Journal of Medical Case Reports最新文献

{"title":"Ureterovaginal fistula after hysterectomy with double-J stent misplacement into the inferior vena cava: a case report.","authors":"Nasibeh Hasani, Amir Afyouni, Ahmadreza Haddadi","doi":"10.1186/s13256-025-05277-0","DOIUrl":"10.1186/s13256-025-05277-0","url":null,"abstract":"<p><strong>Background: </strong>Double-J stent placement is a common and generally safe procedure in urology. However, rare complications such as stent misplacement into vascular structures can occur, posing significant risks. The case presented herein highlights an exceedingly rare complication of stent misplacement into the inferior vena cava during the management of a vesicovaginal fistula, emphasizing the importance of prompt recognition and multidisciplinary intervention.</p><p><strong>Case presentation: </strong>In February 2023, a 48-year-old Iranian woman with history of total abdominal hysterectomy presented with complaints of watery vaginal discharge 1 month postoperatively. She was diagnosed with a vesicovaginal fistula and underwent cystoscopy, ureteroscopy, and attempted placement of a double-J stent. Intraoperatively, the stent was found to be misplaced in the suprarenal segment of the inferior vena cava, near the right atrium, as confirmed by postoperative imaging. The patient subsequently underwent laparotomy for stent removal and ureteral reimplantation. A multidisciplinary surgical team, including vascular surgeons, participated in the procedure to mitigate potential complications. The stent was successfully removed via ureteroscopy without complications, and the ureter was reconnected to the bladder. The patient was followed up for 3 months after stent removal. She remained asymptomatic, with no recurrence of urinary leakage, ureteral obstruction, or thrombotic complications. Follow-up imaging confirmed proper ureteral healing and the absence of any further stent migration. At the final follow-up, the patient reported full recovery with no discomfort or residual symptoms. Written informed consent for publication of this case and accompanying images was obtained from both the patient and the hospital's ethics committee.</p><p><strong>Conclusion: </strong>This case demonstrates the need for vigilance during stent placement, particularly in patients with altered anatomy. It also underscores the value of timely imaging to identify complications and the importance of a multidisciplinary surgical approach in ensuring successful outcomes. The report contributes to the literature on managing rare urological complications and highlights the role of advanced endoscopic and surgical techniques.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"236"},"PeriodicalIF":0.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12090410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101955","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}

{"title":"Clinical application of vein visualization apparatus AccuVein^®500 in breast cancer surgery: a case report.","authors":"Junta Sakakibara, Katsuhiro Nasu, Jun-Ichiro Ikeda, Tiberiu Hiroshi Suzuki, Jissei Yokomizo, Hiroshi Fujimoto, Mamoru Takada, Takeshi Nagashima, Masayuki Ohtsuka","doi":"10.1186/s13256-025-05296-x","DOIUrl":"10.1186/s13256-025-05296-x","url":null,"abstract":"<p><strong>Background: </strong>AccuVein^® can help visualize superficial veins and is generally used as an auxiliary device to identify patterns of veins that are difficult to locate for collecting blood and securing venous lines. Even when venous patterns are obscure via visual inspection and/or palpation, the clear projection/delineation of superficial veins using this apparatus facilitates safe venous puncture and helps secure venous lines. Therefore, this apparatus is widely used in clinical settings. AccuVein^® can easily visualize not only superficial veins in the limbs but also the ones located throughout the body surface.</p><p><strong>Case presentation: </strong>We report three cases of 68-year-old, 41-year-old, and 56-year-old Japanese women in whom superficial veins in the breasts were visualized using AccuVein^®, and mastectomy and partial mastectomy were performed. All patients were of Japanese ethnicity. AccuVein^® can enable the examiner to observe superficial veins in the breasts, irrespective of their skills. The examiner can, thus, secure detailed visualization of subcutaneous veins in the breasts. Furthermore, AccuVein^® ensures reproducibility and subjectivity regardless of the examiners' experience. During a mastectomy, the perforating branches of the internal thoracic vein originating from the greater pectoral muscle are identified, ligated, and separated. The preoperative use of AccuVein^® makes it possible to instantaneously identify their position. Visualizing the perforating branches to their root in patients with thin subcutaneous breast fat and their roots' proximity in patients with thick subcutaneous breast fat is possible. While the position and/or range of a breast cancer lesion may sometimes be unclear in ultrasonography, marking subcutaneous mammary veins around the lesion as the benchmark helps identify the lesion position. In this study, we inspected the patterns of subcutaneous mammary veins using AccuVein^®. This manuscript reports the clinical application of this apparatus in breast cancer surgeries.</p><p><strong>Conclusion: </strong>Understanding the vascular construction of subcutaneous mammary veins using the vein visualization apparatus AccuVein^® may serve as an auxiliary technique for safely and securely identifying breast cancer lesions.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"231"},"PeriodicalIF":0.9,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094094","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}

