Journal of Surgical Case Reports最新文献

Vaginal mucosal necrosis following traditional vaginal cauterization in Somalia: a case report. 索马里传统阴道烧灼术后阴道粘膜坏死：一例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag351

Ikran Abdırahman Yusuf, Kadri Tezel, Yesim Kürekci, Hiba Bashır Hassan, Samira Ahmed Mohamud

{"title":"Vaginal mucosal necrosis following traditional vaginal cauterization in Somalia: a case report.","authors":"Ikran Abdırahman Yusuf, Kadri Tezel, Yesim Kürekci, Hiba Bashır Hassan, Samira Ahmed Mohamud","doi":"10.1093/jscr/rjag351","DOIUrl":"https://doi.org/10.1093/jscr/rjag351","url":null,"abstract":"Traditional vaginal cauterization is practiced in some low-resource settings, including Somalia, for gynecological complaints. Unregulated thermal exposure may cause severe tissue destruction. Circumferential full-thickness vaginal necrosis requiring reconstruction is extremely rare. A 70-year-old multiparous Somali woman presented with severe vaginal pain, foul discharge, fever, and urinary retention 14 days after cauterization. Examination revealed stage IV pelvic organ prolapse and circumferential full-thickness vaginal necrosis extending to within 1 cm of the urethral meatus. Laboratory tests showed leukocytosis (12 400/mm3), elevated C-reactive protein (46 mg/L), and creatinine 1.3 mg/dL. Intravenous antibiotics were initiated. Wound culture grew Klebsiella spp. susceptible to gentamicin, and therapy was adjusted. Surgical debridement followed by colpocleisis was performed. Recovery was uneventful. Traditional vaginal cauterization may cause devastating thermal injury requiring radical surgery. Early recognition and multidisciplinary management are essential. Preventive public health measures are urgently needed.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 5","pages":"rjag351"},"PeriodicalIF":0.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843873","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

Modified sleeve gastrectomy technique with Hemoben hemostatic powder: prevention of early postoperative bleeding. 改良套筒胃切除术加赫曼止血粉：预防术后早期出血。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag334

Alijon Salimovich Murodov, Jamol Kamalovich Toshpulatov, Jafar Zafarovich Juraev

{"title":"Modified sleeve gastrectomy technique with Hemoben hemostatic powder: prevention of early postoperative bleeding.","authors":"Alijon Salimovich Murodov, Jamol Kamalovich Toshpulatov, Jafar Zafarovich Juraev","doi":"10.1093/jscr/rjag334","DOIUrl":"https://doi.org/10.1093/jscr/rjag334","url":null,"abstract":"Postoperative bleeding from the staple line remains a significant complication after laparoscopic sleeve gastrectomy, occurring in 0.6%-3.4% of cases. This study presents a modified surgical technique utilizing Hemoben hemostatic powder combined with omental reinforcement to prevent early bleeding complications. Between 2019 and 2022, 187 patients with morbid obesity underwent laparoscopic sleeve gastrectomy. The intervention group (n = 95) received the modified technique with Hemoben powder application and distal staple line reinforcement with omentum, while the control group (n = 92) underwent conventional oversewing. The modified technique demonstrated lower bleeding rates (1.05% vs 3.26%, P = .36, Fisher's exact test; 95% confidence intervals provided), reduced operative time by 10-15 min, and decreased transfusion requirements. No reoperations for bleeding were needed in the intervention group compared to one case in controls. The technique is simple, cost-effective, and provides reliable hemostasis without prolonging surgery duration. This modified approach demonstrates promising observational results as an alternative for preventing staple line bleeding in sleeve gastrectomy procedures and requires prospective multicenter validation.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 5","pages":"rjag334"},"PeriodicalIF":0.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844630","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

Appendicitis causing psoas and liver abscesses-a rare combination. 阑尾炎引起腰肌和肝脓肿——一种罕见的组合。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag348

Matea Dominkovic, George Chen

引用次数: 0

Management of ruptured pulmonary hydatid cyst presenting with massive haemoptysis in a 4-year-old child: a case report. 1例4岁儿童肺包虫病破裂伴大咯血的处理。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag350

