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Journal of Surgical Case Reports最新文献

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Preduodenal portal vein: two distinct case reports with unique presentations and tailored surgical management strategies.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae813
Abdelrahman S Elnour, Isam Taha, Mohamed Helali, Faisal Nugud
{"title":"Preduodenal portal vein: two distinct case reports with unique presentations and tailored surgical management strategies.","authors":"Abdelrahman S Elnour, Isam Taha, Mohamed Helali, Faisal Nugud","doi":"10.1093/jscr/rjae813","DOIUrl":"10.1093/jscr/rjae813","url":null,"abstract":"<p><p>Preduodenal portal vein (PDPV) is a rare congenital vascular malformation, which was first described by Knight in 1921 as an anomalous vein that lies in front of the duodenum, common bile duct, and hepatic artery instead of beneath them. This abnormal position may result in congenital duodenal obstruction and puts it in danger during operations around this region. PDPV is typically associated with other congenital anomalies, mainly intraabdominal and cardiac ones. The surgical management is usually determined intraoperatively based on evidence that the PDPV is the real cause of obstruction. We report two cases of PDPV each with a different presentation and management approach.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae813"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899344","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
Simultaneous triple peptic perforations: a report of an extremely rare case.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae800
Van Phu La, Hai Duong Tong, Vinh Phuc La, Nhat Minh Le Thanh, Quan Minh Tran, Cong Phi Dang, Anh Vu Doan
{"title":"Simultaneous triple peptic perforations: a report of an extremely rare case.","authors":"Van Phu La, Hai Duong Tong, Vinh Phuc La, Nhat Minh Le Thanh, Quan Minh Tran, Cong Phi Dang, Anh Vu Doan","doi":"10.1093/jscr/rjae800","DOIUrl":"10.1093/jscr/rjae800","url":null,"abstract":"<p><p>Peptic ulcer perforations are common in surgical emergencies, whereas double perforations are rare, and triple peptic perforations are even exceedingly rare, with only a few cases documented. While undetected perforation during surgery can be fatal, the absence of standardized procedures for managing multiple perforations remains an ongoing challenge for surgeons. Herein, we describe a rare case of simultaneous triple peptic perforations in an elderly man with a prolonged history of analgesic and corticosteroid use. This case underscores the importance of screening multiple peptic perforations intraoperatively. Subtotal gastrectomy is suggested as an effective option when simple closure of perforations is infeasible.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae800"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899351","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
Clinical outcomes and complications of retained biliary stents during the COVID-19 pandemic: a case series.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae825
Bishnu P Kandel, Prajjwol Luitel, Asim Shrestha, Deepak Sharma, Narendra Manandhar, Sumita P Maskey, Ramesh S Bhandari, Paleswan J Lakhey
{"title":"Clinical outcomes and complications of retained biliary stents during the COVID-19 pandemic: a case series.","authors":"Bishnu P Kandel, Prajjwol Luitel, Asim Shrestha, Deepak Sharma, Narendra Manandhar, Sumita P Maskey, Ramesh S Bhandari, Paleswan J Lakhey","doi":"10.1093/jscr/rjae825","DOIUrl":"10.1093/jscr/rjae825","url":null,"abstract":"<p><p>Biliary stents are widely used following endoscopic management of choledocholithiasis. Removal is recommended within 3-6 months to prevent complications. This study analyzed cases of retained biliary stents managed at our institution. Data on patient demographics, duration of stent retention, complications, and management outcomes were collected and analyzed. The mean age of the patients was 60 years (range: 50-82), and the mean stent retention duration was 29.5 months (range: 12-52 months). Acute cholangitis (83.3%) was the most frequent clinical presentation. Endoscopic stone removal was successful in two cases (33.3%), while the remaining four required open bile duct exploration due to technical challenges. Retained biliary stents are associated with severe complications such as recurrent choledocholithiasis and acute cholangitis, often necessitating invasive interventions. These findings underscore the critical importance of timely stent retrieval to minimize morbidity.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae825"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899308","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
Perforation of sigmoid colon by a migrated intrauterine contraceptive device (IUCD), diagnosis and surgical management: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae803
Muhammad E A Khan, Elaine Kelly, Ahmed I D Haidaran
