Mansha Jiwane, Elan Novis, Emily C Smartt, Thomas E Pennington
{"title":"Incarcerated lateral inguinal hernia following ilioinguinal lymph node dissection: an unusual case.","authors":"Mansha Jiwane, Elan Novis, Emily C Smartt, Thomas E Pennington","doi":"10.1093/jscr/rjaf107","DOIUrl":"10.1093/jscr/rjaf107","url":null,"abstract":"<p><p>Penile squamous cell carcinoma (SCC) spreads predictably from primary tumour to inguinal lymph nodes then pelvic nodes and finally, to distant sites. Inguinal dissection involves resection of all femoral and inguinal nodes and is part of the recommended management. Femoral hernias are a commonly reported consequence of these extensive dissections. This case describes an unusual hernia which developed lateral to the femoral vessels. A 68 year old man presented with penile SCC of the distal glans penis and underwent bilateral ilioinguinal node dissections for nodal recurrence. On post operative day 1, the patient developed abdominal distention and obstipation. He returned to theatre and a defect under the inguinal ligament, lateral to the femoral vessels was identified, consistent with a lateral hernia. This was repaired with a polypropylene mesh onlay. Lateral inguinal hernia is a rare occurrence after ilioinguinal node dissection but early recognition and prompt intervention can prevent significant morbidity.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf107"},"PeriodicalIF":0.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587339","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}
Guorui Liang, Weihao Li, Tao Zhang, Xuemin Zhang, Xiaoming Zhang
{"title":"A hybrid approach to multiple endoleaks in a patient with situs inversus totalis.","authors":"Guorui Liang, Weihao Li, Tao Zhang, Xuemin Zhang, Xiaoming Zhang","doi":"10.1093/jscr/rjaf116","DOIUrl":"10.1093/jscr/rjaf116","url":null,"abstract":"<p><p>Situs inversus totalis (SIT) is a rare congenital condition characterized by mirror image transposition of thoracic and abdominal organs. The coexistence of SIT and abdominal aortic aneurysm presents unique anatomical and surgical challenges. We reported a case of a 60-year-old male with SIT and a history of endovascular aneurysm repair who developed multiple endoleaks (T1bEL, T2EL, and T3EL). A hybrid procedure combining open surgical repair and endovascular techniques was successfully employed to address the complex endoleaks (ELs). The procedure included ligation of collateral vessels, stent-graft extension, and preservation of the right internal iliac artery using an artificial vessel. This case highlights the feasibility of a hybrid approach for managing ELs in patients with SIT and underscores the importance of tailored surgical strategies.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf116"},"PeriodicalIF":0.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587860","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}
Konstantina Pouli, Eleni Pappa, Anastasia Pilichou, Panagiotis Krallis, John Anastasopoulos
{"title":"Scapular osteochondroma with pseudo-winging: a report of two cases.","authors":"Konstantina Pouli, Eleni Pappa, Anastasia Pilichou, Panagiotis Krallis, John Anastasopoulos","doi":"10.1093/jscr/rjaf117","DOIUrl":"10.1093/jscr/rjaf117","url":null,"abstract":"<p><p>Scapular pseudo-winging caused by ventral osteochondromas is a condition that has been rarely reported in the current literature. This manuscript reports two cases of scapular ventral osteochondromas in pediatric patients. Two female pediatric patients presented at our department with swelling mass of the scapula as well as pseudo-winging. The physical examination revealed a bony mass stemming from the body of the scapula. The diagnostic imaging included radiographs and CT, depicting the presence of ventral osteochondromas located on the body of the scapula in both patients. Surgical excision was performed leading to excellent post-operative results with complete resolution of deformity and symptoms. This case report highlights the role of ventral osteochondromas as a reason for scapular pseudo-winging. Clinical suspicion should be raised among orthopaedic surgeons for proper recognition and targeted management of scapular pseudo-winging cases caused by ventral osteochondromas.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf117"},"PeriodicalIF":0.4,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587349","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":"Dedifferentiated liposarcoma of transverse colon: a case report and review of the literature.","authors":"Nicole Hawkins, Chrispen Mushaya","doi":"10.1093/jscr/rjaf097","DOIUrl":"10.1093/jscr/rjaf097","url":null,"abstract":"<p><p>Dedifferentiated liposarcoma (DDL) is an aggressive subtype of liposarcoma that rarely arises within the abdominal cavity. We describe the case of a 71-year-old female incidental transverse colon mass suspicious for colorectal cancer. Pre-operative biopsy at colonoscopy was not possible due to the lesion's extraluminal location; however, complete resection was achieved through left hemicolectomy. Histology confirmed DDL. Review of the literature found four additional cases of DDL in the transverse colon. Clinical presentation, management, and follow-up were reviewed, illustrating poor outcomes; three of the five cases died within 3 years of surgery. DDL is associated with higher rates of local recurrence, metastasis, and mortality compared to well-differentiated liposarcomas. While limited by its rarity, DDL in the transverse colon appears to follow similarly poor outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf097"},"PeriodicalIF":0.