Melanie Mercado, Ashish Vaska, Joseph Chen, Salman Marvi, Ruwanthi Wijayawardana, Nima Ahmadi, David Morris
{"title":"Peritonectomy for disseminated peritoneal implantation after dermoid cyst spillage causing recurrent peritonitis and xanthogranulomatous reaction: a case report.","authors":"Melanie Mercado, Ashish Vaska, Joseph Chen, Salman Marvi, Ruwanthi Wijayawardana, Nima Ahmadi, David Morris","doi":"10.1093/jscr/rjaf739","DOIUrl":"10.1093/jscr/rjaf739","url":null,"abstract":"<p><p>Dermoid ovarian cysts, or mature cystic teratomas, are common benign ovarian masses. Surgical intervention for symptomatic cysts includes minimally invasive or open cystectomy. The consequences of intra-abdominal spillage during cystectomy can be significant and include acute chemical peritonitis or chronic granulomatous inflammatory reactions. This is the first reported case of peritonectomy for disseminated dermoid disease. This case report discusses a previously healthy 20-year-old patient who developed both these complications following elective laparoscopic ovarian cystectomy for dermoid ovarian cysts. She required multiple admissions and a multi-disciplinary approach to develop a treatment plan, culminating in peritonectomy. This case necessitated significant multi-disciplinary discussion to address complex treatment decisions regarding anti-microbial and surgical management. This is the first reported case of peritonectomy for source control of chronic sepsis and granulomatous peritonitis following disseminated dermoid disease, highlighting the importance of timely intervention and thorough peritoneal wash-out to mitigate late inflammatory complications.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf739"},"PeriodicalIF":0.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114646","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}
Abderrahaim Ali Dabora, Hala Ibrahim Abdalla, Ahmed Rafei, Abdalla Bedab, Mohammed Ganim, Fayad Mohamed Alzain Mohamed, Maha Omer, Abdelmoneim Eltayeb Abdo
{"title":"Endoscopic management of a post-gunshot biliary injury in a conflict zone: a case report from Sudan.","authors":"Abderrahaim Ali Dabora, Hala Ibrahim Abdalla, Ahmed Rafei, Abdalla Bedab, Mohammed Ganim, Fayad Mohamed Alzain Mohamed, Maha Omer, Abdelmoneim Eltayeb Abdo","doi":"10.1093/jscr/rjaf730","DOIUrl":"10.1093/jscr/rjaf730","url":null,"abstract":"<p><p>Traumatic biliary injuries are rare but serious complications following abdominal trauma, often presenting significant diagnostic and therapeutic challenges, particularly in resource-limited, conflict-affected settings. We report the case of a 31-year-old male soldier who sustained gunshot injuries to the abdomen and left hand during armed conflict. He was hemodynamically unstable on presentation and underwent emergency exploratory surgery, during which liver injury was identified and bleeding controlled. Seven days postoperatively, a biliary fistula developed, confirmed by magnetic resonance cholangiopancreatography (MRCP). The patient was referred for endoscopic management, where endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and biliary stenting was successfully performed. Follow-up ERCP after 6 months showed complete resolution of the biliary fistula, and the stent was safely removed. This case highlights the critical role of ERCP in managing traumatic bile leaks, especially in war zones where surgical interventions may be limited. Endoscopic therapy offers a less invasive and highly effective alternative for treating biliary complications in complex scenarios.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf730"},"PeriodicalIF":0.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114595","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}
Emirhan Ozkul, Mehmet Serhat Mangan, Ibrahım Bulent Buttanri, Seda Mazmanoglu Atilman
{"title":"Follicular non-Hodgkin lymphoma recurrence in an uncommon site: the lacrimal caruncle.","authors":"Emirhan Ozkul, Mehmet Serhat Mangan, Ibrahım Bulent Buttanri, Seda Mazmanoglu Atilman","doi":"10.1093/jscr/rjaf725","DOIUrl":"10.1093/jscr/rjaf725","url":null,"abstract":"<p><p>Recurrent follicular lymphoma in the caruncle is an exceedingly rare clinical presentation, with limited cases documented in the literature. This case describes a 58-year-old male with a history of follicular non-Hodgkin lymphoma localized solely to the left caruncle, treated with systemic R-Bendamustine chemotherapy and achieving complete remission. Two years later, the patient presented with a recurrent lesion in the same anatomical site. Clinical and radiological evaluations confirmed the recurrence, and an incisional biopsy was performed, followed by histopathological analysis that reaffirmed the diagnosis of follicular lymphoma. The patient subsequently received 16 sessions of radiotherapy. This case emphasizes the unique challenges associated with managing recurrent caruncular lymphomas, highlighting the critical role of long-term surveillance and a multidisciplinary approach. The rarity of this presentation underscores the need for further research into the pathophysiology and optimal treatment strategies for follicular lymphoma in extranodal sites such as the caruncle.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf725"},"PeriodicalIF":0.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114619","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}
