of considering lymphoma as a differential in nasopharyngeal masses with cranial nerve involvement. This case demonstrates that prompt histological diagnosis and timely chemotherapy can achieve favorable outcomes, even in cases with extensive local invasion but no systemic spread.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100152"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of the literature and a rare case report of seromucinous hamartoma of the sinus cavity","authors":"Walid Bijou,&nbsp;Fadoua El Mourabit,&nbsp;Meryem Loudghiri,&nbsp;Youssef Oukessou,&nbsp;Sami Rouadi,&nbsp;Reda Abada,&nbsp;Mohamed Roubal,&nbsp;Mohamed Mahtar","doi":"10.1016/j.sycrs.2025.100154","DOIUrl":"10.1016/j.sycrs.2025.100154","url":null,"abstract":"<div><h3>Background</h3><div>Seromucinous hamartoma is a rare benign lesion of the sinonasal tract that may mimic more common entities such as nasal polyps or inverted papillomas. Early recognition is crucial to avoid unnecessary aggressive treatment.</div></div><div><h3>Case presentation</h3><div>We report the case of a 63-year-old man who presented with progressive right-sided nasal obstruction and watery rhinorrhea evolving over one year. Nasal endoscopy revealed a polypoid mass completely filling the right nasal cavity. Computed tomography and magnetic resonance imaging showed a well-defined lesion without bone destruction or local invasion. Complete endoscopic excision was performed, and histopathological examination confirmed the diagnosis of seromucinous hamartoma. The postoperative course was uneventful, and the patient remained symptom-free with no recurrence at the two-month follow-up.</div></div><div><h3>Conclusion</h3><div>Although rare, seromucinous hamartoma should be included in the differential diagnosis of unilateral nasal masses. Endoscopic resection is both diagnostic and curative, offering excellent outcomes and prognosis.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100154"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant nevus cutaneous lipomatosus superficialis: A case report","authors":"Christopher Germain L. Sy ,&nbsp;Orlino C. Bisquera Jr ,&nbsp;Michael Vincent M. Matias ,&nbsp;Mark Angelo Briccio M. Alcantara ,&nbsp;Alexandra Monica L. Tan-Gayos ,&nbsp;Lia Rae L. Tagulinao ,&nbsp;Ferri P. David-Paloyo ,&nbsp;Siegfredo R. Paloyo","doi":"10.1016/j.sycrs.2026.100158","DOIUrl":"10.1016/j.sycrs.2026.100158","url":null,"abstract":"<div><div>Nevus lipomatosus cutaneous superficialis (NLCS) is a rare benign hamartomatous lesion characterized by ectopic mature adipocytes within the dermis. It most commonly affects the pelvic and gluteal regions, typically presenting as soft, skin-colored to yellowish papules or plaques that may gradually enlarge and coalesce over time. Although generally asymptomatic, untreated lesions can reach considerable size, leading to cosmetic deformity, functional impairment, and challenges in wound coverage. We present a case of a giant NLCS involving the craniocervical and thoracolumbar regions, an exceedingly uncommon distribution, with progressive enlargement since childhood. Clinical examination revealed extensive lobulated, cerebriform cutaneous masses spanning both regions. Diagnosis was confirmed through tissue biopsy demonstrating mature adipocytes dispersed among dermal collagen bundles, without extension into the subcutaneous tissue, consistent with NLCS. Given the lesion’s size and location, management required a staged, multidisciplinary strategy. Serial excisions were performed to gradually reduce tumor bulk while permitting wound adaptation. Large resultant defects were successfully reconstructed using split-thickness skin grafting. The patient recovered well, with satisfactory functional and aesthetic outcome and no evidence of recurrence at follow-up. To our knowledge, this represents the first documented case in the Philippines of a giant NLCS affecting both craniocervical and thoracolumbar regions. This report underscores the importance of recognizing atypical presentations of NLCS and highlights the value of staged excision combined with appropriate reconstructive techniques in managing extensive lesions.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100158"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: Primordial odontogenic tumor of the Maxilla: A case report","authors":"Bhushan Sharma ,&nbsp;George Koshy ,&nbsp;Sonal Grover ,&nbsp;Deepti Sharma","doi":"10.1016/j.sycrs.2025.100151","DOIUrl":"10.1016/j.sycrs.2025.100151","url":null,"abstract":"","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100151"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atraumatic splenic rupture due to metastatic lung cancer: A case report","authors":"Christopher S. Thomas ,&nbsp;Carma H. Goldstein ,&nbsp;Jingmei Lin ,&nbsp;Gregory R. Stettler","doi":"10.1016/j.sycrs.2026.100166","DOIUrl":"10.1016/j.sycrs.2026.100166","url":null,"abstract":"<div><div>Atraumatic splenic rupture is a rare, but potentially fatal condition typically associated with hematologic, infectious, or inflammatory diseases. Malignancy, particularly metastatic lung cancer, is an exceedingly rare cause. Prompt diagnosis and intervention are essential due to the risk of rebleeding and high association with mortality. We report a case of a patient with a known diagnosis of non-small cell lung cancer who presented with persistent left flank pain, anemia, and imaging consistent with atraumatic splenic rupture. This patient underwent splenectomy, and pathological analysis confirmed the presence of metastatic lung cancer in the specimen. This case highlights the importance of considering atraumatic splenic rupture in oncology patients presenting with abdominal pain, even in the absence of trauma. Surgical intervention remains the mainstay of treatment in such pathology.