Surgery Case Reports最新文献

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

Complex perineal injuries from jet ski trauma: Case series highlighting surgical repair and reconstruction principles 水上滑雪创伤引起的复杂会阴损伤：强调手术修复和重建原则的病例系列

Surgery Case Reports Pub Date : 2025-04-24 DOI: 10.1016/j.sycrs.2025.100118

Jonathan Lutgens , Jamielou Breckenridge , Brooklyn Williams , Kristin Clark , Paul Um , Shane McNevin , Quinton Hatch

{"title":"Complex perineal injuries from jet ski trauma: Case series highlighting surgical repair and reconstruction principles","authors":"Jonathan Lutgens , Jamielou Breckenridge , Brooklyn Williams , Kristin Clark , Paul Um , Shane McNevin , Quinton Hatch","doi":"10.1016/j.sycrs.2025.100118","DOIUrl":"10.1016/j.sycrs.2025.100118","url":null,"abstract":"<div><h3>Background</h3><div>Technological advancements have introduced new mechanisms of rectal injury, including hydrostatic pressure injuries from jet ski accidents. Approximately 20 cases have been reported, often involving extensive rectal, vaginal, and perineal disruption. Despite their severity, there are no established guidelines for managing these injuries or determining the optimal timing for reconstruction.</div></div><div><h3>Case presentation</h3><div>This case series highlights the surgical management of four patients who sustained hydrostatic perineal injuries of varying severity. All patients were healthy young women who, while riding as rear passengers on high-speed jet skis, were ejected backward during acceleration, landing in a seated position onto the powerful propulsion stream. The resulting intense hydrostatic forces caused complex injuries, including complete disruption of the vaginal and rectal wall interface, leading to a traumatic cloaca. Each patient underwent fecal diversion and perineal reconstruction during their initial hospitalization, followed by successful colostomy reversal, with restoration of rectal tone and fecal continence.</div></div><div><h3>Conclusion</h3><div>All four patients underwent CT imaging, rigid proctoscopy, distal rectal irrigation, colonic diversion, and anorectal repair with sphincter reconstruction during their index hospitalization. This approach led to satisfactory cosmetic outcomes, restoration of rectal tone, and maintenance of continence. The findings from this case series align with prior reports, further supporting fecal diversion and immediate perineal/sphincter reconstruction as an effective management strategy for hydrostatic perineal injuries.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100118"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873749","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

Rare and remarkable: Exploring the enigma of ciliated cysts of the gallbladder 罕见而非凡：探索胆囊纤毛囊肿之谜

Surgery Case Reports Pub Date : 2025-04-23 DOI: 10.1016/j.sycrs.2025.100116

Ovidiu Adrian Bitere , Florina Almari , Corina-Elena Minciuna , Mihai Dodot , Iulia Andrei-Bitere , Gabriela Fota , Catalin Vasilescu , Aurel Tonea , Vlad Herlea

{"title":"Rare and remarkable: Exploring the enigma of ciliated cysts of the gallbladder","authors":"Ovidiu Adrian Bitere , Florina Almari , Corina-Elena Minciuna , Mihai Dodot , Iulia Andrei-Bitere , Gabriela Fota , Catalin Vasilescu , Aurel Tonea , Vlad Herlea","doi":"10.1016/j.sycrs.2025.100116","DOIUrl":"10.1016/j.sycrs.2025.100116","url":null,"abstract":"<div><h3>Background</h3><div>Ciliated cysts of the gallbladder are rare congenital anomalies derived from embryonic foregut remnants. These benign lesions, lined by distinctive ciliated columnar epithelium, present diagnostic challenges due to non-specific imaging findings and their extreme rarity.</div></div><div><h3>Case presentation</h3><div>A 51-year-old woman presented with intermittent right upper quadrant abdominal pain lasting two years. Imaging revealed a cystic lesion measuring initially 11 × 10 mm on the gallbladder's lateral wall. Due to lesion growth observed over follow-up, laparoscopic cholecystectomy was performed. Histopathology confirmed a subserosal, unilocular cyst lined with ciliated columnar epithelium, without communication to the gallbladder lumen.</div></div><div><h3>Discussion</h3><div>This report represents the sixteenth documented global case and the first Romanian instance of a gallbladder ciliated cyst. The lesion’s rarity and nonspecific clinical and radiological presentations hinder accurate preoperative diagnosis. Histopathological analysis remains essential to distinguish these cysts from bronchogenic cysts and biliary neoplasms. Surgical excision is advisable, especially when symptoms are present or malignancy cannot be confidently excluded.</div></div><div><h3>Conclusions</h3><div>Despite their rarity, ciliated gallbladder cysts should be included in the differential diagnosis of atypical cystic gallbladder lesions. Laparoscopic cholecystectomy offers a safe, definitive treatment method, providing both diagnostic confirmation and symptom resolution.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100116"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868732","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

