Journal of Surgical Case Reports最新文献_第2页

Aspergillus aortitis in a patient presenting with bilateral acute lower limb ischemia. 以双侧急性下肢缺血为表现的曲霉菌性主动脉炎。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-06-16 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf418

Eslam Metwalli, Richard Warwick, Julien Al Shakarchi

{"title":"Aspergillus aortitis in a patient presenting with bilateral acute lower limb ischemia.","authors":"Eslam Metwalli, Richard Warwick, Julien Al Shakarchi","doi":"10.1093/jscr/rjaf418","DOIUrl":"10.1093/jscr/rjaf418","url":null,"abstract":"Aspergillus niger aortitis is a rare but life-threatening fungal infection, typically affecting immunocompromised individuals. We present a unique case of a patient presenting with bilateral acute lower limb ischemia and a recent history of aortic valve repair. Despite the absence of typical infectious symptoms, further investigation revealed an infected floating thrombus in the ascending aorta. Subsequent surgical intervention and pathological analysis confirmed the presence of Aspergillus niger, a common environmental Mold, as the causative agent of aortitis. Our case highlights the challenges of diagnosing and managing Aspergillus niger aortitis, as symptoms can be subtle, and routine laboratory tests may not always detect the infection. Previous cardiac surgery is recognized as a significant risk factor for developing Aspergillus niger aortitis. This case report underscores the importance of considering Aspergillus niger aortitis in the differential diagnosis of patients with a history of cardiac surgery who present with unexplained embolic events, such as acute limb ischemia. Immediate recognition, decisive surgical intervention, and the initiation of appropriate antifungal therapy are imperative for maximizing patient outcomes in this complex condition.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf418"},"PeriodicalIF":0.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310528","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

Open repair of iatrogenic complete aortic occlusion during robotic right nephrectomy: a case report. 机器人右肾切除术中开放性修复医源性完全性主动脉阻塞1例。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-06-16 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf405

Faisal Almudaiheem, Hussein Alkohlani, Abdulaziz Alshawmar

{"title":"Open repair of iatrogenic complete aortic occlusion during robotic right nephrectomy: a case report.","authors":"Faisal Almudaiheem, Hussein Alkohlani, Abdulaziz Alshawmar","doi":"10.1093/jscr/rjaf405","DOIUrl":"10.1093/jscr/rjaf405","url":null,"abstract":"Vascular injury during nephrectomy is a rare but serious complication. We present a unique case of complete occlusion of the infrarenal aorta following a right-sided robotic nephrectomy. We present a 54-year-old male with no known comorbidities who underwent a right robotic radical nephrectomy with retroperitoneal lymph node dissection for a right renal mass. Postoperatively, the patient developed progressive bilateral lower limb weakness and sensory deficits. Clinical examination revealed absent lower limbs pulses bilaterally, with no Doppler signals. Urgent computed tomography (CT) angiography revealed complete occlusion of the infrarenal. Aortic exploration revealed Hemolok clips clamping the aorta. Arterial occlusions may present with delayed signs and require a high index of suspicion for diagnosis. CT angiography is crucial in guiding management. Prosthetic grafting is the preferred method of repair. Here, we highlight the importance of early recognition and intervention. Prompt surgical revascularization can significantly improve prognosis and recovery.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf405"},"PeriodicalIF":0.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310529","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

Papillary and medullary thyroid carcinoma with a single hybrid lymph node: a case report with review of literature. 甲状腺乳头状和髓样癌合并单一混合型淋巴结：1例报告并文献复习。

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Journal of Surgical Case Reports Pub Date : 2025-06-16 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf389

Ari M Abdullah, Shaho F Ahmed, Rawa M Ali, Aras J Qaradakhy, Abdulwahid M Salih, Aso S Muhialdeen, Hardi M Dhahir, Abdullah A Qadir, Shko H Hassan, Fahmi H Kakamad

引用次数: 0

Unlabeled topical anesthetic-induced severe methemoglobinemia in a pediatric burn patient. 未标记的局部麻醉引起的儿童烧伤患者严重高铁血红蛋白血症。

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Journal of Surgical Case Reports Pub Date : 2025-06-16 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf334

