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Single frontotemporal approach for microsurgical clipping of bilateral ophthalmic artery aneurysms: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-02-05 eCollection Date: 2025-02-01 DOI: 10.1093/jscr/rjaf042
Orlando Sanchez-Orbegoso, Jhon E Bocanegra-Becerra, Jorge Rabanal-Palacios, Hector Yaya-Loo
{"title":"Single frontotemporal approach for microsurgical clipping of bilateral ophthalmic artery aneurysms: a case report.","authors":"Orlando Sanchez-Orbegoso, Jhon E Bocanegra-Becerra, Jorge Rabanal-Palacios, Hector Yaya-Loo","doi":"10.1093/jscr/rjaf042","DOIUrl":"10.1093/jscr/rjaf042","url":null,"abstract":"<p><p>Bilateral ophthalmic aneurysms represent a distinct niche of brain aneurysms located in a complex skull base region. When considering surgical treatment, a single-stage approach is often advantageous to minimize operative time, tissue manipulation, and damage to neural and vascular structures compared to a two-stage surgery. Nonetheless, this procedure is not exempt from risks, given that through knowledge, preoperative and intraoperative judgment can be necessary to reduce the significant risk of bilateral vision loss. Thus, a tailored approach often is needed. In this study, we present the case of a 53-year-old female who was diagnosed with bilateral ophthalmic aneurysms during the work-up for chronic headaches. Because of the growth pattern and imminent risk of rupture, she underwent elective microsurgical treatment. A frontotemporal approach ipsilateral to the most lobulated aneurysm was performed. Both aneurysms were successfully clipped in a single craniotomy. Her postoperative imaging demonstrated adequate clipping and an uneventful clinical course. Our case outlines the feasibility of a single approach and contributes to the tailored selection for patients when considering microsurgical treatment for these complex lesions.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 2","pages":"rjaf042"},"PeriodicalIF":0.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257039","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
Small bowel diverticulum causing primary enterolithiasis: a rare diagnosis with definitive surgical intervention.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-02-05 eCollection Date: 2025-02-01 DOI: 10.1093/jscr/rjaf037
Angel Guan, Kendall Vignaroli, Kevin Perez, So Un Kim, Danielle Cremat, Aldin Malkoc, Jasmine Lam, Ngoc Patrick Van Nguyen
{"title":"Small bowel diverticulum causing primary enterolithiasis: a rare diagnosis with definitive surgical intervention.","authors":"Angel Guan, Kendall Vignaroli, Kevin Perez, So Un Kim, Danielle Cremat, Aldin Malkoc, Jasmine Lam, Ngoc Patrick Van Nguyen","doi":"10.1093/jscr/rjaf037","DOIUrl":"10.1093/jscr/rjaf037","url":null,"abstract":"<p><p>Primary enterolithiasis is characterized by the formation of stones within the small bowel. The prevalence is estimated to be ~0.3% to 10% in selected populations. Due to its rarity, diagnosis is often delayed. We present the case of a 77 year old male who presented with small bowel obstruction, which was initially thought to be due to intussusception seen on abdominal computed tomography scan. He underwent two diagnostic laparoscopies within 1 month because his small bowel obstruction did not resolve with the initial surgery. The primary enterolith was not discovered until the second surgery where a 5 cm primary enterolith was seen in the small bowel causing early mucosal necrosis. The stone was removed, and the enterotomy was closed. After the enterolith was removed, the patient's upper gastrointestinal symptoms completely resolved.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 2","pages":"rjaf037"},"PeriodicalIF":0.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257042","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
Multidisciplinary marvel: surgical management of aggressive giant cell tumor around the knee in pregnancy: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-02-05 eCollection Date: 2025-02-01 DOI: 10.1093/jscr/rjaf035
A Ali, B Sahito, S A Irfan, Z Farooq, S Ali, J Iqbal
{"title":"Multidisciplinary marvel: surgical management of aggressive giant cell tumor around the knee in pregnancy: a case report.","authors":"A Ali, B Sahito, S A Irfan, Z Farooq, S Ali, J Iqbal","doi":"10.1093/jscr/rjaf035","DOIUrl":"10.1093/jscr/rjaf035","url":null,"abstract":"<p><p>Giant cell tumors (GCTs) are rare, representing 4-5% of all bone tumors. Although uncommon in pregnancy, the literature showed the accelerated progression and recurrence of GCT in pregnancy; however, the tumor growth in pregnancy has not been clarified. We report a case of a 28-year-old woman in her first trimester presenting with an aggressive GCT, significantly affecting the patient's quality of life due to the debilitating nature of her symptoms. Considering the significant functional impairment and aggressive nature of the tumor, a multidisciplinary team opted for surgical intervention, entailing marginal resection and mega-prosthesis implantation. A multidisciplinary approach tailored to the patient's needs enabled successful surgical intervention and positive maternal and fetal outcomes. This case paves the way for the possibility that surgical management of GCTs can be safely performed during pregnancy, highlighting the challenges and critical importance of multidisciplinary care in rare tumor management during pregnancy through timely intervention.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 2","pages":"rjaf035"},"PeriodicalIF":0.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257022","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
