Surgery Case Reports最新文献

Multidisciplinary treatment of the edentulous maxillectomy defect after trauma: A case report with a 2.5-year follow-up 创伤后无牙上颌切除缺损的多学科治疗：1例随访2.5年

Surgery Case Reports Pub Date : 2025-06-06 DOI: 10.1016/j.sycrs.2025.100129

Shandan He , Huihui Zeng , Haidong Fan, Huajing Li, Yuyan Zheng

引用次数: 0

Tuberous sclerosis complex with classic clinical triad, subependymal giant cell astrocytoma and subependymal nodules: A case report 结节性硬化症合并典型临床三联征、室管膜下巨细胞星形细胞瘤及室管膜下结节1例

Surgery Case Reports Pub Date : 2025-06-06 DOI: 10.1016/j.sycrs.2025.100130

Zermina Tanvir , Khitamul Haq , Huzaifa Ali Khan , Waqar Ahmad , Inibehe Ime Okon , Bipin Chaurasia

引用次数: 0

A reverse nailed frontal sinus and craniofacial injury: Case report and literature review 额窦反向钉钉致颅面损伤1例报告及文献复习

Surgery Case Reports Pub Date : 2025-06-02 DOI: 10.1016/j.sycrs.2025.100128

Chizowa Okwuchukwu Ezeaku , Kelechi Michael Azode , Akinpelu Ebenezer Ibukunoluwa , Edward Oluwole Komolafe

{"title":"A reverse nailed frontal sinus and craniofacial injury: Case report and literature review","authors":"Chizowa Okwuchukwu Ezeaku , Kelechi Michael Azode , Akinpelu Ebenezer Ibukunoluwa , Edward Oluwole Komolafe","doi":"10.1016/j.sycrs.2025.100128","DOIUrl":"10.1016/j.sycrs.2025.100128","url":null,"abstract":"<div><h3>Background</h3><div>Impalement injuries are uncommon in the head region. It can be accidental, following acts of violence, exorcism, or self-inflicted. Various impaling objects, including nails, have been reported. An infrequent presentation is accidental impalement of the frontal sinus with a nail in a reverse pattern, as demonstrated in our patient. Herein, we present possible mechanisms underlying this rare presentation, highlighting our management decision-making process and appraising the available evidence on the nuanced surgical approach and management. In addition, we reviewed the reported cases of frontal sinus impalement injuries.</div></div><div><h3>Case presentation</h3><div>A 60-year-old male teacher presented to our emergency department with a nail stuck in his forehead while separating a fight between two students. Clinical and radiological investigations were in keeping with frontal sinus nail impingement injury, with a nail head embedded within the sinus. The patient subsequently underwent wound exploration, nail extraction, sinus mucosectomy, and wound closure. The patient was discharged under excellent conditions and is currently being followed up.</div></div><div><h3>Conclusion</h3><div>Frontal sinus nail impalement injury is a rare presentation of craniofacial injury and poses a significant risk due to its proximity to cerebrovascular structures. Adequate evaluation and timely management are recommended to avoid long-term complications. Owing to the heterogeneous presentation of impaled frontal sinus injuries, the surgical decision process should be on a patient-to-patient basis.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100128"},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203359","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}

引用次数: 0

Successful removal of a penetrating fish hook eye injury via modified advance-and-cut technique 通过改进的先进和切割技术成功去除穿透性鱼钩眼损伤

Surgery Case Reports Pub Date : 2025-06-02 DOI: 10.1016/j.sycrs.2025.100125

Ahmet Kaan Şimşek, Ayça Küpeli Çınar, Abdulkadir Can Çınar, Ahmet Kürşad Sakallıoğlu, Rüveyde Garip, Hande Güçlü

引用次数: 0

Telescopic pancreatojejunostomy after whipple procedure in FRANTZ Tumor: Case report and literature review whipple手术后套筒胰空肠吻合术治疗FRANTZ肿瘤1例并文献复习

Surgery Case Reports Pub Date : 2025-05-31 DOI: 10.1016/j.sycrs.2025.100127

José Richard Tenazoa-Villalobos , Edgar Fermín Yan-Quiroz , Olga Mercedes Viviana Burgos-García , Gladys Llerena-Cobián