Hybrid odontogenic cysts and tumors-A unique case series 混合牙源性囊肿和肿瘤-一个独特的病例系列

Surgery Case Reports Pub Date : 2025-04-23 DOI: 10.1016/j.sycrs.2025.100119

Tathagata Bhattacharjee, Snehanjan Sarangi, Debarati Ray, Jay Gopal Ray

{"title":"Hybrid odontogenic cysts and tumors-A unique case series","authors":"Tathagata Bhattacharjee, Snehanjan Sarangi, Debarati Ray, Jay Gopal Ray","doi":"10.1016/j.sycrs.2025.100119","DOIUrl":"10.1016/j.sycrs.2025.100119","url":null,"abstract":"<div><h3>Introduction</h3><div>Odontogenic cysts and tumors, which develop from the structures involved in tooth formation, show a wide range of histopathological variations. Sometimes, different types of lesions can appear together within the same tissue sample, resulting in what are known as hybrid odontogenic cysts or tumors—unusual combinations that form distinct and complex pathologies.</div></div><div><h3>Case report</h3><div>This article outlines four unique cases of such hybrid lesions. The first case involved a mix of an Orthokeratinised Odontogenic Cyst (OOC) and a Calcifying Odontogenic Cyst (COC). The second case showed a hybrid of OOC with a Glandular Odontogenic Cyst (GOC). In the third case, the lesion was a combination of Ameloblastoma and an Odontogenic Keratocyst (OKC). The final case presented a rare hybrid tumor consisting of an Adenomatoid Odontogenic Tumor (AOT) and Desmoplastic Ameloblastoma. These diagnoses were reached through a comprehensive, multidisciplinary approach involving clinical evaluations, imaging, histopathological assessments, and immunohistochemical analyses.</div></div><div><h3>Conclusion</h3><div>Hybrid lesions are different from collision lesions, which occur when two separate pathologies overlap in one area. Instead, hybrid odontogenic lesions display a blend of histological traits from two or more recognized types of cysts or tumors. While their exact cause remains uncertain, it’s believed that pluripotent odontogenic epithelial cells might give rise to multiple tissue patterns simultaneously within a single lesion. These cases pose significant challenges for both diagnosis and treatment. More in-depth research—especially at the molecular and immunohistochemical levels—is needed to improve our understanding and management of these complex and rare conditions.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100119"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868733","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

Rare sporadic endolymphatic sac tumors: A case report and literature review 罕见散发性内淋巴囊肿瘤1例报告并文献复习

Surgery Case Reports Pub Date : 2025-04-23 DOI: 10.1016/j.sycrs.2025.100114

Violina Nacheva , Venelin Gerganov , Mihail Petrov , Branimir Penev , Tsvetelina Velikova , Georgi Angov

引用次数: 0

Spontaneously ruptured hepatic hemangioma: A case study and comprehensive review of the literature 肝血管瘤自发性破裂：个案研究及文献综述

Surgery Case Reports Pub Date : 2025-04-23 DOI: 10.1016/j.sycrs.2025.100117

Benjamin C. Kensing , Blake A. Johnson , Marvin Heck , Hishaam N. Ismael

{"title":"Spontaneously ruptured hepatic hemangioma: A case study and comprehensive review of the literature","authors":"Benjamin C. Kensing , Blake A. Johnson , Marvin Heck , Hishaam N. Ismael","doi":"10.1016/j.sycrs.2025.100117","DOIUrl":"10.1016/j.sycrs.2025.100117","url":null,"abstract":"<div><div>Hepatic hemangiomas are benign vascular malformations thought to be of congenital origin. They are typically solitary, small, and asymptomatic. In rare cases, large tumors spontaneously rupture. We present the case of a 29-year-old female who presented with acute onset abdominal pain and nausea. Abdominal imaging showed a large mass in the liver demonstrating progressive nodular enhancement. Further imaging showed free fluid in the pelvis. A diagnostic laparoscopy was followed by an open left lateral hepatic segmentectomy. Pathology confirmed benign hemangioma. Signs and symptoms of spontaneously ruptured hepatic hemangiomas are often nonspecific. MRI is the most sensitive and specific imaging modality for diagnosing hepatic hemangiomas; however, determination of rupture requires clinical suspicion. Management is focused on maintaining hemodynamic stability and addressing the source with resection, enucleating, or embolizing the tumor. A literature review of 34 other cases revealed a mortality rate of 9 %, demonstrating a significant improvement compared to prior studies. The improvement in mortality is attributable to advancements in surgical techniques, critical care, resuscitation of unstable patients, pharmacologic safety profiles, postoperative care, and imagining modalities. In conclusion, spontaneous rupture of hepatic hemangiomas is a rare and life-threatening event. Hepatic resection remains the mainstay of treatment; although, transcatheter arterial embolization offers a minimally invasive route to control bleeding, shrink the hemangioma, and stabilize the patient.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100117"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876519","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

