Surgery Case Reports最新文献_第3页

Solitary fibrous tumor of the eyelid: A case report and literature review 眼睑孤立性纤维性肿瘤1例报告并文献复习

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-16 DOI: 10.1016/j.sycrs.2026.100162

Animesh Saurabh , Hemlata Jangir , Gurnoor Kaur , Manu Saini , Manpreet Singh , Pankaj Gupta

{"title":"Solitary fibrous tumor of the eyelid: A case report and literature review","authors":"Animesh Saurabh , Hemlata Jangir , Gurnoor Kaur , Manu Saini , Manpreet Singh , Pankaj Gupta","doi":"10.1016/j.sycrs.2026.100162","DOIUrl":"10.1016/j.sycrs.2026.100162","url":null,"abstract":"<div><h3>Introduction</h3><div>Solitary fibrous tumors (SFTs) are rare, slow-growing mesenchymal neoplasms most commonly found in the pleura but can also occur in extrapleural sites. Eyelid involvement is sporadic, with only a handful of cases reported yet.</div></div><div><h3>Case presentation</h3><div>We report a case of a 60-year-old female with a painless, progressively enlarging mass protruding from a unique site involving the left upper eyelid margin. With the clinical possibility of nevus, the excised mass was evaluated and diagnosed as SFT with histological features of a spindle cell tumor arranged in a patternless pattern with collagen-rich stroma and staghorn-shaped vessels. Immunohistochemistry showed positivity for CD34, Bcl-2, and STAT-6, while staining for S-100, CD99, and SMA was negative.</div></div><div><h3>Conclusion</h3><div>This case adds to the limited reports of eyelid SFTs and emphasizes the importance of histopathological and immunohistochemical analysis in confirming the diagnosis for therapeutic implications. Our case highlights the need for awareness of such rare periocular tumors to overcome the diagnostic challenges.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100162"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394445","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

Hepatic artery reconstruction using polytetrafluoroethylene (PTFE) as an ilio-hepatic conduit in liver transplantation 用聚四氟乙烯（PTFE）作为肝移植髂-肝导管重建肝动脉

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-16 DOI: 10.1016/j.sycrs.2026.100159

Siegfredo R. Paloyo , Ferri P. David-Paloyo , Junico T. Visaya , Joseph C. Laygo , Paolo Angelo R. Igama , Adolfo C. Parayno , Rose Marie R. Liquete

{"title":"Hepatic artery reconstruction using polytetrafluoroethylene (PTFE) as an ilio-hepatic conduit in liver transplantation","authors":"Siegfredo R. Paloyo , Ferri P. David-Paloyo , Junico T. Visaya , Joseph C. Laygo , Paolo Angelo R. Igama , Adolfo C. Parayno , Rose Marie R. Liquete","doi":"10.1016/j.sycrs.2026.100159","DOIUrl":"10.1016/j.sycrs.2026.100159","url":null,"abstract":"<div><div>A sufficient and patent arterial flow is crucial in orthotopic liver transplantation to a greater extent among living than deceased donors as vessels are oftentimes shorter and smaller in caliber. Noteworthy complications such as thrombosis may bring about graft necrosis, liver abscess, ischemic cholangiopathy or graft failure, leading to increased mortality. In deceased donor transplantation, meticulous vessel preparation at the back-table and the availability of longer segments of artery with an aortic patch allow surgeons to maximize the artery at hand during implantation. The usual method of arterial reconstruction is an end-to-end anastomosis between the donor and recipient hepatic artery. Various alternative options are available when the recipient hepatic artery is not suitable for anastomosis, namely, more proximal arteries, interposition grafts, stored cadaveric vessels or rarely, prosthetic vessel conduits. We present a case of a 40-year-old male who underwent deceased donor liver transplantation wherein a hepatic arterial reconstruction was performed by fashioning a polytetrafluoroethylene (PTFE) graft between the recipient external iliac artery and donor celiac artery (ilio-hepatic conduit). Patient remains asymptomatic with good graft function and patent hepatic artery after 1 year of follow-up.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100159"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394454","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

Endovascular repositioning of a ventriculoatrial shunt initially misplaced in the accessory hemiazygos vein: A salvage technique following surgical failure 腔内重新定位最初在副半奇静脉错位的心室-心房分流：手术失败后的抢救技术