{"title":"Perforation of sigmoid colon by a migrated intrauterine contraceptive device (IUCD), diagnosis and surgical management: a case report.","authors":"Muhammad E A Khan, Elaine Kelly, Ahmed I D Haidaran","doi":"10.1093/jscr/rjae803","DOIUrl":"10.1093/jscr/rjae803","url":null,"abstract":"<p><p>We describe the case of a 43-year-old woman presented with an 8-month history of intermittent non-specific abdominal pain. She had an Intrauterine Contraceptive Device (IUCD) inserted 4-years ago and the device was still in-situ. After initial gynaecological assessment, further clinical radiological investigations, computerized tomography imaging showed that the intraluminal part of the radiological foreign body was seen to be possibly perforating the sigmoid colon after having migrated. Diagnostic laparoscopy confirmed this and a laparotomy was performed to remove the foreign body (IUCD) followed by primary closure of the defect in the sigmoid colon.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae803"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899273","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
Genitourinary tuberculosis presenting as treatment resistant dysuria in a young patient: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae818
Louis Woodward, Ali Sahin, Stefanos Almpanis
{"title":"Genitourinary tuberculosis presenting as treatment resistant dysuria in a young patient: a case report.","authors":"Louis Woodward, Ali Sahin, Stefanos Almpanis","doi":"10.1093/jscr/rjae818","DOIUrl":"10.1093/jscr/rjae818","url":null,"abstract":"<p><p>Genitourinary tuberculosis is the second most common form of extrapulmonary tuberculosis. We present the case of a male patient in his late 20s who presented to his general practitioner with symptoms of recurrent urinary tract infection (UTI). Upon investigation his estimated glomerular filtration rate was found to be 61 ml/min/1.75 m<sup>2</sup> and an ultrasound scan of the kidney, ureters, and bladder revealed a left sided hydronephrosis. A computerized tomography urogram confirmed upper and lower pole lesions of the left kidney with ureteric changes and lymphadenopathy consistent with chronic atypical infection. A urine acid-fast bacilli culture was positive for urinary tuberculosis (TB). The patient's disseminated TB was treated with conventional anti-TB medications. Our case report highlights the value in considering genitourinary tuberculosis amongst the list of differential diagnoses in younger patients presenting with symptoms of recurrent UTI.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae818"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899335","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
Treatment of metastatic carotid body paraganglioma in a young female.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae811
Aldin Malkoc, Maryam Ahmad, Paul Kim, Iden Andacheh
{"title":"Treatment of metastatic carotid body paraganglioma in a young female.","authors":"Aldin Malkoc, Maryam Ahmad, Paul Kim, Iden Andacheh","doi":"10.1093/jscr/rjae811","DOIUrl":"10.1093/jscr/rjae811","url":null,"abstract":"<p><p>Carotid body tumors (CBTs) are rare head and neck paragangliomas that arise from the carotid body chemoreceptor at the common carotid bifurcation. These neoplasms are generally benign, slow-growing, nonsecreting, and well-vascularized. Metastasis occurs in ~5% of cases. Here, we report a case of a 35-year-old female presenting with 1-year history of a growing left neck mass, consistent with a CBT. Patient ultimately underwent surgical excision and was found to have a malignant paraganglioma with metastases to cervical lymph nodes. She was further treated with a left modified radical neck dissection and adjuvant radiotherapy and remains disease-free at the time of follow-up 2 years later. We discuss the roles of preoperative assessment, concomitant selective neck dissection and tumor resection, and subsequent modified radical neck dissection as part of the diagnosis and surgical management of malignant CBTs.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae811"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899371","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
Unusual intravesical findings: a case report on foreign body in the bladder of an adolescent female.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae819
Kholoud Alabassi, Yaser M Ata, Noora Alshahwani, Abdelrahman Elkadhi
{"title":"Unusual intravesical findings: a case report on foreign body in the bladder of an adolescent female.","authors":"Kholoud Alabassi, Yaser M Ata, Noora Alshahwani, Abdelrahman Elkadhi","doi":"10.1093/jscr/rjae819","DOIUrl":"10.1093/jscr/rjae819","url":null,"abstract":"<p><p>Bladder foreign bodies (BFB) are uncommon in the pediatric population. They typically arise from self-insertion, iatrogenic factors, or trauma. Cystoscopy is the preferred intervention. A 16-year-old female presented with a [2-]day history of dysuria, suprapubic pain, and a palpable rectal foreign body. Imaging revealed an 8.2 cm radiopaque object in the bladder. Diagnostic laparoscopy confirmed no perforation. Cystoscopy identified and removed a lead pencil from the bladder. A small bladder perforation was noted post-removal. The patient had a smooth recovery and was discharged with a Foley catheter, which was later removed following normal postoperative imaging results. Prompt diagnosis and intervention are crucial for managing pediatric BFBs to prevent complications. Imaging and cystoscopy play key roles in treatment.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae819"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899393","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 report: hibernoma, a rare male breast mass.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae820
