{"title":"Correction to: Is it a hemangioma? A combined case report of soft tissue sarcomas mimicking infantile hemangioma.","authors":"","doi":"10.1093/jscr/rjaf844","DOIUrl":"https://doi.org/10.1093/jscr/rjaf844","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/jscr/rjaf748.].</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf844"},"PeriodicalIF":0.5,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12514126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281303","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}
Yavor Asenov, Ivan Valentinov Dimitrov, Mariyan Kotsev, Todor Angelov, Branimir Golemanov, Plamen Getsov, Nikolay Penkov
{"title":"Beyond the psoas: iliopsoas abscess with thigh extension successfully managed by percutaneous approach.","authors":"Yavor Asenov, Ivan Valentinov Dimitrov, Mariyan Kotsev, Todor Angelov, Branimir Golemanov, Plamen Getsov, Nikolay Penkov","doi":"10.1093/jscr/rjaf792","DOIUrl":"10.1093/jscr/rjaf792","url":null,"abstract":"<p><p>Iliopsoas abscess is an uncommon but potentially life-threatening condition. Distal extension into the thigh is extremely rare and usually requires surgery. We report the case of a 65-year-old woman presenting with fever, back pain, and impaired hip mobility. Contrast-enhanced computed tomography revealed a multiloculated iliopsoas abscess extending into the thigh adductor compartment. Under combined ultrasound and fluoroscopic guidance, multi-access percutaneous drainage was performed using one retroperitoneal and two femoral catheters, yielding purulent material positive for <i>Staphylococcus aureus</i>. Targeted antibiotic therapy and serial catheter lavages led to rapid recovery. Drains were removed after 14 days, and the patient remained symptom-free at 3-month follow-up. This case demonstrates that even complex iliopsoas abscesses with thigh extension can be successfully treated with a tailored image-guided percutaneous approach, providing a safe and effective alternative to open surgery in selected cases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf792"},"PeriodicalIF":0.5,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281282","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}
Lara Wirth, Kevin Spencer, Larry Benge, George Dimitroulis
{"title":"Custom subperiosteal implants used to rehabilitate the atrophic edentulous maxilla following multiple failures of both conventional as well as zygomatic implants: a case report.","authors":"Lara Wirth, Kevin Spencer, Larry Benge, George Dimitroulis","doi":"10.1093/jscr/rjaf319","DOIUrl":"10.1093/jscr/rjaf319","url":null,"abstract":"<p><p>The treatment of cleft lip and cleft palate patients typically involves numerous surgeries, often including the replacement of missing teeth and endosseous dental implants are often utilized in this context. Endosseous dental implants require adequate bone volume for placement, and in this patient cohort this often requires an initial alveolar bone graft. Technological advancements can now harness computer-aided design and computer-aided manufacturing (CAD-CAM) to produce modern custom subperiosteal implants that utilize the available bone surface, thus providing an alternative treatment for patients unable to have conventional dental implants. We report the case of a 72-year-old male cleft palate patient who failed a combination of both regular endosseous and zygomatic implants and was left with both hard and soft tissue defects, such that he was not a candidate for further conventional implant placement. Using CAD-CAM technology, custom subperiosteal implants were created to successfully treat his atrophic and severely deformed edentulous maxilla.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf319"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281295","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}
G Balamurugan, Pooja Syamala Nair, Jignesh Jatania, Kamil Wynne, Daya Singh
