Surgery Case Reports最新文献_第7页

Anterior chest wall Dermatofibrosarcoma protuberans extension to the anterior mediastinum: Case report 前胸壁皮肤纤维肉瘤隆突延伸至前纵隔1例

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-03-29 DOI: 10.1016/j.sycrs.2025.100097

Tesfaye Berhe , Sisay Bekele , Getnet Sahale , Enku shiferaw , Degualem Dessie , Tirsit Negash , Abeje b menjeta

{"title":"Anterior chest wall Dermatofibrosarcoma protuberans extension to the anterior mediastinum: Case report","authors":"Tesfaye Berhe , Sisay Bekele , Getnet Sahale , Enku shiferaw , Degualem Dessie , Tirsit Negash , Abeje b menjeta","doi":"10.1016/j.sycrs.2025.100097","DOIUrl":"10.1016/j.sycrs.2025.100097","url":null,"abstract":"<div><h3>Introduction</h3><div>Dermatofibrosarcoma protuberans (DFSP) is a tumor of the subcutaneous tissue that grows slowly and invades locally, rarely spreading to other parts of the body but often recurring after surgery.</div></div><div><h3>Case presentation</h3><div>This case report presents a 59-year-old man with a recurrent, large Dermatofibrosarcoma Protuberans (DFSP) tumor. The tumor had grown significantly, extending from the anterior chest wall into the mediastinum through the foramen of Morgagni and into the left chest cavity, directly invading the left anterior chest wall. The mass was surgically removed, and the resulting chest wall defect was repaired using a latissimus dorsi muscle flap and a split-thickness skin graft. The patient was successfully discharged 10 days after surgery, following the healing of the wound and skin graft.</div></div><div><h3>Clinical discussion</h3><div>DFSPs represent less than 1 percent of all soft tissue tumors. Over 90 % of DFSP tumors have the chromosomal translocation t(17;22). Typically, Mohs micrographic surgery with continuous histological margin control is needed to reduce local recurrence rates. Adjuvant chemotherapy and radiation therapy may be useful.</div></div><div><h3>Conclusion</h3><div>Surgical approaches such as Mohs micrographic surgery or wide local excision with 5 cm negative margins are essential to prevent recurrence and minimize the overall impact of the disease. Mohs micrographic surgery is a specialized technique that aims for complete tumor removal while preserving as much healthy tissue as possible.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100097"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739796","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

When surgery isn't the culprit: A case report of barium poisoning mistaken for a post-operative complication 当手术不是罪魁祸首：一例钡中毒被误认为是术后并发症

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-03-23 DOI: 10.1016/j.sycrs.2025.100095

Maria Mourão , Raquel Lalanda , Vítor Correia , Filipa Nogueira , Pedro Marques , Olavo Gomes

引用次数: 0

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

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-24 DOI: 10.1016/j.sycrs.2025.100118

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

{"title":"Complex perineal injuries from jet ski trauma: Case series highlighting surgical repair and reconstruction principles","authors":"Jonathan Lutgens , Jamielou Breckenridge , Brooklyn Williams , Kristin Clark , Paul Um , Shane McNevin , Quinton Hatch","doi":"10.1016/j.sycrs.2025.100118","DOIUrl":"10.1016/j.sycrs.2025.100118","url":null,"abstract":"<div><h3>Background</h3><div>Technological advancements have introduced new mechanisms of rectal injury, including hydrostatic pressure injuries from jet ski accidents. Approximately 20 cases have been reported, often involving extensive rectal, vaginal, and perineal disruption. Despite their severity, there are no established guidelines for managing these injuries or determining the optimal timing for reconstruction.</div></div><div><h3>Case presentation</h3><div>This case series highlights the surgical management of four patients who sustained hydrostatic perineal injuries of varying severity. All patients were healthy young women who, while riding as rear passengers on high-speed jet skis, were ejected backward during acceleration, landing in a seated position onto the powerful propulsion stream. The resulting intense hydrostatic forces caused complex injuries, including complete disruption of the vaginal and rectal wall interface, leading to a traumatic cloaca. Each patient underwent fecal diversion and perineal reconstruction during their initial hospitalization, followed by successful colostomy reversal, with restoration of rectal tone and fecal continence.</div></div><div><h3>Conclusion</h3><div>All four patients underwent CT imaging, rigid proctoscopy, distal rectal irrigation, colonic diversion, and anorectal repair with sphincter reconstruction during their index hospitalization. This approach led to satisfactory cosmetic outcomes, restoration of rectal tone, and maintenance of continence. The findings from this case series align with prior reports, further supporting fecal diversion and immediate perineal/sphincter reconstruction as an effective management strategy for hydrostatic perineal injuries.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100118"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tuberous sclerosis complex with classic clinical triad, subependymal giant cell astrocytoma and subependymal nodules: A case report 结节性硬化症合并典型临床三联征、室管膜下巨细胞星形细胞瘤及室管膜下结节1例

