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Journal of Surgical Case Reports最新文献

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Successful treatment of necrotising fasciitis following cobra bite: a case report. 眼镜蛇咬伤后坏死性筋膜炎的成功治疗一例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf309
Santosh Dev, Amit Yadav, Prajjwol Luitel, Barsha Dev, Gyaneshwor Shrestha, Badal Karki
{"title":"Successful treatment of necrotising fasciitis following cobra bite: a case report.","authors":"Santosh Dev, Amit Yadav, Prajjwol Luitel, Barsha Dev, Gyaneshwor Shrestha, Badal Karki","doi":"10.1093/jscr/rjaf309","DOIUrl":"10.1093/jscr/rjaf309","url":null,"abstract":"<p><p>Necrotising fasciitis following cobra envenomation is an infrequent but life-threatening complication. We report a case of a 72-year-old woman from Khotang who developed a rapidly progressive, discharging wound on her right foot 3 days after sustaining a cobra bite. Initially treated at a local snakebite center with 30 vials of antivenom, she later presented with tachycardia, low-grade fever, and leukocytosis. Local tissue culture revealed <i>Streptococcus pyogenes</i>, prompting escalation of antibiotics to Piperacillin-Tazobactam. The ensuing extensive tissue necrosis, driven by venom cytotoxicity, facilitated secondary bacterial colonization. Aggressive resuscitation, repeated surgical debridement, and nutritional support with a high-protein diet and multivitamins resulted in robust granulation tissue formation. Definitive reconstruction was achieved with a split-thickness skin graft. This case underscores that while antivenom reverses systemic toxicity, early recognition and prompt surgical intervention are paramount in preventing the devastating progression of local necrosis to necrotising fasciitis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf309"},"PeriodicalIF":0.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112438","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
Taming widow Dimanche's horn: excision and reconstruction of recurrent dermatofibrosarcoma protuberans of the forehead. 驯服寡妇Dimanche角：前额复发性皮肤纤维肉瘤隆突的切除和重建。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf283
Surjeet Dwivedi, Nilanjan Roy, Kshitij Jyoti, Animesh Vatsa, Ayush Mathur, Pragya Sharma
{"title":"Taming widow Dimanche's horn: excision and reconstruction of recurrent dermatofibrosarcoma protuberans of the forehead.","authors":"Surjeet Dwivedi, Nilanjan Roy, Kshitij Jyoti, Animesh Vatsa, Ayush Mathur, Pragya Sharma","doi":"10.1093/jscr/rjaf283","DOIUrl":"10.1093/jscr/rjaf283","url":null,"abstract":"<p><p>Dermatofibrosarcoma protuberans (DFSP) is an uncommon soft tissue sarcoma primarily found on the trunk and proximal extremities that typically appears as a slowly progressing, firm, violet-red, or blue plaque. In this case report, we describe our experience with a patient who presented with recurrent DFSP of the forehead of size 10 × 6 cm. Patient underwent wide local excision and reconstruction with a rotational scalp flap and split skin graft (SSG) cover. No early or late complications were observed in the patient. The flaps survived completely and SSG had full uptake. This surgical technique allowed a radical excision of forehead DFSP, thus potentially decreasing tumor recurrence rate. All main reconstructive criteria, such as functional and cosmetic tissue characteristics, were completely fulfilled.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf283"},"PeriodicalIF":0.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112440","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
Correction to: TDAP flap in reconstruction of a severe postburn contracture of the axillary region-a case report. TDAP皮瓣重建腋窝严重烧伤后挛缩1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-18 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf364
{"title":"Correction to: TDAP flap in reconstruction of a severe postburn contracture of the axillary region-a case report.","authors":"","doi":"10.1093/jscr/rjaf364","DOIUrl":"10.1093/jscr/rjaf364","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/jscr/rjaf080.].</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf364"},"PeriodicalIF":0.4,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095382","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
Metastatic small intestinal neuroendocrine tumor presented with partial intestinal obstruction in Saudi Arabia: a case report. 转移性小肠神经内分泌肿瘤表现为部分肠梗阻在沙特阿拉伯：1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-17 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf307
Faris Alsobyani, Mansour Almalki, Hassan Abu Rokbah