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2025-11-25 DOI: 10.1016/j.sycrs.2025.100156

Massimiliano Domenico Rizzaro , Giorgio Fiore , Giulio Andrea Bertani , Luigi Schisano , Pierluca Torcia , Gaetano Amato , Stefania Elena Navone , Mauro Pluderi , Giovanni Marfia , Marco Locatelli

{"title":"Endovascular repositioning of a ventriculoatrial shunt initially misplaced in the accessory hemiazygos vein: A salvage technique following surgical failure","authors":"Massimiliano Domenico Rizzaro , Giorgio Fiore , Giulio Andrea Bertani , Luigi Schisano , Pierluca Torcia , Gaetano Amato , Stefania Elena Navone , Mauro Pluderi , Giovanni Marfia , Marco Locatelli","doi":"10.1016/j.sycrs.2025.100156","DOIUrl":"10.1016/j.sycrs.2025.100156","url":null,"abstract":"<div><h3>Introduction</h3><div>Ventriculoatrial shunting (VAS) is an established treatment for hydrocephalus, utilizing the right atrium as a favorable site for cerebrospinal fluid (CSF) drainage due to its optimal pressure gradient relative to the intracranial compartment. However, malposition of the distal catheter into veins proximal to the heart can impair shunt function.</div></div><div><h3>Case Presentation</h3><div>We report the case of a 10-year-old girl with a history of postinfectious tetraventricular hydrocephalus treated with VAS. She presented with headaches and seizures accompanied by newly observed ventricular enlargement on magnetic resonance imaging (MRI). Suspecting shunt malfunction, surgical revision was undertaken, involving replacement of the valve and distal catheter. Postoperative imaging demonstrated malposition of the distal catheter into the accessory hemiazygos vein.</div></div><div><h3>Management and Outcome</h3><div>The catheter was successfully repositioned into the right atrium using a minimally invasive endovascular approach. The patient’s symptoms resolved, and follow-up imaging confirmed correct catheter placement and restored shunt function.</div></div><div><h3>Conclusion</h3><div>This case illustrates the utility of endovascular techniques for the management of distal VAS catheter malposition as a safe and effective alternative to open surgery. To our knowledge, this is the first reported case of distal catheter malposition into the accessory hemiazygos vein and its endovascular correction.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100156"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624814","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 primary retroperitoneal granulosa cell tumor in a post-oophorectomy patient: A rare case report and a literature review 卵巢切除术后巨大原发性腹膜后颗粒细胞瘤：一例罕见病例报告及文献复习

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.sycrs.2026.100174

K.A.Nethuki Akithma Kulasinghe , Obuhovich Anneta Romualdovna , Yauheni Aliaksandravich Stasiukevich

{"title":"Giant primary retroperitoneal granulosa cell tumor in a post-oophorectomy patient: A rare case report and a literature review","authors":"K.A.Nethuki Akithma Kulasinghe , Obuhovich Anneta Romualdovna , Yauheni Aliaksandravich Stasiukevich","doi":"10.1016/j.sycrs.2026.100174","DOIUrl":"10.1016/j.sycrs.2026.100174","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary retroperitoneal granulosa cell tumors (GCTs) are exceedingly rare, particularly in patients with prior bilateral oophorectomy, posing significant diagnostic challenges.</div></div><div><h3>Case Presentation</h3><div>A 69-year-old woman with multiple comorbidities and a history of hysterectomy with bilateral oophorectomy presented with a large retroperitoneal mass. Preoperative imaging demonstrated a well-defined fluid collection measuring 142 × 193 × 130 mm in the infra-pancreatic region, along with a tissue mass up to 59 × 50 × 33 mm in the left para-aortic area. These findings were consistent with a retroperitoneal mass. Tumor markers were non-contributory. Intraoperatively, the mass was identified as a giant retroperitoneal cyst and completely drained and excised via laparoscopic drainage and Pfannenstiel laparotomy. The definitive diagnosis was established post-operatively by pathohistological examination, which confirmed the lesion to be a Granulosa Cell Tumor.</div></div><div><h3>Conclusion</h3><div>This case underscores the importance of considering rare extra-gonadal GCTs in the differential diagnosis of retroperitoneal masses, even in post-oophorectomy patients. Complete surgical excision and long-term surveillance remain essential due to the risk of late recurrence.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100174"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394263","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