{"title":"A case of Meckel's diverticulum complicated with intestinal duplication: a case report.","authors":"Peng Cai, Ruiyun Zhang, Tingting Zhang, Xianlan Xiang, Haowei Zhao, Yuliang Jiang, Qi Wang, Menglei Zhu, Xiaogang Zhou, Jianlei Chen, Jie Zhu, Shungen Huang, Zhenwei Zhu","doi":"10.1186/s13256-025-05264-5","DOIUrl":"10.1186/s13256-025-05264-5","url":null,"abstract":"<p><strong>Background: </strong>Meckel's diverticulum and intestinal duplication malformations are two isolated digestive tract malformations in children. It is uncommon to see cases of both digestive tract malformations occurring at the same time. This report presents a rare case of Meckel's diverticulum complicated with intestinal duplication, highlighting the importance of intraoperative exploration.</p><p><strong>Case presentation: </strong>A 5-year-old Han Chinese boy presented with abdominal pain and vomiting. The patient had tenderness in the right lower quadrant of the abdomen. Preoperative imaging suggested Meckel's diverticulum, but intraoperative exploration revealed both Meckel's diverticulum and intestinal duplication. Surgical resection and anastomosis were performed, and histopathology confirmed the diagnosis. The patient was discharged 7 days after surgery.</p><p><strong>Conclusion: </strong>Meckel's diverticulum combined with intestinal duplication malformations is rare, and intraoperative exploration is essential in the diagnosis and treatment of surgical disease.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"232"},"PeriodicalIF":0.9,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094090","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}

{"title":"Effect of dry needling plus static stretching on plantar flexor spasticity, function, and quality of life in a patient with chronic stroke: a case report.","authors":"Mahdi Esmaeeli, Nastaran Ghotbi, Kazem Malmir, Noureddin Nakhostin Ansari, Pablo Herrero, Shohreh Jalaie, Elham Loni, Sajede Mazidi","doi":"10.1186/s13256-025-05270-7","DOIUrl":"10.1186/s13256-025-05270-7","url":null,"abstract":"<p><strong>Background: </strong>Static stretching is a treatment that reduces spasticity by elongating the muscle fibers. Dry needling is also a novel intervention that reduces spasticity by destroying dysfunctional endplates. Plantar flexor spasticity can cause gait disturbances and impaired balance in patients who have had a stroke. Therefore, reducing the spasticity of these muscles can improve the patient's independence and overall function. This study reported the additional effects of dry needling on static stretching in reducing spasticity and function in a chronic stroke patient.</p><p><strong>Case presentation: </strong>The patient was a 47-year-old Iranian woman with a past-7-month history of stroke and plantar flexor muscle spasticity. In this study, interventions were conducted for 5 days. In the treatment session, first dry needling (60 seconds × 3 days/week for 1 week total) was applied on the gastrocnemius, and then, an orthosis was used for static stretching (20 minutes × 5 days/week for 1 week total). The outcome measures were the Modified Modified Ashworth Scale, active and passive range of motion, the timed up and go test, and the European Quality of Life questionnaire . The patient was assessed at baseline (T0), immediately following treatment (T1), and at 1-week follow-up (T2). The results were reported as follows: The Modified Modified Ashworth Scale score decreased from 2 at T0 to 1 at T1 and remained 1 at T2. Active range of motion increased from 10° at T0 to 25° at T1 and decreased again to 15° at T2. Passive range of motion increased from 40° at T0 to 50° at T1 and decreased again to 45° at T2. The timed up and go test decreased from 50 seconds at T0 to 40 seconds at T1 and increased again to 42 seconds at T2. Her European Quality of Life questionnaire score increased from 0.25 at T0 to 0.39 at T1 and remained unchanged at 0.39 at T2.</p><p><strong>Conclusion: </strong>This case study reported a patient with post-stroke spasticity. After dry needling in combination with static stretching, spasticity and overall function improved. It would be beneficial to conduct a randomized clinical trial study with a control group to comprehend the additional impact of dry needling on static stretching. Trial registration IRCT20230719058844N1, Registered 7 August 2023, https://irct.behdasht.gov.ir/trial/71395 .</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"233"},"PeriodicalIF":0.9,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094095","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}

