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Journal of Surgical Case Reports最新文献

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A rare case of giant hepatic mesenchymal hamartoma in a pediatric patient: diagnostic and surgical challenges. 一例罕见的巨大肝间充质错构瘤患儿：诊断和手术的挑战。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-23 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf247
Noufel Alshadood, Sajjad Ghanim Al-Badri, Ali Naser Aldarawsha, Mohamed Samy Elazab, Manar Mohammed Mahdi, Flayyih Hasan Yousif, Ahmed Shamil Hashim, Hussein Mohsin Hasan, Nabeel Al-Fatlawi
{"title":"A rare case of giant hepatic mesenchymal hamartoma in a pediatric patient: diagnostic and surgical challenges.","authors":"Noufel Alshadood, Sajjad Ghanim Al-Badri, Ali Naser Aldarawsha, Mohamed Samy Elazab, Manar Mohammed Mahdi, Flayyih Hasan Yousif, Ahmed Shamil Hashim, Hussein Mohsin Hasan, Nabeel Al-Fatlawi","doi":"10.1093/jscr/rjaf247","DOIUrl":"https://doi.org/10.1093/jscr/rjaf247","url":null,"abstract":"<p><p>Hepatic mesenchymal hamartoma is a rare benign liver tumor in pediatric patients, typically presenting within the first two years of life. This case involves a 10-month-old female who initially presented with repeated vomiting and was misdiagnosed with a hepatic hemangioma. Subsequent imaging revealed a large, multicystic hepatic mass, and a biopsy indicated spindle cell proliferation, initially suggesting embryonal rhabdomyosarcoma. Due to uncertainty in the initial histopathological diagnosis, the case was discussed in a multidisciplinary team meeting, and the decision was made to proceed with surgical resection. The final diagnosis of hepatic mesenchymal hamartoma was confirmed postoperatively. The patient underwent successful tumor resection, sparing the liver, with no postoperative complications. This case highlights the diagnostic challenges associated with large pediatric hepatic masses and underscores the importance of a multidisciplinary approach for successful outcomes in similar cases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf247"},"PeriodicalIF":0.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030298","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
Appendiceal neuroendocrine tumors: a case series and literature review. 阑尾神经内分泌肿瘤：病例分析及文献回顾。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-23 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf237
Mohammed N AlAli, Salman T AlWadani, Sadiq M Amer, Mohamed S Essa, Maha AlAmodi, Hussain M AlHassan, Arwa F Alrasheed, Ahlam A Alsulaiman, Saud K Aldeghaither
{"title":"Appendiceal neuroendocrine tumors: a case series and literature review.","authors":"Mohammed N AlAli, Salman T AlWadani, Sadiq M Amer, Mohamed S Essa, Maha AlAmodi, Hussain M AlHassan, Arwa F Alrasheed, Ahlam A Alsulaiman, Saud K Aldeghaither","doi":"10.1093/jscr/rjaf237","DOIUrl":"https://doi.org/10.1093/jscr/rjaf237","url":null,"abstract":"<p><p>Appendiceal neuroendocrine tumors (ANETs) are rare gastrointestinal malignancies that are often diagnosed incidentally during or after surgery for suspected appendicitis, presenting significant diagnostic challenges. Existing studies primarily focus on the epidemiology and management of ANETs but lack comprehensive analyses of diagnostic limitations and treatment outcomes. This study presents five cases of ANETs, emphasizing the ongoing challenges in preoperative diagnosis. Consistent with the medical literature, tumors smaller than 1 cm were effectively managed with appendectomy, whereas a larger tumor with high-risk features necessitated right hemicolectomy. Preoperative imaging consistently failed to identify the tumors, underscoring its limitations in detecting neoplastic causes of appendicitis. These findings highlight the need for larger-scale studies, the development of advanced imaging techniques-particularly with the integration of artificial intelligence-and standardized follow-up protocols for high-risk cases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf237"},"PeriodicalIF":0.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050766","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 36-week preterm newborn with gastroschisis: a rare case report. 早产36周新生儿胃裂：罕见病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-23 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf234
