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

Rare presentation of hydrocephalus occlusus caused by membranous obstruction of the foramina of Magendie and Luschka: a case report. 罕见的由Magendie和Luschka椎间孔膜性阻塞引起的脑积水闭塞：1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag931

Sergio Calero Martinez, Lydia Karamani, Heike de Vries, Paul-Christian Krüger, Christian Senft, Nazeer Aboud

引用次数: 0

Diffuse stimulant-associated vasculopathy presenting with acute limb ischemia, compartment syndrome, and multifocal visceral infarction. 弥漫性兴奋剂相关血管病变表现为急性肢体缺血、室室综合征和多灶性内脏梗死。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag930

Syed Azaan Adnan, Julianne Wanner, Syed Moaiz Adnan, Christopher Thompson

{"title":"Diffuse stimulant-associated vasculopathy presenting with acute limb ischemia, compartment syndrome, and multifocal visceral infarction.","authors":"Syed Azaan Adnan, Julianne Wanner, Syed Moaiz Adnan, Christopher Thompson","doi":"10.1093/jscr/rjag930","DOIUrl":"10.1093/jscr/rjag930","url":null,"abstract":"Stimulant-induced vasculopathy typically presents as localized ischemia secondary to vasospasm and thrombosis. Diffuse involvement of multiple vascular territories is uncommon and may result in severe, multisystem complications and increased morbidity. We report a 40-year-old female with polysubstance exposure, including cocaine and amphetamines, who presented with acute right lower extremity ischemia and compartment syndrome. Computed tomographic angiography demonstrated distal tibial, peroneal, and posterior tibial arterial occlusion. The patient underwent emergent four-compartment fasciotomy, allowing Doppler signals to return. Postoperative complications included rhabdomyolysis, acute kidney injury, bilateral adrenal infarctions, left renal infarction, and persistent foot drop. This case highlights the need to consider stimulant-associated vasculopathy in patients with acute limb ischemia without an embolic source and to evaluate for concurrent renal and visceral ischemic injuries. Early recognition and multidisciplinary management are essential to reduce morbidity.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag930"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228991","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

Non-traumatic acute mediastinitis secondary to acute phlegmonous esophagitis: a rare case report. 非外伤性急性纵隔炎继发于急性痰性食管炎1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag947

Meron H Biza, Eyerusalem K Degife, Selamawit Z Tadesse, Chernet T Mengistie, Ephrem M Atsbha, Biruk T Mengistie

{"title":"Non-traumatic acute mediastinitis secondary to acute phlegmonous esophagitis: a rare case report.","authors":"Meron H Biza, Eyerusalem K Degife, Selamawit Z Tadesse, Chernet T Mengistie, Ephrem M Atsbha, Biruk T Mengistie","doi":"10.1093/jscr/rjag947","DOIUrl":"10.1093/jscr/rjag947","url":null,"abstract":"Acute mediastinitis secondary to acute phlegmonous esophagitis (APE) is an exceptionally rare, life-threatening condition with high morbidity. We report a 75-year-old diabetic female with recent severe pneumonia who presented with pleuritic chest pain, dyspnea, and elevated inflammatory markers. Computed tomography pulmonary angiography excluded embolism but revealed diffuse long-segment esophageal wall thickening with mediastinal fat stranding, aortic encasement, and pleural effusion, features consistent with APE and secondary non-traumatic mediastinitis without overt perforation. Given clinical stability, endoscopy was deferred to avoid disrupting a possible contained micro-perforation. The patient was successfully managed with 14 days of empiric broad-spectrum intravenous antibiotics (vancomycin, cefepime, metronidazole), achieving complete clinical and radiographic resolution. This case underscores that in hemodynamically stable patients without free perforation or large abscess, conservative antimicrobial therapy can be definitive. It also highlights the importance of considering APE in non-surgical patients presenting with acute chest pain.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag947"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229120","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 novel pattern of complex bile duct injury characterized by distal ligation and proximal perforation: temporary T-tube drainage as a bridge to definitive reconstruction-a case report and literature review. 以远端结扎和近端穿孔为特征的新型复杂胆管损伤：临时t管引流作为最终重建的桥梁-一个病例报告和文献综述。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-19 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag940

