Surgery Case Reports最新文献_第6页

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

Multidisciplinary treatment of the edentulous maxillectomy defect after trauma: A case report with a 2.5-year follow-up 创伤后无牙上颌切除缺损的多学科治疗：1例随访2.5年

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-06-06 DOI: 10.1016/j.sycrs.2025.100129

Shandan He , Huihui Zeng , Haidong Fan, Huajing Li, Yuyan Zheng

引用次数: 0

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) procedure, a single-center case series of thyroid procedure, and what do we learn? 经口内窥镜甲状腺切除术前庭入路（TOETVA）手术，单中心病例系列甲状腺手术，我们了解到什么？

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-10 DOI: 10.1016/j.sycrs.2025.100104

Nico Lumintang , Sherly Tandililing , Maturia I. Aruperes

{"title":"Transoral endoscopic thyroidectomy vestibular approach (TOETVA) procedure, a single-center case series of thyroid procedure, and what do we learn?","authors":"Nico Lumintang , Sherly Tandililing , Maturia I. Aruperes","doi":"10.1016/j.sycrs.2025.100104","DOIUrl":"10.1016/j.sycrs.2025.100104","url":null,"abstract":"<div><h3>Background</h3><div>The transoral endoscopic thyroidectomy vestibular approach (TOETVA) offers the most direct access to the thyroid gland due to its proximity to the oral cavity and bilateral reach. Additionally, this technique provides the best cosmetic outcome as it avoids visible scarring. This study presents a case series of TOETVA at Prof. Dr. R. D. Kandou General Hospital, a single-center institution.</div></div><div><h3>Methods</h3><div>Eight patients were included in this study. All patients who underwent the TOETVA procedure and were informed of their surgical options, the risks, and benefits associated with the technique, and each patient signed an informed consent form. These patients had a preoperative assessment, including a thyroid hormone level test, neck ultrasound examination, and fine-needle aspiration.</div></div><div><h3>Result</h3><div>Six out of eight cases in this study were female. The patient's ages ranged from 22 to 58 years. The maximum nodule diameter in this study was 4.98 cm. The shortest operative time in this study was 230 minutes, while the longest was 540 minutes. The estimated blood loss ranged from 50 to 120 ml, and the length of hospital stay was 48–120 hours.</div></div><div><h3>Conclusion</h3><div>TOETVA has been demonstrated to be a safe and effective procedure, offering several advantages over traditional/classic techniques, including minimal tissue dissection, improved cosmetic outcomes, reduced postoperative pain, and high patient satisfaction. With increasing surgical expertise and technological advancements, TOETVA is expected to become a preferred approach for select thyroidectomy cases, further improving surgical outcomes and patient quality of life.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100104"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107082","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

Chondromyxoid fibroma in the oro-facial region: A case report 口腔-面部软骨粘液样纤维瘤1例报告

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-05 DOI: 10.1016/j.sycrs.2025.100100

H.M. Shahriar Rubel , Mustari Nailah Tabassum , Sadia Sultana Imla , Arpita Biswangree , Esrat Jahan

{"title":"Chondromyxoid fibroma in the oro-facial region: A case report","authors":"H.M. Shahriar Rubel , Mustari Nailah Tabassum , Sadia Sultana Imla , Arpita Biswangree , Esrat Jahan","doi":"10.1016/j.sycrs.2025.100100","DOIUrl":"10.1016/j.sycrs.2025.100100","url":null,"abstract":"<div><div>Chondromyxoid Fibroma (CMF) is an uncommon, slow-growing benign chondroblast tumour with hypocellular or chondromyxoid tissue and multinucleated cells. Similar pathologies to aggressive tumours, such as chondrosarcoma, make CMFs harder to identify. This lesion may cause painful swelling or enlargement for weeks or years or may be identified accidentally during radiological scanning. A 24-year-old girl was diagnosed with CMF affecting the right upper jaw. She came with a developing mass, periodic swelling discomfort, facial asymmetry, and the H/O of surgery at the same region 5 years earlier. The patient had a right-sided Class Ⅲ Maxillectomy performed under General Anaesthesia. There were no immediate post-operative problems however, delayed issues occurred. Chondromyxoid fibroma is uncommon and has various sites, making diagnosis difficult and often exclusionary. However, it has a good prognosis with a recurrence rate of up to 80 % in curettage-only patients and a 2 % chance of malignant transformation. This example emphasizes the importance of a thorough clinical examination and histological comparison of CMFs with comparable lesions for optimal therapy. As shown in our case timely intervention can improve results and quality of life for affected cases.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100100"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telescopic pancreatojejunostomy after whipple procedure in FRANTZ Tumor: Case report and literature review whipple手术后套筒胰空肠吻合术治疗FRANTZ肿瘤1例并文献复习

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-05-31 DOI: 10.1016/j.sycrs.2025.100127

José Richard Tenazoa-Villalobos , Edgar Fermín Yan-Quiroz , Olga Mercedes Viviana Burgos-García , Gladys Llerena-Cobián