Reem Amro, Ghassan Abu-Sharikh, Kenana Altell, Mohsen Alqawasma, Lana Abuzahra

{"title":"Management of ruptured pulmonary hydatid cyst presenting with massive haemoptysis in a 4-year-old child: a case report.","authors":"Reem Amro, Ghassan Abu-Sharikh, Kenana Altell, Mohsen Alqawasma, Lana Abuzahra","doi":"10.1093/jscr/rjag350","DOIUrl":"https://doi.org/10.1093/jscr/rjag350","url":null,"abstract":"Hydatid disease (HD) is a zoonotic parasitic infection caused by Echinococcus granulosus and remains endemic in many regions. In children, pulmonary involvement is more common than hepatic disease and is often asymptomatic or mildly symptomatic. Massive hemoptysis as an initial presentation in early childhood is extremely rare. We report a case of a previously healthy 4-year-old boy who presented with a 3-day history of productive cough and massive hemoptysis without fever or systemic symptoms. Chest radiography showed right-sided consolidation, and contrast-enhanced computed tomography revealed a large cavitary lesion in the right middle lobe suggestive of a ruptured hydatid cyst. The patient underwent successful video-assisted thoracoscopic surgery-assisted mini-thoracotomy excision with chest tube placement, followed by albendazole therapy. Recovery was uneventful with excellent outcome. This case highlights the need to consider pulmonary HD in the differential diagnosis of hemoptysis in children living in endemic areas and supports minimally invasive surgical management when feasible.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 5","pages":"rjag350"},"PeriodicalIF":0.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844556","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

Delayed retained hemopneumothorax secondary to rib fracture with pulmonary perforation treated by video-assisted thoracoscopic surgery: a case report. 电视胸腔镜手术治疗继发于肋骨骨折伴肺穿孔的迟发性保留血气胸1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag337

Luis Francisco Llerena Freire, Cristina Anahí Mantilla Pazmiño, Patricio Javier Pérez Miranda, Erick Hugo Zambrano Franco, Evelyn Fernanda Tovar Mueckay, Mauricio Sebastián Jacome Maldonado, Giannella Izamar Llerena Freire, Mariangel Bustamante Luzuriaga, Dominic Arley Granda Cruz

{"title":"Delayed retained hemopneumothorax secondary to rib fracture with pulmonary perforation treated by video-assisted thoracoscopic surgery: a case report.","authors":"Luis Francisco Llerena Freire, Cristina Anahí Mantilla Pazmiño, Patricio Javier Pérez Miranda, Erick Hugo Zambrano Franco, Evelyn Fernanda Tovar Mueckay, Mauricio Sebastián Jacome Maldonado, Giannella Izamar Llerena Freire, Mariangel Bustamante Luzuriaga, Dominic Arley Granda Cruz","doi":"10.1093/jscr/rjag337","DOIUrl":"https://doi.org/10.1093/jscr/rjag337","url":null,"abstract":"Retained hemothorax is a complication of thoracic trauma caused by incomplete pleural drainage and early fibrotic organization, potentially progressing to trapped lung and functional impairment if untreated. A 60-year-old man sustained fractures of the eighth, ninth, and tenth right ribs after a fall, one associated with pulmonary injury. Without initial medical care, he presented 15 days later with progressive dyspnea. Chest radiography showed right lung collapse with massive hemopneumothorax. Closed thoracostomy drained 4000 ml of blood, but lung re-expansion failed due to organized hemothorax. Video-assisted thoracoscopic surgery revealed organized clots and pleuropulmonary adhesions causing trapped lung. Complete evacuation, adhesiolysis, and pleural lavage were performed. Postoperative drainage was 180 ml. With intensive respiratory physiotherapy, full lung re-expansion and satisfactory recovery were achieved. In stable patients with delayed retained hemothorax, video-assisted thoracoscopic surgery enables effective resolution, avoiding thoracotomy and restoring pulmonary function through a minimally invasive approach.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 5","pages":"rjag337"},"PeriodicalIF":0.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13147454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844576","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

Salvage of pedicled anterolateral thigh flap for closure of a massive full-thickness abdominal wall defect using modified Perez protocol for chemical leeching-a case report. 带蒂大腿前外侧皮瓣修复大面积全层腹壁缺损的改良Perez化学水蛭术1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag318

Olakunle Fatai Babalola, Roseline Udensi, Adedayo Idris Salawu, Adeniyi Steven Hassan, Oluwaseun Joseph Ogunmoroti

{"title":"Salvage of pedicled anterolateral thigh flap for closure of a massive full-thickness abdominal wall defect using modified Perez protocol for chemical leeching-a case report.","authors":"Olakunle Fatai Babalola, Roseline Udensi, Adedayo Idris Salawu, Adeniyi Steven Hassan, Oluwaseun Joseph Ogunmoroti","doi":"10.1093/jscr/rjag318","DOIUrl":"https://doi.org/10.1093/jscr/rjag318","url":null,"abstract":"The aim of this case report is to spotlight the effectiveness of the Perez protocol for chemical leeching in rescuing a large pedicled anterolateral thigh fasciocutaneous flap endangered by diffuse venous congestion. A review of the case file, clinical photographs, radiological, and histopathological studies of the patient was conducted. Venous congestion was detected on the 2nd postoperative day in a 51-year-old woman who had pedicled anterolateral thigh flap coverage of a massive post-tumour resection full-thickness abdominal wall defect. The Perez protocol was initiated immediately and continued for 14 days. A slight modification of the dosage was necessitated by the volume of flap tissue involved. Partial salvage of the flap was achieved by the 14th postoperative day with no visceral exposure. The residual granulation on the flap was resurfaced with a meshed split-thickness skin graft. We affirmed the reliability of Perez's protocol as a reliable guide for managing flap venous congestion.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 5","pages":"rjag318"},"PeriodicalIF":0.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844598","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

