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Severe periocular ecchymosis following acupuncture therapy for dry eye: a report of two cases.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae783
Jarryl H J Tsai, Jonathan T W Au Eong, Kah-Guan Au Eong
{"title":"Severe periocular ecchymosis following acupuncture therapy for dry eye: a report of two cases.","authors":"Jarryl H J Tsai, Jonathan T W Au Eong, Kah-Guan Au Eong","doi":"10.1093/jscr/rjae783","DOIUrl":"10.1093/jscr/rjae783","url":null,"abstract":"<p><p>Acupuncture is a complementary therapy used in many parts of the world to treat a variety of disorders. Two women aged 61 and 86 years old presented with painless bruising around their right eye for 3 and 10 days, respectively, following acupuncture therapy for dry eye. The younger woman was on oral acetylsalicylic acid 100 mg daily and it was her second episode of ocular bruising from a total of 20 therapy sessions. Clinical examination disclosed severe periocular ecchymosis in their right eye. There was no proptosis or globe perforation. The ecchymosis gradually resolved over a few weeks without any visual sequelae in both cases. Periocular acupuncture can cause severe periocular ecchymoses. Patients should be informed of this and other potentially sight-threatening complications associated with this form of treatment, and both acupuncture practitioners and ophthalmologists should be alert to recognize such complications early so that they can be appropriately managed.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae783"},"PeriodicalIF":0.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081529","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
Free metatarsophalangeal joint to metacarpophalangeal joint transfer - a unique surgical technique.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae646
Zoha Asghar, Zubaid Moazzam Sheikh, Muhammad Asif
{"title":"Free metatarsophalangeal joint to metacarpophalangeal joint transfer - a unique surgical technique.","authors":"Zoha Asghar, Zubaid Moazzam Sheikh, Muhammad Asif","doi":"10.1093/jscr/rjae646","DOIUrl":"10.1093/jscr/rjae646","url":null,"abstract":"<p><p>Giant cell tumors of metacarpal bones is a rare occurrence. The tumor particularly exhibits an aggressive behavior in small bones of the extremities. Different techniques such as curettage with or without bone grafting, en bloc resection (more commonly preferred) and reconstruction have been discussed but a unique way of reconstruction is using the metatarsal for substitution. Other options include the fibular graft or using a portion of the iliac crest. We report the case of a young female with a giant cell tumor of the fourth metacarpal bone where we reconstructed the diseased joint with the metatarsal bone while achieving good local control, preserving lower limb and hand function along with cosmesis. The transfer of osteoarticular ligamentous complexes of the metatarsal bone for reconstruction of metacarpal bone defects is a technique that provides good cosmetic outcomes, excellent function with minimum effects to the donor site function.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae646"},"PeriodicalIF":0.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081523","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 mesh repair of an iatrogenic post-nephrectomy Bochdalek hernia in an adult: a case study.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-30 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjae696
James P Waters, Gena V Topper, Vineeth Romiyo, Ian P Hayden, Robert A Panico, David D Shersher
{"title":"Open mesh repair of an iatrogenic post-nephrectomy Bochdalek hernia in an adult: a case study.","authors":"James P Waters, Gena V Topper, Vineeth Romiyo, Ian P Hayden, Robert A Panico, David D Shersher","doi":"10.1093/jscr/rjae696","DOIUrl":"10.1093/jscr/rjae696","url":null,"abstract":"<p><p>Bochdalek hernias arise from a developmental failure of the pleuroperitoneal canal to close, allowing abdominal contents to herniate into the thorax and compress the developing lung parenchyma. In rare cases, Bochdalek hernias may arise in adults and usually present with symptoms related to the hernia. Treatment consists of either open, laparoscopic, or robotic repair to close the defect. We present an unusual case in which an elderly patient presented with a large left-sided Bochdalek hernia containing both an incarcerated stomach and spleen following an uncomplicated robotic left nephrectomy. The hernia was successfully reduced and reconstructed with mesh via open abdominal repair with minimal complications. Repairing these hernias is challenging and, as in this case, required a complex reconstruction of diaphragm with mesh attachment to the ribs. Further reports on acute management of iatrogenic Bochdalek hernias in adults are warranted to better understand long-term post-operative outcomes and optimize management.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjae696"},"PeriodicalIF":0.4,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068780","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
Duplication of the common bile duct associated with dorsal pancreas agenesis: a diagnostic enigma and a major therapeutic turning point.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf029
Tarik Deflaoui, Anas Derkaoui, Haitam Soussan, Yassir Akil, Rihab Amara, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane
