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Journal of Surgical Case Reports最新文献

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Bypass surgery in a Jehovah's Witness with critical limb ischemia and end stage renal disease: a case report. ​
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-09 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf795
Eol Choi
{"title":"Bypass surgery in a Jehovah's Witness with critical limb ischemia and end stage renal disease: a case report.","authors":"Eol Choi","doi":"10.1093/jscr/rjaf795","DOIUrl":"10.1093/jscr/rjaf795","url":null,"abstract":"<p><p>A 60-year-old female Jehovah's Witness with critical limb ischemia and end-stage renal disease underwent staged revascularization including endovascular intervention, free flap reconstruction, and ultimately femoropopliteal bypass using in situ great saphenous vein. Despite maximal blood conservation strategies-erythropoiesis-stimulating agents, intravenous iron, and albumin-her postoperative hemoglobin dropped to 4.7 g/dl without any evidence of active bleeding. She declined allogeneic transfusion and developed multiorgan failure, resulting in death on postoperative Day 3. This case highlights the clinical and ethical complexities of managing high-risk vascular patients who refuse blood transfusion, emphasizing the need for individualized risk assessment, careful perioperative planning, and consideration of patient autonomy under potential external influence.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf795"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281300","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 case of renal cortical necrosis likely caused by disseminated intravascular coagulation after acute type A aortic dissection repair. 急性A型主动脉夹层修复术后弥散性血管内凝血所致肾皮质坏死1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-09 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf793
Kotaro Mukasa, Yasunori Yakita, Ryosuke Marushima, Shinichiro Abe, Soichi Asano
{"title":"A case of renal cortical necrosis likely caused by disseminated intravascular coagulation after acute type A aortic dissection repair.","authors":"Kotaro Mukasa, Yasunori Yakita, Ryosuke Marushima, Shinichiro Abe, Soichi Asano","doi":"10.1093/jscr/rjaf793","DOIUrl":"10.1093/jscr/rjaf793","url":null,"abstract":"<p><p>Acute type A aortic dissection carries a risk of disseminated intravascular coagulation (DIC) due to blood exposure in the false lumen, surgical factors, and false lumen thrombosis. We report the case of a 70-year-old woman who underwent total arch replacement with frozen elephant trunk implantation. Postoperatively, she developed DIC complicated by acute kidney injury and cerebral infarction. Contrast-enhanced computed tomography revealed the reverse rim sign, indicating renal cortical necrosis. Ultimately, irreversible renal failure necessitated maintenance hemodialysis. DIC associated with aortic dissection can lead to multi-organ failure from systemic microthrombosis and requires vigilant monitoring.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf793"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281274","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
Reversal of Roux-en-Y anatomy via gastrogastric anastomosis and sleeve gastrectomy for refractory early dumping syndrome: a case report. 胃胃吻合术逆转Roux-en-Y解剖加袖胃切除术治疗难治性早期倾倒综合征1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-09 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf790
Tengfei Qi, Haiyong Ma, Xiaojiang Dai, Longying Wang, Jipei He, Xiaochen Liu, Liangping Wu, Hongbin Zhang
{"title":"Reversal of Roux-en-Y anatomy via gastrogastric anastomosis and sleeve gastrectomy for refractory early dumping syndrome: a case report.","authors":"Tengfei Qi, Haiyong Ma, Xiaojiang Dai, Longying Wang, Jipei He, Xiaochen Liu, Liangping Wu, Hongbin Zhang","doi":"10.1093/jscr/rjaf790","DOIUrl":"10.1093/jscr/rjaf790","url":null,"abstract":"<p><p>Early dumping syndrome (DS) is a common complication after Roux-en-Y gastric bypass (RYGB), with refractory cases posing significant therapeutic challenges. A 38-year-old male developed severe refractory early DS 2 years post-RYGB, confirmed by modified oral glucose tolerance test meeting Scarpellini 2020 criteria. Symptoms persisted despite maximal dietary and pharmacotherapy (acarbose, somatostatin analogues). The patient underwent laparoscopic gastrogastric anastomosis combined with sleeve gastrectomy -the first reported application for this indication. The Sigstad score decreased from 16 to 6 at 180-day follow-up, indicating complete symptom resolution. Endoscopy and imaging confirmed patent anastomosis without stenosis/leakage, and no complications occurred. This novel combined procedure is a safe and effective solution for refractory early DS post-RYGB, restoring physiological gastric emptying. Long-term outcomes require validation in larger studies.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf790"},"PeriodicalIF":0.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281349","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
Sequential multi-reconstructive approach to a massive scalp defect: a case report. 连续多重重建入路治疗大面积头皮缺损1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-08 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf778
Luz Elena Rueda Gallardo, Juan Pablo Zaraza Duarte, Fabien Catherine Luna Aguilar, Frank Andrés Álvarez Vásquez
