Journal of Surgical Case Reports最新文献

Complicated appendicitis as a rare presentation of Burkitt's lymphoma: a case report. 罕见的Burkitt淋巴瘤并发阑尾炎1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-08-01 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf585

Kevin J Fuentes-Calvo, Luis F Arias-Ruiz, Irving Fuentes-Calvo, Angélica D Hidalgo-Maldonado, María F Aparicio-Sosa, Edson Escandón-Villalobos, Luis O González-Alcocer, Oscar Aguilar-Ruiz, Rita Dorantes-Heredia, Gonzalo Torres-Villalobos

{"title":"Complicated appendicitis as a rare presentation of Burkitt's lymphoma: a case report.","authors":"Kevin J Fuentes-Calvo, Luis F Arias-Ruiz, Irving Fuentes-Calvo, Angélica D Hidalgo-Maldonado, María F Aparicio-Sosa, Edson Escandón-Villalobos, Luis O González-Alcocer, Oscar Aguilar-Ruiz, Rita Dorantes-Heredia, Gonzalo Torres-Villalobos","doi":"10.1093/jscr/rjaf585","DOIUrl":"https://doi.org/10.1093/jscr/rjaf585","url":null,"abstract":"Burkitt lymphoma (BL) is an aggressive B-cell non-Hodgkin lymphoma that rarely involves the appendix and may mimic acute appendicitis, complicating preoperative diagnosis. In the context of nonoperative management for appendicitis, such malignancies risk being overlooked. A 32-year-old immunocompetent male presented with right upper quadrant pain, leukocytosis, cholestatic liver profile, and a hepatic lesion on imaging. Positron emission tomography-computed tomography (PET-CT) showed intense fluorodeoxyglucose uptake in the colon, liver, and peritoneum. Laparoscopy revealed an enlarged appendix (15 × 3 cm) with abscess; appendectomy was performed. Histopathology confirmed BL with a 'starry sky' pattern and Ki-67 of 95%. Appendiceal BL, though rare, should be suspected in atypical or complicated appendicitis, even without classic risk factors. Histopathological examination of appendectomy specimens is crucial. Surgery, even when not oncologic in intention, may lead to early cancer detection and timely systemic treatment, improving outcomes.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 7","pages":"rjaf585"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776541","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

Large metastatic lymph nodes misdiagnosed as a pancreatic tumor: a case report. 大转移性淋巴结误诊为胰腺肿瘤1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-08-01 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf583

Qiong Duan, Yanan Huang, He Li

引用次数: 0

Minimally invasive mitral valve replacement for posterior leaflet tear following transcatheter edge-to-edge repair using the MitraClip system: a case report. 微创二尖瓣置换术治疗后小叶撕裂，经导管边缘到边缘修复后使用MitraClip系统：一例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-08-01 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf591

Hikaru Miyazaki, Ryohei Ushioda, Hidenobu Akamatsu, Tasuku Kawarabayashi, Akito Inoue, Jeonga Lee, Jun Maruoka, Yuki Setogawa, Ryo Okubo, Hiroyuki Miyamoto, Shougo Takahashi, Daisuke Takeyoshi, Shingo Kunioka, Yuya Kitani, Naoko Kawabata, Hiroyuki Kamiya

{"title":"Minimally invasive mitral valve replacement for posterior leaflet tear following transcatheter edge-to-edge repair using the MitraClip system: a case report.","authors":"Hikaru Miyazaki, Ryohei Ushioda, Hidenobu Akamatsu, Tasuku Kawarabayashi, Akito Inoue, Jeonga Lee, Jun Maruoka, Yuki Setogawa, Ryo Okubo, Hiroyuki Miyamoto, Shougo Takahashi, Daisuke Takeyoshi, Shingo Kunioka, Yuya Kitani, Naoko Kawabata, Hiroyuki Kamiya","doi":"10.1093/jscr/rjaf591","DOIUrl":"https://doi.org/10.1093/jscr/rjaf591","url":null,"abstract":"We report a case of an 80-year-old woman with severe mitral regurgitation, low ejection fraction, frailty, and acute decompensated heart failure. Due to her high surgical risk, transcatheter edge-to-edge repair using the MitraClip system (Abbott, Abbott Park, IL, USA) was attempted by the cardiology team. However, the procedure resulted in a posterior mitral leaflet tear with worsened severe mitral regurgitation. She was subsequently referred to our department, and owing to her clinical deterioration, urgent minimally invasive cardiac surgery mitral valve replacement was performed using a 29-mm bioprosthetic mitral valve (Epic; Abbott, Abbott Park, IL, USA). The patient had an uneventful recovery and was discharged on postoperative Day 13. Mitral valve surgery following failed MitraClip is considered high-risk, with elevated perioperative mortality. However, in frail patients with leaflet injury after MitraClip failure, minimally invasive cardiac surgery mitral valve replacement may represent a more appropriate and less invasive therapeutic option.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 7","pages":"rjaf591"},"PeriodicalIF":0.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776543","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

