Surgery Case Reports最新文献_第4页

Migration of ventriculoperitoneal shunt into the rectum: A case report and literature review 脑室-腹膜分流转移至直肠：1例报告及文献复习

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2026-02-16 DOI: 10.1016/j.sycrs.2026.100165

Adil Ahmed , Adnan Khan , Kivanc Yangi , Ismail Bozkurt , Bipin Chaurasia

{"title":"Migration of ventriculoperitoneal shunt into the rectum: A case report and literature review","authors":"Adil Ahmed , Adnan Khan , Kivanc Yangi , Ismail Bozkurt , Bipin Chaurasia","doi":"10.1016/j.sycrs.2026.100165","DOIUrl":"10.1016/j.sycrs.2026.100165","url":null,"abstract":"<div><div>Normal pressure hydrocephalus (NPH) is a reversible disease characterized by gait disorder, dementia, and urinary incontinence. Ventriculoperitoneal shunting (VPS) is the usual treatment, though rare complications like catheter migration can have serious implications. We report a 76-year-old male with NPH treated with VPS insertion using a programmable Medtronic Strata 2 valve. He had an initial good course but later developed anemia (Hb 4.3 g/dL) and rectal bleeding. Follow-up evaluation showed distal catheter migration, sigmoid colon perforation, and protrusion of the shunt through the rectum - a highly unusual complication. Surprisingly, he did not develop meningitis or peritonitis, perhaps because of localized inflammatory sealing. Initially, the patient was treated with antibiotics and blood transfusions before being admitted after observing the shunt in the anal canal. Imaging revealed colonic migration and necessitated immediate laparoscopic removal of the shunt and repair of the colon. Removal of the cranial end of the shunt was carried out by neurosurgery. He had a full recovery, resumed oral intake on day five, and was discharged with follow-up. Transanal VP shunt migration is a rare but serious complication, particularly in elderly or malnourished patients. Early recognition of gastrointestinal symptoms in shunted patients, such as rectal bleeding or anemia, is highlighted in this case. Suspicion is high, and immediate imaging is key. Counseling patients preoperatively about this rare complication should be stressed in high-risk patients.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100165"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394442","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 unique case of olfactory nerve ganglioglioma in neurofibromatosis type 1 1型神经纤维瘤病嗅觉神经节胶质瘤一例

Surgery Case Reports Pub Date : 2026-03-01 Epub Date: 2025-11-17 DOI: 10.1016/j.sycrs.2025.100155

Massimiliano Domenico Rizzaro , Giulio Andrea Bertani , Gianluca Lopez , Federica Natacci , Stefania Elena Navone , Giovanni Marfia , Marco Locatelli

{"title":"A unique case of olfactory nerve ganglioglioma in neurofibromatosis type 1","authors":"Massimiliano Domenico Rizzaro , Giulio Andrea Bertani , Gianluca Lopez , Federica Natacci , Stefania Elena Navone , Giovanni Marfia , Marco Locatelli","doi":"10.1016/j.sycrs.2025.100155","DOIUrl":"10.1016/j.sycrs.2025.100155","url":null,"abstract":"<div><h3>Introduction</h3><div>Neurofibromatosis type 1 (NF1), also known as von Recklinghausen disease, is an autosomal dominant neurocutaneous disorder caused by pathogenic variants in the <em>NF1</em> gene. This gene encodes neurofibromin, a tumor suppressor involved in negative regulation of the RAS/mTOR signaling pathway. While cutaneous neurofibromas and gliomas are common manifestations, glioneuronal tumors are rare in NF1.</div></div><div><h3>Case presentation</h3><div>We report the case of a 33-year-old man with genetically confirmed NF1, who presented with café-au-lait macules, cutaneous neurofibromas, and bilateral sensorineural hearing loss. Follow-up brain MRI revealed two contrast-enhancing lesions: one at the apex of the left petrous ridge, and another intraparenchymal mass in the left frontobasal region involving the ipsilateral olfactory nerve. The frontobasal lesion showed increased FDG uptake on PET imaging. The patient underwent microsurgical resection of this lesion. Intraoperatively, the mass was found to infiltrate the left olfactory bulb. Histopathological analysis confirmed a WHO grade I ganglioglioma, with no evidence of malignant transformation.</div></div><div><h3>Conclusion</h3><div>To our knowledge, this represents the first reported case of an olfactory nerve ganglioglioma in a patient with NF1. This finding suggests a possible novel association between NF1 and neuronal tumors affecting cranial nerve I. Further studies are warranted to explore the role of NF1 in glioneuronal tumorigenesis.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"7 ","pages":"Article 100155"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537606","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

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 : 2025-11-01 Epub 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