Mirwais Safi, Muhibullah Saifi, Nasrullah Shefayee, Hamidullah Hamid, Ehsanullah Safi, Nasratullah Nasrat, Maihan Abdullah

{"title":"A novel pattern of complex bile duct injury characterized by distal ligation and proximal perforation: temporary T-tube drainage as a bridge to definitive reconstruction-a case report and literature review.","authors":"Mirwais Safi, Muhibullah Saifi, Nasrullah Shefayee, Hamidullah Hamid, Ehsanullah Safi, Nasratullah Nasrat, Maihan Abdullah","doi":"10.1093/jscr/rjag940","DOIUrl":"10.1093/jscr/rjag940","url":null,"abstract":"Bile duct injury (BDI) is a serious complication of cholecystectomy. We report a previously unrecognized pattern of complex BDI in a 30-year-old man who presented one week after open cholecystectomy with biliary peritonitis. Endoscopic retrograde cholangiopancreatography demonstrated an abrupt common bile duct (CBD) cutoff, while magnetic resonance cholangiopancreatography revealed a biloma with features suggestive of biliary peritonitis. Exploratory laparotomy confirmed distal CBD ligation with proximal common hepatic duct perforation. Because of severe inflammation and friable tissues, definitive reconstruction was deferred, and temporary T-tube drainage was established. The T-tube was maintained for ~3 months before removal. The established tract remained temporarily patent after removal, permitting transient bile drainage during progressive fibrosis and closure. The patient was closely monitored clinically, with serial liver function tests and ultrasonography. After adequate biliary-tree dilatation, Roux-en-Y hepaticojejunostomy was performed. At 2-year follow-up, he remained asymptomatic without recurrent biliary complications.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag940"},"PeriodicalIF":0.5,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229058","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

Traumatic transfemoral bowel evisceration following bull horn injury: a case report and review of literature. 牛角损伤后外伤性经股肠切除一例报告及文献复习。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-18 eCollection Date: 2026-06-01 DOI: 10.1093/jscr/rjag901

Venkata Avinash Kumar Vegi, Meraj Ahmed, Afzal Anees

{"title":"Traumatic transfemoral bowel evisceration following bull horn injury: a case report and review of literature.","authors":"Venkata Avinash Kumar Vegi, Meraj Ahmed, Afzal Anees","doi":"10.1093/jscr/rjag901","DOIUrl":"10.1093/jscr/rjag901","url":null,"abstract":"Bull horn injuries produce complex shearing and penetrating forces capable of causing occult abdominal wall disruption with visceral herniation. We report a rare case of bowel evisceration through the thigh following bull horn injury associated with pelvic fractures and traumatic inguino-femoral disruption. A 55-year-old female presented to the emergency with bowel loops protruding through a lacerated wound over the anterolateral aspect of the right thigh following a bull horn injury. Contrast-enhanced computed tomography of the abdomen and pelvis revealed herniation of ileal loops with mesentery through a large right lower abdominal wall defect with possible femoral canal involvement. Exploratory laparotomy revealed mesenteric tears and traumatic disruption of the inguinal region allowing bowel migration into the thigh. Reduction of bowel loops, repair of mesentery, peritoneal lavage and inguinal ligament repair were performed successfully. This case highlights the importance of suspecting occult abdominal wall and inguino-femoral disruption in atypical bowel evisceration patterns following animal-inflicted trauma.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 6","pages":"rjag901"},"PeriodicalIF":0.5,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221062","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

Correction to: The utility of endoscopic ultrasound-guided fine-needle aspiration and robotic surgery for submucosal-type metastatic rectal cancer with persistent descending mesocolon. 修正：超声内镜引导下细针穿刺和机器人手术治疗伴有持续降系结肠系膜的粘膜下型转移性直肠癌的应用。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-16 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag851

引用次数: 0

Chemotherapy-induced secondary sclerosing cholangitis mimicking primary sclerosing cholangitis: a case report. 化疗诱导的继发性硬化性胆管炎模拟原发性硬化性胆管炎1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag553