Acute pancreatitis revealing adult lymphocytic leukemia in a patient with double cystic duct: a rare case report. 急性胰腺炎伴双囊管并发成人淋巴细胞白血病1例罕见病例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-07-30 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf580

Mohammed Hassani, Tarik Deflaoui, Mohammed Frikal, Anas Derkaoui, Yassir Akil, Mohammed Lakhloufi, Nada Ouahabi, Safae Ouahabi, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane

引用次数: 0

Transverse colon perforation secondary to necrotizing pancreatitis: a rare and life-threatening complication. 继发于坏死性胰腺炎的横结肠穿孔：一种罕见且危及生命的并发症。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-07-30 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf567

Anas Derkaoui, Tarik Deflaoui, Intissar Aissi, Mohammed Hassani, Soufiane Karmouni, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane

引用次数: 0

The gauze that time forgot: unmasking a liver mass and the surgical lessons etched in cotton. 被时间遗忘的纱布：揭开肝脏肿块的面纱和刻在棉花上的手术教训。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-07-30 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf581

Mario Medinilla, Salvador Lopez-Valdes, Carlos Diaz Q, Douglas Henry

{"title":"The gauze that time forgot: unmasking a liver mass and the surgical lessons etched in cotton.","authors":"Mario Medinilla, Salvador Lopez-Valdes, Carlos Diaz Q, Douglas Henry","doi":"10.1093/jscr/rjaf581","DOIUrl":"10.1093/jscr/rjaf581","url":null,"abstract":"Gossypiboma, a retained surgical sponge causing a foreign-body reaction, is a rare but serious postoperative complication. Despite modern safety protocols, such events continue to occur, often underreported due to medicolegal concerns. We report the unusual case of a 23-year-old woman presenting with a palpable upper abdominal mass and systemic symptoms five years after an open cholecystectomy. Imaging suggested a well-encapsulated hepatic lesion in segment 3, raising suspicion for malignancy. Exploratory laparotomy revealed a gossypiboma embedded within liver parenchyma, requiring anatomical resection of segment 3. Histopathology confirmed granulomatous inflammation surrounding retained gauze fibers. The patient recovered uneventfully. This case highlights the importance of considering gossypiboma in the differential diagnosis of unexplained intra-abdominal masses, even years post-surgery. For surgeons, it serves as a critical reminder of the potential consequences of protocol breaches. Reporting such rare complications contributes to awareness, promotes safer surgical practices, and helps prevent recurrence of these avoidable errors.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 7","pages":"rjaf581"},"PeriodicalIF":0.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754823","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

Microwave ablation and portal vein embolization for staged hepatectomy. 微波消融与门静脉栓塞在分期肝切除术中的应用。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-07-30 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf564

Alexandra Simbeck, Tim Reese, Karl J Oldhafer

引用次数: 0

Sternal reconstruction using titanium plates for complicated upper hemi-sternum dehiscence. 钛板胸骨重建术治疗复杂的上半胸骨裂。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-07-30 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf566

Mian Mustafa Kamal, Mohsin Shabbir, Sothagar Subramaniam, Cha Rajakaruna

引用次数: 0

Harnessing immunotherapy in sporadic MSI-H/dMMR colorectal cancer: a case study. 利用免疫疗法治疗散发性MSI-H/dMMR结直肠癌：一个案例研究。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-07-29 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf576

Allyson Whitsett, Vincent Marcucci, Glenn Parker

{"title":"Harnessing immunotherapy in sporadic MSI-H/dMMR colorectal cancer: a case study.","authors":"Allyson Whitsett, Vincent Marcucci, Glenn Parker","doi":"10.1093/jscr/rjaf576","DOIUrl":"10.1093/jscr/rjaf576","url":null,"abstract":"Colorectal cancer (CRC) is a prevalent malignancy, with microsatellite instability-high (MSI-H) or deficient mismatch repair (dMMR) tumors representing a distinct, immunogenic subset. These tumors respond poorly to conventional chemotherapy but demonstrate favorable outcomes with immune checkpoint inhibitors (ICIs). We report the case of a 90-year-old male with severe anemia and a newly diagnosed sporadic MSI-H/dMMR CRC characterized by poorly differentiated, mucinous, and signet ring cell features. Molecular profiling revealed MLH1/PMS2 loss and MLH1 promoter hypermethylation. Despite his advanced age and multiple comorbidities, the patient underwent surgical resection followed by referral for ICI therapy in lieu of cytotoxic chemotherapy. This case highlights the importance of molecular testing in guiding treatment decisions and supports the consideration of ICIs in select elderly patients. It emphasizes that age alone should not preclude the use of effective, personalized therapies in CRC, particularly in those with good functional status and biomarkers predictive of immunotherapy response.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 7","pages":"rjaf576"},"PeriodicalIF":0.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745472","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

Intraperitoneal migration of an intrauterine device: a case report. 宫内节育器腹腔内移位一例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-07-28 eCollection Date: 2025-07-01 DOI: 10.1093/jscr/rjaf579

Abdullah S Al-Darwish, Mohannad K Saffaf, Rime Bawareth, Sami AlHawassi

引用次数: 0