Christopher Mahir, Christopher Bean, Gennadiy Fuzaylov

引用次数: 0

Anesthetic planning and management for successful separation surgery of pygopagus conjoined twins: a multidisciplinary approach. pygopagus连体双胞胎分离手术成功的麻醉计划和管理：多学科方法。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-06-14 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf320

Zehra Özgen, Bilge Çataloğlu, Dilek Altun, Emre Sahillioğlu, Merve Şeker, Sıla Karaman, Yasemin Kosdak, Sumru Gezgin, Deniz Kahraman, Yeşim Öztürk, Filiz Saçan, Erdem Yildiz, Alp Dinçer, Meltem Saraç, Cem Akbal, Agageldi Annayev, Agop Çıtak, Didem Büyüktaş, İlkay Değerli, Müge Kocak, Bahattin Tanrıkulu, Burak Tander, Hakan Ağır, Memet Özek, Erdi Dirilen, Kutalp Kurt, Mehtap Seluck

{"title":"Anesthetic planning and management for successful separation surgery of pygopagus conjoined twins: a multidisciplinary approach.","authors":"Zehra Özgen, Bilge Çataloğlu, Dilek Altun, Emre Sahillioğlu, Merve Şeker, Sıla Karaman, Yasemin Kosdak, Sumru Gezgin, Deniz Kahraman, Yeşim Öztürk, Filiz Saçan, Erdem Yildiz, Alp Dinçer, Meltem Saraç, Cem Akbal, Agageldi Annayev, Agop Çıtak, Didem Büyüktaş, İlkay Değerli, Müge Kocak, Bahattin Tanrıkulu, Burak Tander, Hakan Ağır, Memet Özek, Erdi Dirilen, Kutalp Kurt, Mehtap Seluck","doi":"10.1093/jscr/rjaf320","DOIUrl":"10.1093/jscr/rjaf320","url":null,"abstract":"Conjoined twins are rare and present significant challenges for surgical and anesthetic teams. Pygopagus twins, fused at the pelvis and lower spine, require meticulous planning, and multidisciplinary collaboration. This report describes the elective separation of pygopagus twin girls, involving advanced imaging, 3D anatomical modeling, and simulation-based preparation. A color-coded system differentiated anesthesia teams, equipment, and monitors, ensuring clarity during the 27-h procedure. Anesthesia was maintained with sevoflurane and remifentanil, with individualized fluid and hemodynamic management. Surgical steps included separation of shared spinal, rectal, and urogenital structures, followed by soft tissue reconstruction. The surgery was completed without major complications. Both twins were extubated within seven days, recovered well in the pediatric ICU, and were discharged on postoperative day 56 without neurological deficits. This case highlights the value of thorough planning, advanced imaging, and a structured multidisciplinary approach. Color-coded systems and simulations enhanced coordination, reduced risks, and improved outcomes.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf320"},"PeriodicalIF":0.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303292","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

Peri-renal metastasis of cervical neuroendocrine carcinoma: a case report and literature review. 宫颈神经内分泌癌肾周转移1例并文献复习。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-06-13 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf412

Nopparuj Sangnoppatham, Natchaya Jitjaturunt, Jitpanu Wongyongsil, Winn Wisawasukmongchol, Panya Thaweepworadej

引用次数: 0

Exuberant delayed granulomatous reaction to hyaluronic acid filler material. 对透明质酸填充物有强烈的延迟性肉芽肿反应。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-06-13 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf395

Nasser Almadan, Reem Althubaiti, Chibuzo Uguru, Joseph John K Pothanikat, Jamal Hamed Alshamari

引用次数: 0

Esophageal perforation more than one year following anterior cervical spinal surgery. 颈椎前路手术后食管穿孔1年以上。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-06-13 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf399

Grace R Fassina, Nangorgo J Coulibaly, Griffin L Ernst, Jose A Sanclement, Caple A Spence