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574253","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}
Mohamed Abdelgawad, Luis Fernandez, Diana Wu, Justin Sacks, Amit Mori, Jason Murry, Sally Abdelgawad, Omar Kamel, Faris Mahjoub
{"title":"Common hepatic bile duct partial transection: a rare consequence of blunt abdominal trauma. A case report and brief narrative review.","authors":"Mohamed Abdelgawad, Luis Fernandez, Diana Wu, Justin Sacks, Amit Mori, Jason Murry, Sally Abdelgawad, Omar Kamel, Faris Mahjoub","doi":"10.1093/jscr/rjaf101","DOIUrl":"10.1093/jscr/rjaf101","url":null,"abstract":"<p><p>Extrahepatic biliary injuries are rare in the settings of blunt abdominal trauma and often have delayed presentation. These findings of an isolated distal common hepatic duct injury secondary to blunt trauma may provide insight into the considerations in the progression of care especially as surgical intervention is not always required. In many cases, adopting a multidisciplinary approach involving interventional radiology and gastroenterology can provide more comprehensive care and lead to better outcomes. We hereby present a rare case and literature review of a common hepatic bile duct partial transection as a consequence of a blunt abdominal trauma. Highlighting the collaborative nature of the approach and emphasizing the potential benefits for patients.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf101"},"PeriodicalIF":0.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574249","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}
Igor A Lurin, Igor P Khomenko, Mykhailo Kashtalyan, Gerard McKnight, Volodymyr V Nehoduyko, Serhii V Tertyshnyi, Volodimir P Maidanyuk
{"title":"A novel approach used for reconstruction of facial blast wound injury-a case report from the Russo-Ukrainian war.","authors":"Igor A Lurin, Igor P Khomenko, Mykhailo Kashtalyan, Gerard McKnight, Volodymyr V Nehoduyko, Serhii V Tertyshnyi, Volodimir P Maidanyuk","doi":"10.1093/jscr/rjae709","DOIUrl":"10.1093/jscr/rjae709","url":null,"abstract":"<p><p>The current Russo-Ukrainian war has seen the return of similar patterns seen in the First World War. The aim is to demonstrate a case of facial reconstruction using a rotational flap to highlight the utility of dynamic digital thermography (DDT) and handheld Doppler. A 41-year-old soldier suffered a fragmentation injury to the right half of his upper lip from artillery fire in Eastern Ukraine. Dynamic digital thermography and Doppler were used pre-, intra-, and postoperatively to monitor the clinical status of the rotational flap. The patient made an excellent recovery and was discharged on postoperative Day 7. Dynamic multimodal monitoring of the wound throughout the reconstruction aids clinical decision-making, especially when access to computed tomography is limited. This novel application of existing technology may have relevance for military or humanitarian surgeons who must be prepared to deal with significant injuries without access to cross-sectional imaging.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjae709"},"PeriodicalIF":0.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574231","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}
Areeba Khursheed, Syed A A Rizvi, Wasif M Ali, Mohammad J Hassan, Manzoor Ahmad, Imad Ali
{"title":"Ascending colon carcinoma presenting as ileocecal intussusception in an adult-a case report with review of literature.","authors":"Areeba Khursheed, Syed A A Rizvi, Wasif M Ali, Mohammad J Hassan, Manzoor Ahmad, Imad Ali","doi":"10.1093/jscr/rjaf110","DOIUrl":"10.1093/jscr/rjaf110","url":null,"abstract":"<p><p>Intussusception is telescoping of a proximal segment of gastrointestinal tract within the lumen of another. Intussusception is a common presentation in pediatric population and present with a classic triad of abdominal pain, bloody diarrhea and a palpable mass. However, intussusception in adults is a rare entity accounting for only 5% of the total cases and is the underlying cause for 1%-5% of all the cases of intestinal obstruction. The adult population caters a varied nonspecific symptoms making diagnosis challenging. We present the case of 32-year-old woman who presented with abdominal pain, altered bowel habits and weight loss. The patient's clinical presentation, familial history of colonic malignancy underscores the importance of considering malignancy as the underlying cause. A contrast enhanced computed tomography (CECT) whole abdomen was done to diagnose the condition. The patient underwent right hemicolectomy and had an uneventful postoperative period. Histopathological findings were consistent with mucinous adenocarcinoma of the caecum.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf110"},"PeriodicalIF":0.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574243","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}