{"title":"Idiopathic spontaneous perforation of the common bile duct in an adult.","authors":"G Balamurugan, Pooja Syamala Nair, Jignesh Jatania, Kamil Wynne, Daya Singh","doi":"10.1093/jscr/rjaf794","DOIUrl":"10.1093/jscr/rjaf794","url":null,"abstract":"<p><p>Spontaneous perforation of the common bile duct (SPCBD) is an extremely rare clinical entity in adults, typically idiopathic in origin, though potential causes include distal obstruction, reflux of pancreatic secretions, intramural vascular thrombosis, infection, or direct erosion by stones. We present a rare case of idiopathic SPCBD in an adult who had undergone a previous cholecystectomy. Imaging findings revealed biliary dilatation and a fluid collection extending to the paracolic gutter, posing a challenge in determining whether it was a collection related to pancreatitis or other cause. Laparoscopy for peritonitis revealed a biliary collection, which was successfully drained. Following this, an Endoscopic Retrograde Cholangio-Pancreatography identified a bile leak from the common bile duct, leading to a diagnosis of idiopathic SPCBD. The patient was successfully managed with biliary stenting. This case emphasizes the critical role of multidisciplinary team discussions and the value of collaborative approaches in treating such complex conditions.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf794"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281373","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":"Bypass surgery in a Jehovah's Witness with critical limb ischemia and end stage renal disease: a case report.","authors":"Eol Choi","doi":"10.1093/jscr/rjaf795","DOIUrl":"10.1093/jscr/rjaf795","url":null,"abstract":"<p><p>A 60-year-old female Jehovah's Witness with critical limb ischemia and end-stage renal disease underwent staged revascularization including endovascular intervention, free flap reconstruction, and ultimately femoropopliteal bypass using in situ great saphenous vein. Despite maximal blood conservation strategies-erythropoiesis-stimulating agents, intravenous iron, and albumin-her postoperative hemoglobin dropped to 4.7 g/dl without any evidence of active bleeding. She declined allogeneic transfusion and developed multiorgan failure, resulting in death on postoperative Day 3. This case highlights the clinical and ethical complexities of managing high-risk vascular patients who refuse blood transfusion, emphasizing the need for individualized risk assessment, careful perioperative planning, and consideration of patient autonomy under potential external influence.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf795"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281300","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 renal cortical necrosis likely caused by disseminated intravascular coagulation after acute type A aortic dissection repair.","authors":"Kotaro Mukasa, Yasunori Yakita, Ryosuke Marushima, Shinichiro Abe, Soichi Asano","doi":"10.1093/jscr/rjaf793","DOIUrl":"10.1093/jscr/rjaf793","url":null,"abstract":"<p><p>Acute type A aortic dissection carries a risk of disseminated intravascular coagulation (DIC) due to blood exposure in the false lumen, surgical factors, and false lumen thrombosis. We report the case of a 70-year-old woman who underwent total arch replacement with frozen elephant trunk implantation. Postoperatively, she developed DIC complicated by acute kidney injury and cerebral infarction. Contrast-enhanced computed tomography revealed the reverse rim sign, indicating renal cortical necrosis. Ultimately, irreversible renal failure necessitated maintenance hemodialysis. DIC associated with aortic dissection can lead to multi-organ failure from systemic microthrombosis and requires vigilant monitoring.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf793"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281274","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":"Reversal of Roux-en-Y anatomy via gastrogastric anastomosis and sleeve gastrectomy for refractory early dumping syndrome: a case report.","authors":"Tengfei Qi, Haiyong Ma, Xiaojiang Dai, Longying Wang, Jipei He, Xiaochen Liu, Liangping Wu, Hongbin Zhang","doi":"10.1093/jscr/rjaf790","DOIUrl":"10.1093/jscr/rjaf790","url":null,"abstract":"<p><p>Early dumping syndrome (DS) is a common complication after Roux-en-Y gastric bypass (RYGB), with refractory cases posing significant therapeutic challenges. A 38-year-old male developed severe refractory early DS 2 years post-RYGB, confirmed by modified oral glucose tolerance test meeting Scarpellini 2020 criteria. Symptoms persisted despite maximal dietary and pharmacotherapy (acarbose, somatostatin analogues). The patient underwent laparoscopic gastrogastric anastomosis combined with sleeve gastrectomy -the first reported application for this indication. The Sigstad score decreased from 16 to 6 at 180-day follow-up, indicating complete symptom resolution. Endoscopy and imaging confirmed patent anastomosis without stenosis/leakage, and no complications occurred. This novel combined procedure is a safe and effective solution for refractory early DS post-RYGB, restoring physiological gastric emptying. Long-term outcomes require validation in larger studies.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf790"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281349","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}
