Surgery Case Reports最新文献_第5页

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 : 2025-11-01 Epub Date: 2025-07-21 DOI: 10.1016/j.sycrs.2025.100140

Sha Yang , Hongli Zhou , Yu Cai

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

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

Retro-sigmoid approach for an adult cerebellar hemangioblastoma with foramen magnum extension 乙状结肠后入路治疗伴枕骨大孔扩张的成人小脑血管母细胞瘤

Surgery Case Reports Pub Date : 2025-11-01 Epub Date: 2025-07-03 DOI: 10.1016/j.sycrs.2025.100134

Ahmed Hafez Mousa , Badr Ahmed Abdul Hamid , Ayoub Ahmed Abedzadeh , Shaikh Sayeed Iqbal , Ayman Al-Sibaie , Abdulla Qassim , Ameer Alyeldien

{"title":"Retro-sigmoid approach for an adult cerebellar hemangioblastoma with foramen magnum extension","authors":"Ahmed Hafez Mousa , Badr Ahmed Abdul Hamid , Ayoub Ahmed Abedzadeh , Shaikh Sayeed Iqbal , Ayman Al-Sibaie , Abdulla Qassim , Ameer Alyeldien","doi":"10.1016/j.sycrs.2025.100134","DOIUrl":"10.1016/j.sycrs.2025.100134","url":null,"abstract":"<div><h3>Introduction</h3><div>Cerebellar hemangioblastomas are rare, highly vascular tumors often associated with von Hippel-Lindau (VHL) disease. They typically arise in the cerebellar hemispheres and can affect the brain, spinal cord, and retina.</div></div><div><h3>Case presentation</h3><div>We report a case of a 36-year-old male presenting with persistent dizziness, initially misdiagnosed as peripheral vertigo. Neuroimaging revealed a right cerebellar mass with unusual extension through the foramen magnum, causing obstructive hydrocephalus. The patient underwent a right far-lateral suboccipital craniotomy. Gross total resection was achieved, and histopathology confirmed hemangioblastoma, with no evidence of VHL.</div></div><div><h3>Conclusion</h3><div>This case highlights an atypical presentation of cerebellar hemangioblastoma with foramen magnum extension. Surgical challenges in such cases can be mitigated by thorough preoperative planning, including angiography, detailed anatomical understanding, and refined microsurgical technique. Even without intraoperative neuromonitoring, complete resection without postoperative deficits is achievable. Further case reports are essential to enhance surgical strategies for rare tumor locations</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100134"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563607","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 : 2025-11-01 Epub 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":"2025-11-01","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

Surgical management of pulmonary mucormycosis caused by steroid-containing herbal supplements 含类固醇草药补品引起的肺毛霉菌病的外科治疗

Surgery Case Reports Pub Date : 2025-11-01 Epub Date: 2025-07-01 DOI: 10.1016/j.sycrs.2025.100135

Claire Perez, Vikram Krishna, Federico Sertic, Raffaele Rocco, Andrew R. Brownlee, Harmik J. Soukiasian, Philicia Moonsamy

{"title":"Surgical management of pulmonary mucormycosis caused by steroid-containing herbal supplements","authors":"Claire Perez, Vikram Krishna, Federico Sertic, Raffaele Rocco, Andrew R. Brownlee, Harmik J. Soukiasian, Philicia Moonsamy","doi":"10.1016/j.sycrs.2025.100135","DOIUrl":"10.1016/j.sycrs.2025.100135","url":null,"abstract":"<div><div>Pulmonary mucormycosis is a rare, life-threatening fungal infection that predominantly affects immunocompromised patients. Prompt diagnosis, antifungal therapy, and radical surgical intervention are essential to improve survival. We report a unique case of pulmonary mucormycosis in a 45-year-old diabetic man who had been taking an over-the-counter drug for joint and back pain that contains unregulated amounts of steroids. The patient presented with small-volume hemoptysis and was initially treated with antibiotics for cavitary pneumonia. A surgical wedge resection of the cavitary lesion revealed mucormycosis, and he was subsequently treated with amphotericin B. Despite these interventions, the infection rapidly progressed to encompass the entire right lung, and the patient required a right pneumonectomy to achieve source control. This case highlights the role of unregulated supplements as a risk factor for invasive fungal infections and the importance of considering pulmonary mucormycosis in patients who do not improve on antibiotics. Early recognition and aggressive surgical resection of all infected areas remains critical for favorable outcomes.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100135"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535617","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 : 2025-11-01 Epub 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

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 : 2025-11-01 Epub 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

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

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 : 2025-07-01 Epub 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":"2025-07-01","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