Surgery Case Reports最新文献_第8页

Spontaneously ruptured hepatic hemangioma: A case study and comprehensive review of the literature 肝血管瘤自发性破裂：个案研究及文献综述

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-23 DOI: 10.1016/j.sycrs.2025.100117

Benjamin C. Kensing , Blake A. Johnson , Marvin Heck , Hishaam N. Ismael

{"title":"Spontaneously ruptured hepatic hemangioma: A case study and comprehensive review of the literature","authors":"Benjamin C. Kensing , Blake A. Johnson , Marvin Heck , Hishaam N. Ismael","doi":"10.1016/j.sycrs.2025.100117","DOIUrl":"10.1016/j.sycrs.2025.100117","url":null,"abstract":"<div><div>Hepatic hemangiomas are benign vascular malformations thought to be of congenital origin. They are typically solitary, small, and asymptomatic. In rare cases, large tumors spontaneously rupture. We present the case of a 29-year-old female who presented with acute onset abdominal pain and nausea. Abdominal imaging showed a large mass in the liver demonstrating progressive nodular enhancement. Further imaging showed free fluid in the pelvis. A diagnostic laparoscopy was followed by an open left lateral hepatic segmentectomy. Pathology confirmed benign hemangioma. Signs and symptoms of spontaneously ruptured hepatic hemangiomas are often nonspecific. MRI is the most sensitive and specific imaging modality for diagnosing hepatic hemangiomas; however, determination of rupture requires clinical suspicion. Management is focused on maintaining hemodynamic stability and addressing the source with resection, enucleating, or embolizing the tumor. A literature review of 34 other cases revealed a mortality rate of 9 %, demonstrating a significant improvement compared to prior studies. The improvement in mortality is attributable to advancements in surgical techniques, critical care, resuscitation of unstable patients, pharmacologic safety profiles, postoperative care, and imagining modalities. In conclusion, spontaneous rupture of hepatic hemangiomas is a rare and life-threatening event. Hepatic resection remains the mainstay of treatment; although, transcatheter arterial embolization offers a minimally invasive route to control bleeding, shrink the hemangioma, and stabilize the patient.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100117"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143876519","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

Splenic artery aneurysm rupture during pregnancy: A report of two cases 妊娠期脾动脉瘤破裂2例报告

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-17 DOI: 10.1016/j.sycrs.2025.100112

Kerim Deniz Batun , Ahmet Akmercan , Tayfun Akmercan , Muhammer Ergenç , Tevfik Kıvılcım Uprak

{"title":"Splenic artery aneurysm rupture during pregnancy: A report of two cases","authors":"Kerim Deniz Batun , Ahmet Akmercan , Tayfun Akmercan , Muhammer Ergenç , Tevfik Kıvılcım Uprak","doi":"10.1016/j.sycrs.2025.100112","DOIUrl":"10.1016/j.sycrs.2025.100112","url":null,"abstract":"<div><div>One of the most common aneurysms in the abdomen is the splenic artery aneurysm (SAA). Ruptured SAAs have a significant morbidity and mortality risk, especially for pregnant women and, consequently, for fetuses. The first patient was a twenty-eight-year-old female who, during the 30th week of pregnancy, underwent an urgent cesarean section. Postoperatively, on the 7th day, she developed severe abdominal pain. After the rapid deterioration, imaging revealed SAA rupture, and she underwent an explorative laparotomy and splenectomy. The second patient is thirty-two years old and has had non-cirrhotic portal vein hypertension since the age of 10. During her 28th week of pregnancy, she was admitted to the emergency department with complaints of severe abdominal pain and vomiting, consequently hemorrhagic shock. The imaging revealed massive intraperitoneal fluid and the SAA rupture. She underwent an emergency laparotomy, splenectomy, and cesarean section. Uncommon but has a significant mortality rate for both mother and fetus, and rupture must be considered for any pregnant woman with sudden abdominal pain and hemodynamic instability. Prompt evaluation and intervention are critical for both fetal and maternal morbidity and mortality.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100112"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847319","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

Internal hernia through the foramen of Winslow 温斯洛孔内疝

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-03-31 DOI: 10.1016/j.sycrs.2025.100101

Rebecca L. Schwartz, Jessica E. Taylor

引用次数: 0

Chronic osteomyelitis due to retained war-time shrapnel after 16 years: Case report 16年后遗留战争弹片导致慢性骨髓炎：病例报告

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-17 DOI: 10.1016/j.sycrs.2025.100111

