Surgery Case Reports最新文献

Juvenile granulosa cell tumor of the ovary: Case report 卵巢幼年颗粒细胞瘤1例

Surgery Case Reports Pub Date : 2025-09-25 DOI: 10.1016/j.sycrs.2025.100144

Wissal Jaafar, Zied Louati, Yasmine Chiba, Medemagh Malak, Ines Hfaiedh, Mehdi Bouassida, Hamed Jemel, Cherifa Ben Sethom, Nahed Khalifa, Mechaal Mourali

{"title":"Juvenile granulosa cell tumor of the ovary: Case report","authors":"Wissal Jaafar, Zied Louati, Yasmine Chiba, Medemagh Malak, Ines Hfaiedh, Mehdi Bouassida, Hamed Jemel, Cherifa Ben Sethom, Nahed Khalifa, Mechaal Mourali","doi":"10.1016/j.sycrs.2025.100144","DOIUrl":"10.1016/j.sycrs.2025.100144","url":null,"abstract":"<div><div>Juvenile granulosa cell tumors (JGCTs) are rare ovarian neoplasms belonging to the sex cord–stromal tumor group, accounting for a small proportion of ovarian malignancies in children and adolescents. They may present with abdominal symptoms or signs of hormonal activity. We report the case of a 15-year-old girl with no history of precocious puberty who presented with pelvic pain and progressive abdominal bloating. There were no signs of hyperandrogenism or estrogen excess. Pelvic ultrasound revealed a large unilateral adnexal mass, and tumor markers were within normal limits. The patient underwent exploratory laparotomy, which identified an enlarged ovary with an intact capsule. A unilateral adnexectomy was performed, preserving the contralateral ovary and uterus. Histopathological examination confirmed the diagnosis of a juvenile granulosa cell tumor, characterized by Call-Exner bodies and nuclear grooves. No extra-ovarian spread was observed. The postoperative course was uneventful, and the patient was discharged on day five. Follow-up at six months showed no evidence of recurrence. JGCTs should be considered in the differential diagnosis of ovarian masses in adolescents, even in the absence of hormonal symptoms. Early diagnosis and fertility-sparing surgery can provide favorable outcomes, with close postoperative surveillance essential to detect recurrence.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100144"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157603","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

Unusual lesions of the pancreas: A case series and review of the literature 胰腺异常病变：病例系列及文献回顾

Surgery Case Reports Pub Date : 2025-09-22 DOI: 10.1016/j.sycrs.2025.100147

Kayla R. Widdowson , Max D. Hazeltine , Sebastian K. Chung , Lauren Scarpetti , Michelle Yang , James M. Lindberg

{"title":"Unusual lesions of the pancreas: A case series and review of the literature","authors":"Kayla R. Widdowson , Max D. Hazeltine , Sebastian K. Chung , Lauren Scarpetti , Michelle Yang , James M. Lindberg","doi":"10.1016/j.sycrs.2025.100147","DOIUrl":"10.1016/j.sycrs.2025.100147","url":null,"abstract":"<div><div>Lesions of the pancreas are commonly found, particularly with increased use of cross-sectional imaging. While there are a few well-described entities, atypical benign masses remain a diagnostic challenge and may mimic malignancy, leading to uncertainty in management. We present four cases of unusual, benign pancreatic lesions managed at a tertiary care center. While initially concerning for malignancy based on imaging and clinical presentation, these cases were ultimately diagnosed as a torsed ectopic splenule, lymphoepithelial cyst, benign simple mucinous cyst, and chronic mass-forming pancreatitis. Evaluation included imaging, endoscopic ultrasound, and tissue sampling. All patients underwent surgical resection, with final diagnoses confirmed through intraoperative findings and histopathology. A brief literature review was conducted for each entity to summarize distinguishing clinical, radiographic, and pathologic features. Further description of these atypical entities may help clinicians with appropriate diagnosis and guide treatment decisions.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100147"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121021","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

Impacted gallstone at the duodenum: Surgical resolution of Bouveret’s syndrome in the elderly 十二指肠阻生胆结石：老年布韦莱特综合征的手术治疗

Surgery Case Reports Pub Date : 2025-09-22 DOI: 10.1016/j.sycrs.2025.100143

Syed Saad Ali Chishti, Rimsa Tahir, Muhammad Awais, Hugo Prins, Cornelius Emeka Nzewi