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100166"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two-step treatment with laparoscopic fistula closure for colocutaneous fistula secondary to sigmoid colon diverticulitis without colonic resection: A case report","authors":"Shima Asano ,&nbsp;Chikai Mitsuhara ,&nbsp;Masayoshi Nishihara ,&nbsp;Naoya Ozawa","doi":"10.1016/j.sycrs.2025.100153","DOIUrl":"10.1016/j.sycrs.2025.100153","url":null,"abstract":"<div><h3>Background</h3><div>Colocutaneous fistula is a rare complication of diverticulitis, typically requiring surgical colonic resection. However, surgery for complicated diverticulitis entails risks such as anastomotic leakage or creation of a stoma, both of which can adversely affect quality of life. Here, we present a case of a colocutaneous fistula treated with a two-step approach: cutaneous drainage with antibiotics followed by laparoscopic fistula closure to avoid colonic resection.</div></div><div><h3>Case Presentation</h3><div>A man in his 70 s was referred to our emergency room (ER) with a 2-day history of fever and right lower quadrant abdominal pain. A computed tomography (CT) scan revealed sigmoid diverticulitis with an intra-abdominal abscess, and percutaneous drainage was performed. Following drainage and antibiotic therapy, his symptoms improved, and he was subsequently discharged. Seven days later, he returned to the ER with recurrent symptoms and purulent discharge from the drainage site. He was readmitted, and a CT scan revealed an enlarged intra-abdominal mass. Additional drainage was performed by reopening the scar. Contrast imaging revealed a colocutaneous fistula. Following two hospitalizations for intra-abdominal abscess management, an elective laparoscopic fistula closure was undertaken. He was discharged on postoperative day 15 and continued with routine follow-up.</div></div><div><h3>Conclusion</h3><div>For patients with colocutaneous fistula and diverticulitis, a two-step approach—initial cutaneous drainage with antibiotics followed by laparoscopic fistula closure—offers a viable alternative to immediate colonic resection, minimizing surgical risks and reserving resection as a future option.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100153"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A nail to the brain: Delayed presentation of penetrating craniofacial trauma with intracranial abscess","authors":"Chiagoziem Anigbogu ,&nbsp;Keshari Shrestha ,&nbsp;Colby Simmons ,&nbsp;Peter J. Lennarson","doi":"10.1016/j.sycrs.2026.100164","DOIUrl":"10.1016/j.sycrs.2026.100164","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe a case of delayed presentation of penetrating head trauma from a nail gun resulting in intracranial abscess and retained foreign body.</div></div><div><h3>Result</h3><div>A 23-year-old male with no significant medical history presented to an outside Emergency Department (ED) with progressive intermittent headaches. The headaches started after a nail gun kicked back and hit his face at work 1.5 months earlier. He reported no skin penetration, sought no immediate medical care, and continued to work. The patient initially presented to an outside ED with headaches and was discharged after receiving intravenous fluids and acetaminophen. Subsequent presentation at our ED with headaches, fever, and altered mental status resulted in Computed Tomography imaging of his head showing a metallic foreign body consistent with a nail measuring 8 cm extending from the right zygomatic arch, through the right greater wing of the sphenoid, and into the right frontal lobe with associated 4 cm hyperdense collection concerning for abscess. The nail was surgically removed, followed by right frontal stereotactic drainage of the abscess. He was discharged without complication and completed an 8-week course of antibiotics. Post-treatment Magnetic Resonance Imaging brain demonstrated complete resolution of the abscess and improving postoperative changes.</div></div><div><h3>Conclusion</h3><div>We report an unusual case of delayed recognition of penetrating craniofacial trauma from a nail gun with associated intracranial abscess. Despite late presentation, timely surgical intervention and antibiotic therapy resulted in full clinical and radiographic recovery without neurologic deficits.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100164"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}