Joanna Sajdlowska, Funmilayo Fawole, Anjeli Patel, Nawras Radwan, James Yang, Derick Christian
{"title":"Case report: hibernoma, a rare male breast mass.","authors":"Joanna Sajdlowska, Funmilayo Fawole, Anjeli Patel, Nawras Radwan, James Yang, Derick Christian","doi":"10.1093/jscr/rjae820","DOIUrl":"10.1093/jscr/rjae820","url":null,"abstract":"<p><p>Hibernomas are rare, benign neoplasms characterized by the presence of brown adipose tissue. Although these tumors may arise in any region of brown fat, they predominantly occur in the thigh, shoulder, back, and neck. Hibernomas are rarely found in mammary tissue, with a higher prevalence in females than males. This case report highlights a unique presentation of a 20 cm hibernoma mass found in the right breast of a 31-year-old male. A diagnostic bilateral mammogram, unilateral MRI, and ultrasound were used to evaluate the mass. The patient underwent an intra-operative ultrasound-guided needle biopsy and left total mastectomy, revealing the diagnosis of hibernoma with fat necrosis. This report aims to delineate the pathological, diagnostic, and clinical features associated with breast hibernomas and to offer a comprehensive review of the literature on the subject. This case report also serves to expand the differential for breast mass in male patients, with a focused aim to prevent delayed diagnosis and treatment.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae820"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899302","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
Thoracoscopic segmentectomy for lung tumour with displaced B1 + 2.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae810
Masahiro Miyajima, Keishi Ogura, Taijirou Mishina, Atsushi Watanabe
{"title":"Thoracoscopic segmentectomy for lung tumour with displaced B<sup>1 + 2</sup>.","authors":"Masahiro Miyajima, Keishi Ogura, Taijirou Mishina, Atsushi Watanabe","doi":"10.1093/jscr/rjae810","DOIUrl":"10.1093/jscr/rjae810","url":null,"abstract":"<p><p>The frequency of bronchial branching abnormalities is about 0.6%, of which about 75% are related to the right upper lobe. The frequency of left B<sup>1 + 2</sup> transition bronchus is even rarer, but a few cases have been reported. A 43-year-old man, who presented with an abnormal pulmonary nodule suspected to be lung cancer in the left S4 segment, underwent video-assisted thoracoscopic segmentectomy of S3 plus lingular segment. Preoperative three-dimensional contrast-enhanced computed tomography (CT) revealed a displaced B<sup>1 + 2</sup> bronchus arising from the left main bronchus, which ascends behind the main pulmonary artery. Video-assisted thoracic surgery was performed successfully, and the nodule was pathologically diagnosed as a lymphoma. Preoperative three-dimensional contrast-enhanced CT was very useful to detect this rare bronchial abnormality. In the present case, three-dimensional CT allowed us to safely operate on a patient with a rare B<sup>1 + 2</sup> displaced bronchus in the left upper lobe.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae810"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899367","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
Colo-cutaneous fistula in the setting of complicated sigmoid diverticulitis previously managed with percutaneous drainage: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2024-12-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae674
Natalia Correa
{"title":"Colo-cutaneous fistula in the setting of complicated sigmoid diverticulitis previously managed with percutaneous drainage: a case report.","authors":"Natalia Correa","doi":"10.1093/jscr/rjae674","DOIUrl":"10.1093/jscr/rjae674","url":null,"abstract":"<p><p>Colo-cutaneous fistulas are a rare complication of diverticular disease. Percutaneous drainage offers a promising alternative to surgical intervention in the management of complicated diverticular disease with abscess formation. Recent case studies and literature reviews support its efficacy in achieving abscess resolution and reducing the need for surgery. However, careful patient selection, technical proficiency, and multidisciplinary management are critical to optimizing outcomes. As the body of evidence grows, percutaneous drainage is likely to play an increasingly important role in the therapeutic arsenal against complicated diverticular disease; however, the risk of complications, particularly fistula formation, must be carefully considered. Our case presents a rare incident of a colo-cutaneous fistula occurring after CT-guided percutaneous drainage of a pericolic abscess secondary to perforated sigmoid diverticulitis that failed medical management. The patient ultimately underwent Hartmann's procedure where the diseased sigmoid colon, adhered small bowel, and fistula tract were excised with an end colostomy creation.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae674"},"PeriodicalIF":0.4,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899314","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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