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-06-06 DOI: 10.1016/j.sycrs.2025.100130

Zermina Tanvir , Khitamul Haq , Huzaifa Ali Khan , Waqar Ahmad , Inibehe Ime Okon , Bipin Chaurasia

引用次数: 0

Sister Mary Joseph’s nodule revealing occult breast cancer: A rare metastatic manifestation 玛丽约瑟夫修女的结节显示隐匿性乳腺癌：一种罕见的转移表现

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-06 DOI: 10.1016/j.sycrs.2025.100102

Fauziyah Ashraf , Guo Hou Loo , Khairul Anwar Abdul Rahman , Wan Izzah Wan Jaffar , Guhan Muthkumaran , Nik Ritza Kosai

{"title":"Sister Mary Joseph’s nodule revealing occult breast cancer: A rare metastatic manifestation","authors":"Fauziyah Ashraf , Guo Hou Loo , Khairul Anwar Abdul Rahman , Wan Izzah Wan Jaffar , Guhan Muthkumaran , Nik Ritza Kosai","doi":"10.1016/j.sycrs.2025.100102","DOIUrl":"10.1016/j.sycrs.2025.100102","url":null,"abstract":"<div><div>Sister Mary Joseph’s nodule (SMJN) is a rare clinical finding that typically indicates metastatic intra-abdominal or pelvic malignancy, most often arising from gastrointestinal or gynecological cancers. Metastasis to the umbilicus from breast carcinoma is extremely uncommon. We report a case involving a 69-year-old woman with a history of early-stage breast carcinoma treated 15 years prior. She presented with abdominal discomfort and a new umbilical nodule. Imaging revealed small bowel obstruction, and exploratory laparotomy identified peritoneal carcinomatosis and an umbilical lesion. Histopathological examination and immunohistochemical staining confirmed metastatic breast carcinoma as the source. The immunoprofile demonstrated positivity for GATA3, estrogen and progesterone receptors, CK7, and GCDFP-15, supporting a breast origin. The patient declined chemotherapy and opted for endocrine therapy with letrozole. She remains clinically stable and functionally independent 15 months after diagnosis. This case underscores the importance of considering breast cancer in the differential diagnosis of umbilical nodules, especially in patients with a history of breast malignancy. Timely recognition and accurate histopathological workup are essential for appropriate management. Despite the generally poor prognosis associated with SMJN, selected patients may achieve meaningful survival and quality of life with tailored systemic treatment.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100102"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785270","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

Epithelial-myoepithelial carcinoma of the parotid: A needle in a haystack of carcinomas 腮腺上皮-肌上皮癌：癌堆中的一针

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-11 DOI: 10.1016/j.sycrs.2025.100105

K.G. Dharma Kumar , Matthew Antony Manoj , Varun Sarodaya , Chinmayee Mayekar

{"title":"Epithelial-myoepithelial carcinoma of the parotid: A needle in a haystack of carcinomas","authors":"K.G. Dharma Kumar , Matthew Antony Manoj , Varun Sarodaya , Chinmayee Mayekar","doi":"10.1016/j.sycrs.2025.100105","DOIUrl":"10.1016/j.sycrs.2025.100105","url":null,"abstract":"<div><div>Epithelial Myoepithelial Carcinoma (EMC) is an extremely rare biphasic malignant tumour accounting for less than one percent of all salivary gland neoplasms. EMC is usually seen in the parotid gland but has also been reported in the submandibular gland, minor salivary glands and extraoral sites. It is commonly seen during the sixth and seventh decade of life, occurring more frequently in females. Here, we present the case of a 48-year-old female with a prior history of parotid carcinoma treated by local excision at a hospital two months ago. She presented to our hospital for follow-up. On examination, there was a 3 cm scar near the pre-auricular region with a suture hatch-mark present. Histopathology revealed multiple whitish tissue bits, the largest measuring 1 × 0.8 × 0.5 cm. On microscopy, salivary gland tissue with an infiltrating neoplasm was noted. Magnetic resonance imaging (MRI) revealed no residual disease; however, enlarged lymph nodes were present on the right side, with the largest in level 1B. The patient was taken up for right superficial parotidectomy with excision of the previous scar and right selective neck dissection (Level I–IV). Post-operative histopathology revealed neither residual disease nor involvement of the 32 lymph nodes dissected. Following this, adjuvant radiation therapy was initiated to help sterilize the region. The patient recovered well and has been on regular follow-up for the past two years with no evidence of recurrence. This case highlights the importance of thorough evaluation and multidisciplinary management in rare salivary gland malignancies.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100105"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850769","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