Mouhammed Sleiay, Abdulrahman A Othman, Mais A B Mohaisen, Bilal Sleiay, Hasan Alsmoudi, Mohammad A Abshi, Ahmad Buz, Ahmed Merza, Hadi Alabdullah, Mohammad B Fansa, Feras Alharroush
{"title":"A 36-week preterm newborn with gastroschisis: a rare case report.","authors":"Mouhammed Sleiay, Abdulrahman A Othman, Mais A B Mohaisen, Bilal Sleiay, Hasan Alsmoudi, Mohammad A Abshi, Ahmad Buz, Ahmed Merza, Hadi Alabdullah, Mohammad B Fansa, Feras Alharroush","doi":"10.1093/jscr/rjaf234","DOIUrl":"https://doi.org/10.1093/jscr/rjaf234","url":null,"abstract":"<p><p>This case report presents a preterm infant (36 weeks) with gastroschisis, successfully treated using a two-stage surgical approach. The newborn exhibited evisceration of the stomach and small intestine through a small umbilical defect, with significant edema but no additional anomalies. Due to the severity of the edema and limited abdominal capacity, a staged repair was planned. The first stage involved repositioning the stomach and duodenum into the abdominal cavity. In the second stage, the remaining bowel was placed in a sterile sac suspended above the incubator, allowing gradual reduction over 2 days. Enteral nutrition was initiated after 1 week. The approach resulted in a smooth recovery without complications, suture failure, or incisional hernia. This case highlights the importance of meticulous surgical planning in improving outcomes for neonates with complex conditions.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf234"},"PeriodicalIF":0.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12017387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004517","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
Congenital hypoplasia of the posterior arch of the atlas accompanied with cervical high-intensity intramedullary lesions: a case report. 先天性寰椎后弓发育不全伴颈髓内高强度病变1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjae689
Jian Zhang, Jiahao Liu, Jingyu Jia, Xinxin Miao, Xigao Cheng
{"title":"Congenital hypoplasia of the posterior arch of the atlas accompanied with cervical high-intensity intramedullary lesions: a case report.","authors":"Jian Zhang, Jiahao Liu, Jingyu Jia, Xinxin Miao, Xigao Cheng","doi":"10.1093/jscr/rjae689","DOIUrl":"https://doi.org/10.1093/jscr/rjae689","url":null,"abstract":"<p><p>Congenital hypoplasia of the posterior arch of the atlas (C1) is uncommon and typically asymptomatic. A 49-year-old woman presented with a 2-year history of recurrent vertigo attacks. One month before admission, she began to have weakness in both lower extremities and unsteady walking, with chest tightness and shortness of breath after walking. She did not have any history of trauma. Cervical spine imaging revealed partial hypoplasia of the posterior arch of C1, midline cleft of the anterior arch, and cervical high-intensity intramedullary lesions. We used a posterior, suboccipital midline approach to resect the posterior arch of C1. This case underscores the importance of differential diagnosis, detailed imaging examinations should be performed to properly assess the stability of the atlantoaxial spine. In patients with neurological symptoms but no severe spinal cord compression, isolated posterior arch should be considered an potential cause of symptoms, and posterior arch resection is effective.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjae689"},"PeriodicalIF":0.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057471","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
One-stage surgical repair of infracardiac total anomalous pulmonary venous connection and coarctation of the aorta in a neonate. 一期手术修复心下全异常肺静脉连接及新生儿主动脉缩窄。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf249
Alwaleed Al-Dairy, Hadeel Hossein, Tarek Alkatreeb, Suaad Sibaa, Ahmad Al-Bitar