{"title":"Sequential multi-reconstructive approach to a massive scalp defect: a case report.","authors":"Luz Elena Rueda Gallardo, Juan Pablo Zaraza Duarte, Fabien Catherine Luna Aguilar, Frank Andrés Álvarez Vásquez","doi":"10.1093/jscr/rjaf778","DOIUrl":"10.1093/jscr/rjaf778","url":null,"abstract":"<p><p>Reconstruction of scalp defects continues to be a surgical challenge due to its anatomical and functional characteristics. The ideal reconstructive technique between local flaps, tissue expanders, dermal matrices, the use of negative pressure system and free flaps should provide durable and aesthetically acceptable coverage based on the etiology, defect size, local tissue availability, and patient comorbidities; with the aim of preserving hairlines, coverage with hair-bearing skin and preventing antiesthetic scars and areas of alopecia. We present a case of scalp avulsion affecting 90% of the total area, in which multiple surgical strategies were used to achieve the stated objective.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf778"},"PeriodicalIF":0.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259599","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
Acute appendicitis causing small bowel obstruction: a rare cause of mechanical obstruction. 急性阑尾炎引起小肠梗阻：机械性肠梗阻的罕见原因。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-08 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf809
Shayma Alahmed, Ahmad Karmustaji, Harvey Hawes
{"title":"Acute appendicitis causing small bowel obstruction: a rare cause of mechanical obstruction.","authors":"Shayma Alahmed, Ahmad Karmustaji, Harvey Hawes","doi":"10.1093/jscr/rjaf809","DOIUrl":"10.1093/jscr/rjaf809","url":null,"abstract":"<p><p>Small bowel obstruction (SBO) is a common cause of acute abdominal pain, typically resulting from adhesions, hernias, or malignancy. Appendicitis is a rare etiology of mechanical SBO, with less than 50 cases documented in the literature. We report the case of a 66-year-old woman who presented with severe abdominal pain and vomiting. Computed tomography imaging revealed a closed-loop SBO with two transition points in the right lower quadrant and associated mesenteric congestion. Although the appendix appeared unremarkable on imaging, diagnostic laparoscopy identified an inflamed appendix forming a band encircling the small bowel, resulting in mechanical obstruction. A laparoscopic appendectomy was performed, with complete resolution of the obstruction. This case highlights a rare but important cause of SBO and emphasizes the role of early surgical intervention and diagnostic laparoscopy in identifying unusual intra-abdominal pathologies.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf809"},"PeriodicalIF":0.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259661","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
Ankyloblepharon filiforme adnatum in a preterm neonate: a case report highlighting early recognition and surgical management. 早产新生儿丝状强直性睑下垂一例：强调早期识别和手术处理。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-08 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf810
Abdulmajeed Al Khathami, Renad S Al Subaie, Manal Al Subaie, Faisal Ali A Alsalouli, Khamiso Khan
{"title":"Ankyloblepharon filiforme adnatum in a preterm neonate: a case report highlighting early recognition and surgical management.","authors":"Abdulmajeed Al Khathami, Renad S Al Subaie, Manal Al Subaie, Faisal Ali A Alsalouli, Khamiso Khan","doi":"10.1093/jscr/rjaf810","DOIUrl":"10.1093/jscr/rjaf810","url":null,"abstract":"<p><p>Ankyloblepharon filiforme adnatum (AFA) is a rare congenital anomaly characterized by fine bands of tissue connecting the upper and lower eyelids, potentially obstructing vision if left untreated. We report a case of a preterm male neonate born at 33 weeks and 4 days of gestation via emergency cesarean section due to maternal preeclampsia. On examination, the infant had bilateral eyelid fusion consistent with AFA, confirmed by ophthalmologic evaluation. Surgical division of the adhesions was performed under general anesthesia with no complications. Postoperative recovery was uneventful, and follow-up confirmed clear corneas and normal ocular structures. This case highlights the importance of early recognition and prompt surgical management of AFA to prevent visual deprivation, particularly in preterm infants. It also underscores the need to assess for possible syndromic associations, although this case appeared isolated. Awareness of AFA among neonatologists and ophthalmologists can support timely diagnosis and intervention.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf810"},"PeriodicalIF":0.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259652","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 case report of inguinal hernia combined with sparganum infestation. 腹股沟疝合并斯巴达菌感染1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-08 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf784
Jingle Huang, Shen Li, Lixiu Huang, Huiying Li, Zhendong Qiu, Zhixing Lu, Sheng Xu, Chao Liu, Jinlei Wei
{"title":"A case report of inguinal hernia combined with sparganum infestation.","authors":"Jingle Huang, Shen Li, Lixiu Huang, Huiying Li, Zhendong Qiu, Zhixing Lu, Sheng Xu, Chao Liu, Jinlei Wei","doi":"10.1093/jscr/rjaf784","DOIUrl":"10.1093/jscr/rjaf784","url":null,"abstract":"<p><p>Inguinal hernia is a common benign disease in general surgery. It is rare to find Spirometra mansoni sparganum in the preperitoneal space during surgery. Most patients acquire the infection through consumption of raw frog or snake meat, application of snake skin on the skin or wounds. Patients may experience subcutaneous itching, a sensation of moving parasites, and even symptoms such as redness, swelling, heat, and pain. Most patients can be cured through comprehensive treatment combining oral medication and surgical intervention. Strengthening public education and promoting behavioral changes, including healthier dietary and lifestyle habits, are effective measures for preventing this condition.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf784"},"PeriodicalIF":0.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12507017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259594","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