Abanoub Awad, Mitchell Meagher, Joseph Wildenberg, Merna Zaki, Jason Beckermann
{"title":"Minimally invasive repair of incarcerated foramen of Winslow hernia: first report using a robotic-assisted approach.","authors":"Abanoub Awad, Mitchell Meagher, Joseph Wildenberg, Merna Zaki, Jason Beckermann","doi":"10.1093/jscr/rjaf738","DOIUrl":"10.1093/jscr/rjaf738","url":null,"abstract":"<p><p>Foramen of Winslow hernia is a rare subtype of internal hernias, accounting for ⁓8% of all internal hernia cases. Its nonspecific clinical presentation often delays diagnosis, with ˂10% identified preoperatively. With advances in minimally invasive techniques, robotic-assisted surgery has emerged as a safe and precise method for managing complex intra-abdominal pathology. A 70-year-old male presented with an acute abdomen. He was hemodynamically stable, and computed tomography imaging suggested an internal hernia. Robotic-assisted abdominal exploration revealed a segment of colon herniated through the foramen of Winslow. The colon was carefully reduced without complications. A piece of omentum was placed into the defect, and the retracted gall bladder naturally positioned itself within the foramen, potentially minimizing the risk of recurrence. The patient recovered uneventfully and discharged on postoperative day one. To our knowledge, this is the first documented case of foramen of Winslow hernia repair using a robotic-assisted approach.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf738"},"PeriodicalIF":0.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114657","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":"Metastatic epithelioid sarcoma on the arm: presentation of a case report.","authors":"Jinxian Luo, Lei Yang","doi":"10.1093/jscr/rjaf733","DOIUrl":"10.1093/jscr/rjaf733","url":null,"abstract":"<p><p>Epithelioid sarcoma (ES) is a highly malignant soft tissue tumor characterized by its tendency to distant metastasis, regional lymph node involvement, and recurrence. ES frequently manifests as a deep dermal mass in the distal extremities of young adults. The variety of pathological morphology makes it clinically misdiagnosed as a granuloma or rheumatoid nodule frequently. In this case, we report a new case of a 56-year-old female who was diagnosed with metastatic ES on her left upper arm. The diagnosis was confirmed by pathological biopsy and immunohistochemistry analysis, and metastatic after surgical excision. Therefore, we should implement biopsy and immunohistochemistry methods on patients to rule out rare ES.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf733"},"PeriodicalIF":0.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114680","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 the left medial sectional bile duct joining the right hepatic duct.","authors":"Hideki Takahashi, Fumihiko Miura, Shinpei Doi","doi":"10.1093/jscr/rjaf719","DOIUrl":"10.1093/jscr/rjaf719","url":null,"abstract":"<p><p>We present a case in which the medial sectional bile duct (B4) drained the right hepatic duct. A 42-year-old man was referred to our hospital after an abdominal ultrasound during a medical check-up revealed a gallbladder polyp. Magnetic resonance cholangiopancreatography did not adequately depict the hepatic hilum bile ducts; therefore, drip infusion cholangiography with computed tomography was performed, which revealed that B4 drained the right hepatic duct. The patient subsequently underwent laparoscopic cholecystectomy. His post-operative course was uneventful, and he was discharged on post-operative Day 3. The confluence of B4 into the right hepatic duct is extremely rare. We report this case along with a brief review of the literature.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf719"},"PeriodicalIF":0.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065980","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 report of prostatic malacoplakia after heart transplantation and review of the literature.","authors":"Shangzhen Geng, Lihua Li, Yunji Sun, Jianchao Zhang, Yunwei Li, Li Chen","doi":"10.1093/jscr/rjaf716","DOIUrl":"10.1093/jscr/rjaf716","url":null,"abstract":"<p><p>Prostatic malacoplakia is a relatively rare granulomatous inflammatory disease that is easily misdiagnosed as prostate cancer. Usually, patients' symptoms are improved through antibacterial treatment. We performed thulium laser enucleation of the prostate by the triple-groove, triple-arc method on a 68-year-old man, a patient with significant dysuria. The patient has significantly improved lower urinary tract symptoms and quality of life.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf716"},"PeriodicalIF":0.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065988","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}