{"title":"One-stage surgical repair of infracardiac total anomalous pulmonary venous connection and coarctation of the aorta in a neonate.","authors":"Alwaleed Al-Dairy, Hadeel Hossein, Tarek Alkatreeb, Suaad Sibaa, Ahmad Al-Bitar","doi":"10.1093/jscr/rjaf249","DOIUrl":"https://doi.org/10.1093/jscr/rjaf249","url":null,"abstract":"<p><p>Total anomalous pulmonary venous connection is a rare congenital anomaly that requires prompt surgical repair. Associated anomalies are common; however, its coexistence with coarctation of the aorta is extremely rare. Herein, we present a rare case of a neonate who underwent successful one-stage repair of infracardiac total anomalous pulmonary venous connection associated with coarctation of the aorta.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf249"},"PeriodicalIF":0.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064652","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
Bone metaplasia in gallbladder lithiasis: an astonishing clinical phenomenon of a rare case. 胆结石骨化生：罕见病例之惊人临床现象。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf252
Mohammed Mahmoudi, Youness Slimi, Mohammed Frikal, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane
{"title":"Bone metaplasia in gallbladder lithiasis: an astonishing clinical phenomenon of a rare case.","authors":"Mohammed Mahmoudi, Youness Slimi, Mohammed Frikal, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane","doi":"10.1093/jscr/rjaf252","DOIUrl":"https://doi.org/10.1093/jscr/rjaf252","url":null,"abstract":"<p><p>We present a rare case of acute cholecystitis in a 51-year-old patient. The gallbladder exhibited bone metaplasia, a condition infrequently observed in clinical practice. Acute cholecystitis was confirmed through clinical, radiological, and biological investigations, and the patient underwent cholecystectomy. Histopathological analysis of the surgical specimen revealed bone metaplasia in the gallbladder wall, a phenomenon associated with chronic inflammation due to gallstones. This article highlights the significance of post-surgical histopathological evaluation and discusses follow-up options for such rare conditions.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf252"},"PeriodicalIF":0.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015678","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
Transcatheter aortic valve replacement via direct aortic access for severe aortic stenosis with double aortic arch. 经导管主动脉瓣置换术治疗严重主动脉狭窄伴双主动脉弓。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf251
Akihito Arai, Mimiko Tabata, Kenichiro Takahashi, Ryo Izubuchi, Minako Hayakawa, Joshi Tsutsumi, Akihiro Urabe
{"title":"Transcatheter aortic valve replacement via direct aortic access for severe aortic stenosis with double aortic arch.","authors":"Akihito Arai, Mimiko Tabata, Kenichiro Takahashi, Ryo Izubuchi, Minako Hayakawa, Joshi Tsutsumi, Akihiro Urabe","doi":"10.1093/jscr/rjaf251","DOIUrl":"https://doi.org/10.1093/jscr/rjaf251","url":null,"abstract":"<p><p>Transcatheter aortic valve replacement (TAVR) is an established treatment for managing severe aortic stenosis. Preoperative planning requires cautious identification of the access route, which can be challenging in patients with anatomical abnormalities of the aorta. Double aortic arch (DAA) is a congenital condition where the aorta bifurcates into two separate vessels that encircle the trachea and esophagus, thereby forming a vascular ring. This condition accounts for ~1% of congenital cardiovascular anomalies. Previous reports on TAVR performed on patients with DAA are limited, and there is no consensus on the appropriate access route. Herein, we present an 85-year-old female patient with DAA and aortic stenosis who underwent a successful TAVR using the direct aortic approach.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf251"},"PeriodicalIF":0.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006339","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 unique case of epigastric appendicitis: a case report. 独特的上腹部阑尾炎1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf246
Ahmad E Al-Mulla, Mohamed Elgazzar, Omar Shalaby, Hawraa Taqi, Sulaiman Alosaimi