{"title":"Giant malignant melanoma of the upper limb: a case report and review of the literature.","authors":"Katrina Villegas, Lefika Bathobakae, Tasnim Fatima, Tyler Wilkinson, Idris Ali, Nagwa Hafez","doi":"10.1186/s13256-025-05303-1","DOIUrl":"10.1186/s13256-025-05303-1","url":null,"abstract":"<p><strong>Background: </strong>Giant malignant melanoma is an exceedingly rare and aggressive form of skin cancer. Although capable of growing beyond 10 cm in diameter, it often follows an indolent course while having an increased metastatic potential. This dual nature poses unique diagnostic and therapeutic challenges. Cases of giant malignant melanoma are rarely reported, particularly on the upper limb, making such occurrences notable for their atypical presentation and clinical significance.</p><p><strong>Case presentation: </strong>We present a 47-year-old Brazilian woman who presented with symptomatic anemia and a 10 × 12 cm bleeding, fungating mass on her right arm. Histopathological evaluation and imaging confirmed the diagnosis of nodular malignant melanoma without evidence of metastasis. She underwent surgical excision of the mass without postoperative complications. The patient was subsequently discharged with a follow-up plan involving oncology for ongoing management and surveillance.</p><p><strong>Conclusion: </strong>This case represents the 20th report of giant malignant melanoma in the literature, and the fourth case specifically involving the arm, underscoring its rarity. It highlights the importance of heightened clinical suspicion and timely intervention in patients presenting with atypical, enlarging skin lesions. Furthermore, it emphasizes the critical role of a multidisciplinary approach in achieving optimal outcomes for such complex cases.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"234"},"PeriodicalIF":0.9,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12087155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094097","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}

{"title":"An isolated double-inlet right ventricular malformation: a case report and review of the literature.","authors":"William Borghol, Faisal Alfaksh, Saja Karaja, Lyne Barakat, Saleh Takkem","doi":"10.1186/s13256-025-05300-4","DOIUrl":"10.1186/s13256-025-05300-4","url":null,"abstract":"<p><strong>Background: </strong>Double-inlet right ventricle is an extremely rare and complex cardiac malformation characterized by the opening of both atria into the right ventricle and is usually associated with other major cardiac malformations. In this case report, we have discussed an isolated case of double-inlet right ventricle without other malformations and conducted a literature review to compare our case, which is the third in the medical literature, with previously published papers on double-inlet right ventricle.</p><p><strong>Case presentation: </strong>A 2-month-old Syrian male infant was admitted to the cardiology department due to symptoms of central cyanosis and failure to thrive. Echocardiography revealed double-inlet right ventricle with a hypoplastic left ventricle from which the hypoplastic aorta emerged, while the pulmonary trunk emerged from the dilated right ventricle. The child was sent abroad for the Norwood procedure.</p><p><strong>Conclusion: </strong>Although double-inlet right ventricle is a very rare malformation, it can be encountered in clinical practice and should be taken into consideration by practitioners. Clinical researchers should document and publish cases of double-inlet right ventricle diagnosed to draw attention to this malformation and study it in greater depth.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"229"},"PeriodicalIF":0.9,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094092","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}