Giant occipital encephalocele in a 20-day old neonate: A case report 20日龄新生儿巨大枕脑膨出1例

Surgery Case Reports Pub Date : 2025-04-23 DOI: 10.1016/j.sycrs.2025.100120

Afaq Ahmad , Lal Rehman , Uswa Hasana , Humaira Bashir , Muhammad Uzair , Maria Amin

引用次数: 0

Fibrosarcomatous dermatofibrosarcoma protuberans of the scalp, extending to the brain – A rare case report 头皮隆突性皮肤纤维肉瘤，延伸至脑部-罕见病例报告

Surgery Case Reports Pub Date : 2025-04-22 DOI: 10.1016/j.sycrs.2025.100113

Kavya Varshney , Naveen Kumar , Charanjeet Ahluwalia , Sunil Ranga

{"title":"Fibrosarcomatous dermatofibrosarcoma protuberans of the scalp, extending to the brain – A rare case report","authors":"Kavya Varshney , Naveen Kumar , Charanjeet Ahluwalia , Sunil Ranga","doi":"10.1016/j.sycrs.2025.100113","DOIUrl":"10.1016/j.sycrs.2025.100113","url":null,"abstract":"<div><div>This case report highlights a rare instance of fibrosarcomatous dermatofibrosarcoma protuberans of the scalp with extension to the brain. Dermatofibrosarcoma protuberans is a slow-growing, locally aggressive soft tissue tumor. Fibrosarcomatous dermatofibrosarcoma protuberans is a rare and more aggressive variant of dermatofibrosarcoma protuberans. Fibrosarcomatous transformation in dermatofibrosarcoma protuberans is observed in only 5 % of cases. Although the recurrence rate is higher, metastasis and local extension are rarely seen, and intracranial extension is also uncommon. Clinically, fibrosarcomatous dermatofibrosarcoma protuberans is indistinguishable from classical dermatofibrosarcoma protuberans; hence, histopathological examination remains the cornerstone for definitive diagnosis. Histopathological examination reveals that areas of classical dermatofibrosarcoma protuberans show tumor cells arranged in a monotonous storiform pattern with a lack of circumscription, while areas with fibrosarcomatous transformation exhibit spindle cells arranged in a herringbone pattern, which are negative for CD34 on immunohistochemistry.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100113"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868731","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 artery aneurysm rupture during pregnancy: A report of two cases 妊娠期脾动脉瘤破裂2例报告

Surgery Case Reports Pub Date : 2025-04-17 DOI: 10.1016/j.sycrs.2025.100112

Kerim Deniz Batun , Ahmet Akmercan , Tayfun Akmercan , Muhammer Ergenç , Tevfik Kıvılcım Uprak

{"title":"Splenic artery aneurysm rupture during pregnancy: A report of two cases","authors":"Kerim Deniz Batun , Ahmet Akmercan , Tayfun Akmercan , Muhammer Ergenç , Tevfik Kıvılcım Uprak","doi":"10.1016/j.sycrs.2025.100112","DOIUrl":"10.1016/j.sycrs.2025.100112","url":null,"abstract":"<div><div>One of the most common aneurysms in the abdomen is the splenic artery aneurysm (SAA). Ruptured SAAs have a significant morbidity and mortality risk, especially for pregnant women and, consequently, for fetuses. The first patient was a twenty-eight-year-old female who, during the 30th week of pregnancy, underwent an urgent cesarean section. Postoperatively, on the 7th day, she developed severe abdominal pain. After the rapid deterioration, imaging revealed SAA rupture, and she underwent an explorative laparotomy and splenectomy. The second patient is thirty-two years old and has had non-cirrhotic portal vein hypertension since the age of 10. During her 28th week of pregnancy, she was admitted to the emergency department with complaints of severe abdominal pain and vomiting, consequently hemorrhagic shock. The imaging revealed massive intraperitoneal fluid and the SAA rupture. She underwent an emergency laparotomy, splenectomy, and cesarean section. Uncommon but has a significant mortality rate for both mother and fetus, and rupture must be considered for any pregnant woman with sudden abdominal pain and hemodynamic instability. Prompt evaluation and intervention are critical for both fetal and maternal morbidity and mortality.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100112"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847319","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