{"title":"Telescopic pancreatojejunostomy after whipple procedure in FRANTZ Tumor: Case report and literature review","authors":"José Richard Tenazoa-Villalobos , Edgar Fermín Yan-Quiroz , Olga Mercedes Viviana Burgos-García , Gladys Llerena-Cobián","doi":"10.1016/j.sycrs.2025.100127","DOIUrl":"10.1016/j.sycrs.2025.100127","url":null,"abstract":"<div><div>Pseudopapillary solid tumour of the pancreas is a rare neoplasm that mainly affects young women and is categorized as a low-grade malignant tumour. Histologically, it does not present specific epithelial differentiation and can originate anywhere in the pancreas; immunohistochemistry is necessary for a definitive diagnosis. This neoplasm usually manifests itself with abdominal pain and a feeling of abdominal mass. Surgery with total resection, Whipple procedure (duodenopancreatectomy), is the treatment of choice, and 5-year survival exceeds 90 % after radical surgery. An end-to-end telescopic pancreatojejunostomy is a safe technique in which the pancreatic remnant is intussuscepted and fully enclosed into the jejunum lumen. It is ideal for a soft pancreas, reducing the risk of pancreatic leakage. We present the case of a 14-year-old female adolescent who presents with abdominal pain, and through imaging, a large pancreatic head tumour was discovered. The patient underwent a Whipple procedure, and the pathological study confirmed a pseudopapillary tumour or Frantz's tumour of the head of the pancreas. The patient had a favourable outcome after the procedure with no complications and tolerated the diet well with no alterations in lifestyle. There was no necessary chemotherapy, and the patient had a strict follow-up with no signs of recurrence.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100127"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203358","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}

引用次数: 0

Frontal bone resorption after craniofacial reconstruction: Post-surgical complication 颅面重建后额骨吸收：术后并发症

Surgery Case Reports Pub Date : 2025-05-31 DOI: 10.1016/j.sycrs.2025.100126

Raissa Dias Fares , Jonathan Ribeiro da Silva , Sylvio Luiz Costa De-Moraes

{"title":"Frontal bone resorption after craniofacial reconstruction: Post-surgical complication","authors":"Raissa Dias Fares , Jonathan Ribeiro da Silva , Sylvio Luiz Costa De-Moraes","doi":"10.1016/j.sycrs.2025.100126","DOIUrl":"10.1016/j.sycrs.2025.100126","url":null,"abstract":"<div><div>Complex facial fractures are still a challenge for maxillofacial surgeons around the world. This type of surgery requires the actuation of more than one specialty in the surgical center and is frequently associated with brain injuries. This article aims to present a case report of frontal bone resorption in an 18-year-old patient after neurosurgical and maxillofacial approaches involving craniotomy, use of frontal pericranium flap for treatment of anterior cranial fossa fracture, dura mater repair, cranialization, and open reduction and internal fixation. After 5 months of follow-up, the patient began to experience drainage in the right supraorbital rim. At that time, no cerebrospinal fluid was present, and the patient was referred for a second surgical approach to remove the osteosynthesis material. Frontal bone resorption is an infrequently reported complication. The frontal craniotomy combined with the frontal pericranium flap to seal the anterior cranial fossa possibly contributed to the resorption of the frontal bone. The combination of skeletal fixation and the lack of coverage of the frontal bone in the cranio-maxillofacial reconstruction sequence requires better evaluation from the vascular-periosteal point of view, since the loss of contour due to bone resorption generates a stigmatizing deformity for patients.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100126"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184422","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}

引用次数: 0

Splenic abscess secondary to pyelonephritis in a diabetic patient: A rare cause of acute abdomen requiring emergency surgery 糖尿病患者继发于肾盂肾炎的脾脓肿：一个罕见的急腹症需要紧急手术的原因

Surgery Case Reports Pub Date : 2025-05-31 DOI: 10.1016/j.sycrs.2025.100124

Grecia Fernanda Hurtado-Miranda , Ana Guadalupe Rodríguez-Aguirre , Dafne Alejandra Torres-Torres , Alan Antonio Leija-Torres

