Journal of Surgical Case Reports最新文献

Internal herniation through Petersen's defect following Roux-en-Y gastric bypass presenting as subacute bilateral lower extremity edema due to IVC compression - a case report. Roux-en-Y胃旁路术后经Petersen缺损的内部疝表现为下腔静脉压迫引起的亚急性双侧下肢水肿1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag937

Reese Bryan, Stephanie Garcia, Zhamak Khorgami

引用次数: 0

Spermatic cord tunnel Penrose drainage for cephalad-tracking Fournier's gangrene: a case report. 精索隧道Penrose引流治疗头追踪型富尼耶坏疽1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag934

Sepideh Garrosi, Necial Marcelin, Ingrid Paredes, Marlon Pastrana

引用次数: 0

Swallowed dental prosthesis causing late oesophageal obstruction and tracheo-oesophageal fistula in a young patient. 吞咽假牙致晚期食道梗阻及气管-食道瘘1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag946

Harish Prasanna, Daniel Boyle, David Bowrey

{"title":"Swallowed dental prosthesis causing late oesophageal obstruction and tracheo-oesophageal fistula in a young patient.","authors":"Harish Prasanna, Daniel Boyle, David Bowrey","doi":"10.1093/jscr/rjag946","DOIUrl":"10.1093/jscr/rjag946","url":null,"abstract":"A 25-year-old man presented to the emergency department after a rugby accident having swallowed a dental plate. Initial assessment at the time of ingestion, including a chest radiograph, was unremarkable and the plate was presumed to have been expectorated. Five years later he presented with progressive dysphagia, recurrent food bolus obstruction, and haemoptysis. Computed tomography of the thorax performed 5 years later revealed circumferential oesophageal thickening and a large inflammatory mass around a retained radio-opaque foreign body at the level of the carina, with an associated tracheo-oesophageal fistula. Endoscopy confirmed near-complete obstruction of the oesophagus. He underwent a right thoracotomy with oesophagectomy, removal of the retained dental prosthesis and repair of the fistula. He made a slow but steady recovery and has required anastomotic dilatation for a stricture. This case highlights the risk of complications from retained oesophageal foreign bodies and the limitations of plain radiography in detecting non-radio-opaque dental plates.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag946"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229204","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 gastrectomy for perforated gastric intramural metastasis after definitive chemoradiotherapy for distal esophageal squamous cell carcinoma: a case report. 食管远端鳞状细胞癌明确放化疗后穿孔胃壁内转移的挽救性胃切除术1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag932

Jirat Leelapatanadit, Sawanya Sangthong, Rawat Waratchanont, Wichitra Asanprakit, Viriya Kaewkangsadan, Sukchai Satthaporn

{"title":"Salvage gastrectomy for perforated gastric intramural metastasis after definitive chemoradiotherapy for distal esophageal squamous cell carcinoma: a case report.","authors":"Jirat Leelapatanadit, Sawanya Sangthong, Rawat Waratchanont, Wichitra Asanprakit, Viriya Kaewkangsadan, Sukchai Satthaporn","doi":"10.1093/jscr/rjag932","DOIUrl":"10.1093/jscr/rjag932","url":null,"abstract":"Gastric intramural metastasis from esophageal squamous cell carcinoma (ESCC) is rare, and chemotherapy-associated perforation is exceptionally uncommon. We report a case of a 67-year-old man with distal ESCC and a separate cardia squamous cell carcinoma (SCC). He declined esophagectomy and received definitive chemoradiotherapy (dCRT) with paclitaxel, carboplatin, and 50.4 Gy radiotherapy. During the second chemotherapy cycle, the cardia tumor perforated and was treated by emergency omental patch repair. Chemoradiotherapy was subsequently completed. Three months after completion of dCRT, the esophageal lesion showed a clinical complete response, whereas residual cardia disease persisted. Extended total gastrectomy with splenectomy achieved R0 resection; pathology showed a 6-cm pT3 moderately differentiated SCC with partial treatment response and 0/12 positive nodes. Postoperative nivolumab was administered. This case illustrates a staged salvage strategy for persistent gastric intramural disease after definitive chemoradiotherapy.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag932"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229225","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

Emphysematous gastritis with extensive portal venous gas and endoscopic mucosal necrosis: gastric preservation despite an alarming presentation. 肺气肿性胃炎伴广泛门静脉气体和内镜下粘膜坏死：尽管表现令人担忧，但胃仍保留。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag942

Ettore Caruso, Carmine Gabriele, Denise Gambardella, Roccantonio Pellegrino, Maria Bonaddio, Luigi Strangis, Francesca Ibba, Martina De Luca, Martina Saragò, Martina Nicoletti, Laura Rizzo, Francesca Vescio, Vittorio Tedesco, Aurora Somma, Giuseppe Bonadio, Gianlorenzo Schicchi, Angelo Aldo Schicchi, Manfredo Tedesco