Synchronous cervical lymph node involvement with a papillary thyroid carcinoma and small lymphocytic lymphoma: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-02-05 eCollection Date: 2025-02-01 DOI: 10.1093/jscr/rjaf038
Sarra Ben Rejeb, Safia Sakly, Amani Hachicha, Kalthoum Dridi, Senda Turki
{"title":"Synchronous cervical lymph node involvement with a papillary thyroid carcinoma and small lymphocytic lymphoma: a case report.","authors":"Sarra Ben Rejeb, Safia Sakly, Amani Hachicha, Kalthoum Dridi, Senda Turki","doi":"10.1093/jscr/rjaf038","DOIUrl":"10.1093/jscr/rjaf038","url":null,"abstract":"<p><p>The occurrence of multiple malignancies in the same lymph node is rare, and even more so when these malignancies include both papillary thyroid carcinoma (PTC) metastasis and small lymphocytic lymphoma (SLL). We present a unique case of a 58-year-old male with a history of stable, indolent SLL, who developed metastatic PTC within a lymph node previously involved by lymphoma. Despite initial treatment with total thyroidectomy and cervical lymphadenectomy, post-operative surveillance showed elevated thyroglobulin levels and suspicious lymphadenopathy, prompting further investigation. Fine needle aspiration of the lymph node revealed SLL, but the thyroglobulin level in the aspirate was elevated, suggesting metastasis. A subsequent lymph node dissection confirmed PTC metastasis within the lymphomatous background. This case emphasizes the diagnostic challenges in patients with multiple malignancies, particularly when the presence of an indolent lymphoma complicates the assessment of lymphadenopathy.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 2","pages":"rjaf038"},"PeriodicalIF":0.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256965","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
Spontaneous brachiocephalic artery dissection: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-02-05 eCollection Date: 2025-02-01 DOI: 10.1093/jscr/rjaf040
Lewis William Murray
{"title":"Spontaneous brachiocephalic artery dissection: a case report.","authors":"Lewis William Murray","doi":"10.1093/jscr/rjaf040","DOIUrl":"10.1093/jscr/rjaf040","url":null,"abstract":"<p><p>Spontaneous dissection of the brachiocephalic artery is incredibly rare event with only six reported cases in the medical literature. These dissections are associated with significant morbidity and mortality. Given the rarity, there is currently no clear consensus on the management and this present a significant challenge to clinicians. This case reports the successful management of a spontaneous brachiocephalic dissection in a 63-year-old male with pre-existing coronary disease.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 2","pages":"rjaf040"},"PeriodicalIF":0.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257047","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
Interosseous impasse: a unique case of bullet lodgement between the radius and ulna.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-02-05 eCollection Date: 2025-02-01 DOI: 10.1093/jscr/rjaf036
Rand Y Omari, Shiyas Mohammedali, Sohail J Quazi, Mohammed El-Debs, Ahmad Y Al-Omari, Mazin Mohammed, Mohammed Muneer
{"title":"Interosseous impasse: a unique case of bullet lodgement between the radius and ulna.","authors":"Rand Y Omari, Shiyas Mohammedali, Sohail J Quazi, Mohammed El-Debs, Ahmad Y Al-Omari, Mazin Mohammed, Mohammed Muneer","doi":"10.1093/jscr/rjaf036","DOIUrl":"10.1093/jscr/rjaf036","url":null,"abstract":"<p><p>Gunshot injuries to the upper limb are complex, particularly when a projectile lodges between the radius and ulna. These cases demand a detailed approach due to the complicated anatomy and potential for severe functional impairment. A 42-year-old female presented with severe right upper limb pain and motor impairment following a gunshot injury. The bullet entered through the posterior shoulder, shattered the mid-humerus and proximal radius, and lodged between the distal radius and ulna. Multidisciplinary surgical intervention included external fixator application and removal, open reduction, and internal fixation of the humerus, complete nerve decompression, and vascular repair using an interposition reversed saphenous vein graft. The patient's postoperative course was uneventful, and follow-up showed sensory improvement and some motor recovery. This case highlights the complexity of managing gunshot injuries with bullets lodged between the radius and ulna. Multidisciplinary care is essential for addressing the varied challenges posed by such injuries. Further research is needed to refine treatment strategies and improve patient outcomes in similar cases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 2","pages":"rjaf036"},"PeriodicalIF":0.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256939","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
Microsurgical treatment of spinal dural arteriovenous fistula with subarachnoid hemorrhage: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-02-05 eCollection Date: 2025-02-01 DOI: 10.1093/jscr/rjaf021
Yunfan Huang, Ya Wang, Chunming Sun, Xiaocheng Lu
