SAGE Open Medical Case Reports最新文献

It must be mono: An atypical case of splenic rupture. 它一定是单纯性的：一个不典型的脾破裂病例。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-16 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261476140

Ujunwa Eze, Amith Jagannath, Rahul Kashyap, Sukhjeet Kamboj

引用次数: 0

Rapidly progressive calcinosis cutis in adult-onset dermatomyositis: A case report. 快速进行性皮肤钙质沉着症并发成人皮肌炎1例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-16 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261463982

Elona Bebla, Attiya Haroon

引用次数: 0

Successful obliteration of a wide-necked carotid terminus aneurysm with an eCLIPs flow diverting device: A case report and review of literature. 应用eCLIPs分流装置成功闭塞宽颈颈终动脉瘤一例报告及文献复习。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-15 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261461633

Alan R Rheaume, Thomas R Marotta, Jeremy L Rempel, Michael M Chow

引用次数: 0

Complete non-anastomotic rupture of an axillobifemoral PTFE bypass following blunt chest trauma: A case report. 钝性胸部外伤后腋下肺叶侧聚四氟乙烯搭桥完全非吻合口破裂：1例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-09 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261489336

Nour Kassab, Alev Gümüs, Livio Solari, Françoise Lefebvre, Grégory Callebaut

{"title":"Complete non-anastomotic rupture of an axillobifemoral PTFE bypass following blunt chest trauma: A case report.","authors":"Nour Kassab, Alev Gümüs, Livio Solari, Françoise Lefebvre, Grégory Callebaut","doi":"10.1177/2050313X261489336","DOIUrl":"10.1177/2050313X261489336","url":null,"abstract":"Background: Non-anastomotic disruption of an axillofemoral bypass graft is an exceedingly rare but potentially life-threatening complication. Most reported cases present with a delayed pseudoaneurysm, whereas acute complete graft disruption with active hemorrhage is exceptional.Case presentation: A man in his late 50s with a history of a left axillobifemoral PTFE bypass performed in 2022 for chronic aorto-iliac occlusive disease presented to the emergency department with acute left thoracic and upper-limb pain and a rapidly developing pulsatile thoracic swelling following blunt chest trauma against the edge of a table. Computed tomography angiography demonstrated a large left anterior chest-wall hematoma communicating with the axillobifemoral graft and associated active bleeding. Emergency surgical exploration was undertaken. A complete transverse rupture of the graft was identified in the non-anastomotic portion, with no disruption of either the proximal or distal arterial anastomosis. The graft was repaired by direct end-to-end prosthesis-to-prosthesis anastomosis. The postoperative course was uneventful with preserved graft patency and good clinical outcome. A distal clavicular fracture was subsequently identified.Conclusion: Complete non-anastomotic rupture of an axillobifemoral PTFE graft following blunt trauma is extremely uncommon but should be considered in patients with a previous axillofemoral bypass who develop acute chest-wall pain, swelling, or hemorrhage after trauma. Prompt CTA and emergency surgical management are essential because delayed diagnosis may result in life-threatening hemorrhage.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261489336"},"PeriodicalIF":0.6,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148930603","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

Disseminated meningococcal infection presenting with constrictive pericarditis and bilateral septic arthritis without meningitis: A case report. 播散性脑膜炎球菌感染表现为缩窄性心包炎和双侧感染性关节炎，无脑膜炎：1例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-06 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261488253

Mutasim Binidris, Menatalla Shehata, Ahmed Mahfouz, Omar Abousaad, Willington Francis, Muhammed Rafeeq

