{"title":"Ileorectal fistula after resection of perforated sigmoid tumor and Hartmann's procedure with uterine invasion: a case report.","authors":"Armin Ahmadi, Jalal Manoochehri, Khaled Rahmani","doi":"10.1186/s13256-026-06407-y","DOIUrl":"10.1186/s13256-026-06407-y","url":null,"abstract":"<p><strong>Introduction: </strong>Gastrointestinal fistulas are rare but serious postoperative complications, particularly when arising between the ileum and rectum. They are typically associated with complex intra-abdominal surgeries, malignancies, or inflammatory conditions. This case report presents a rare instance of ileorectal fistula formation following resection of a perforated sigmoid tumor with uterine invasion and subsequent Hartmann's procedure.</p><p><strong>Case presentation: </strong>A 40-year-old Kurdish woman with a history of diabetes mellitus presented with abdominal pain, weight loss, and diarrhea. Imaging revealed a large pelvic mass suggestive of a perforated sigmoid tumor invading the uterus. Emergency laparotomy confirmed the diagnosis, and Hartmann's procedure was performed. Postoperative recovery included chemotherapy. Months later, the patient returned with defecation per anus despite a colostomy, suggesting a fistula. Imaging confirmed an ileorectal fistula. During reoperation, the recurrent tumor and fistulous tract between the ileum and Hartmann's pouch were excised. Surgical repair included small bowel resection with anastomosis and ureteral reimplantation due to adjacent involvement.</p><p><strong>Conclusion: </strong>This case underscores the complexity of managing advanced colorectal malignancies with pelvic involvement. Ileorectal fistula is a rare but critical complication of Hartmann's procedure, necessitating individualized surgical planning and vigilant postoperative follow-up to optimize outcomes.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13685188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227783","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":"Thyroid nodule treated by herbal food composite formulation: a case report.","authors":"Yi You, Hui Li","doi":"10.1186/s13256-026-06392-2","DOIUrl":"10.1186/s13256-026-06392-2","url":null,"abstract":"<p><strong>Background: </strong>Thyroid nodules are a prevalent endocrine disorder with a global prevalence estimated to range from 5% to 67%. Conventional treatments, including surveillance, levothyroxine suppression therapy, and surgical resection, are often limited by side effects, invasiveness, and variable efficacy. To date, documented instances of spontaneous regression are exceedingly rare.</p><p><strong>Case presentation: </strong>In this case report, we present a 48-year-old Chinese Asian woman with bilateral thyroid nodules who experienced significant nodule regression after a 3.5-month intervention with herbal food composite formulation. The formula, comprising Aronia melanocarpa, Daucus carota, Apium graveolens, Citrus paradisi, and Litchi chinensis, was consumed as juice every other day post-lunch. The patient's ultrasound examination showed multiple mixed echogenic nodules in both thyroid lobes, with the largest nodule measuring 20.7 × 10.4 mm. After treatment, the nodules significantly decreased in size, and a lymph node in the left neck disappeared.</p><p><strong>Conclusions: </strong>This case raises the possibility that the herbal food composite formulation may have potential value to be explored as an auxiliary therapy for thyroid nodules, warranting further investigation in larger patient populations.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13685094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227790","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}
Mohammad Rizwan Alam, Juan Corona-Ruiz, Joseph Cahill, William Goldsmith, Michael Sabra, Maro Issac, Peter Fahim
{"title":"Superior sagittal sinus thrombosis with intracranial hemorrhage in a patient on infliximab: a case report.","authors":"Mohammad Rizwan Alam, Juan Corona-Ruiz, Joseph Cahill, William Goldsmith, Michael Sabra, Maro Issac, Peter Fahim","doi":"10.1186/s13256-026-06355-7","DOIUrl":"10.1186/s13256-026-06355-7","url":null,"abstract":"<p><strong>Background: </strong>Superior sagittal sinus thrombosis (SSST) is a rare but life-threatening form of cerebral venous thrombosis. Although several prothrombotic and autoimmune conditions are recognized risk factors, SSST occurring in patients with rheumatoid arthritis (RA) receiving tumor necrosis factor-alpha (TNF-α) inhibitor therapy remains exceptionally rare and poorly described in the literature.</p><p><strong>Case presentation: </strong>We present a 59-year-old Caucasian female with RA treated with infliximab who developed extensive superior sagittal sinus thrombosis with concurrent intracranial and subarachnoid hemorrhage. The patient was managed with anticoagulation, blood pressure control, and seizure prophylaxis, with subsequent clinical and radiologic improvement at one-month follow-up. Hypercoagulability evaluation was overall unrevealing, and no other clear provoking etiology was identified.