Solid aneurysmal bone cyst of the clivus mimicking malignancy: A rare case report 假恶性斜坡实性动脉瘤性骨囊肿一例

Surgery Case Reports Pub Date : 2025-11-01 Epub Date: 2025-07-11 DOI: 10.1016/j.sycrs.2025.100137

Laura Mestre-Orozco , Daniel Alejandro Vega-Moreno , Ulises García-González , Julio César López-Valdés

{"title":"Solid aneurysmal bone cyst of the clivus mimicking malignancy: A rare case report","authors":"Laura Mestre-Orozco , Daniel Alejandro Vega-Moreno , Ulises García-González , Julio César López-Valdés","doi":"10.1016/j.sycrs.2025.100137","DOIUrl":"10.1016/j.sycrs.2025.100137","url":null,"abstract":"<div><div>Aneurysmal bone cysts (ABCs) are rare, benign osseous lesions, with the solid variant being particularly uncommon and exceedingly rare in the skull base, posing significant diagnostic challenges due to its mimicry of malignant neoplasms. We present a case of a 67-year-old man with progressive visual disturbances whose MRI revealed a heterogeneously enhancing, solid lesion of the clivus and sphenoid bone, prompting differential diagnoses including chordoma. Endoscopic endonasal resection and crucial histopathological and immunohistochemical analyses, negative for common tumor markers but positive for CD34 in vascular structures, confirmed a solid variant ABC. This case highlights the profound diagnostic complexity of such skull base lesions, underscoring the critical importance of integrating imaging, histology, and immunohistochemistry. By presenting this rare entity, we aim to enhance clinical awareness of solid variant ABCs, emphasizing the necessity for meticulous diagnostic evaluation to prevent misdiagnosis and potential overtreatment, while also recommending long-term follow-up due to recurrence potential</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100137"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614871","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

Epidural migration of sequestered cervical prolapsed intervertebral disc: A report of two cases with literature review 隐匿性颈椎间盘脱垂的硬膜外移位：附2例报告并文献复习

Surgery Case Reports Pub Date : 2025-11-01 Epub Date: 2025-07-07 DOI: 10.1016/j.sycrs.2025.100138

Madhusudhan Nagesh, Andiperumal R. Prabhuraj

引用次数: 0

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 : 2025-11-01 Epub 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":"2025-11-01","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

Endovascular management of a ruptured basilar artery aneurysm in the setting of vertebral artery hypoplasia and post-stent intimal hyperplasia: A case report 椎动脉发育不全和支架后内膜增生的基底动脉动脉瘤破裂的血管内治疗：1例报告

Surgery Case Reports Pub Date : 2025-11-01 Epub Date: 2025-07-04 DOI: 10.1016/j.sycrs.2025.100133

Ahmed Hafez Mousa , Aisha Ismail Makandar , Roaa Alharbi , Abdulla Sharaf , Babacar Cisse

{"title":"Endovascular management of a ruptured basilar artery aneurysm in the setting of vertebral artery hypoplasia and post-stent intimal hyperplasia: A case report","authors":"Ahmed Hafez Mousa , Aisha Ismail Makandar , Roaa Alharbi , Abdulla Sharaf , Babacar Cisse","doi":"10.1016/j.sycrs.2025.100133","DOIUrl":"10.1016/j.sycrs.2025.100133","url":null,"abstract":"<div><h3>Background</h3><div>Basilar artery aneurysms pose considerable challenges due to their location near vital neurovascular structures. Management becomes more complex with coexisting vertebral artery hypoplasia and intimal hyperplasia (IH)—a response to endovascular intervention marked by smooth muscle proliferation that can lead to stenosis, especially after flow-diverter stent (FDS) placement. This case describes endovascular treatment of a ruptured basilar artery aneurysm complicated by vertebral artery hypoplasia and post-stent IH.</div></div><div><h3>Case presentation</h3><div>A 38-year-old man presented with severe headache, altered consciousness, and subarachnoid hemorrhage. Imaging revealed a ruptured basilar artery aneurysm and right vertebral artery hypoplasia. An external ventricular drain was placed for hydrocephalus. The aneurysm was treated with coiling and FDS placement via the left vertebral artery to maintain flow and induce aneurysm thrombosis. Post-procedure imaging showed proximal IH without significant flow limitation. The patient was managed with dual antiplatelet therapy. Follow-up demonstrated stable IH, no stenosis, and no aneurysm recurrence.</div></div><div><h3>Conclusion</h3><div>This case highlights the complexity of managing basilar artery aneurysms in the setting of vertebral artery hypoplasia and IH. Successful treatment depends on meticulous endovascular planning, careful assessment of vascular anatomy, and sustained follow-up. Dual antiplatelet therapy played a key role in preventing IH progression and ensuring a favorable outcome.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100133"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580556","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