A case report of postoperative poor drainage of perianal abscess in an obese diabetic patient treated with comprehensive therapy. 1例肥胖糖尿病患者经综合治疗后肛周脓肿引流不良。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag349

Fang Li, Mian Qin, Zhen Lei, Ying Lu, Yuming Yuan, Xiaobin Shao, Rongqing Zhao

引用次数: 0

A rare case of posterior mediastinal chondrosarcoma: a case report and brief literature review. 后纵隔软骨肉瘤1例报告及文献复习。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag060

Juliana Pardo, Luis Gerardo García-Herreros Hellal, Julio César Granada Camacho, María Alejandra Amaya

引用次数: 0

Traumatic rupture of an isolated splenic hydatid cyst: a rare and challenging surgical emergency. 外伤性脾包虫囊肿破裂：罕见且具有挑战性的外科急诊。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-06 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag317

Hazem Ahmad AlShikh, Amal Ali Al Aeid, Beshr Mosa Basha, Mariam M Hussain, Rana Ahmed Abdelnaby, Fadhel Alherz

{"title":"Traumatic rupture of an isolated splenic hydatid cyst: a rare and challenging surgical emergency.","authors":"Hazem Ahmad AlShikh, Amal Ali Al Aeid, Beshr Mosa Basha, Mariam M Hussain, Rana Ahmed Abdelnaby, Fadhel Alherz","doi":"10.1093/jscr/rjag317","DOIUrl":"https://doi.org/10.1093/jscr/rjag317","url":null,"abstract":"Isolated splenic hydatidosis is a rare manifestation of Echinococcus granulosus infection, accounting for ~0.5%-4% of reported cases. Although often asymptomatic, cyst rupture is an uncommon but severe complication that may result in life-threatening systemic reactions, frequently precipitated by trauma. A 65-year-old Saudi male with type 2 diabetes mellitus and hypertension presented with acute epigastric pain, nausea, vomiting, and low-grade fever one week after minor trauma. He was hypotensive with a tender, non-peritonitic abdomen, and elevated inflammatory markers. Contrast-enhanced computed tomography demonstrated a large ruptured splenic hydatid cyst with intraperitoneal fluid. Emergency laparotomy with total splenectomy was performed, and histopathology confirmed the diagnosis. Recovery was uneventful, and albendazole therapy was initiated. Minor trauma may precipitate rupture of an unrecognized splenic hydatid cyst, and early imaging with prompt surgical management is critical to prevent life-threatening complications, particularly in endemic regions.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 5","pages":"rjag317"},"PeriodicalIF":0.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844601","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

Surgical management of pancreatic ganglioneuroma in a child: case report. 儿童胰神经节神经瘤的手术治疗：1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-05-03 eCollection Date: 2026-05-01 DOI: 10.1093/jscr/rjag341

João Victor Risso, Carmem Maria Costa Mendonça Fiori, Gabriel da Rocha Bonatto, Matheus Takahashi Garcia, Carlos Floriano de Morais

{"title":"Surgical management of pancreatic ganglioneuroma in a child: case report.","authors":"João Victor Risso, Carmem Maria Costa Mendonça Fiori, Gabriel da Rocha Bonatto, Matheus Takahashi Garcia, Carlos Floriano de Morais","doi":"10.1093/jscr/rjag341","DOIUrl":"https://doi.org/10.1093/jscr/rjag341","url":null,"abstract":"This report describes an exceptional paediatric case of a ganglioneuroma arising in the pancreatic topography, a rare condition that may mimic more aggressive neoplasms and hinder appropriate management selection. A previously healthy 7-year-old girl presented with a non-specific acute febrile syndrome, prompting an expanded diagnostic evaluation. Imaging studies revealed a well-defined solid mass adjacent to the pancreatic head, accompanied by minimal and non-contributory laboratory abnormalities. Given the persistent aetiological uncertainty and the intimate relationship of the lesion with major vascular structures, a surgical approach was indicated. Intraoperative histopathological assessment confirmed the diagnosis of ganglioneuroma, enabling conservative resection with adequate anatomical preservation. The postoperative course was uneventful, culminating in satisfactory recovery. This case highlights the importance of a structured multidisciplinary approach for guiding precise decision-making in the management of paediatric pancreatic masses.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 5","pages":"rjag341"},"PeriodicalIF":0.5,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844617","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