{"title":"Telescopic pancreatojejunostomy after whipple procedure in FRANTZ Tumor: Case report and literature review","authors":"José Richard Tenazoa-Villalobos , Edgar Fermín Yan-Quiroz , Olga Mercedes Viviana Burgos-García , Gladys Llerena-Cobián","doi":"10.1016/j.sycrs.2025.100127","DOIUrl":"10.1016/j.sycrs.2025.100127","url":null,"abstract":"<div><div>Pseudopapillary solid tumour of the pancreas is a rare neoplasm that mainly affects young women and is categorized as a low-grade malignant tumour. Histologically, it does not present specific epithelial differentiation and can originate anywhere in the pancreas; immunohistochemistry is necessary for a definitive diagnosis. This neoplasm usually manifests itself with abdominal pain and a feeling of abdominal mass. Surgery with total resection, Whipple procedure (duodenopancreatectomy), is the treatment of choice, and 5-year survival exceeds 90 % after radical surgery. An end-to-end telescopic pancreatojejunostomy is a safe technique in which the pancreatic remnant is intussuscepted and fully enclosed into the jejunum lumen. It is ideal for a soft pancreas, reducing the risk of pancreatic leakage. We present the case of a 14-year-old female adolescent who presents with abdominal pain, and through imaging, a large pancreatic head tumour was discovered. The patient underwent a Whipple procedure, and the pathological study confirmed a pseudopapillary tumour or Frantz's tumour of the head of the pancreas. The patient had a favourable outcome after the procedure with no complications and tolerated the diet well with no alterations in lifestyle. There was no necessary chemotherapy, and the patient had a strict follow-up with no signs of recurrence.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100127"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203358","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 : 2025-07-01 Epub 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":"2025-07-01","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

A reverse nailed frontal sinus and craniofacial injury: Case report and literature review 额窦反向钉钉致颅面损伤1例报告及文献复习

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-06-02 DOI: 10.1016/j.sycrs.2025.100128

Chizowa Okwuchukwu Ezeaku , Kelechi Michael Azode , Akinpelu Ebenezer Ibukunoluwa , Edward Oluwole Komolafe

{"title":"A reverse nailed frontal sinus and craniofacial injury: Case report and literature review","authors":"Chizowa Okwuchukwu Ezeaku , Kelechi Michael Azode , Akinpelu Ebenezer Ibukunoluwa , Edward Oluwole Komolafe","doi":"10.1016/j.sycrs.2025.100128","DOIUrl":"10.1016/j.sycrs.2025.100128","url":null,"abstract":"<div><h3>Background</h3><div>Impalement injuries are uncommon in the head region. It can be accidental, following acts of violence, exorcism, or self-inflicted. Various impaling objects, including nails, have been reported. An infrequent presentation is accidental impalement of the frontal sinus with a nail in a reverse pattern, as demonstrated in our patient. Herein, we present possible mechanisms underlying this rare presentation, highlighting our management decision-making process and appraising the available evidence on the nuanced surgical approach and management. In addition, we reviewed the reported cases of frontal sinus impalement injuries.</div></div><div><h3>Case presentation</h3><div>A 60-year-old male teacher presented to our emergency department with a nail stuck in his forehead while separating a fight between two students. Clinical and radiological investigations were in keeping with frontal sinus nail impingement injury, with a nail head embedded within the sinus. The patient subsequently underwent wound exploration, nail extraction, sinus mucosectomy, and wound closure. The patient was discharged under excellent conditions and is currently being followed up.</div></div><div><h3>Conclusion</h3><div>Frontal sinus nail impalement injury is a rare presentation of craniofacial injury and poses a significant risk due to its proximity to cerebrovascular structures. Adequate evaluation and timely management are recommended to avoid long-term complications. Owing to the heterogeneous presentation of impaled frontal sinus injuries, the surgical decision process should be on a patient-to-patient basis.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100128"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203359","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 : 2025-07-01 Epub 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":"2025-07-01","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

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

Minimally invasive approach in Esophageal Schwannoma: case report and literature review 微创入路治疗食管神经鞘瘤1例报告并文献复习

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-05-12 DOI: 10.1016/j.sycrs.2025.100122

Edgar Fermín Yan - Quiroz , Jessica Matheus - Sairitupac , Claudia Sofía Lavado - Briceño , Ana Camila Morales - Jara , José Richard Tenazoa - Villalobos

{"title":"Minimally invasive approach in Esophageal Schwannoma: case report and literature review","authors":"Edgar Fermín Yan - Quiroz , Jessica Matheus - Sairitupac , Claudia Sofía Lavado - Briceño , Ana Camila Morales - Jara , José Richard Tenazoa - Villalobos","doi":"10.1016/j.sycrs.2025.100122","DOIUrl":"10.1016/j.sycrs.2025.100122","url":null,"abstract":"<div><div>Benign oesophageal neoplasms are sporadic and account for 2 % of all oesophageal tumours. Oesophageal Schwannoma occurs rarely and is a diagnostic challenge through imaging, with few reports. It affects patients between the fifth and sixth decades of life, and one of the most frequent symptoms is dysphagia. Schwannoma originates in the Schwann cells of the neural plexus within the gastrointestinal tract and is most often located in the upper and middle oesophagus. The immunohistochemical profile gives the definitive diagnosis and is mainly characterised by a strong positivity for the S-100 protein, vimentin and glial fibrillary acidic protein. The prognosis of patients with schwannomas is excellent. The therapeutic approach to schwannomas depends mainly on the size of the tumour and the presence of symptoms. Through minimally invasive surgery, thoracoscopic and laparoscopic approaches, good results can be obtained with few complications. Due to its reproducibility, more and more institutions are using this approach to manage these neoplasms. We present the case of a 42-year-old man successfully treated for oesophageal Schwannoma by combining thoracoscopic and laparoscopic surgery; during the postoperative period, it was possible to control the complications, and today, the patient presents a favourable evolution with complete remission of symptoms and no alteration in the quality of life.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100122"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068121","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