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 : 2025-11-01 Epub 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":"2025-11-01","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

Incarcerated inguinoscrotal bladder hernia: A case report 嵌顿性腹股沟-阴囊膀胱疝1例

Surgery Case Reports Pub Date : 2025-11-01 Epub Date: 2025-07-02 DOI: 10.1016/j.sycrs.2025.100132

Antonella Capomolla , Francesco Zappia , Cristian Lebrino , Daniele Dignitoso , Francesco Mio , Antonietta Posterino , Fabrizio Silvaggio , Francesco Loria , Marcello Ferrari , Matilde Lico , Rosario Maccarone , Angela Teti , Ilaria Trecroci , Giovanni Petracca

{"title":"Incarcerated inguinoscrotal bladder hernia: A case report","authors":"Antonella Capomolla , Francesco Zappia , Cristian Lebrino , Daniele Dignitoso , Francesco Mio , Antonietta Posterino , Fabrizio Silvaggio , Francesco Loria , Marcello Ferrari , Matilde Lico , Rosario Maccarone , Angela Teti , Ilaria Trecroci , Giovanni Petracca","doi":"10.1016/j.sycrs.2025.100132","DOIUrl":"10.1016/j.sycrs.2025.100132","url":null,"abstract":"<div><div>Inguinoscrotal bladder hernia is a rare clinical condition, detected in less than 4 % of inguinal hernias. Urinary retention, obesity, advanced age and male gender represent its most significant risk factors. Symptoms may include inguinal pain and swelling, as well as double micturition and volume reduction of the bulge after voiding. Such an unspecific clinical presentation requires a high index of suspicion in order to reach an early diagnosis, essential to prevent major complications. Because of its rareness, literature concerning inguinoscrotal bladder hernia is scarce and its diagnostic and therapeutic care pathways lack standardization. We seek to contribute to the still limited knowledge on the subject, presenting the case of a 75-year-old patient come to our attention complaining of pain and a sense of tension in his right inguinoscrotal region, site of a voluminous incarcerated inguinoscrotal hernia. The patient reported severe urinary retention and, once catheterized, produced abundant cloudy urine. His blood test showed mild neutrophilic leukocytosis. Computed tomography documented a right-sided inguinoscrotal hernia, containing a large bladder diverticulum, confirmed by void cystoscopy. An adequate preoperative assessment, allowed us to perform an open surgical repair with a mesh free of major surgical complications. In doubtful cases or voluminous inguinoscrotal bladder hernia, computed tomography and voiding cystoscopy permit pre-operative diagnosis and accurate operative planning. Hernia repair with a mesh through an open approach appears to be the safest and most effective option.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100132"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535577","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

Bowel obstruction secondary to low-grade mucinous neoplasm in the right iliac fossa: A case report and literature review 右髂窝低级别黏液性肿瘤继发肠梗阻1例并文献复习

Surgery Case Reports Pub Date : 2025-11-01 Epub Date: 2025-07-01 DOI: 10.1016/j.sycrs.2025.100131

Georgios Anargyros Karantzikos , Despoina Chatzopoulou , Nikolaos Kardaras , Vasileios Spapis , Efthymios Koniaris

{"title":"Bowel obstruction secondary to low-grade mucinous neoplasm in the right iliac fossa: A case report and literature review","authors":"Georgios Anargyros Karantzikos , Despoina Chatzopoulou , Nikolaos Kardaras , Vasileios Spapis , Efthymios Koniaris","doi":"10.1016/j.sycrs.2025.100131","DOIUrl":"10.1016/j.sycrs.2025.100131","url":null,"abstract":"<div><div>Mucinous neoplasms are a heterogenous group of epithelial neoplasms with varying malignant potential, ranging from mucoceles to adenocarcinomas. Most originate from the appendix and their clinical manifestation is non-specific. This report aims to present the case of a 56-year-old patient with bowel obstruction secondary to a large low-grade mucinous neoplasm. The patient underwent an emergency laparotomy for the removal of the tumour with en bloc resection of the caecum, part of ascending colon, part of the sigmoid and part of the urinary bladder. The histopathology report was suggestive of Grade 1 peritoneal mucinous neoplasm according to WHO. Interestingly, the appendix could not be identified and the origin of the neoplasm could not be defined. Taking into consideration the rarity of this low-grade mucinous neoplasm in the emergency setting, this case report contributes to the existing literature regarding the description of the features of mucinous neoplasms. There are very few cases of low-grade mucinous tumours of extra-appendiceal origin and their integration into the existing classification system of low-grade mucinous neoplasms should be considered.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100131"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535578","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