A different bail-out scenario for chronic cholecystitis surgery: A case presentation 慢性胆囊炎手术的不同救市方案：一个案例介绍

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-16 DOI: 10.1016/j.sycrs.2026.100167

Doğuş Can Ekdal , Emil Jafarov , Hale Feratoğlu , Baha Tolga Demirbaş

{"title":"A different bail-out scenario for chronic cholecystitis surgery: A case presentation","authors":"Doğuş Can Ekdal , Emil Jafarov , Hale Feratoğlu , Baha Tolga Demirbaş","doi":"10.1016/j.sycrs.2026.100167","DOIUrl":"10.1016/j.sycrs.2026.100167","url":null,"abstract":"<div><div>Chronic cholecystitis, frequently caused by recurrent inflammation of gallbladder due to gallstones, can cause diagnostic challenges, particularly when it mimics gallbladder malignancy. This report describes a 63-year-old male with a medical history of diabetes mellitus and major depression, who presented with abdominal pain and jaundice due to gallstone impaction in the common bile duct. Initial management involved endoscopic retrograde cholangiopancreatography (ERCP) for stone extraction, followed by surgical intervention. During laparoscopy, extensive adhesions and a solid mass suspicious for gallbladder carcinoma were observed. Since solid mass led to gastric outlet obstruction intraoperative gastroscopy was performed. The gastroscopy revealed a stricture caused by external compression of mass in the first part of the duodenum. A gastroenterostomy was performed, and an incisional biopsy of the gallbladder was obtained. The histopathological evaluation resulted in non-diagnostic findings. The patient was re-evaluated by a multidisciplinary team with updated radiological imaging. An elective open cholecystectomy was successfully performed two months after the initial surgery. This case highlights the diagnostic challenges of chronic cholecystitis and presents a different bail-out scenario for gallstone ileus, emphasizing the importance of multidisciplinary decision-making and <em>optimal timing in cases of acute-on-chronic cholecystitis.</em></div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100167"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394443","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

Extended surgical exposure in penetrating thoracic trauma: Combining clamshell thoracotomy and partial median sternotomy 胸穿透性创伤的扩大手术暴露：联合翻盖开胸术和部分正中胸骨切开术

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-28 DOI: 10.1016/j.sycrs.2026.100173

Can Kutlay , Gülşen Yılmaz , Ufuk Emre Keskin , Pınar Köksal Coşkun , Burçin Çayhan Karademir , Tevfik Kaplan , Serdar Han

{"title":"Extended surgical exposure in penetrating thoracic trauma: Combining clamshell thoracotomy and partial median sternotomy","authors":"Can Kutlay , Gülşen Yılmaz , Ufuk Emre Keskin , Pınar Köksal Coşkun , Burçin Çayhan Karademir , Tevfik Kaplan , Serdar Han","doi":"10.1016/j.sycrs.2026.100173","DOIUrl":"10.1016/j.sycrs.2026.100173","url":null,"abstract":"<div><h3>Background</h3><div>Trans-thoracic impalement injuries are exceedingly rare and are associated with extremely high prehospital mortality. When a penetrating object traverses multiple thoracic compartments, rapid selection of a surgical approach that provides extensive exposure is crucial for safe assessment and repair.</div></div><div><h3>Case presentation</h3><div>A 48-year-old male construction worker sustained trans-thoracic impalement after falling onto an iron rod. The object entered the right posterior axillary line and exited through the left anterior chest wall. The patient was hemodynamically stable and transferred directly to the operating room. A clamshell thoracotomy was initially performed, revealing that the rod traversed the right upper lobe and coursed close to mediastinal vascular structures. To allow better evaluation of potential vascular injury, a partial median sternotomy was added. The rod was found to have penetrated the superior vena cava, which was tamponaded by the object itself. After placement of purse-string sutures at the entry and exit sites of the venous injury, controlled removal of the rod was achieved via pulmonary tractotomy. The sternum was reconstructed with wire sutures. The postoperative course was uneventful, and the patient was discharged on postoperative day 10.</div></div><div><h3>Conclusion</h3><div>In complex trans-thoracic impalement injuries involving both pulmonary and mediastinal structures, no single incision may provide sufficient exposure. A combined clamshell thoracotomy and partial median sternotomy offers excellent visualization of multiple thoracic compartments and may facilitate safe management of life-threatening injuries.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100173"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394262","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