Mayer-Rokitansky-Küster-Hauser syndrome complicated by hematometra and hematosalpinx treated with laparoscopic uterine drain placement: a case report. 腹腔镜子宫引流术治疗meyer - rokitansky - k<s:1> ster- hauser综合征合并积血和输卵管积血1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-07 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf797
Uma V Mahajan, Marla Sacks, Carlos Reck, Varag Abed, Harry Zinn, Francisca T Velcek
{"title":"Mayer-Rokitansky-Küster-Hauser syndrome complicated by hematometra and hematosalpinx treated with laparoscopic uterine drain placement: a case report.","authors":"Uma V Mahajan, Marla Sacks, Carlos Reck, Varag Abed, Harry Zinn, Francisca T Velcek","doi":"10.1093/jscr/rjaf797","DOIUrl":"10.1093/jscr/rjaf797","url":null,"abstract":"<p><p>Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a reproductive tract malformation occurring in ~1 in 5000 female births. It is characterized by congenital agenesis or marked hypoplasia of the Mullerian ducts derivative structures. About 3% of MRKH patients have a functioning uterus. A 12-year-old otherwise healthy female presented with persistent cyclic severe right lower quadrant pain. She was found to have MRKH syndrome with a right-sided functioning uterus and hematometra and ipsilateral hematosalpinx. She subsequently underwent diagnostic cystoscopy, vaginoscopy, and pelvic laparoscopy. Laparoscopic drainage of the hematometra and hematosalpinx, and hysterostomy catheter placement and uterine fixation to anterior abdominal wall were performed. Symptoms fully resolved post-operatively. A computed tomography scan 2 weeks later demonstrated resolution of the hematometra and significant improvement in the hematosalpinx. MRKH syndrome with a functioning uterus may present as cyclic abdominal pain in adolescent female patients. Laparoscopic uterine drain placement is a management option.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf797"},"PeriodicalIF":0.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253114","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
Unseen crisis: the unexpected face of acute haemorrhagic pancreatitis. 看不见的危机：急性出血性胰腺炎的意外面对。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-07 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf804
Anika Nathaniel, Andrew C Ekwesianya, Wing Y Chan, Josephine Mollier, Tarek Mehaina, Abraham Jesudoss, Abaraham A Ayantunde
{"title":"Unseen crisis: the unexpected face of acute haemorrhagic pancreatitis.","authors":"Anika Nathaniel, Andrew C Ekwesianya, Wing Y Chan, Josephine Mollier, Tarek Mehaina, Abraham Jesudoss, Abaraham A Ayantunde","doi":"10.1093/jscr/rjaf804","DOIUrl":"10.1093/jscr/rjaf804","url":null,"abstract":"<p><p>Acute necrotising pancreatitis can lead to severe vascular complications, including venous thrombosis, pseudoaneurysm, and haemorrhage. Acute haemorrhagic pancreatitis, though rare, is life-threatening. Contrast-enhanced computed tomography (CT) scan is the preferred diagnostic tool, with image-guided embolisation as the primary treatment for bleeding vessels. Surgery may be necessary when radiological methods fail. A 39-year-old male with recurrent abdominal pain, distension, and weight loss was initially misdiagnosed with intra-abdominal malignancy based on CT findings of omental deposits. Elevated amylase levels and haemorrhagic ascetic fluid prompted further investigations. A rapid haemoglobin drop and clinical deterioration led to diagnostic laparoscopy, confirming acute haemorrhagic pancreatitis. This case highlights the diagnostic challenges of this condition, which may present subtly and evade standard imaging, resulting in delayed treatment. Clinicians should suspect haemorrhagic pancreatitis in patients with acute abdominal pain, elevated amylase or lipase, and ascites. Early recognition and intervention are crucial for better outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf804"},"PeriodicalIF":0.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253153","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
Polidocanol foam injection sclerotherapy in patients with mixed hemorrhoids with severe anemia: a case report. 聚醚醇泡沫注射硬化治疗混合痔合并严重贫血1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-07 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf801
Yue Dong, Liman Zhang, Qiang Wang, Lili Wang, Tianpeng Zhang, Fei Ju, Jie Yang
{"title":"Polidocanol foam injection sclerotherapy in patients with mixed hemorrhoids with severe anemia: a case report.","authors":"Yue Dong, Liman Zhang, Qiang Wang, Lili Wang, Tianpeng Zhang, Fei Ju, Jie Yang","doi":"10.1093/jscr/rjaf801","DOIUrl":"10.1093/jscr/rjaf801","url":null,"abstract":"<p><p>Hemorrhoids, a prevalent proctological disease, often present with bleeding, which can lead to severe anemia. Anemia exacerbates anesthesia and surgical risks, raises postoperative infection and mortality rates, and slows recovery. Sclerotherapy for anemia-related hemorrhoids is considered relatively safe and effective. Here, we report a case of sclerotherapy for severe anemia-related hemorrhoids, aiming to provide a reference for the diagnosis and treatment of comparable patients.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf801"},"PeriodicalIF":0.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253158","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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