{"title":"Kartagener syndrome in a young Ethiopian boy: a case report.","authors":"Habtamu Mesele Gebray, Addisu Liknaw Chekol, Samuel Addis Mihiretie, Abayneh Tunta Boye, Zeru Seyoum Wendimagegn, Zenebe Daniel Getachew","doi":"10.1186/s13256-025-05245-8","DOIUrl":"10.1186/s13256-025-05245-8","url":null,"abstract":"<p><strong>Introduction: </strong>Kartagener syndrome is a subset of a larger group of ciliary motility disorders called primary ciliary dyskinesias. The syndrome includes the clinical triad of chronic sinusitis, bronchiectasis, and situs inversus. Patients usually present with recurrent respiratory tract infections due to ineffective mucociliary clearance. Females and males are equally affected. Kartagener syndrome occurs in about 1 in 32,000 to 40,000 births worldwide.</p><p><strong>Case presentation: </strong>This case involved a 17-year-old Black African Semitic male patient who presented to our hospital with a complaint of intermittent productive cough, which started when he was 5 years old. He had a history of repeated treatment for lower respiratory tract infection and chronic sinusitis with frequent exacerbation. On examination, he had coarse crackles over the left posterior lower lung field. Heart sounds were appreciated on the right side. During imaging investigations, his chest X-ray posterior-anterior view showed dextrocardia and right side gastric shadow with left paracardiac bronchiectatic changes. A high-resolution chest computed tomography scan was suggestive of complete situs inversus. There were left lower lobe bronchiectatic changes. An electrocardiogram showed features of dextrocardia. Routine laboratory tests were within normal range. He was treated with thoracic physiotherapy, azithromycin 500 mg three times per week, and mucolytics, with no apparent exacerbations in the last 6 months.</p><p><strong>Conclusion: </strong>The diagnosis of Kartagener syndrome is typically delayed because the clinical symptoms are easily mistaken for common infections. Since there is no specific treatment for Kartagener syndrome, early diagnosis and management of Kartagener syndrome are critical to prevent irreversible lung damage and chronic lifelong sequelae. A high index of suspicion is needed to make an early diagnosis so that timely treatment options may be offered to prevent problems associated with Kartagener syndrome.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"230"},"PeriodicalIF":0.9,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094099","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}

{"title":"Levofloxacin-induced gastrocnemius tendon rupture: a case report.","authors":"Sara Ileri","doi":"10.1186/s13256-025-05281-4","DOIUrl":"10.1186/s13256-025-05281-4","url":null,"abstract":"<p><strong>Background: </strong>Fluoroquinolone group antibiotics are frequently used in various infections such as urinary system, respiratory system, skin, and soft tissue infections owing to their broad spectrum and good antibacterial activity. Various tendon pathologies, especially tendinopathy, have been reported in literature most commonly in the Achilles tendon, but gastrocnemius tendon rupture has never been documented.</p><p><strong>Case presentation: </strong>A 58-year-old Caucasian white female patient had knee and calf pain that started 10 days after levofloxacin treatment. Various differential diagnoses were excluded, and finally a knee magnetic resonance image scan was performed owing to the patient's history of diabetes and levofloxacin use 10 days prior. A significant effusion was detected in the lateral gastrocnemius muscle, and millimetric hypointense free tendon fragments were seen within the effusion. Therefore, gastrocnemius tendon rupture was diagnosed, and bed rest, extremity elevation, 900 mg acetaminophen, and cold application therapy were provided. During follow-up, the patient's extremity pain subsided, and walking function improved.</p><p><strong>Conclusion: </strong>By presenting this case, we aim to remind clinicians to keep in mind the rare tendon rupture possibilities other than Achilles tendon during fluoroquinolone group antibiotic therapy.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"228"},"PeriodicalIF":0.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078497","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}