{"title":"Metastatic small intestinal neuroendocrine tumor presented with partial intestinal obstruction in Saudi Arabia: a case report.","authors":"Faris Alsobyani, Mansour Almalki, Hassan Abu Rokbah","doi":"10.1093/jscr/rjaf307","DOIUrl":"10.1093/jscr/rjaf307","url":null,"abstract":"<p><p>Well-differentiated neuroendocrine tumors (NETs) of the ileocecal region are rare but increasingly recognized gastrointestinal neoplasms. They often present vague symptoms, delaying diagnosis. Despite slow growth, these tumors can metastasize to the liver and bone, complicating management. Despite their indolent nature, these tumors can metastasize to the liver and bone, complicating treatment. We report a case of a 54-year-old woman with a one-year history of vague abdominal symptoms that worsened over the last 2 months. Contrast-enhanced computed tomography imaging revealed a mesenteric lesion leading to partial intestinal obstruction. Further imaging revealed liver and spine metastases. Colonoscopy confirmed an obstructing ileocecal mass, and biopsy identified a Grade 1 well-differentiated NET. The patient underwent laparoscopic right hemicolectomy with ileocolic anastomosis for symptom relief, followed by octreotide therapy. This case highlights the diagnostic and therapeutic challenges of metastatic ileocecal NETs and emphasizes the importance of a multidisciplinary approach for effective treatment and long-term stability.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf307"},"PeriodicalIF":0.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095385","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 case report of splenic rupture related to colonoscopy. 结肠镜检查所致脾破裂1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-17 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf313
Navid Moghimi, Markus A Puchner
{"title":"A case report of splenic rupture related to colonoscopy.","authors":"Navid Moghimi, Markus A Puchner","doi":"10.1093/jscr/rjaf313","DOIUrl":"10.1093/jscr/rjaf313","url":null,"abstract":"<p><p>Splenic rupture is a rare but serious iatrogenic complication of colonoscopy, potentially leading to hemodynamic instability. When common complications such as post-polypectomy syndrome and perforation are excluded, physicians must maintain a high level of suspicion for splenic injury, particularly in patients presenting with abdominal pain after the procedure. This report describes an emergency splenectomy performed on an 80-year-old male following a routine colonoscopy. Seven hours of post-procedure, the patient presented abdominal pain, syncope, sweating, and hypotension. Computed tomography imaging revealed a ruptured spleen with a 7-cm parenchymal hematoma, a significant blood halo surrounding the liver, and a large blood accumulation in the pelvis. The patient underwent an emergency splenectomy and was discharged 6 days later without complications.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf313"},"PeriodicalIF":0.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095379","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
Incidental findings of ectopic adrenal cortical tissue in the umbilical hernia sac and uterine wall: report of two cases in adult females. 在脐疝囊和子宫壁偶然发现异位肾上腺皮质组织：两例成年女性报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-17 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf316
Aileen Azari-Yam, Reza Khorvash
{"title":"Incidental findings of ectopic adrenal cortical tissue in the umbilical hernia sac and uterine wall: report of two cases in adult females.","authors":"Aileen Azari-Yam, Reza Khorvash","doi":"10.1093/jscr/rjaf316","DOIUrl":"10.1093/jscr/rjaf316","url":null,"abstract":"<p><p>Ectopic adrenal cortex is rare and usually found incidentally along the gestational migration path of the urogenital organs. It is rare in adult females, and most reported cases have been in male children. We report two cases of incidental ectopic adrenal cortex in 35- and 72-year-old women found in the hernia sac and uterine serosa, respectively. Histopathological and immunohistochemical analysis confirmed the diagnosis in both cases. Awareness of ectopic adrenal tissue is essential to avoid misdiagnosis, particularly in oncology patients where it may be mistaken for metastatic disease. Routine pathological examination of excised tissues can enhance early recognition and improve diagnostic accuracy.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf316"},"PeriodicalIF":0.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112435","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
Presentation of an unusual variant of cellular dermatofibroma: a case report. 一种不寻常的细胞性皮肤纤维瘤的表现：1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-17 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf257
Basem H Alshareef, Ghadeer Faiz M Alharthi, Saleha Khan, Shumaila Baig
{"title":"Presentation of an unusual variant of cellular dermatofibroma: a case report.","authors":"Basem H Alshareef, Ghadeer Faiz M Alharthi, Saleha Khan, Shumaila Baig","doi":"10.1093/jscr/rjaf257","DOIUrl":"10.1093/jscr/rjaf257","url":null,"abstract":"<p><p>Dermatofibromas (DF), also known as cutaneous fibrous histiocytomas, are benign soft-tissue tumours that are typically asymptomatic. These lesions most commonly appear on the distal extremities and are frequently seen in young to middle-aged individuals. Diagnosis is primarily based on histopathological examination, which generally aligns with radiological findings. This report highlights an atypical variant of cellular DF, in a 26-year-old female who presented with a painless foot ulcer on her lower leg. Initially, the lesion was suspected to be a sarcoma. After excision, the diagnosis was confirmed through histopathological analysis. Cellular DF are challenging to diagnose as they can mimic more aggressive tumours, such as malignant fibrous histiocytomas or dermatofibrosarcoma protuberans. While DF are common, their atypical variants, like cellular dermatofibroma, can complicate diagnosis and require timely diagnosis and effective management.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf257"},"PeriodicalIF":0.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095388","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