A lesson in misdiagnosis and multimodal diagnostic strategy for male urethral diverticulum with calculi: A case report 男性尿道憩室伴结石的误诊及多模式诊断策略1例

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-25 DOI: 10.1016/j.sycrs.2026.100169

Panpan Teng, Mingxi Yang, Shang Song

{"title":"A lesson in misdiagnosis and multimodal diagnostic strategy for male urethral diverticulum with calculi: A case report","authors":"Panpan Teng, Mingxi Yang, Shang Song","doi":"10.1016/j.sycrs.2026.100169","DOIUrl":"10.1016/j.sycrs.2026.100169","url":null,"abstract":"<div><h3>Background</h3><div>Male urethral diverticulum combined with stones is clinically rare, with diverse symptoms that lack specificity, making it easily confused with common diseases such as urethral stones. Imaging examination, especially computed tomography (CT) alone, may lead to misdiagnosis.</div></div><div><h3>Case Presentation</h3><div>This report describes the case of a 62-year-old male with a urethral diverticulum complicated by stone formation. The patient presented with penile root pain. An initial CT scan at an outside hospital was misinterpreted as indicating a urethral stone, but subsequent urethroscopy revealed no stone. The diagnosis of a urethral diverticulum containing a stone was confirmed by retrograde urethrography and cystoscopy. The patient underwent open surgical diverticulotomy with stone extraction and repair of the urethral fistula, using a grid-pattern suturing technique. Postoperative recovery was uneventful with normal voiding.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of a multimodal diagnostic approach, including retrograde urethrography, for atypical presentations to avoid misdiagnosis, and demonstrates that meticulous surgical technique facilitates watertight urethral reconstruction.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100169"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394270","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 mixed solid cystic parathyroid adenoma – Diagnostic and surgical challenges 巨大混合实性囊性甲状旁腺瘤-诊断和手术挑战

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2025-11-17 DOI: 10.1016/j.sycrs.2025.100150

Hanifa Akhtar , Ruuzeno Kuotsu , Sankappa P. Sinhasan , Md Jamil , Neizekhotuo Brian Shunyu , Pakesh Baishya , DebKumar Boruah , Nisha Kumari

{"title":"Giant mixed solid cystic parathyroid adenoma – Diagnostic and surgical challenges","authors":"Hanifa Akhtar , Ruuzeno Kuotsu , Sankappa P. Sinhasan , Md Jamil , Neizekhotuo Brian Shunyu , Pakesh Baishya , DebKumar Boruah , Nisha Kumari","doi":"10.1016/j.sycrs.2025.100150","DOIUrl":"10.1016/j.sycrs.2025.100150","url":null,"abstract":"<div><h3>Background</h3><div>Giant parathyroid adenomas of cystic or mixed type are rare lesions that may mimic systemic or metabolic conditions such as gout and other musculoskeletal disorders. Overlap of symptoms often results in diagnostic delays and pose surgical challenges. We report a case of woman in her fifties who presented with two-year history of generalised weakness and joint pain, initially treated as gout. She later developed a progressive painful neck swelling and intermittent flank pain. Laboratory evaluation revealed severe hypercalcemia (15.5 mg/dL), markedly elevated parathyroid hormone (1528 pg/mL), and renal dysfunction. Ultrasonography demonstrated a large mixed solid cystic lesion posterior to the left thyroid lobe, and Technetium −99 Sestamibi scan confirmed a left upper parathyroid adenoma. Intraoperatively, a giant cystic mass (6.5 x 4×4 cm) densely adherent to the left thyroid lobe was found, requiring left hemithyroidectomy for complete excision. Histopathology confirmed a mixed solid cystic parathyroid adenoma without malignancy. The patient developed transient post operative hypocalcaemia, which was managed conservatively, and recovered uneventfully. This case underscores the importance of considering giant parathyroid adenomas in patients with hypercalcaemia and atypical local and systemic symptoms, as well as the need of careful surgical planning in managing giant or adherent parathyroid tumours.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100150"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580228","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