</p><p><strong>Conclusions: </strong>Given the rarity of this presentation, we report this case to raise awareness of a possible association between cerebral venous thrombosis and TNF-α inhibitor therapy in patients with rheumatoid arthritis. This is especially important given the increasing and widespread use of biologic agents in the treatment of autoimmune diseases.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13685098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227818","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":"Delayed ischemic stroke ten days after aluminum phosphide ingestion in a previously healthy 21-year-old Ethiopian woman: a case report.","authors":"Amanuel Mesfin Oljira, Segni Shube Hunduma, Dereje Gurmessa Geleta, Rabira Waktola Gonfa, Dawit Yosef Barkesa, Bisrat Abate Bekele, Eliab Negusse Reda, Dagim Weldegiorgis Fininsa, Aemon Berhane Fissha, Mathewos Tesfaye Yanore","doi":"10.1186/s13256-026-06403-2","DOIUrl":"10.1186/s13256-026-06403-2","url":null,"abstract":"<p><strong>Background: </strong>Aluminum phosphide poisoning is a highly lethal toxicologic emergency classically dominated by cardiovascular collapse. Delayed ischemic stroke after apparent clinical stabilization is exceptionally rare and mechanistically uncertain.</p><p><strong>Case presentation: </strong>A 21-year-old previously healthy Ethiopian woman intentionally ingested five aluminum phosphide tablets. After early gastric lavage, she remained hemodynamically stable during the initial 24 hours and was discharged. Ten days after ingestion, she developed sudden right facial weakness, right hemiparesis, and mild dysarthria. On day 11, her National Institutes of Health Stroke Scale score was 11. Contrast-enhanced brain computed tomography demonstrated acute-to-subacute hypodensity in the left lentiform nucleus, caudate head, and anterior limb of the internal capsule. Non-dedicated post-contrast computed tomography showed visual luminal asymmetry/narrowing of the left middle cerebral artery compared with the contralateral side. Evaluation with electrocardiography, 72-hour continuous inpatient telemetry, transthoracic echocardiography with agitated saline study, carotid/vertebral Doppler ultrasonography, cerebrospinal fluid analysis including acid-fast bacilli testing and GeneXpert, human immunodeficiency virus testing, tuberculosis screening, antiphospholipid antibodies repeated at 12 weeks, thrombophilia testing, and autoimmune markers did not identify an alternative cause within the limits of available investigations. Cerebrospinal fluid culture for tuberculosis and other bacteria, computed tomography angiography/magnetic resonance angiography, transcranial Doppler, serial vascular imaging, and prolonged outpatient Holter monitoring were unavailable. She received aspirin, venous thromboembolism prophylaxis, later atorvastatin 80 mg orally once daily, and structured rehabilitation. The modified Rankin Scale score improved from 4 at the 30-day functional assessment to 2 at three and six months.</p><p><strong>Conclusions: </strong>This case describes delayed deep MCA-territory ischemic stroke temporally associated with aluminum phosphide ingestion. The observed computed tomography (CT) luminal asymmetry is hypothesis-generating only and cannot distinguish toxin-associated vasospasm/arteriopathy from reversible cerebral vasoconstriction syndrome, inflammatory vasculopathy, dissection-related disease, or pseudostenosis artifact. Clinicians should maintain vigilance for delayed focal neurologic deficits after aluminum phosphide exposure and pursue neuroimaging and etiologic evaluation, including dedicated vascular studies and follow-up vascular imaging where available.</p><p><strong>Key clinical message: </strong>Delayed focal ischemic stroke may occur after apparent clinical stabilization following aluminum phosphide ingestion, even without early hemodynamic collapse or structural heart disease. New lateralizing neurologic deficits after phosphide","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13527987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865290","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}
Hassan Mobarak, Taseer F Din, Mohammed H Mahdi, Finza Latif
{"title":"Correction: Unexplained recurrent oral bleeding in an adolescent suggestive of factitious disorder: a case report.","authors":"Hassan Mobarak, Taseer F Din, Mohammed H Mahdi, Finza Latif","doi":"10.1186/s13256-026-06350-y","DOIUrl":"10.1186/s13256-026-06350-y","url":null,"abstract":"","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148584402","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}
Maria Fueth, Christoph Wallner, Yonca Steubing, Tom Alexander Huyghebaert, Alexander Wolff, Simon Bausen, Marcus Lehnhardt, Felix Reinkemeier