{"title":"Disseminated meningococcal infection presenting with constrictive pericarditis and bilateral septic arthritis without meningitis: A case report.","authors":"Mutasim Binidris, Menatalla Shehata, Ahmed Mahfouz, Omar Abousaad, Willington Francis, Muhammed Rafeeq","doi":"10.1177/2050313X261488253","DOIUrl":"10.1177/2050313X261488253","url":null,"abstract":"Invasive meningococcal disease is a life-threatening infection that classically presents as meningitis or meningococcemia. Extra-meningeal manifestations, including pericarditis and septic arthritis, are uncommon and may complicate diagnosis, particularly in the absence of meningeal involvement. A previously healthy vaccinated man in his 50s presented with acute bilateral knee pain and swelling following a short history of fever, productive cough, fatigue, and dyspnea. Blood cultures grew Neisseria meningitidis serogroup W, whereas cerebrospinal fluid, synovial fluid, and pericardial fluid cultures remained negative. Cardiac magnetic resonance imaging demonstrated constrictive pericarditis with circumferential pericardial enhancement and pericardial effusion. The patient was successfully treated with intravenous ceftriaxone, colchicine, ibuprofen, pericardiocentesis, and bilateral knee washout, followed by oral ciprofloxacin. This case adds to the limited literature describing concurrent cardiac and musculoskeletal manifestations of invasive meningococcal disease without meningitis and shows the importance of early recognition, comprehensive investigation and multidisciplinary management of these uncommon presentations.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261488253"},"PeriodicalIF":0.6,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13554543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920913","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

Imaging manifestations of Bouveret's syndrome: A rare case report of gallstone-induced ileus. 布韦莱特综合征的影像学表现：胆结石性肠梗阻1例。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-05 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261480880

Ting Wang, Xiaolong Ma, Jun Chai

引用次数: 0

Severe calciphylaxis in a post-kidney transplant patient with chronic allograft dysfunction and unmodifiable anticoagulation. 肾移植后伴有慢性同种异体移植物功能障碍和不可改变抗凝治疗的患者的严重钙化反应。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-04 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261479200

Sivakajani Balakumar, Kelum Priyadarshana, Sandawana William Majoni

{"title":"Severe calciphylaxis in a post-kidney transplant patient with chronic allograft dysfunction and unmodifiable anticoagulation.","authors":"Sivakajani Balakumar, Kelum Priyadarshana, Sandawana William Majoni","doi":"10.1177/2050313X261479200","DOIUrl":"10.1177/2050313X261479200","url":null,"abstract":"Calciphylaxis is a rare but life-threatening disorder characterised by progressive vascular calcification, thrombosis, and painful skin necrosis, with high morbidity and mortality. Although most cases are reported in patients with end-stage kidney disease receiving dialysis, it can also occur in kidney transplant recipients, particularly in the setting of chronic allograft dysfunction and persistent disturbances in mineral metabolism. We report the case of a 70-year-old man who developed biopsy-confirmed calciphylaxis during chronic allograft failure secondary to chronic T-cell-mediated rejection and BK virus nephropathy following deceased-donor kidney transplantation. Additional risk factors included hyperphosphataemia, secondary hyperparathyroidism, long-term warfarin therapy for a mechanical aortic valve, and ongoing immunosuppression. Management involved multidisciplinary care, including cessation of warfarin with bridging intravenous unfractionated heparin, initiation of maintenance haemodialysis, optimisation of chronic kidney disease-mineral and bone disorder, intravenous sodium thiosulfate administered after each haemodialysis session, intensive wound care, pain management, and planned hyperbaric oxygen therapy. Despite these interventions, the patient developed varicella-zoster virus encephalitis and disseminated Trichosporon infection, resulting in progressive multisystem illness and death. This case highlights the multifactorial pathogenesis, diagnostic challenges, and poor prognosis of calciphylaxis in kidney transplant recipients with advanced allograft failure, particularly when anticoagulation cannot be safely discontinued because of a mechanical heart valve. Early recognition, histopathological confirmation, and prompt multidisciplinary management are essential; however, outcomes remain poor in patients with advanced graft dysfunction and ongoing immunosuppression.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261479200"},"PeriodicalIF":0.6,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148906923","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

Gastric adenosquamous carcinoma with an apparently pure squamous phenotype on limited biopsy in a patient with HIV: A case report. 在有限的活组织检查中，HIV患者的胃腺鳞癌表现为明显的纯鳞状表型：1例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-02 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261486169

Mohamed A Youssef, Zahra Sarrafan Chaharsoughi, Celeste E Wagner, Hafiz Ghani, Sreeram Parupudi, Ranjana Nawgiri