Madhawa Sasanka Rathnaweera , Kasun Bandara Ekanayake , Sunanda Udagedara

{"title":"Chronic osteomyelitis due to retained war-time shrapnel after 16 years: Case report","authors":"Madhawa Sasanka Rathnaweera , Kasun Bandara Ekanayake , Sunanda Udagedara","doi":"10.1016/j.sycrs.2025.100111","DOIUrl":"10.1016/j.sycrs.2025.100111","url":null,"abstract":"<div><div>Shrapnel, commonly associated with war-related trauma, is often retained without surgical removal due to its inert nature. However, these retained foreign bodies pose a risk of long-term complications, including chronic osteomyelitis (COM). This case report presents a rare instance of COM caused by retained shrapnel 16 years after a combat injury sustained during the Sri Lankan Civil War. A 55-year-old former soldier presented with fever, right thigh pain, and swelling. He had suffered a right femoral shaft open fracture in a mortar artillery blast in 2008, which was treated with intramedullary nailing. The implant was removed the following year due to infection. Imaging revealed multiple shrapnel fragments and osteomyelitic changes in the right distal femur, with one metal fragment causing erosion of the anterior cortex of the femur. The culture of an abscess of the right anterior thigh yielded methicillin-resistant <em>Staphylococcus aureus</em>, sensitive to vancomycin. The patient underwent abscess drainage, surgical retrieval of some shrapnel, and a 6-week course of oral linezolid. Although retained shrapnel is generally inert, its potential to cause COM necessitates a high index of suspicion. Timely imaging, microbiological cultures, and appropriate surgical and antibiotic management are critical in preventing severe long-term complications.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100111"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843623","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

Thoracic surgical approach for retrosternal ectopic thyroid tissue after cervical total thyroidectomy: Case Report and Review of literature. 宫颈甲状腺全切除术后胸骨后异位甲状腺组织的胸外科入路：病例报告及文献复习。

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-09 DOI: 10.1016/j.sycrs.2025.100108

Chiara Scorziello , Maria Carola Borcea , Marco Biffoni , Giuseppe De Ruggeri , Alessia Galvano , Eva Iannuzzi , Rossella Melcarne , Luca Ventrone , Cosimo Durante , Fabrizio Consorti , Tiziano De Giacomo , Laura Giacomelli

{"title":"Thoracic surgical approach for retrosternal ectopic thyroid tissue after cervical total thyroidectomy: Case Report and Review of literature.","authors":"Chiara Scorziello , Maria Carola Borcea , Marco Biffoni , Giuseppe De Ruggeri , Alessia Galvano , Eva Iannuzzi , Rossella Melcarne , Luca Ventrone , Cosimo Durante , Fabrizio Consorti , Tiziano De Giacomo , Laura Giacomelli","doi":"10.1016/j.sycrs.2025.100108","DOIUrl":"10.1016/j.sycrs.2025.100108","url":null,"abstract":"<div><div>Thyroidal organogenesis is controlled by specific transcription factors; alterations in their ex-pression can cause developmental abnormalities like ectopia of the gland. Ectopic thyroid tissue can be found anywhere along the line of the obliterated thyroglossal duct, from the tongue to the diaphragm. The thoracic cavity is the most common non-cervical location. We describe the case report of a \"forgotten goiter\", a retrosternal ectopic thyroid tissue, detected after a cervical total thyroidectomy. Due to the size of the lesion, anatomical localization, and presence of calcifications, the patient underwent a complete surgical resection of the mass via sternotomy. The histological examination showed benign mediastinal ectopic thyroid tissue. The postoperative course was uneventful and without complications. Any surgical initiative in patients with retrosternal ectopic thyroid tissue must be individualized and based upon the size of the goiter, the characteristics of the mediastinal goiter and its anatomical relationships, the risk of complications and reoperations, the experience of the surgeon, the comorbidities of the patient, and the trajectory of growth in active surveillance. To date, there is no universal consensus on the best surgical approach.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100108"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816229","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

Ovarian sex cord-stromal tumor: A case report and review of literature 卵巢性索间质瘤1例报告及文献复习

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-09 DOI: 10.1016/j.sycrs.2025.100107

Soukayna Bourabaa , Mohamed Taimi , Doaa Riali , Hajar Kandoussi , Youssef Mahdi , Basma El Khannoussi , Hatim Essaber , Rachida Latib , Fouad Tijami , Hafid Hachi , Nezha Elbahaoui

引用次数: 0

Successful removal of a penetrating fish hook eye injury via modified advance-and-cut technique 通过改进的先进和切割技术成功去除穿透性鱼钩眼损伤

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-06-02 DOI: 10.1016/j.sycrs.2025.100125

Ahmet Kaan Şimşek, Ayça Küpeli Çınar, Abdulkadir Can Çınar, Ahmet Kürşad Sakallıoğlu, Rüveyde Garip, Hande Güçlü

引用次数: 0

A case report on malignant peripheral nerve sheath tumor of vagus nerve: A diagnostic challenge 迷走神经周围神经鞘恶性肿瘤1例：诊断上的挑战

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-04-07 DOI: 10.1016/j.sycrs.2025.100103

Muhammad Farhan , Abdur Rehman , Zainab Zahoor Butt , Anique Ahmad Jamil , Imran Khan , Muhammad Shuaib Khan , Arham Ihtesham , Shahzaib Maqbool , Sudhair Alam