Case of intestinal obstruction due to accidental ingestion of a silicone rubber dental impression. 意外误食硅橡胶牙印模致肠梗阻一例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-16 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf195
Yuki Takano, Shingo Tachibana, Kazuhiko Kasuya, Keigo Fugami, Yuichi Nagakawa
{"title":"Case of intestinal obstruction due to accidental ingestion of a silicone rubber dental impression.","authors":"Yuki Takano, Shingo Tachibana, Kazuhiko Kasuya, Keigo Fugami, Yuichi Nagakawa","doi":"10.1093/jscr/rjaf195","DOIUrl":"10.1093/jscr/rjaf195","url":null,"abstract":"<p><p>Accidental ingestion is common and can even necessitate surgery. An 89-year-old man with dementia presented with abdominal distension and pain. A CT scan revealed a high-intensity object in the terminal ileum with distension of the proximal small intestine. Colonoscopy showed ileus caused by a retained foreign body (FB), which was removed via laparotomy the following day. Chemical analysis identified the material of the FB as platinum silicone rubber. Based on its material and irregular shape, the FB was determined to be a dental impression. The patient had dentures made one year prior, and cognitive decline may have contributed to the incident. Platinum silicone, which is odorless and does not deform with body heat or digestive juices, maybe a common cause of accidental ingestion.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf195"},"PeriodicalIF":0.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095380","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
Pancreatitis, panniculitis, and polyarthritis syndrome presentation, diagnosis, and management. 胰腺炎，胰膜炎和多发性关节炎综合征的表现，诊断和管理。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf305
Xiang Yuen Po
{"title":"Pancreatitis, panniculitis, and polyarthritis syndrome presentation, diagnosis, and management.","authors":"Xiang Yuen Po","doi":"10.1093/jscr/rjaf305","DOIUrl":"https://doi.org/10.1093/jscr/rjaf305","url":null,"abstract":"<p><p>Patient presented with asymmetric polyarthritis and tender skin erythematous lesions over his lower limbs associated with intermittent fever. He has a history of excessive alcohol usage without previous episode of pancreatitis. He subsequently developed abdominal pain and was noted to have elevated lipase levels and computed tomography (CT) of his abdomen showed evidence of acute pancreatitis. Biopsy of a lower limb lesion proved panniculitis. CT scan of his ankle showed arthritis and an insufficiency fracture. The diagnosis of pancreatitis, panniculitis, and polyarthritis (PPP) syndrome was made based on his PPP. He subsequently developed multiple complications of pancreatitis which led to prolonged hospitalization and multiple interventions. PPP syndrome triad is hypothesized to occur due to leakage of pancreatic enzymes into the systemic circulation. Management of the underlying pancreatitis usually helps resolve the other sequalae of PPP syndrome. This is the first case report of PPP syndrome with associated vessel pseudoaneurysm to date.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf305"},"PeriodicalIF":0.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081365","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
Contained gastric perforation leading to a rare abdominal subcutaneous collection: a case report. 含胃穿孔导致罕见的腹部皮下收集：1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf272
Sahar Alshammery, Ahmed Alotaibi, Eyad Alwhoaibi
{"title":"Contained gastric perforation leading to a rare abdominal subcutaneous collection: a case report.","authors":"Sahar Alshammery, Ahmed Alotaibi, Eyad Alwhoaibi","doi":"10.1093/jscr/rjaf272","DOIUrl":"https://doi.org/10.1093/jscr/rjaf272","url":null,"abstract":"<p><p>Contained gastric perforations are rare clinical entities, and their extension into the abdominal wall with subcutaneous collection is an exceptionally uncommon presentation. This report highlights the case of a 56-year-old male with a history of uncontrolled diabetes mellitus, chronic non-steroidal anti-inflammatory drugs use, and smoking, presenting with abdominal pain and swelling. Imaging revealed a multiloculated fluid collection extending from a perforated gastric ulcer into the anterior abdominal wall, forming a subcutaneous abscess. The patient was managed conservatively with antibiotics, antifungals, bedside incision and drainage, and proton pump inhibitors. This case underscores the importance of early recognition of atypical presentations of gastric perforation and the role of multidisciplinary management in achieving favorable outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf272"},"PeriodicalIF":0.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081363","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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