Management of a perforated gastric bypass after motor vehicle collision with complex revisional reconstruction: A case report 机动车碰撞后胃旁路穿孔的处理及复杂的修复重建：1例报告

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-25 DOI: 10.1016/j.sycrs.2026.100175

Jamie B. Hadley , Aaron S. Gilani , Adolfo Z. Fernandez , Andrew M. Nunn , Gregory R. Stettler

{"title":"Management of a perforated gastric bypass after motor vehicle collision with complex revisional reconstruction: A case report","authors":"Jamie B. Hadley , Aaron S. Gilani , Adolfo Z. Fernandez , Andrew M. Nunn , Gregory R. Stettler","doi":"10.1016/j.sycrs.2026.100175","DOIUrl":"10.1016/j.sycrs.2026.100175","url":null,"abstract":"<div><div>Altered anatomy secondary to bariatric surgery is an increasingly common challenge for operative planning in patients needing emergency surgical interventions. Bariatric surgical patients in general, and especially patients with prior Roux-en-Y gastric bypass (RYGB), present unique challenges in the emergency setting, where altered anatomy and difficulty obtaining prior operative information urgently may obscure diagnosis and complicate surgical management. Traumatic injuries to RYGB anatomy are rare but can result in devastating ischemic or perforating injuries requiring complex reconstruction. We report a case of a patient found to have RYGB anatomy following severe blunt trauma leading to hollow viscus perforation and peritonitis. The patient was found to have a destructive injury to their RYGB requiring complex reconstruction of a new RYGB configuration with appropriate limb lengths. The case highlights the importance of familiarity of anatomy associated with weight loss procedures and need for thoughtful, multidisciplinary approach to reconstruction to optimize both short and long-term patient outcomes.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100175"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394274","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

A case report of carcinoid tumor presenting as choledocholithiasis: An uncommon culprit in a common crime 以胆总管结石为表现的类癌肿瘤1例：常见犯罪中不常见的罪魁祸首

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.sycrs.2026.100168

Erin Park , Ryan Muchard , Laith Fada , Emma Karesh , Sanjiv Fitz-Morris Gray

{"title":"A case report of carcinoid tumor presenting as choledocholithiasis: An uncommon culprit in a common crime","authors":"Erin Park , Ryan Muchard , Laith Fada , Emma Karesh , Sanjiv Fitz-Morris Gray","doi":"10.1016/j.sycrs.2026.100168","DOIUrl":"10.1016/j.sycrs.2026.100168","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary gallbladder neuroendocrine tumors (NETs) are exceedingly rare, comprising < 1% of all NETs and approximately 2.3% of gallbladder malignancies. Due to their rarity and nonspecific presentation, they are frequently diagnosed incidentally following cholecystectomy for presumed benign biliary disease.</div></div><div><h3>Case presentation</h3><div>A 61-year-old female presented with right upper quadrant pain, nausea, vomiting, and intermittent fevers. Laboratory studies demonstrated leukocytosis, elevated alkaline phosphatase, and mildly elevated direct bilirubin. Imaging revealed acute calculous cholecystitis with choledocholithiasis. She underwent ERCP with removal of four pigment stones, followed by robotic cholecystectomy for persistent symptoms and gallbladder inflammation. Intraoperative findings included a friable gallbladder with dense adhesions and multiple gallstones. Final pathology revealed a well-differentiated, low-grade neuroendocrine tumor with positive chromogranin and synaptophysin staining and a low Ki-67 index. Surgical margins were negative. The patient recovered uneventfully and was discharged on postoperative day two.</div></div><div><h3>Discussion</h3><div>Gallbladder NETs often mimic benign biliary disease, contributing to a preoperative misdiagnosis rate exceeding 90%. Chronic inflammation and cholelithiasis may contribute to tumor development. Due to limited case numbers, management strategies are extrapolated from gallbladder adenocarcinoma guidelines, with surgical resection considered adequate for localized, low-grade disease.</div></div><div><h3>Conclusion</h3><div>Gallbladder neuroendocrine tumors are rare and frequently discovered incidentally after surgery for presumed benign pathology. This case highlights the importance of histopathologic evaluation and contributes to the limited literature guiding recognition and management of this uncommon malignancy.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100168"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394277","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