{"title":"Esophageal perforation more than one year following anterior cervical spinal surgery.","authors":"Grace R Fassina, Nangorgo J Coulibaly, Griffin L Ernst, Jose A Sanclement, Caple A Spence","doi":"10.1093/jscr/rjaf399","DOIUrl":"10.1093/jscr/rjaf399","url":null,"abstract":"We illustrate a rare case of a delayed esophageal perforation occurring ˃1 year after anterior cervical spinal surgery for trauma, without evidence of instrumentation failure. The patient presented with dysphagia, headache, and posterior neck pain. A swallow study confirmed posterior esophageal defect and surgical repair was performed using pectoralis flap. Literature review revealed limited cases of esophageal perforation beyond one year later following anterior cervical spinal surgery related to trauma without hardware failure. Most delayed esophageal injuries occur within 2 years and are related to instrumentation failure; cases without instrumentation failure are not commonly presented. Despite their rarity, clinicians should consider esophageal perforation in patients with a prior history of anterior cervical spinal surgery presenting symptoms of esophageal dysfunction. This case report emphasizes prompt recognition and intervention are essential for better outcomes; recommending multidisciplinary approach with neurological surgery and otolaryngology to perform diagnostics and necessary interventions.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf399"},"PeriodicalIF":0.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303294","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

Innovative approaches to dog-ear deformities in burn contracture release surgery: preserving skin for functional and aesthetic outcomes. 创新方法的狗耳畸形烧伤挛缩释放手术：保留皮肤的功能和美观的结果。

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Journal of Surgical Case Reports Pub Date : 2025-06-13 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf360

Mehdi Ayaz, Dorsa Ayaz

{"title":"Innovative approaches to dog-ear deformities in burn contracture release surgery: preserving skin for functional and aesthetic outcomes.","authors":"Mehdi Ayaz, Dorsa Ayaz","doi":"10.1093/jscr/rjaf360","DOIUrl":"10.1093/jscr/rjaf360","url":null,"abstract":"Post-burn contractures often lead to functional impairment and cosmetic deformities. Traditional treatments involve excising tight scar tissue, which can result in dog-ear deformities. This study introduces a technique that preserves the dog-ear tissue and utilizes surplus skin to improve contracture release, enhancing both functional and aesthetic outcomes. The procedure involves dividing the dog-ear tissue into symmetrical triangular flaps, with two methods for transposing the tissue. These approaches optimize skin tension, improving contracture release without excising healthy tissue. This technique offers a promising alternative to traditional methods by preserving excess skin, reducing operative time, and improving both function and aesthetics. While not suitable for all cases, it provides enhanced options for burn contracture management. The modified dog-ear technique is an effective, versatile approach for burn contracture release, preserving skin and improving both function and appearance. Further studies are needed to assess its long-term effectiveness.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf360"},"PeriodicalIF":0.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303296","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

Early-to-mid onset bacterial endocarditis following implantation of Gore Cardioform Septal Occluder device. 戈尔心状间隔闭塞器植入后的早中期细菌性心内膜炎。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-06-13 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf414

Mahmoud K Abd-El-Hafez, Ahmed A Romeya, Jayasheel O Eshcol

{"title":"Early-to-mid onset bacterial endocarditis following implantation of Gore Cardioform Septal Occluder device.","authors":"Mahmoud K Abd-El-Hafez, Ahmed A Romeya, Jayasheel O Eshcol","doi":"10.1093/jscr/rjaf414","DOIUrl":"10.1093/jscr/rjaf414","url":null,"abstract":"We present the unusual case of a 37-year-old female who was found to have bacterial endocarditis related to a 30 mm Gore Cardioform Septal Occluder that was placed following multiple paradoxical strokes, due to a patent PFO. Cardiothoracic Surgery was consulted and patient underwent surgical explantation with pericardial patch repair. Patient was discharged on postoperative (POD) 10 with 6 weeks of IV Cefazolin. Endocarditis following PFO closure-device implantations remains an exceedingly rare complication. In those that do develop endocarditis, the majority occur in early postop period. The first 3 months following implantation is where the subject is at greatest risk of endocarditis, owing to incomplete endothelialization of the implantable device. Late-onset endocarditis (>6 months postop) has also been documented in the literature. Thus, while current literature recommends prophylactic antibiotic administration prior to invasive surgery during the first 6 months following device implantation, prolonging this period may be indicated in select high-risk populations.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf414"},"PeriodicalIF":0.4,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303293","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