{"title":"Splenic abscess secondary to pyelonephritis in a diabetic patient: A rare cause of acute abdomen requiring emergency surgery","authors":"Grecia Fernanda Hurtado-Miranda , Ana Guadalupe Rodríguez-Aguirre , Dafne Alejandra Torres-Torres , Alan Antonio Leija-Torres","doi":"10.1016/j.sycrs.2025.100124","DOIUrl":"10.1016/j.sycrs.2025.100124","url":null,"abstract":"<div><div>Splenic abscess is a rare but life-threatening condition, often presenting with nonspecific symptoms and occurring more frequently in immunocompromised patients. We report the case of a 68-year-old male with poorly controlled type 2 diabetes mellitus who presented with persistent abdominal pain and fever. Initial imaging suggested a renal mass and urinary tract infection; however, his condition deteriorated, and repeat imaging revealed a large splenic abscess with peritonitis. Emergency open laparotomy was performed due to extensive splenic involvement and septic presentation. Intraoperatively, a ruptured splenic abscess with 80 % parenchymal lysis and 1000 cc of purulent fluid was found. Partial splenic preservation and surgical drainage were achieved. Postoperative imaging confirmed residual abscess cavities, but the patient improved clinically and was discharged for follow-up. This case illustrates the diagnostic and therapeutic challenges of splenic abscess, particularly in diabetic patients. It emphasizes the importance of maintaining suspicion for intra-abdominal infections in immunocompromised hosts, even when initial symptoms suggest a urinary source. Timely imaging, multidisciplinary management, and individualized surgical decisions are crucial for improving outcomes. Open surgery remains a valid treatment option when minimally invasive approaches present a significant risk. This report underscores the need for early recognition and aggressive intervention in complex intra-abdominal infections, especially in patients with multiple risk factors.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100124"},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144221917","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}

引用次数: 0

Minimally invasive approach in Esophageal Schwannoma: case report and literature review 微创入路治疗食管神经鞘瘤1例报告并文献复习

Surgery Case Reports Pub Date : 2025-05-12 DOI: 10.1016/j.sycrs.2025.100122

Edgar Fermín Yan - Quiroz , Jessica Matheus - Sairitupac , Claudia Sofía Lavado - Briceño , Ana Camila Morales - Jara , José Richard Tenazoa - Villalobos

{"title":"Minimally invasive approach in Esophageal Schwannoma: case report and literature review","authors":"Edgar Fermín Yan - Quiroz , Jessica Matheus - Sairitupac , Claudia Sofía Lavado - Briceño , Ana Camila Morales - Jara , José Richard Tenazoa - Villalobos","doi":"10.1016/j.sycrs.2025.100122","DOIUrl":"10.1016/j.sycrs.2025.100122","url":null,"abstract":"<div><div>Benign oesophageal neoplasms are sporadic and account for 2 % of all oesophageal tumours. Oesophageal Schwannoma occurs rarely and is a diagnostic challenge through imaging, with few reports. It affects patients between the fifth and sixth decades of life, and one of the most frequent symptoms is dysphagia. Schwannoma originates in the Schwann cells of the neural plexus within the gastrointestinal tract and is most often located in the upper and middle oesophagus. The immunohistochemical profile gives the definitive diagnosis and is mainly characterised by a strong positivity for the S-100 protein, vimentin and glial fibrillary acidic protein. The prognosis of patients with schwannomas is excellent. The therapeutic approach to schwannomas depends mainly on the size of the tumour and the presence of symptoms. Through minimally invasive surgery, thoracoscopic and laparoscopic approaches, good results can be obtained with few complications. Due to its reproducibility, more and more institutions are using this approach to manage these neoplasms. We present the case of a 42-year-old man successfully treated for oesophageal Schwannoma by combining thoracoscopic and laparoscopic surgery; during the postoperative period, it was possible to control the complications, and today, the patient presents a favourable evolution with complete remission of symptoms and no alteration in the quality of life.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100122"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068121","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}

引用次数: 0

Enhancing facial aesthetics: Vertical ramus osteotomies for mandibular disproportions 增强面部美感：垂直分支截骨术治疗下颌比例失调