Luz Elena Rueda Gallardo, Juan Pablo Zaraza Duarte, Fabien Catherine Luna Aguilar, Frank Andrés Álvarez Vásquez
{"title":"Sequential multi-reconstructive approach to a massive scalp defect: a case report.","authors":"Luz Elena Rueda Gallardo, Juan Pablo Zaraza Duarte, Fabien Catherine Luna Aguilar, Frank Andrés Álvarez Vásquez","doi":"10.1093/jscr/rjaf778","DOIUrl":"10.1093/jscr/rjaf778","url":null,"abstract":"<p><p>Reconstruction of scalp defects continues to be a surgical challenge due to its anatomical and functional characteristics. The ideal reconstructive technique between local flaps, tissue expanders, dermal matrices, the use of negative pressure system and free flaps should provide durable and aesthetically acceptable coverage based on the etiology, defect size, local tissue availability, and patient comorbidities; with the aim of preserving hairlines, coverage with hair-bearing skin and preventing antiesthetic scars and areas of alopecia. We present a case of scalp avulsion affecting 90% of the total area, in which multiple surgical strategies were used to achieve the stated objective.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf778"},"PeriodicalIF":0.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259599","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":"Acute appendicitis causing small bowel obstruction: a rare cause of mechanical obstruction.","authors":"Shayma Alahmed, Ahmad Karmustaji, Harvey Hawes","doi":"10.1093/jscr/rjaf809","DOIUrl":"10.1093/jscr/rjaf809","url":null,"abstract":"<p><p>Small bowel obstruction (SBO) is a common cause of acute abdominal pain, typically resulting from adhesions, hernias, or malignancy. Appendicitis is a rare etiology of mechanical SBO, with less than 50 cases documented in the literature. We report the case of a 66-year-old woman who presented with severe abdominal pain and vomiting. Computed tomography imaging revealed a closed-loop SBO with two transition points in the right lower quadrant and associated mesenteric congestion. Although the appendix appeared unremarkable on imaging, diagnostic laparoscopy identified an inflamed appendix forming a band encircling the small bowel, resulting in mechanical obstruction. A laparoscopic appendectomy was performed, with complete resolution of the obstruction. This case highlights a rare but important cause of SBO and emphasizes the role of early surgical intervention and diagnostic laparoscopy in identifying unusual intra-abdominal pathologies.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf809"},"PeriodicalIF":0.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259661","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}
Abdulmajeed Al Khathami, Renad S Al Subaie, Manal Al Subaie, Faisal Ali A Alsalouli, Khamiso Khan
{"title":"Ankyloblepharon filiforme adnatum in a preterm neonate: a case report highlighting early recognition and surgical management.","authors":"Abdulmajeed Al Khathami, Renad S Al Subaie, Manal Al Subaie, Faisal Ali A Alsalouli, Khamiso Khan","doi":"10.1093/jscr/rjaf810","DOIUrl":"10.1093/jscr/rjaf810","url":null,"abstract":"<p><p>Ankyloblepharon filiforme adnatum (AFA) is a rare congenital anomaly characterized by fine bands of tissue connecting the upper and lower eyelids, potentially obstructing vision if left untreated. We report a case of a preterm male neonate born at 33 weeks and 4 days of gestation via emergency cesarean section due to maternal preeclampsia. On examination, the infant had bilateral eyelid fusion consistent with AFA, confirmed by ophthalmologic evaluation. Surgical division of the adhesions was performed under general anesthesia with no complications. Postoperative recovery was uneventful, and follow-up confirmed clear corneas and normal ocular structures. This case highlights the importance of early recognition and prompt surgical management of AFA to prevent visual deprivation, particularly in preterm infants. It also underscores the need to assess for possible syndromic associations, although this case appeared isolated. Awareness of AFA among neonatologists and ophthalmologists can support timely diagnosis and intervention.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf810"},"PeriodicalIF":0.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259652","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}