{"title":"Emphysematous gastritis with extensive portal venous gas and endoscopic mucosal necrosis: gastric preservation despite an alarming presentation.","authors":"Ettore Caruso, Carmine Gabriele, Denise Gambardella, Roccantonio Pellegrino, Maria Bonaddio, Luigi Strangis, Francesca Ibba, Martina De Luca, Martina Saragò, Martina Nicoletti, Laura Rizzo, Francesca Vescio, Vittorio Tedesco, Aurora Somma, Giuseppe Bonadio, Gianlorenzo Schicchi, Angelo Aldo Schicchi, Manfredo Tedesco","doi":"10.1093/jscr/rjag942","DOIUrl":"10.1093/jscr/rjag942","url":null,"abstract":"Emphysematous gastritis (EG) is a rare, potentially life-threatening condition. Extensive gastric pneumatosis and portal venous gas may suggest irreversible ischemia, although radiological severity and mucosal injury do not necessarily indicate transmural necrosis. A 70-year-old man presented with acute epigastric pain and vomiting. Computed tomography (CT) demonstrated extensive gastric and duodenal pneumatosis with portomesenteric venous gas but patent visceral arteries. Immediately after CT, he developed cardiac arrest, with return of spontaneous circulation after approximately 14 min. Emergency laparoscopy showed a viable stomach without perforation or transmural necrosis, whereas intraoperative endoscopy demonstrated extensive necrotic-appearing gastric mucosa. Gastrectomy was therefore avoided. Follow-up CT 4 days later showed complete resolution of pneumatosis and portomesenteric venous gas. The patient subsequently died from post-anoxic neurological injury and multiorgan failure. Surgical exploration and gastric resection should remain distinct decisions in severe EG, integrating imaging, endoscopy, and direct assessment of gastric viability.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag942"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229004","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

Medullary adenocarcinoma of the ascending colon mimicking appendicitis after prior appendectomy. 先前阑尾切除术后的升结肠髓样腺癌，类似阑尾炎。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag949

Ian L Cummings-Ruiz, Jose O Nieves-Munoz, Suheily Acevedo, Guillermo E Bolaños Avila

{"title":"Medullary adenocarcinoma of the ascending colon mimicking appendicitis after prior appendectomy.","authors":"Ian L Cummings-Ruiz, Jose O Nieves-Munoz, Suheily Acevedo, Guillermo E Bolaños Avila","doi":"10.1093/jscr/rjag949","DOIUrl":"10.1093/jscr/rjag949","url":null,"abstract":"Medullary adenocarcinoma is a rare colorectal carcinoma that may be difficult to recognize when inflammation dominates the presentation. A 65-year-old woman with a remote appendectomy presented with 1 month of postprandial abdominal pain, weight loss, and constipation. Repeated computed tomography demonstrated marked pericecal inflammation and a blind-ending structure interpreted as possible appendicitis despite her surgical history. Diagnostic laparoscopy identified an enlarged mesenteric lymph node, and excision unexpectedly showed metastatic medullary carcinoma of colonic origin with loss of MutL homolog 1 and PMS1 homolog 2 genes. Subsequent evaluation identified an ascending-colon primary. Right hemicolectomy confirmed a 1.5 cm poorly differentiated medullary adenocarcinoma, staged as pT2 pN1b, with negative margins. The patient remains clinically well during oncologic treatment. Persistent appendicitis-like inflammation, particularly when discordant with prior appendectomy, should prompt evaluation for cecal or ascending-colon malignancy.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag949"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229091","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 diagnosis of congenital pulmonary airway malformation in an infant: diagnostic challenges and surgical implications. 婴儿先天性肺气道畸形的延迟诊断：诊断挑战和手术意义。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag924

Nour Srewell, Youssef Chouman, Yamama Sharief, Mohammed Baraa Meqdad, Mira Hamzeh Rafea, Omar Alsalama, Bushra Alsahan, Mohammd Abdulkader, Sawssan Ali

{"title":"Delayed diagnosis of congenital pulmonary airway malformation in an infant: diagnostic challenges and surgical implications.","authors":"Nour Srewell, Youssef Chouman, Yamama Sharief, Mohammed Baraa Meqdad, Mira Hamzeh Rafea, Omar Alsalama, Bushra Alsahan, Mohammd Abdulkader, Sawssan Ali","doi":"10.1093/jscr/rjag924","DOIUrl":"10.1093/jscr/rjag924","url":null,"abstract":"Although congenital pulmonary airway malformation (CPAM) is usually diagnosed during prenatal screening, delayed presentation may increase diagnostic uncertainty and operative complexity. We report, to our knowledge, the first case of CPAM diagnosed and surgically managed in Syria in a 4-month-old infant presenting with a 1-month history of dyspnea, fever, and poor feeding in the absence of routine prenatal screening. Initial chest radiography, although technically limited, demonstrated a rounded opacity in the right hemithorax, while non-contrast chest computed tomography (CT) revealed multicystic lesions with a hyperattenuating intralesional component, raising suspicion for secondary infection or pleuropulmonary blastoma (PPB). The patient underwent right upper and middle bilobectomy, and histopathological examination confirmed CPAM and excluded PPB. This case highlights the complementary roles of postnatal CT, surgery, and histopathology in confirming CPAM and excluding PPB, particularly when delayed presentation increases operative complexity.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag924"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229020","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 rare case of gallbladder torsion with incidental stage IIIB gallbladder adenocarcinoma. 胆囊扭转伴偶发IIIB期胆囊腺癌1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag929