{"title":"Duplication of the common bile duct associated with dorsal pancreas agenesis: a diagnostic enigma and a major therapeutic turning point.","authors":"Tarik Deflaoui, Anas Derkaoui, Haitam Soussan, Yassir Akil, Rihab Amara, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane","doi":"10.1093/jscr/rjaf029","DOIUrl":"10.1093/jscr/rjaf029","url":null,"abstract":"<p><p>We present a pioneering case of a duplication of the common bile duct associated with agenesis of the dorsal pancreas in a 66-year-old man. After an episode of cholestatic jaundice, radiological investigations revealed complex vascular and biliary anomalies, redefining the therapeutic strategy. Instead of risky surgery, endoscopic biliopancreatic drainage resolved the symptoms. This rare and complex case offers new perspectives for the management of such anomalies, underlining the importance of a personalized, multidisciplinary approach.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf029"},"PeriodicalIF":0.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11768508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048250","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
The band's encore: scarring causing dysphagia post-gastric band removal. 乐队的安可：胃束带切除术后导致吞咽困难的疤痕。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf028
Peter Tilleard, Eshwarshanker Jeyarajan
{"title":"The band's encore: scarring causing dysphagia post-gastric band removal.","authors":"Peter Tilleard, Eshwarshanker Jeyarajan","doi":"10.1093/jscr/rjaf028","DOIUrl":"10.1093/jscr/rjaf028","url":null,"abstract":"<p><p>Placement of a laparoscopic adjustable gastric band (LAGB) is a procedure used in bariatric surgery. Despite its decrease in popularity due to its high reoperation rate and suboptimal clinical response, managing the complications of LAGBs remains an important component of general and bariatric surgeons' work. Only two case studies describe return to theatre to excise scarring, which has continued to cause symptoms after LAGB removal. We report the case of a 72-year-old female presenting with persistent dysphagia nine years post removal of her LAGB. Laparoscopic excision of a fibrotic scar at the site of her previous LAGB resulted in complete resolution of her symptoms. This case report draws attention to the possibility of ongoing symptoms from scarring despite LAGB removal and how this can be managed. Further, it may suggest the importance of dividing a fibrotic scar found under a LAGB on removal.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf028"},"PeriodicalIF":0.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11768503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047516","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 union of two rare pathologies: small bowel diverticula perforation secondary to impacted gallstone ileus.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf026
Joseph Do Woong Choi, Pranesh de Silva, Craig Lynch, Stephen Pillinger, Praveen Ravindran
{"title":"A union of two rare pathologies: small bowel diverticula perforation secondary to impacted gallstone ileus.","authors":"Joseph Do Woong Choi, Pranesh de Silva, Craig Lynch, Stephen Pillinger, Praveen Ravindran","doi":"10.1093/jscr/rjaf026","DOIUrl":"10.1093/jscr/rjaf026","url":null,"abstract":"<p><p>An 84-year-old lady presented with 1 day history of sudden onset generalized abdominal pain, fevers, and peritonism. Computed tomography was suggestive of a mid-small bowel perforation associated with a distal ovoid soft tissue density structure without pneumobilia. An urgent laparotomy demonstrated two areas of jejunal diverticula necrosis and perforation associated with a 3 cm luminal mass in the proximal ileum, and proximal small bowel dilatation. A 100 cm small bowel resection incorporating the mass and perforated jejunal diverticula and primary stapled anastomosis were performed. Histopathology surprisingly demonstrated cholelithiasis consistent with a gallstone ileus and necrotic, perforated jejunal diverticulitis. The patient had no recurrent symptoms at 6 weeks follow-up. The authors report an uncommon and unexpected occurrence of small bowel diverticulitis perforation as a rare complication of gallstone ileus.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf026"},"PeriodicalIF":0.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11768504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048326","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
Mesonephric-like adenocarcinoma of the ovary: a case study.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-26 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf025
Saad Assila, Mouna Khmou, Youssef Mahdi, Basma El Khannoussi
{"title":"Mesonephric-like adenocarcinoma of the ovary: a case study.","authors":"Saad Assila, Mouna Khmou, Youssef Mahdi, Basma El Khannoussi","doi":"10.1093/jscr/rjaf025","DOIUrl":"10.1093/jscr/rjaf025","url":null,"abstract":"<p><p>Mesonephric-like adenocarcinoma (MLA) is a rare and newly recognized subtype of ovarian and endometrial carcinomas, introduced in the 2020 World Health Organization Classification. This tumor likely originates from Müllerian-derived tissues and often mimics more common ovarian cancers, leading to frequent misdiagnosis. This case study details a 36-year-old woman who presented with urinary symptoms following a hysterectomy. Imaging revealed a significant left ovarian mass, initially misdiagnosed as carcinosarcoma. Pathological evaluation ultimately confirmed MLA, characterized by diverse architectural patterns and specific immunohistochemical markers. The patient underwent chemotherapy due to the locally advanced disease. This case highlights the diagnostic challenges of MLA and emphasizes the need for awareness among clinicians to prevent misdiagnosis. Given its aggressive nature and tendency to early recurrence, further research is essential for establishing standardized diagnostic criteria and treatment protocols for this rare malignancy.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf025"},"PeriodicalIF":0.4,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11767864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047263","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