{"title":"A unique case of epigastric appendicitis: a case report.","authors":"Ahmad E Al-Mulla, Mohamed Elgazzar, Omar Shalaby, Hawraa Taqi, Sulaiman Alosaimi","doi":"10.1093/jscr/rjaf246","DOIUrl":"https://doi.org/10.1093/jscr/rjaf246","url":null,"abstract":"<p><p>Intestinal malrotation is a congenital condition that affects ⁓1 in every 6000 live births in which the intestines undergo abnormal rotation during early embryonic development that leads to the unusual positioning of the cecum and appendix. This abnormal placement can complicate the diagnosis of appendicitis for healthcare providers, and serious complications can result if the condition is not identified and managed promptly. This case report aims to present a rare presentation of appendicitis and to highlight the importance of understanding this congenital abnormality.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf246"},"PeriodicalIF":0.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053091","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
Mooring line snap-back trauma leading to bilateral lower limbs amputation: a case exploration with preventive strategies. 系泊索弹回损伤导致双侧下肢截肢：一个病例探讨和预防策略。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf181
Wensai Ji, Hongzhang Liu, Di Wu, Qiuhuan Xu, Junyi Zhang, Jiayan Chen, Shiyu Han, Qing Sun
{"title":"Mooring line snap-back trauma leading to bilateral lower limbs amputation: a case exploration with preventive strategies.","authors":"Wensai Ji, Hongzhang Liu, Di Wu, Qiuhuan Xu, Junyi Zhang, Jiayan Chen, Shiyu Han, Qing Sun","doi":"10.1093/jscr/rjaf181","DOIUrl":"https://doi.org/10.1093/jscr/rjaf181","url":null,"abstract":"<p><p>The report focuses on mooring operations-related accidents, especially those involving mooring line partings for bulk carriers. It presents a case of a young seafarer who suffered severe injuries from a snap-back mooring line during disembarking. The causes of the accident, including factors like abnormal fendering compression and meteorological/hydrological conditions, are analyzed. Moreover, it discusses prevention measures for such accidents, treatment strategies for snap-back trauma which is a complex and multidisciplinary process, and key aspects regarding the long-term prognosis and quality of life of the cases. The study emphasizes the importance of establishing comprehensive plans and training programs due to the common occurrence of such accidents and their potentially severe consequences, as there's a lack of systematic reviews on on-site emergency care strategies in general.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf181"},"PeriodicalIF":0.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040594","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
Hemangioma of the abdominal wall in infancy. 婴儿腹壁血管瘤。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI: 10.1093/jscr/rjaf238
Majd Oweidat, Mohammed Alra'e, Mosaikah Anati, Ammar W M Hassouneh, Saleh Juneidi
{"title":"Hemangioma of the abdominal wall in infancy.","authors":"Majd Oweidat, Mohammed Alra'e, Mosaikah Anati, Ammar W M Hassouneh, Saleh Juneidi","doi":"10.1093/jscr/rjaf238","DOIUrl":"https://doi.org/10.1093/jscr/rjaf238","url":null,"abstract":"<p><p>Hemangiomas are common benign vascular tumors in infancy, but their occurrence in the abdominal wall is rare. We report a 6-month-old female infant with a left-sided palpable abdominal wall mass. Ultrasound revealed a well-defined, vascularized soft tissue mass, but its precise location was unclear. Contrast-enhanced computed tomography showed a 4.3 × 4 × 4 cm heterogeneous mass with peripheral arterial enhancement and centripetal filling, raising suspicion for a vascular malformation or hemangioma. Magnetic resonance imaging confirmed a hypervascular mass in the lateral-posterior abdominal wall. Due to the lesion's high vascularity, percutaneous biopsy was considered high-risk, and complete surgical excision was performed. Histopathology confirmed a benign hemangioma with organized hematoma and dystrophic calcification. The patient had an uneventful recovery, with no recurrence observed at 40-day and 6-month follow-ups. This case highlights the importance of considering hemangiomas in the differential diagnosis of abdominal wall masses in infants.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 4","pages":"rjaf238"},"PeriodicalIF":0.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030445","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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