Neşe Demirhan, Kasım Çağlayan

引用次数: 0

Myofibrosarcoma of the maxillary sinus with orbital floor involvement: a case report. 上颌窦肌纤维肉瘤累及眶底1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag920

Adam El Hassouni, Rajae Borki, Aymene Benmansour, Omar Rami, Ilham Rkain, Hicham Mimouni

引用次数: 0

Nerve-sparing resection of cervical vagal schwannoma with complete functional recovery: a case report. 保留神经切除颈迷走神经鞘瘤并功能完全恢复1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag916

Zaid A Alzaghal, Faryal Imran, Mohammad Aamir Qayyum Sarguroh Khan, Aafreen A Nyaz, Gyanendra Jora, Safwan A Alzaghal, Hutham K Aliessa, Husam M Saleh

{"title":"Nerve-sparing resection of cervical vagal schwannoma with complete functional recovery: a case report.","authors":"Zaid A Alzaghal, Faryal Imran, Mohammad Aamir Qayyum Sarguroh Khan, Aafreen A Nyaz, Gyanendra Jora, Safwan A Alzaghal, Hutham K Aliessa, Husam M Saleh","doi":"10.1093/jscr/rjag916","DOIUrl":"10.1093/jscr/rjag916","url":null,"abstract":"Vagal schwannomas are rare benign neoplasms arising from the Schwann cells of the vagus nerve, representing 2%-5% of all peripheral nerve tumors and ~10% of head and neck schwannomas. They typically present as slow-growing, asymptomatic lateral neck masses and pose significant diagnostic and surgical challenges due to their proximity to critical neurovascular structures. We report a case of a 28-year-old Asian male who presented with a right-sided neck swelling. Imaging workup including ultrasound, magnetic resonance imaging, and computed tomography angiography identified a well-defined mass in the right carotid space at the level of C4-C5, displacing adjacent vascular structures. The tumor was surgically excised en bloc via a lateral transverse approach with full preservation of vagal nerve function, confirmed by intraoperative nerve monitoring. Histopathology confirmed the diagnosis of vagal schwannoma. This case highlights the importance of a multidisciplinary approach, thorough preoperative imaging, and meticulous intraoperative technique in achieving complete resection with minimal morbidity.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag916"},"PeriodicalIF":0.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197145","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

Cough-induced rectus sheath hematoma in an adolescent without external abdominal findings: a case report. 青少年咳嗽引起的直肌鞘血肿，无腹部外表现：1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag915

Yujin Kaneko, Haruhisa Ozawa, Ayane Tachiki, Kensuke Sakamoto, Genki Takei, Yukiko Kouchi, Naoto Yoshida, Toyoaki Sawano, Tetsuya Tanimoto, Akihiko Ozaki, Hiroaki Shimmura

{"title":"Cough-induced rectus sheath hematoma in an adolescent without external abdominal findings: a case report.","authors":"Yujin Kaneko, Haruhisa Ozawa, Ayane Tachiki, Kensuke Sakamoto, Genki Takei, Yukiko Kouchi, Naoto Yoshida, Toyoaki Sawano, Tetsuya Tanimoto, Akihiko Ozaki, Hiroaki Shimmura","doi":"10.1093/jscr/rjag915","DOIUrl":"10.1093/jscr/rjag915","url":null,"abstract":"Rectus sheath hematoma (RSH) is an uncommon cause of acute abdominal pain that predominantly affects older, anticoagulated adults and usually presents with a palpable abdominal-wall mass. We report a 17-year-old previously healthy male who developed midline lower abdominal pain after 6 days of severe coughing, without anticoagulation, trauma, or bleeding disorder, and with no visible swelling, ecchymosis, or palpable mass; Carnett's sign was positive. Ultrasonography, magnetic resonance imaging, and contrast-enhanced computed tomography confirmed a hematoma confined to the lower rectus sheath without active extravasation, and he recovered fully with conservative management. In a review of recent cough-induced RSH reports, all prior patients had a predisposing condition or external abdominal findings; our patient is the youngest reported and had neither. RSH should be considered in adolescents with persistent abdominal pain after severe coughing, even when examination is unremarkable.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag915"},"PeriodicalIF":0.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197143","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