{"title":"Gastric adenosquamous carcinoma with an apparently pure squamous phenotype on limited biopsy in a patient with HIV: A case report.","authors":"Mohamed A Youssef, Zahra Sarrafan Chaharsoughi, Celeste E Wagner, Hafiz Ghani, Sreeram Parupudi, Ranjana Nawgiri","doi":"10.1177/2050313X261486169","DOIUrl":"10.1177/2050313X261486169","url":null,"abstract":"Gastric carcinomas with squamous differentiation are exceptionally rare and diagnostically difficult, particularly on limited biopsy material. We report a case of an HIV-positive man in his mid-60s who presented with abdominal pain, melena, and unintentional weight loss. Initial upper endoscopy revealed a large, ulcerated mass involving the gastric fundus and cardia; superficial endoscopic biopsies were non-diagnostic. Endoscopic ultrasound-guided biopsy demonstrated invasive squamous cell carcinoma without a glandular component, and the tumor was staged cT4b cN1 cM0 (clinical Stage IVA, AJCC/UICC eighth edition). The biopsy interpretation was treated as provisional, since sampling of this extent cannot exclude a glandular component. After neoadjuvant FLOT chemotherapy, total gastrectomy with multivisceral resection yielded gastric adenosquamous carcinoma with hepatic metastatic adenocarcinoma, establishing M1 disease and Stage IV. A pure squamous phenotype in a gastric biopsy is therefore not sufficient to diagnose primary gastric squamous cell carcinoma; the distinction rests on the resection specimen. The patient's HIV infection is relevant background rather than a demonstrated cause.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261486169"},"PeriodicalIF":0.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13538990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888468","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

Patulous Eustachian tube dysfunction following rapid weight loss associated with semaglutide use: A case report. 使用西马鲁肽后体重迅速减轻引起的扩张性咽鼓管功能障碍：1例报告。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-02 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261486164

James R Burmeister, Malik Jawad, Ismail Zazay, Aaron Kobernick

{"title":"Patulous Eustachian tube dysfunction following rapid weight loss associated with semaglutide use: A case report.","authors":"James R Burmeister, Malik Jawad, Ismail Zazay, Aaron Kobernick","doi":"10.1177/2050313X261486164","DOIUrl":"10.1177/2050313X261486164","url":null,"abstract":"Patulous Eustachian tube dysfunction (PETD) is an uncommon condition characterized by an abnormally patent Eustachian tube, leading to symptoms such as aural fullness and autophony. Rapid weight loss is a recognized risk factor due to loss of peritubal adipose support. With the increasing use of semaglutide and other glucagon-like peptide-1 receptor agonists for obesity management, substantial and rapid weight reduction has become more common, raising the potential for underrecognized otologic complications. A 79-year-old male presented with intermittent bilateral aural fullness and ear \"popping\" without associated pain, vertigo, or systemic symptoms. His history was notable for intentional weight loss of approximately 200 lb following initiation of semaglutide therapy. Otoscopic examination was unremarkable, and prior tympanometry demonstrated normal middle ear pressure. In the absence of findings suggestive of obstructive Eustachian tube dysfunction, a clinical diagnosis of patulous Eustachian tube dysfunction was made. The patient was managed conservatively with hydration, intranasal saline, and avoidance of decongestants. Rapid, extreme weight loss associated with GLP-1 receptor agonist therapy may precipitate PETD and should be considered in patients presenting with aural fullness and normal middle ear findings. Recognition of this association supports appropriate conservative management and may prevent unnecessary interventions.","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"14 ","pages":"2050313X261486164"},"PeriodicalIF":0.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13538991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888397","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

The value of adrenal venous sampling in unveiling the conundrum of double unilateral adrenal adenomas in a case of primary hyperaldosteronism. 肾上腺静脉取样在揭示原发性高醛固酮增多症双单侧肾上腺腺瘤之谜中的价值。

IF 0.6

SAGE Open Medical Case Reports Pub Date : 2026-09-01 eCollection Date: 2026-01-01 DOI: 10.1177/2050313X261487243

Maab F Elhaj, Elabbass A Abdelmahmuod, Stephen F Beer, Tarik Elhadd

引用次数: 0