{"title":"Cutaneous angiosarcoma in a super-morbidly obese patient (body mass index 106.7 kg/m<sup>2</sup>) highlighting diagnostic and therapeutic barriers in extreme obesity: a case report.","authors":"Maria Fueth, Christoph Wallner, Yonca Steubing, Tom Alexander Huyghebaert, Alexander Wolff, Simon Bausen, Marcus Lehnhardt, Felix Reinkemeier","doi":"10.1186/s13256-026-06391-3","DOIUrl":"10.1186/s13256-026-06391-3","url":null,"abstract":"<p><strong>Background: </strong>With the rising prevalence of extreme obesity, healthcare systems are increasingly confronted with patients who exceed the physical limits of standard diagnostic and therapeutic infrastructure. When body habitus exceeds the physical limitations of imaging and procedural infrastructure, timely cancer staging and intervention may become impossible, directly impacting survival.</p><p><strong>Case presentation: </strong>We report a 54-year-old White woman (weight ≈ 280 kg, BMI 106.7 kg/m<sup>2</sup>) with chronic stage IV lymphedema of both lower limbs who presented with a rapidly enlarging, violaceous, ulcerated plaque on the left calf. Histopathology confirmed high-grade cutaneous angiosarcoma (Stewart-Treves syndrome). Standard staging with CT, MRI, and positron emission tomography (PET) was not feasible due to exceeding gantry and table limits at all accessible regional centers. Bedside wide local excision was performed, followed by urgent below-knee amputation for progressive necrosis. Postoperatively, the patient developed septic shock, hemothorax, respiratory failure, and dialysis-requiring acute kidney injury.</p><p><strong>Management and outcome: </strong>Despite aggressive multidisciplinary intensive care, including continuous renal replacement therapy, thoracic drainage, catecholamine support, and non-invasive ventilation, diagnostic and interventional escalation remained repeatedly limited by infrastructural constraints. Owing to refractory multi-organ failure and an infaust prognosis, treatment was de-escalated to comfort-focused care. The patient died on day 24 of admission.</p><p><strong>Conclusion: </strong>This case illustrates how extreme obesity not only predisposes to lymphangiosarcoma, but may also preclude access to basic oncologic standards such as staging and operability assessment. The case highlights a critical gap in healthcare infrastructure, where patients may be systematically excluded from standard diagnostic pathways. The absence of bariatric-capable imaging and procedural infrastructure directly contributed to a loss of curative options. Healthcare systems must urgently adapt to the rising prevalence of super-morbid obesity by ensuring size-inclusive resources, or risk systematic exclusion of an expanding vulnerable population.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148584474","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":"Primary extranodal marginal zone lymphoma of gastric mucosa-associated lymphoid tissue in children: a case report and review of the literature.","authors":"Ying Yang, Lei Lei, Haiyan Gao, Jing Liao","doi":"10.1186/s13256-026-06405-0","DOIUrl":"10.1186/s13256-026-06405-0","url":null,"abstract":"<p><strong>Background: </strong>Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue represents an important subtype of marginal zone lymphoma, a heterogeneous B-cell neoplasm originating from the marginal zone of lymphoid follicles. Therefore, gastric marginal zone lymphoma arising from mucosa-associated lymphoid tissue in immunocompetent children is particularly special. This article aims to report this rare case and systematically review the research progress of pediatric marginal zone lymphoma combined with its clinicopathological features.</p><p><strong>Case presentation: </strong>A 13-year-old Chinese female presented with a 3-month history of recurrent epigastric pain. Gastroscopy revealed multiple ulcers in the gastric angle and antrum. Histopathological examination identified lymphoepithelial lesions and lymphoid infiltration. Immunohistochemistry showed positivity for CD20 and CD79a and negativity for CD3. PCR and capillary electrophoresis detected clonal immunoglobulin gene rearrangements, confirming monoclonality. These findings supported the diagnosis of gastric mucosa‑associated lymphoid tissue lymphoma. [<sup>68</sup> Ga]Pentixafor-PET showed multiregional involvement, and Lugano stage IV was suspected (based on imaging alone, as histopathological confirmation was declined by the family). Fortunately, the patient's gastric lesions are now resolved without any discomfort after Helicobacter pylori eradication therapy. Nearly 12 months later, the patient remains on follow-up and is currently asymptomatic.</p><p><strong>Conclusions: </strong>This case describes a Chinese child with pediatric gastric mucosa‑associated lymphoid tissue lymphoma with PET‑defined stage IV disease that was clearly associated with Helicobacter pylori infection. The patient achieved clinical and endoscopic remission with eradication therapy. These findings suggest that even when imaging indicates possible distant involvement, some children may still benefit from conservative treatment targeting the infection source, thereby avoiding more aggressive initial therapy (such as chemotherapy) and expanding clinical management options for such rare cases.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149898","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}
Gustavo Adolfo Villegas-Gomez, Valentina Pérez-Ariza, Marcela Mejía-Arango, María Isabel Rizo