Primary adrenal angiosarcoma: Insights into an exceptionally rare malignancy 原发性肾上腺血管肉瘤：一种罕见的恶性肿瘤

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-16 DOI: 10.1016/j.sycrs.2025.100110

Lauren K. Storm , Breera Khan , Varsha Manucha , Kelly A. Brister , Wayne S. Orr , Wade O. Christopher

{"title":"Primary adrenal angiosarcoma: Insights into an exceptionally rare malignancy","authors":"Lauren K. Storm , Breera Khan , Varsha Manucha , Kelly A. Brister , Wayne S. Orr , Wade O. Christopher","doi":"10.1016/j.sycrs.2025.100110","DOIUrl":"10.1016/j.sycrs.2025.100110","url":null,"abstract":"<div><div>Primary adrenal angiosarcoma is a high-grade vascular malignancy. This case describes a 78-year-old female who presented with left upper quadrant abdominal pain, early satiety, nausea, weight loss, and a feeling of being “cold all the time.” Computed tomography of the abdomen and pelvis demonstrated a 15 cm× 13 cm x 16 cm heterogeneous, enhancing mass with interspersed calcifications, originating from the left adrenal gland. Adrenal labs were collected and were not consistent with a functional adrenal lesion, and lymphoma was ruled out. The patient underwent an exploratory laparotomy with resection of the left retroperitoneal mass, left adrenalectomy, splenectomy, and left partial nephrectomy due to the tumor impeding surrounding structures. All surgical margins were negative, with no evidence of metastatic disease. Immunohistochemical staining showed the tumor to be strongly and diffusely positive for cytokeratin, CD31, and ERG, while negative for CD34. Additional staining for FLI1 was positive. Based on these findings, a final pathological diagnosis of primary epithelioid angiosarcoma of the adrenal gland was made. The patient received asplenia vaccines and was discharged on postoperative day three without complications and was seen two weeks postoperatively in clinic. Recommendations were made in agreement with surgical and medical oncology for surveillance imaging, including computed tomography of the chest, abdomen, and pelvis every three months for a minimum of five years.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100110"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-23 DOI: 10.1016/j.sycrs.2025.100114

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

引用次数: 0

Surgical excision of a lobular capillary hemangioma of the upper lip after percutaneous embolization: A case report 经皮栓塞后手术切除上唇小叶毛细血管瘤1例

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-01 DOI: 10.1016/j.sycrs.2025.100096

Paolo Appendino , Luca Guaschino , Marta Bezzi , Luciano Mosso , Ernesto Scatà

{"title":"Surgical excision of a lobular capillary hemangioma of the upper lip after percutaneous embolization: A case report","authors":"Paolo Appendino , Luca Guaschino , Marta Bezzi , Luciano Mosso , Ernesto Scatà","doi":"10.1016/j.sycrs.2025.100096","DOIUrl":"10.1016/j.sycrs.2025.100096","url":null,"abstract":"<div><div>A 22-year-old male presented with a nodular subcutaneous lesion on the left upper lip. Ultrasound examination of the superficial tissues (Ecography) revealed a heterogeneously hyperechoic formation with small-caliber, high-flow vessels embedded in a probable adipose component. The suspected diagnosis was a hemangiomatous neoplasm. Given the lesion’s vascular nature and its location in a highly delicate area, a percutaneous embolization was performed prior to surgical excision to reduce intraoperative bleeding risk. Surgery was subsequently carried out without complications. Post-operative istopathological analysis confirmed the diagnosis of lobular capillary hemangioma (LCH), a benign vascular tumor that primarily affects the skin and mucous membranes. LCH is often associated with local trauma and is characterized by rapid growth, which may raise suspicion for malignancy. While surgical excision remains the definitive treatment, the vascular nature of the lesion poses a risk of significant hemorrhage, particularly in highly vascularized regions such as the face and oral cavity. This case highlights the importance of preoperative embolization as a valuable adjunct in the surgical management of LCH. By reducing blood flow to the lesion, embolization minimizes intraoperative bleeding, facilitates complete excision, and improves surgical outcomes. The use of this technique is particularly advantageous in challenging anatomical sites where excessive bleeding could complicate the procedure. Further studies are warranted to explore the broader applicability of embolization in the treatment of vascular tumors in sensitive regions.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792287","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

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

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-23 DOI: 10.1016/j.sycrs.2025.100120

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

引用次数: 0