Lumbosacral posterior meningocele in adult patient: a case report.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf018
Ali Tarik Abdul Wahid, Zahraa Monjed Abdulghani, Nabeel Al-Fatlawi, Sajjad Ghanim Al-Badri
{"title":"Lumbosacral posterior meningocele in adult patient: a case report.","authors":"Ali Tarik Abdul Wahid, Zahraa Monjed Abdulghani, Nabeel Al-Fatlawi, Sajjad Ghanim Al-Badri","doi":"10.1093/jscr/rjaf018","DOIUrl":"10.1093/jscr/rjaf018","url":null,"abstract":"<p><p>Spinal dysraphism is the incomplete fusion of the neural arch, which can be seen as an occult or open neural tube defect. Meningoceles are a form of open neural tube defect characterized by cystic dilatation of the meninges containing cerebrospinal fluid without the involvement of neural tissue. Neurosurgical intervention is necessary in the newborn period since survival in advancing ages is often impossible. Therefore, meningoceles are rarely reported in adulthood. Here, we discussed a case of a 23-year-old female who presented with a meningocele in the lumbosacral area since birth, which had not been operated on. Surgical management and intraoperative findings are also discussed.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf018"},"PeriodicalIF":0.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048370","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
Nasopharyngeal carcinoma with unusual metastatic spread to the spine and meninges: a case report with literature review.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf022
Salma Swadi Yassen, Sajjad Ghanim Al-Badri, Ali Naser Aldarawsha, Mohamed Samy Elazab, Asdah Alawad, Ameer Dhahir Hameedi, Abdulrahman Khaldoon Hamid, Hussein Mohsin Hasan, Nabeel Al-Fatlawi, Hasan Ali Asghar
{"title":"Nasopharyngeal carcinoma with unusual metastatic spread to the spine and meninges: a case report with literature review.","authors":"Salma Swadi Yassen, Sajjad Ghanim Al-Badri, Ali Naser Aldarawsha, Mohamed Samy Elazab, Asdah Alawad, Ameer Dhahir Hameedi, Abdulrahman Khaldoon Hamid, Hussein Mohsin Hasan, Nabeel Al-Fatlawi, Hasan Ali Asghar","doi":"10.1093/jscr/rjaf022","DOIUrl":"10.1093/jscr/rjaf022","url":null,"abstract":"<p><p>Nasopharyngeal carcinoma (NPC) is an epithelial malignancy commonly associated with Epstein-Barr virus infection. While bone, liver, and lung metastases are well-documented, central nervous system (CNS) involvement, particularly spinal and meningeal metastases, is extremely rare. We present a 41-year-old male with nasal obstruction and diplopia, diagnosed with locally advanced NPC. After treatment with chemotherapy and intensity-modulated radiotherapy, the patient achieved excellent locoregional control. However, months later, he developed persistent back pain, and imaging revealed metastatic deposits in the spine and meninges. Histopathological analysis confirmed metastatic NPC despite resolution of the primary tumor. The patient received palliative radiotherapy and intrathecal chemotherapy, but disease progression highlighted the aggressive nature and poor prognosis of CNS metastases in NPC. This case underscores the need for advanced imaging, histological confirmation, and tailored therapies in managing rare NPC metastases, with long-term follow-up and innovative therapies critical for improving outcomes in advanced disease.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf022"},"PeriodicalIF":0.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11756385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029870","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
Endoscopic management to different isolated maxillary fungal pathologies: case series of a tertiary hospital.
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1093/jscr/rjaf017
Maria Alabdulaal, Zahraa Almuhanna, Moath Alfaleh, Ghadeer Bu Saeed, Abdullah Alsaid, Ali Almomen
{"title":"Endoscopic management to different isolated maxillary fungal pathologies: case series of a tertiary hospital.","authors":"Maria Alabdulaal, Zahraa Almuhanna, Moath Alfaleh, Ghadeer Bu Saeed, Abdullah Alsaid, Ali Almomen","doi":"10.1093/jscr/rjaf017","DOIUrl":"10.1093/jscr/rjaf017","url":null,"abstract":"<p><p>Isolated maxillary fungal pathologies involve a variety of clinical entities. These include invasive and non-invasive variants, where each has a unique pathogenesis, clinical manifestation, and approach for management. The aim of this case series is to investigate the several ways that fungal infections of the maxillary sinus might present, with the approach to diagnose and manage these conditions. Several discrete maxillary fungal diseases were studied, including fungal ball, acute fulminant invasive fungal sinusitis, allergic fungal sinusitis, and chronic invasive fungal sinusitis at a hospital. For every condition, several treatment options, clinical manifestations, and diagnostic strategies were investigated, which are greatly influenced by the degree of invasiveness as well as the patient's immunological status. Optimizing patient outcomes, especially in more aggressive types of the disease, requires an early and proper diagnosis. Understanding the various symptoms of these fungal infections is critical for a timely management.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 1","pages":"rjaf017"},"PeriodicalIF":0.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048253","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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