{"title":"S. carcinoma arising in a breast implant: a case report and review of the literature.","authors":"Gustavo Adolfo Villegas-Gomez, Valentina Pérez-Ariza, Marcela Mejía-Arango, María Isabel Rizo","doi":"10.1186/s13256-026-05867-6","DOIUrl":"10.1186/s13256-026-05867-6","url":null,"abstract":"<p><strong>Background: </strong>Breast implants are widely used in plastic surgery and generally considered safe. However, recent reports of implant-associated malignancies, including anaplastic large-cell lymphoma and squamous-cell carcinoma, have raised concern. This report presents a case of squamous-cell carcinoma arising in a silicone breast implant and reviews the current literature on its association with breast implants.</p><p><strong>Case presentation: </strong>A 48-year-old Hispanic female presented with pain and asymmetry of the left breast. Persistent symptoms and imaging findings led to the identification of a cystic mass associated with a silicone implant. Histopathological analysis confirmed squamous-cell carcinoma arising from the periprosthetic capsule. The patient underwent implant removal, and after radiologic surveillance and diagnosis of recurrence, an attempted oncoplastic approach was converted intraoperatively to a radical mastectomy due to extensive tumor infiltration. No adjuvant therapy was administered. At 12-month follow-up, the patient remains disease-free without evidence of recurrence.</p><p><strong>Conclusions: </strong>The diagnosis and management of breast-implant-associated squamous-cell carcinoma require a multidisciplinary approach due to its unpredictable behavior. Increased awareness, early detection, and individualized treatment strategies are essential to improve outcomes in this rare but aggressive entity.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13685378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227875","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 fine line between obsessive-compulsive disorder (OCD) and psychotic disorder: a case report.","authors":"Natalia Chechko, Stefanie Weisenfeld, Susanne Nehls","doi":"10.1186/s13256-026-06404-1","DOIUrl":"10.1186/s13256-026-06404-1","url":null,"abstract":"<p><strong>Background: </strong>Differentiating obsessive-compulsive disorder (OCD) from psychotic disorders can be problematic, especially when OCD symptoms present with poor insight and psychotic-like intensity.</p><p><strong>Case presentation: </strong>This case report describes a 44-year-old white male, whose symptoms began in his late teens. Clinical documentation, however, began in 2009, when he was first hospitalized. Although he was initially diagnosed with psychosis, his intrusive quasi-delusional fears and compulsions, accompanied by experiences of being watched and abstract ideas about the \"ego\" with limited insight, led to diagnostic uncertainty. While antipsychotic treatment was ineffective, the initiation of paroxetine in 2011 resulted in substantial improvement, suggesting an OCD etiology. Despite later revision of his diagnosis (after more than 10 years following manifestation) toward an OCD spectrum disorder, the patient continued to believe he had psychosis and developed obsessive fears of becoming psychotic, likely influenced by prior clinical labeling.</p><p><strong>Conclusion: </strong>This case underscores the importance of careful differential diagnosis in OCD with poor insight. Early recognition of OCD can significantly alter prognosis and treatment course, avoiding prolonged exposures to neuroleptics.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148584423","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":"Interstitial ectopic pregnancy: laparoscopic surgical management and subsequent outcome-a case report.","authors":"Steve Kyende Mutiso","doi":"10.1186/s13256-026-06379-z","DOIUrl":"10.1186/s13256-026-06379-z","url":null,"abstract":"<p><strong>Introduction: </strong>Interstitial ectopic pregnancy (IEP) is a rare form of ectopic pregnancy (EP). IEPs account for 1-3% of all EPs but with significant associated morbidity and mortality. The main presentation is usually abdominal pain with vaginal bleeding. Ultrasonography usually forms the cornerstone of diagnosis of IEP with distinct features described in literature. Management can be medical or surgical with the choice based on certain patient factors. We present a case of an IEP that was surgically managed in our unit and conduct a literature review of this condition.</p><p><strong>Case: </strong>A 37-year-old Kenyan woman presented with 5 weeks of amenorrhea and pelvic pain. Her investigations revealed a beta-human chorionic gonadotropin (β-HCG) level of 27,399 milli-international units per milliliter (miu/ml). Ultrasonography revealed an IEP with fetal cardiac activity in the left tube that was unruptured. She underwent a laparoscopic cornuostomy and had an uneventful post-operative stay.</p><p><strong>Conclusion: </strong>IEPs are rare pregnancies with seldom specific risk factors. They present with the classical EP symptoms of vaginal bleeding and abdominal pain with symptoms of rupture if it has occurred. Ultrasonography is the gold standard in diagnosis with several pathognomonic features identified in literature. Its surgical management involves cornuostomy which can be performed laparoscopically as in the described case. The prognosis is usually good with few untoward pregnancy complications.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224418","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}