{"title":"Microsurgical treatment of spinal dural arteriovenous fistula with subarachnoid hemorrhage: a case report.","authors":"Yunfan Huang, Ya Wang, Chunming Sun, Xiaocheng Lu","doi":"10.1093/jscr/rjaf021","DOIUrl":"10.1093/jscr/rjaf021","url":null,"abstract":"<p><p>A rare spinal vascular malformation, the spinal dural arteriovenous fistula (sDAVF), is characterized by subtle clinical signs that make diagnosis and treatment of it highly challenging. In this case, we report a 70-year-old male who presented with subarachnoid hemorrhage, an unusual initial symptom of sDAVF. This report emphasizes the diagnostic complexities and highlights a successful management approach utilizing intraoperative indocyanine green angiography. Early identification and precise localization via advanced imaging techniques were pivotal in achieving a favorable outcome.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 2","pages":"rjaf021"},"PeriodicalIF":0.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257018","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
Peritoneal hydatidosis secondary to ruptured hepatic hydatid cyst-a rare presentation: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-02-04 eCollection Date: 2025-02-01 DOI: 10.1093/jscr/rjaf005
Ashenafi Amsalu Feleke, Desiybelew Chanie Mekonnen, Meron Berhanu Zeneber, Muluken Assefa Zemariam, Gebrehiwot Aderaw Workneh, Asratu Getnet Amare
{"title":"Peritoneal hydatidosis secondary to ruptured hepatic hydatid cyst-a rare presentation: a case report.","authors":"Ashenafi Amsalu Feleke, Desiybelew Chanie Mekonnen, Meron Berhanu Zeneber, Muluken Assefa Zemariam, Gebrehiwot Aderaw Workneh, Asratu Getnet Amare","doi":"10.1093/jscr/rjaf005","DOIUrl":"10.1093/jscr/rjaf005","url":null,"abstract":"<p><p>Peritoneal hydatidosis (PH) secondary to rupture of hepatic cyst is an exceedingly rare clinical entity. We present a case of a 25-year-old male patient with PH with a hepatic hydatid cyst. The patient underwent laparotomy, total pericystectomy, segmentectomy, and cholecystectomy with a favorable postoperative course. This case highlights the challenges in diagnosing and managing these rare conditions. This is the first reported case in Ethiopia.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 2","pages":"rjaf005"},"PeriodicalIF":0.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257035","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 nephroblastoma arising in a multicystic dysplastic kidney: a case report and review of the literature.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf003
Sabrine Ben Youssef, Rim Dghaies, Afef Toumi, Manel Njima, Randa Salem, Myriam Ben Fredj, Nouha Ammar, Imene Chabchoub, Amine Ksia, Lassaad Sahnoun
{"title":"A rare case of nephroblastoma arising in a multicystic dysplastic kidney: a case report and review of the literature.","authors":"Sabrine Ben Youssef, Rim Dghaies, Afef Toumi, Manel Njima, Randa Salem, Myriam Ben Fredj, Nouha Ammar, Imene Chabchoub, Amine Ksia, Lassaad Sahnoun","doi":"10.1093/jscr/rjaf003","DOIUrl":"10.1093/jscr/rjaf003","url":null,"abstract":"<p><p>The simultaneous occurrence of Wilms tumor (WT) and multicystic kidney disease (MCKD) is extremely uncommon. Diagnosing WT in pediatric patients with multicystic dysplastic kidney (MCDK) substantially impacts management strategies, especially in surgical interventions and long-term outcomes. In summary, while the exact prevalence of WT in children with MCKD is not well-defined, children with MCDK are followed up throughout childhood by ultrasound because of the perceived risk of developing WT, although this risk is poorly defined and somewhat controversial. Herein, we present the case of an 8-year-old child diagnosed with WT arising in a clearly defined MCDK, discovered incidentally through histological analysis. This case contributes to the ongoing discussion by adding to the existing reports in the literature.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf003"},"PeriodicalIF":0.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081501","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
Novel technique for repair of symmastia using external negative pressure therapy for continuous pre-sternal compression.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf006
Zachary Lawrence, Joel C Stroman, Heather Karu
{"title":"Novel technique for repair of symmastia using external negative pressure therapy for continuous pre-sternal compression.","authors":"Zachary Lawrence, Joel C Stroman, Heather Karu","doi":"10.1093/jscr/rjaf006","DOIUrl":"10.1093/jscr/rjaf006","url":null,"abstract":"<p><p>Symmastia, a term used to describe the medial intermammary confluence that may appear as a complication following breast augmentation or reconstruction, is a cosmetic issue breast surgeons occasionally encounter and must be prepared to correct. Over-dissection of medial structures, oversized implants, and forces applied to implants in the sub-pectoral space have all been proposed as potential causes of the development of symmastia. Numerous techniques to correct symmastia have been described in previous literature, including capsulorrhaphy, dermo-sternal adhesion, neo-pocket creation, and techniques based on muscle repair. However, these methods are susceptible to recurrence. In this case report series, we present three cases in which symmastia was successfully corrected following surgical repair with post-operative external negative pressure therapy over the intermammary sulcus.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf006"},"PeriodicalIF":0.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081525","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
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