Fazeela Bibi, Muhammad Ibrahim, Uzair Khan, Shafiq Ur Rahman, Khalil El Abdi, Muhammad Aimal Khan, Sara Khizar, Usama Khan, Javed Iqbal, Umama Alam
{"title":"Abdominal cocoon syndrome: a case report.","authors":"Fazeela Bibi, Muhammad Ibrahim, Uzair Khan, Shafiq Ur Rahman, Khalil El Abdi, Muhammad Aimal Khan, Sara Khizar, Usama Khan, Javed Iqbal, Umama Alam","doi":"10.1093/jscr/rjaf696","DOIUrl":"10.1093/jscr/rjaf696","url":null,"abstract":"<p><p>Abdominal cocoon syndrome (ACS) is a rare cause of intestinal obstruction characterized by the encasement of the small intestine in a fibrocollagenous membrane, making preoperative diagnosis challenging. We present the case of a 15-year-old male with acute intestinal obstruction, where a contrast-enhanced computed tomography scan revealed a pathognomonic cocoon-like structure and concurrent gut malrotation. The diagnosis was confirmed intraoperatively, and management involved membrane excision, adhesiolysis, and a simple appendectomy for a secondarily involved appendix. This case is clinically significant for demonstrating tailored intraoperative decision-making; the appendicular involvement was correctly identified as a secondary consequence of the cocoon's chronic inflammation, thus avoiding an unnecessary hemicolectomy. This report underscores ACS as a critical differential diagnosis for intestinal obstruction in young males, particularly in tropical regions, and highlights that early, pathology-guided surgical intervention is essential for favorable outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf696"},"PeriodicalIF":0.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041981","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}
Saamia Shaikh, Nawras Radwan, Tamara Cheski, Franz Yanagawa
{"title":"Robotic-assisted laparoscopic cholecystectomy with indocyanine green fluorescent cholangiography and intraoperative cholangiogram for patients with acute and chronic cholecystitis: a case series.","authors":"Saamia Shaikh, Nawras Radwan, Tamara Cheski, Franz Yanagawa","doi":"10.1093/jscr/rjaf592","DOIUrl":"10.1093/jscr/rjaf592","url":null,"abstract":"<p><p>Indocyanine green fluorescent cholangiography (ICG) and intraoperative cholangiography (IOC) are both useful during cholecystectomy. Laparoscopic cholecystectomy with IOC is commonly performed in various situations; however, there have been concerns with performing IOC during robotic cholecystectomy such as operating room set up and increased operative time due to docking and undocking of the robot. We argue if IOC is readily available and is possible, safe, and not extremely time consuming, that it should be utilized in conjunction with indocyanine green fluorescent cholangiography, instead of preoperative magnetic resonance cholangiopancreatography (MRCP). This could potentially decrease overall cost and the hospital length of stay. We report our experience with ten cases and describe our operative technique.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf592"},"PeriodicalIF":0.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041926","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":"The diagnostic journey: right groin swelling in a young female revealing canal of Nuck hydrocele.","authors":"Wejdan M Alresheedi, Mohammed S Alfehaid","doi":"10.1093/jscr/rjaf727","DOIUrl":"10.1093/jscr/rjaf727","url":null,"abstract":"<p><p>Canal of Nuck hydrocele represents a rare anatomical entity in female patients and is predominantly documented in pediatric populations. This condition arises from incomplete obliteration of the processus vaginalis during embryogenesis. A 23-year-old female presented with a 3-week history of right groin pain and swelling. Physical examination revealed a small right inguinal swelling with a positive cough impulse. Subsequent imaging demonstrated a cystic lesion extending through the right inguinal canal without evidence of bowel or omental herniation. The patient underwent elective diagnostic laparoscopy with hydrocelectomy and mesh hernioplasty. The postoperative course was uneventful with complete symptom resolution and benign histopathological findings. This case contributes to the growing literature documenting adult presentations of canal of Nuck hydrocele. Our findings suggest that this condition should be included in the differential diagnosis of inguinal masses in adult females. The successful management through laparoscopic approach demonstrates the efficacy of this minimally invasive surgical strategy.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf727"},"PeriodicalIF":0.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041990","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}