{"title":"Impacted gallstone at the duodenum: Surgical resolution of Bouveret’s syndrome in the elderly","authors":"Syed Saad Ali Chishti, Rimsa Tahir, Muhammad Awais, Hugo Prins, Cornelius Emeka Nzewi","doi":"10.1016/j.sycrs.2025.100143","DOIUrl":"10.1016/j.sycrs.2025.100143","url":null,"abstract":"<div><div>Bouveret’s Syndrome is a rare form of gallstone ileus resulting in gastric outlet obstruction due to migration of a gallstone through a bilioenteric fistula. It most commonly affects elderly female patients and poses diagnostic and therapeutic challenges due to its nonspecific clinical presentation. This report aims to present the case of an elderly female who came with persistent vomiting and upper abdominal pain for 3 weeks, worsening over one week. Contrast-enhanced CT revealed a 4 cm gallstone lodged at the D2-D3 junction, causing duodenal obstruction and proximal distension. Endoscopic evaluation was deferred due to clinical instability and stone’s location and size, above careful consideration using clinical pre-operative tools. She underwent urgent exploratory laparotomy for stone retrieval, and a Heineke-Mikulicz pyloroplasty was performed. While endoscopic treatment is often used, this case highlights the importance of surgical intervention in large, impacted stones or in clinically unstable patients. In this case, CT scan provided a clear diagnosis, and surgical intervention was both necessary and effective. Given the rarity of Bouveret’s Syndrome and its variable presentation, this report contributes to existing literature by reinforcing the importance of high clinical suspicion, timely imaging, and individualized surgical decision-making.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100143"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121024","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

Synchronous appendicitis and cholecystitis in the setting of intestinal malrotation: A rare presentation of adhesion of the appendix to the gallbladder 小肠旋转不良并发阑尾炎和胆囊炎：罕见的阑尾与胆囊粘连的表现

Surgery Case Reports Pub Date : 2025-09-22 DOI: 10.1016/j.sycrs.2025.100146

Katie Lee , Hannah Woolley , Gregory Wu , Manuel Martinez

{"title":"Synchronous appendicitis and cholecystitis in the setting of intestinal malrotation: A rare presentation of adhesion of the appendix to the gallbladder","authors":"Katie Lee , Hannah Woolley , Gregory Wu , Manuel Martinez","doi":"10.1016/j.sycrs.2025.100146","DOIUrl":"10.1016/j.sycrs.2025.100146","url":null,"abstract":"<div><h3>Introduction</h3><div>Intestinal malrotation is a congenital abnormality that can complicate diagnosis of abdominal conditions. We present the first documented case of concurrent acute appendicitis, acute cholecystitis, and congenital intestinal malrotation.</div></div><div><h3>Presentation of case</h3><div>A 58-year-old female initially presented with perforated cholecystitis complicated by abscess formation and cholangitis, requiring interventional drainage and endoscopic stenting. Five months later, she returned with concurrent acute cholecystitis and appendicitis. Due to intestinal malrotation, the appendix was located in the right upper quadrant adjacent to the gallbladder and had eroded into the anterior abdominal wall. Laparoscopic subtotal cholecystectomy and appendectomy were successfully performed with pathology confirming both diagnoses.</div></div><div><h3>Discussion</h3><div>This case demonstrates a need for heightened suspicion of atypical presentations in patients with anatomical variants. Anatomical proximity may predispose to concurrent disease through bacterial spread.</div></div><div><h3>Conclusion</h3><div>This case reinforces the importance of maintaining broad differential diagnoses and utilizing comprehensive imaging in patients with anatomical variants.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100146"},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157605","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

Pediatric clival chordoma masquerading as meningioma: Diagnostic challenges and surgical considerations. A case report 伪装成脑膜瘤的儿童斜坡脊索瘤：诊断挑战和手术考虑。病例报告

Surgery Case Reports Pub Date : 2025-09-22 DOI: 10.1016/j.sycrs.2025.100145

Diego Molina-Botello , Edgar Fernando Higuera-González , Zita Elizabeth Salazar-Ramírez , Roberto Casarrubias-Islas , Julio César López-Valdés

引用次数: 0

Incidental diagnosis of co-dominant double aortic arch in an adult: A rare cause of chronic cough and chest pain 偶然诊断的共显性双主动脉弓在一个成年人：一个罕见的原因慢性咳嗽和胸痛

Surgery Case Reports Pub Date : 2025-07-21 DOI: 10.1016/j.sycrs.2025.100141

S. Mehdi Mousavi , Fariborz Roshan , Mehdi Attar , Pejman Kiani

引用次数: 0

Epidural hematoma following ventriculoperitoneal shunt insertion: Case report and literature review 脑室腹腔分流器置入后的硬膜外血肿：1例报告及文献复习