Charles Mawunyo Senaya, Francis Jojo Moses Kodzo Damalie, Kwaku Gyimah Amoa-Gyarteng, Humphrey Oduro Tweneboah, Derrick Osei Asamoah, Augustine Tawiah
{"title":"Hemoperitoneum complicating uterine fibroid: case report.","authors":"Charles Mawunyo Senaya, Francis Jojo Moses Kodzo Damalie, Kwaku Gyimah Amoa-Gyarteng, Humphrey Oduro Tweneboah, Derrick Osei Asamoah, Augustine Tawiah","doi":"10.1093/jscr/rjaf095","DOIUrl":"10.1093/jscr/rjaf095","url":null,"abstract":"<p><p>Hemoperitoneum due to bleeding from a vessel on a uterine fibroid is very rare. We report a case of hemoperitoneum in a 32-year-old Ghanaian woman who collapsed due to hemoperitoneum from a bleeding vessel on a pedunculated fibroid. Urgent resuscitation followed by laparotomy for myomectomy was performed successfully. Clinicians especially in sub-Saharan Africa where uterine fibroids are endemic should be aware of this rare complication of fibroids to avoid delay in diagnosis and to prevent morbidity and mortality.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf095"},"PeriodicalIF":0.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574257","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}
Nadir Ali Hilal, Ahmed Rafei, Omeralfarouk Hussein Alameen Mohammed, Noon Mohamed
{"title":"Advanced rectal cancer in an 11-year-old Sudanese patient with rare metastatic site: a case report.","authors":"Nadir Ali Hilal, Ahmed Rafei, Omeralfarouk Hussein Alameen Mohammed, Noon Mohamed","doi":"10.1093/jscr/rjaf096","DOIUrl":"10.1093/jscr/rjaf096","url":null,"abstract":"<p><p>Colorectal cancer (CRC) is predominantly an adult malignancy, rarely affecting children, with an incidence of less than 1% in individuals under 20 years old. Pediatric CRC typically presents with nonspecific symptoms, leading to delayed diagnosis and poorer outcomes compared to adults. Cutaneous metastases in CRC are exceedingly rare, occurring in 0.7%-5% of cases, and have not been previously reported in pediatric patients. We present an 11-year-old male with rectal adenocarcinoma who developed cutaneous metastasis after initial treatment. Misdiagnosis and delayed presentation contributed to disease progression. Treatment included neoadjuvant chemoradiotherapy, surgical resection, and adjuvant chemotherapy. Despite initial symptom resolution, the patient experienced tumor recurrence with peritoneal carcinomatosis and subsequent cutaneous metastasis, ultimately succumbing to the disease. This case highlights the challenges of diagnosing and managing pediatric CRC, emphasizing the need for heightened clinical suspicion and improved access to diagnostic tools, especially in resource-limited settings.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf096"},"PeriodicalIF":0.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574239","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}
Nawaf AlShahwan, Saleh Husam Aldeligan, Mohammed Basem Bayari, Ahmed Alburakan, Hassan Mashbari, Thamer Nouh
{"title":"Breaking new ground: penetrating trauma and cisterna chyli injury: a case report.","authors":"Nawaf AlShahwan, Saleh Husam Aldeligan, Mohammed Basem Bayari, Ahmed Alburakan, Hassan Mashbari, Thamer Nouh","doi":"10.1093/jscr/rjaf093","DOIUrl":"10.1093/jscr/rjaf093","url":null,"abstract":"<p><p>Here we discuss a rare case of cisterna chyli injury resulting from penetrating trauma, with no prior reported cases in the literature related to such injuries caused by penetrating trauma. The patient, a 21-year-old male, presented with multiple stab wounds, prompting exploratory laparotomy. Penetrating wounds to the stomach and a pancreatic laceration with retroperitoneal hematoma were identified. Notably, chyle leakage from the cisterna chyli was managed by clipping lymphatic branches. The paper emphasizes the importance of intraoperative identification and control of chyle leaks, as they can impact nutritional status and wound healing. Various maneuvers, including intraoperative indocyanine green lymphangiography and postoperative monitoring of drain output, are discussed for detecting and managing chyle leaks. The patient's postoperative course was uneventful, highlighting successful management and discharge on Day 11 in good health.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 3","pages":"rjaf093"},"PeriodicalIF":0.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574245","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}