Surgery Case Reports Pub Date : 2025-05-08 DOI: 10.1016/j.sycrs.2025.100123

Cinthya María Quisiguiña-Salem , Juan José Guifarro-Sierra , Hugo Romero-Alvarenga , Francisco Díaz-Ayala

{"title":"Enhancing facial aesthetics: Vertical ramus osteotomies for mandibular disproportions","authors":"Cinthya María Quisiguiña-Salem , Juan José Guifarro-Sierra , Hugo Romero-Alvarenga , Francisco Díaz-Ayala","doi":"10.1016/j.sycrs.2025.100123","DOIUrl":"10.1016/j.sycrs.2025.100123","url":null,"abstract":"<div><h3>Introduction</h3><div>Orthognathic surgery has evolved significantly. While sagittal split ramus osteotomies with rigid fixation are now the preferred technique, vertical ramus osteotomies remain beneficial in specific cases. This report details three cases where virtual surgical planning achieved excellent outcomes with vertical ramus osteotomies.</div></div><div><h3>Case series presentation</h3><div>This case series presents three patients with severe mandibular prognathism and facial asymmetry. All patients were treated using a combined approach of Le Fort I osteotomy and intraoral vertical ramus osteotomies, guided by virtual surgical planning. Long-term occlusal stability and aesthetic improvements were achieved at the 1- and 1.5-year follow-up.</div></div><div><h3>Discussion</h3><div>The selection of the surgical technique for mandibular osteotomies is a crucial aspect of orthognathic treatment planning. While the sagittal split ramus osteotomy has become the workhorse procedure in many centers, the vertical ramus osteotomy presents a distinct set of benefits that justify its consideration in carefully selected cases.</div></div><div><h3>Conclusion</h3><div>Vertical ramus osteotomy remains a valuable surgical option for patients with severe prognathism and significant mandibular asymmetries. The presented cases demonstrate the potential for excellent clinical outcomes with this technique, suggesting its value in the orthognathic surgeon's armamentarium.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100123"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942071","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}

引用次数: 0

Surgical management of giant suprasellar craniopharyngioma in a 3-year-old: Case report with a review of the literature 3岁儿童巨大鞍上颅咽管瘤的手术治疗：1例报告并文献复习

Surgery Case Reports Pub Date : 2025-05-06 DOI: 10.1016/j.sycrs.2025.100121

Fahad Khan , Prankul Singhal , Saurav Shishir Agrawal , Kivanc Yangi , Ismail Bozkurt , Bipin Chaurasia

{"title":"Surgical management of giant suprasellar craniopharyngioma in a 3-year-old: Case report with a review of the literature","authors":"Fahad Khan , Prankul Singhal , Saurav Shishir Agrawal , Kivanc Yangi , Ismail Bozkurt , Bipin Chaurasia","doi":"10.1016/j.sycrs.2025.100121","DOIUrl":"10.1016/j.sycrs.2025.100121","url":null,"abstract":"<div><div>Craniopharyngiomas are among the most challenging tumors to manage in children. The tumor’s proximity to critical neural structures poses significant management challenges, as these structures are still developing and highly sensitive to intervention. We report a case of giant craniopharyngioma in a 3-year-old boy, which was managed successfully with complete excision, and the patient recovered well. The patient was admitted with a history of chronic headache and vomiting that had persisted for one month. His social, language, and cognitive developments were normal with no overt neurological deficits. Contrast-enhanced Magnetic Resonance Imaging (MRI) revealed a complex multiloculated cystic mass, measuring 52 × 53 × 51 mm and occupying sellar and suprasellar regions, with heterogeneous enhancement. The tumor compressed the hypothalamus anterosuperiorly, displaced the optic chiasm, and stretched the bilateral optic tracts. He underwent a pterional craniotomy with near-total tumor resection, removing the lesion within its capsule. In the post-operative period, he developed diabetes insipidus (DI) but otherwise did well. Histopathology confirmed adamantinomatous craniopharyngioma. Management strategies for pediatric craniopharyngiomas have dramatically changed with advances in surgical techniques, imaging modalities, and perioperative management. Substantial morbidity is still possible, and their management is best pursued in a multidisciplinary manner. Surgical technique and extent of resection must be judiciously chosen to match tumor characteristics and location.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100121"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916616","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}

引用次数: 0