{"title":"A case report on malignant peripheral nerve sheath tumor of vagus nerve: A diagnostic challenge","authors":"Muhammad Farhan , Abdur Rehman , Zainab Zahoor Butt , Anique Ahmad Jamil , Imran Khan , Muhammad Shuaib Khan , Arham Ihtesham , Shahzaib Maqbool , Sudhair Alam","doi":"10.1016/j.sycrs.2025.100103","DOIUrl":"10.1016/j.sycrs.2025.100103","url":null,"abstract":"<div><div>Malignant Peripheral Nerve Sheath Tumor (MPNST) is a rare, aggressive neoplasm with an incidence of 0.001 % and a poor prognosis. Diagnosis is particularly challenging due to its nonspecific clinical, histopathological, and radiological features, often leading to misclassification as a benign lesion. We present the case of a 24-year-old male with a progressively enlarging left-sided neck mass, accompanied by hoarseness, dysphagia, and headaches. Imaging suggested a benign peripheral nerve sheath tumor, such as a schwannoma, and an incisional biopsy further supported this impression. However, the final excisional biopsy unexpectedly confirmed MPNST of the vagus nerve. This highlights the limitations of current diagnostic techniques in distinguishing MPNST from benign mimics and underscores the critical need for a multimodal diagnostic approach, integrating advanced imaging techniques and immunohistochemistry, to improve early and accurate detection of MPNST. Given the tumor’s aggressive nature and high risk of recurrence, early identification is essential for optimizing treatment outcomes.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100103"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792288","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

Breast abscess with intrathoracic communication 伴有胸腔内沟通的乳腺脓肿

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-03-27 DOI: 10.1016/j.sycrs.2025.100098

Hannah Dunlop, Simon Mbarushimana, Kevin Etherson, Palanivelraju Gopalakrishnan

{"title":"Breast abscess with intrathoracic communication","authors":"Hannah Dunlop, Simon Mbarushimana, Kevin Etherson, Palanivelraju Gopalakrishnan","doi":"10.1016/j.sycrs.2025.100098","DOIUrl":"10.1016/j.sycrs.2025.100098","url":null,"abstract":"<div><div>We present a rare case of a breast abscess communicating with the thoracic cavity. This was discovered intra-operatively during incision and drainage of the abscess by the general surgery on-call team because of raised inflammatory markers and pyrexia. A chest x-ray was obtained intra-operatively and chest drain inserted, before transfer to cardiothoracics. The patient was subsequently discharged with no further interventions but failed to attend breast care services for follow up. This case highlights the importance of referring all breast abscesses to acute secondary care for assessment and immediate intervention if required. Onward referral to breast outpatient clinic is only appropriate in patients who are clinically well. It also raises the question of whether further imaging should be undertaken in high-risk patients before surgical intervention of acute breast abscesses. While breast abscesses are typically managed successfully in outpatient settings, rare complications, such as intra-thoracic extension into the intrapleural space, can occur. Irrespective of the underlying aetiology, this case report highlights the importance of considering rare complications in the management of breast abscesses, particularly in patients with a history of systemic upset and atypical symptoms. Prompt diagnosis, interdisciplinary collaboration, and timely surgical intervention are crucial in achieving successful outcomes in such challenging scenarios. Further studies and reports on similar cases will contribute to a better understanding of this rare complication and aid in optimising treatment strategies.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100098"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143734536","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

Frontal bone resorption after craniofacial reconstruction: Post-surgical complication 颅面重建后额骨吸收：术后并发症

Surgery Case Reports Pub Date : 2025-07-01 Epub Date: 2025-05-31 DOI: 10.1016/j.sycrs.2025.100126

Raissa Dias Fares , Jonathan Ribeiro da Silva , Sylvio Luiz Costa De-Moraes

{"title":"Frontal bone resorption after craniofacial reconstruction: Post-surgical complication","authors":"Raissa Dias Fares , Jonathan Ribeiro da Silva , Sylvio Luiz Costa De-Moraes","doi":"10.1016/j.sycrs.2025.100126","DOIUrl":"10.1016/j.sycrs.2025.100126","url":null,"abstract":"<div><div>Complex facial fractures are still a challenge for maxillofacial surgeons around the world. This type of surgery requires the actuation of more than one specialty in the surgical center and is frequently associated with brain injuries. This article aims to present a case report of frontal bone resorption in an 18-year-old patient after neurosurgical and maxillofacial approaches involving craniotomy, use of frontal pericranium flap for treatment of anterior cranial fossa fracture, dura mater repair, cranialization, and open reduction and internal fixation. After 5 months of follow-up, the patient began to experience drainage in the right supraorbital rim. At that time, no cerebrospinal fluid was present, and the patient was referred for a second surgical approach to remove the osteosynthesis material. Frontal bone resorption is an infrequently reported complication. The frontal craniotomy combined with the frontal pericranium flap to seal the anterior cranial fossa possibly contributed to the resorption of the frontal bone. The combination of skeletal fixation and the lack of coverage of the frontal bone in the cranio-maxillofacial reconstruction sequence requires better evaluation from the vascular-periosteal point of view, since the loss of contour due to bone resorption generates a stigmatizing deformity for patients.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"5 ","pages":"Article 100126"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184422","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