Makenna Marty, Jonathan Zuo, Linan Wang, Marc A Attiyeh

{"title":"A rare case of gallbladder torsion with incidental stage IIIB gallbladder adenocarcinoma.","authors":"Makenna Marty, Jonathan Zuo, Linan Wang, Marc A Attiyeh","doi":"10.1093/jscr/rjag929","DOIUrl":"10.1093/jscr/rjag929","url":null,"abstract":"Gallbladder torsion is rare and can mimic acute cholecystitis. We report an 83-year-old female who presented with abdominal pain, leukocytosis, and hyperbilirubinemia. Work-up showed a distended, thick-walled gallbladder with stones and suspected choledocholithiasis. Because of worsening pain and concern for impending perforation, she underwent urgent cholecystectomy, which revealed a freely mobile gallbladder consistent with torsion. Final pathology showed a 0.4 cm poorly differentiated adenocarcinoma with metastatic involvement of a cystic duct lymph node (stage IIIB). Postoperatively, she underwent endoscopic retrograde cholangiopancreatography and removal of a retained common bile duct stone. Staging positron emission tomography/computed tomography demonstrated no residual or metastatic disease. Because the gallbladder was detached from the liver bed due to torsion, no further hepatic resection was performed, and systemic chemotherapy was recommended. This case illustrates both the diagnostic challenge of gallbladder torsion and a novel management consideration for incidentally discovered gallbladder cancer in the setting of a floating gallbladder.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag929"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229060","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 schwannoma: a case report. 胃神经鞘瘤1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag927

Mohamed Tariq Haniff, Andrew Tse, Guillermo Becerril-Martinez

{"title":"Gastric schwannoma: a case report.","authors":"Mohamed Tariq Haniff, Andrew Tse, Guillermo Becerril-Martinez","doi":"10.1093/jscr/rjag927","DOIUrl":"10.1093/jscr/rjag927","url":null,"abstract":"Gastric schwannomas are rare, benign mesenchymal tumours that closely mimic gastrointestinal stromal tumours (GISTs) on imaging, despite fundamentally different biological behaviour. We report a 74-year-old man with a background of proctocolectomy for rectal cancer, found incidentally to have a 5 cm exophytic gastric mass on surveillance gastroscopy. Endoscopic ultrasound-guided fine needle aspiration favoured schwannoma, and the patient underwent an uncomplicated laparoscopic gastric wedge resection. Histopathology confirmed gastric schwannoma with clear margins and no nodal involvement; immunohistochemistry was positive for S100 calcium-binding protein (S100)/SRY-box transcription factor 10 (SOX10) and negative for discovered on GIST-1 (DOG1)/CD117 (c-KIT)/smooth muscle actin (SMA)/desmin, excluding GIST. He recovered well and was discharged after 2 days, with a conservative surveillance endoscopy plan (6 months, then annually for 5 years) agreed at multidisciplinary team meeting. This case underscores the essential role of immunohistochemistry in distinguishing gastric schwannoma from GIST, and highlights the absence of a consensus surveillance protocol following resection.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag927"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229010","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

Pulmonary dermoid cyst mimicking hydatid cyst: a case report with literature review. 肺皮样囊肿模拟包虫囊肿1例并文献复习。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag941

Fahmi H Kakamad, Harem K Ahmed, Amanj K Hamad, Ari M Abdullah, Ahmed H Ahmed, Rebaz M Ali, Harun Amanj Ahmed, Mohammed Namiq Amin, Mohammed Abdullah Othman

{"title":"Pulmonary dermoid cyst mimicking hydatid cyst: a case report with literature review.","authors":"Fahmi H Kakamad, Harem K Ahmed, Amanj K Hamad, Ari M Abdullah, Ahmed H Ahmed, Rebaz M Ali, Harun Amanj Ahmed, Mohammed Namiq Amin, Mohammed Abdullah Othman","doi":"10.1093/jscr/rjag941","DOIUrl":"10.1093/jscr/rjag941","url":null,"abstract":"Intrapulmonary dermoid cyst (mature cystic teratoma) is rare and may mimic common cystic lung diseases, particularly pulmonary hydatid disease. A 26-year-old woman presented with dyspnea and left-sided chest, shoulder, and neck pain. Computed tomography demonstrated a large complex cystic lesion in the left upper lobe with gas locules and associated pleural and pericardial effusions, initially suggesting a hydatid cyst. Video-assisted thoracoscopic excision revealed hair and heterogeneous cyst contents, and histopathology showed mature tissues from multiple germ layers with xanthogranulomatous inflammation, confirming a mature teratoma. The patient remained well at the 3-month follow-up. A focused review of eight reported cases of intrapulmonary teratoma showed heterogeneous presentations and recurrent preoperative diagnostic uncertainty. Intrapulmonary teratoma may present as a complex cystic lung lesion and can be mistaken for a hydatid cyst or a lung abscess.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag941"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229145","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