{"title":"Fatal Mycobacterium avium meningitis in an HIV-negative Vietnamese man: a case report.","authors":"Van Thanh Nguyen, Le Hong Van, Guy Thwaites, Nguyen Thuy Thuong Thuong, Pham Kieu Nguyet Oanh, Do Dang Anh Thu, Nguyen Thanh Dung, Van Thi Xuan Quynh, Nguyen Tran Thuong Dinh, Ho Dang Trung Nghia","doi":"10.1186/s13256-025-05273-4","DOIUrl":"10.1186/s13256-025-05273-4","url":null,"abstract":"<p><strong>Background: </strong>Nontuberculous mycobacteria are environmental mycobacteria that rarely cause human disease, especially in the central nervous system. Central nervous system infection by Mycobacterium avium complex, the most common pathogen among nontuberculous mycobacteria species, is rare and seldom reported, even in those with advanced human immunodeficiency virus infection. We describe a case of Mycobacterium avium complex meningitis with cerebral hemorrhage in an human immunodeficiency virus uninfected man in Vietnam.</p><p><strong>Case presentation: </strong>A 56-year-old Vietnamese man with hypertension was hospitalized with a 5-day history of headache, dizziness, low-grade fever, and unresponsive to 5 days of oral antibiotics. A brain magnetic resonance imaging, performed on day 12, showed hydrocephalus and lacunar infarct. The patient did not improve with 8 days of empirical treatment with ceftriaxone, vancomycin, dexamethasone, and meropenem, and was transferred to a referral hospital for tropical diseases. At the second hospital admission, a cerebrospinal fluid analysis showed a white cell count of 22,518 cells/μL with 81% neutrophils, protein 1.72 g/L, and glucose 0.85 mmol/L. Acid-fast bacilli smear of the cerebrospinal fluid was positive. Molecular testing of the cerebrospinal fluid was negative on GeneXpert Ultra testing, while the line probe assay was positive for Mycobacterium avium. Blood cultures at two sites, cerebrospinal fluid cultures for bacteria and fungi, and human immunodeficiency virus Ag/Ab test were negative. The patient was continuously administered meropenem with the addition of azithromycin, rifampin, and ethambutol. Then, 1 day after nontuberculous mycobacteria treatment, he developed right-sided hemiplegia, and brain computed tomography showed a hemorrhage in the parietal area, adjacent to the left lateral ventricle, and left lateral intraventricular hemorrhage shifts the midline to the right. He was transferred to the third referral general hospital and died 22 days after the onset of symptoms.</p><p><strong>Conclusion: </strong>Nontuberculous mycobacteria-central nervous system infection might mimic unresponsive pyogenic bacterial meningitis. A rapid and accurate diagnosis is essential for initiating appropriate therapy for this deadly disease.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"227"},"PeriodicalIF":0.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12079899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078422","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}

{"title":"Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case report.","authors":"Dominika Trojnarska, Ewa Zabiegło, Robert Jach","doi":"10.1186/s13256-025-05290-3","DOIUrl":"https://doi.org/10.1186/s13256-025-05290-3","url":null,"abstract":"<p><strong>Background: </strong>Heterotopic adrenal tissue is an extremely rare finding. The most common site is the genitourinary tract and pelvis, more frequently in male than female children. In our report, we discuss an ectopic adrenal tissue detected incidentally in a perimenopausal woman, which is even more unusual.</p><p><strong>Case presentation: </strong>A 54-year-old Eastern European perimenopausal female patient was referred for surgical treatment due to a suspected 60 mm paratubal cyst. Her medical history was unremarkable and risk of ovarian malignancy algorithm score were normal. Laparoscopic left salpingo-oophorectomy was performed and the specimen was sent for histopathology. The examination revealed a normal ovary, a fallopian tube with a simple paratubal cyst, and a 2.5 mm nest of heterotopic adrenal tissue in the nearby fat tissue. The patient was discharged on the first postoperative day, reported no symptoms, and remained asymptomatic at 3-week follow-up.</p><p><strong>Conclusion: </strong>A review of the available English literature confirmed the rarity of heterotopic adrenal tissue in adult women. This case is presented due to its uniqueness, with the aim of raising awareness about the entity we encountered and presenting its possible implications.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"226"},"PeriodicalIF":0.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078488","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}