Surgery Case Reports Pub Date : 2025-07-21 DOI: 10.1016/j.sycrs.2025.100139

Chizowa Okwuchukwu Ezeaku , Edward Oluwole Komolafe

{"title":"Epidural hematoma following ventriculoperitoneal shunt insertion: Case report and literature review","authors":"Chizowa Okwuchukwu Ezeaku , Edward Oluwole Komolafe","doi":"10.1016/j.sycrs.2025.100139","DOIUrl":"10.1016/j.sycrs.2025.100139","url":null,"abstract":"<div><h3>Background</h3><div>The insertion of a ventriculoperitoneal shunt (VPS) is the most commonly performed procedure for managing hydrocephalus worldwide. The occurrence of an epidural hematoma (EDH) following this procedure is exceedingly rare and potentially life-threatening. We report an illustrative case. Additionally, we present a comprehensive and up-to-date review highlighting risk factors, pathophysiology, and management. Finally, recommendations are provided to prevent this unfortunate complication.</div></div><div><h3>Case presentation</h3><div>A 22-year-old male presented with a three-month history of recurrent headaches and progressive visual loss. Neuroimaging findings were consistent with hydrocephalus secondary to aqueductal stenosis. He subsequently underwent right frontal ventriculoperitoneal shunt insertion. However, one day later, he experienced focal seizures accompanied by worsening headaches, necessitating a repeat cranial CT scan that revealed a massive bifrontal acute epidural hematoma, for which he underwent surgical evacuation. He is currently being followed up on an outpatient basis.</div></div><div><h3>Conclusion</h3><div>EDH after VPS occurs more frequently in paediatric, young and middle-aged populations. Identifying those at risk, selecting an appropriate shunt, and preventing CSF overdrainage and intraoperative bleeding are crucial preventive measures. Early diagnosis through careful postoperative monitoring, combined with a low threshold for neuroimaging, should facilitate timely surgical intervention.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100139"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685786","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

Angiosarcoma of the gallbladder: A case report and a literature review 胆囊血管肉瘤1例报告并文献复习

Surgery Case Reports Pub Date : 2025-07-21 DOI: 10.1016/j.sycrs.2025.100140

Sha Yang , Hongli Zhou , Yu Cai

引用次数: 0

Postpartum intracerebral and intraventricular hemorrhage – A case report and review of the literature 产后脑室内出血1例报告及文献复习

Surgery Case Reports Pub Date : 2025-07-21 DOI: 10.1016/j.sycrs.2025.100142

Nikita Grace Mathews , Andrea Cuschieri , Mazhar Darwazeh , Adel Al Sisi , Kavita Krishnan , Rami Darwazeh

{"title":"Postpartum intracerebral and intraventricular hemorrhage – A case report and review of the literature","authors":"Nikita Grace Mathews , Andrea Cuschieri , Mazhar Darwazeh , Adel Al Sisi , Kavita Krishnan , Rami Darwazeh","doi":"10.1016/j.sycrs.2025.100142","DOIUrl":"10.1016/j.sycrs.2025.100142","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum intracerebral hemorrhages (ICH) and intraventricular hemorrhages (IVH) are rare but potentially life-threatening conditions. They are often precipitated by hypertensive disorders, such as preeclampsia. Thus, the peripartum period is a critical time for monitoring female patients, particularly those at risk of hypertensive emergencies.</div></div><div><h3>Clinical presentation</h3><div>A 32-year-old female with no previous history of hypertension presented with severe headaches and elevated blood pressure (197/104 mmHg) seven days after delivery. Immediate brain computed tomography (CT) scan revealed the presence of a large ICH and IVH involving all 4 ventricles. Subsequently, the patient’s Glasgow Coma Scale (GCS) dropped rapidly (from 13/15–8/15) and a new brain CT scan revealed an increase in the intracerebral and intraventricular hemorrhage volume. Immediate surgery was performed, which consisted of decompressive craniectomy, ICH evacuation and placement of an external ventricular drain (EVD). The patient’s postoperative course showed significant recovery with upper moderate disability at 6 months follow-up based on the Glasgow Outcome Scale Extended (GOS-E) and scoring 3 out of 6 based on a modified Rankin scale score.</div></div><div><h3>Conclusion</h3><div>Timely neurosurgical intervention—including decompressive craniectomy, hematoma evacuation, and EVD placement—can significantly improve outcomes in postpartum patients with ICH and IVH, even in cases with rapid neurological decline. Clinicians should act swiftly when postpartum hypertension and neurological symptoms arise, as early diagnosis and intervention are critical to reducing mortality and long-term disability.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100142"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685784","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

Single chimney for elective endovascular treatment of juxtarenal abdominal aortic aneurysm with favorable asymmetric origin of the renal arteries. Is still valid in the custom-made device’s era? 单导管选择性血管内治疗肾动脉起源不对称的肾旁腹主动脉瘤。在定制设备的时代仍然有效吗？

Surgery Case Reports Pub Date : 2025-07-14 DOI: 10.1016/j.sycrs.2025.100136

Diego Soto V , Cristian Marín O, Gabriel Cassorla J

引用次数: 0