Journal of Surgical Case Reports最新文献_第3页

Needle trauma as a trigger for clinical manifestation of a pre-existing venous malformation: a case report. 针外伤作为一个预先存在的静脉畸形的临床表现的触发：一个病例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag912

Luca Dainese, Claudio Saccu, Stefano Zoli, Giovanni Nava, Alice Bonomi, Benedetta Di Venosa, Piero Trabattoni

{"title":"Needle trauma as a trigger for clinical manifestation of a pre-existing venous malformation: a case report.","authors":"Luca Dainese, Claudio Saccu, Stefano Zoli, Giovanni Nava, Alice Bonomi, Benedetta Di Venosa, Piero Trabattoni","doi":"10.1093/jscr/rjag912","DOIUrl":"10.1093/jscr/rjag912","url":null,"abstract":"Vascular anomalies include a broad spectrum of benign congenital lesions with varying clinical presentations. Historically, terms such as 'cavernous hemangioma' have been used imprecisely. Recent consensus supports classifying these lesions as vascular malformations rather than tumors. We report a case of a 58-year-old man with a venous malformation of the arm that became clinically evident at the site of venous blood sampling 10 years earlier. Preoperative computed tomography scan showed a well-circumscribed, vascularized mass in the antecubital fossa. Excision was performed for progressive enlargement, recurrent thrombophlebitis. Histopathology confirmed a low-flow venous malformation consistent with current vascular anomaly classifications. Although venous malformations are congenital lesions, the temporal association with venous puncture suggests that local trauma may have induced hemorrhage or thrombosis, acting as a trigger for lesion enlargement and clinical manifestation. This case highlights the possible role of local trauma in triggering the clinical manifestation and progression of a previously silent venous malformation.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag912"},"PeriodicalIF":0.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197177","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

Perforated appendicitis secondary to a ruptured pyosalpinx managed by laparoscopic appendectomy and salpingectomy: a case report. 经腹腔镜阑尾切除术和输卵管切除术治疗的脓管破裂继发穿孔阑尾炎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/rjag921

Naveed Ali Khan, Raazia Ramzan, Muhammad Mustafa, Aqib S Awan, Syeda A Arif, Ushna Yasir

引用次数: 0

Primary borderline retroperitoneal mucinous cystic neoplasm and situs inversus totalis: a case report. 原发性交界性腹膜后黏液囊性肿瘤伴完全性倒位1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag918

Jeude M S Bravo, Igor V Cangussu, Priscila T Tanuri, Giovanna A Rosa, Vaine G S Ribeiro, João Lucas G Correa, Lúcio Fernando D Cachaca, Frederico Augustus M Resende, Eliel O De Araújo

{"title":"Primary borderline retroperitoneal mucinous cystic neoplasm and situs inversus totalis: a case report.","authors":"Jeude M S Bravo, Igor V Cangussu, Priscila T Tanuri, Giovanna A Rosa, Vaine G S Ribeiro, João Lucas G Correa, Lúcio Fernando D Cachaca, Frederico Augustus M Resende, Eliel O De Araújo","doi":"10.1093/jscr/rjag918","DOIUrl":"10.1093/jscr/rjag918","url":null,"abstract":"Primary retroperitoneal mucinous cystic neoplasms (PRMCNs) are rare tumors classified into cystadenoma, PRMCN with borderline malignancy (PRMCN-BM), and cystadenocarcinoma. We report a 60-year-old woman with left flank abdominal pain whose MRI revealed situs inversus totalis alongside a complex cystic lesion in the left retroperitoneum measuring 4.8 × 5.2 × 4.5 cm. She underwent laparotomy with complete resection of the lesion, and histopathology confirmed a primary retroperitoneal neoplasm with borderline malignancy, with an uneventful postoperative course and no recurrence after 8 months. To date, only 35 cases of mucinous cystadenomas with borderline malignancy have been documented in the literature. Clinical presentation is variable, imaging lacks specific diagnostic criteria, and serum tumor markers have no diagnostic value. Surgical resection remains the curative therapeutic approach, and histopathology is essential for the definitive diagnosis, which continues to pose a preoperative challenge.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag918"},"PeriodicalIF":0.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197122","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

Sporadic ampullary adenoma mimicking adenocarcinoma in the absence of genetic predisposition: a case report. 无遗传易感性的散发性壶腹腺瘤：一例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag925

Anthony A Poluyanoff, Ebunoluwa A Ajadi, Dylan Flood, Arnold D Salzberg

引用次数: 0

Persistent pneumothorax during pregnancy revealing histologically confirmed thoracic endometriosis. 妊娠期持续性气胸，组织学证实为胸腔子宫内膜异位症。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag922

Beatrice Chia-Hui Shih, Duk Hwan Moon, Sungsoo Lee

{"title":"Persistent pneumothorax during pregnancy revealing histologically confirmed thoracic endometriosis.","authors":"Beatrice Chia-Hui Shih, Duk Hwan Moon, Sungsoo Lee","doi":"10.1093/jscr/rjag922","DOIUrl":"10.1093/jscr/rjag922","url":null,"abstract":"Thoracic endometriosis syndrome (TES) is the leading cause of catamenial pneumothorax but is rarely considered during pregnancy because ovulation and menstruation are physiologically suppressed. Consequently, persistent pneumothorax in pregnancy is commonly attributed to primary spontaneous pneumothorax, potentially delaying definitive diagnosis and treatment. We report a 31-year-old primigravida at 27 weeks' gestation who presented with persistent right-sided pneumothorax despite tube thoracostomy. She had a history of recurrent spontaneous pneumothorax and pelvic endometriosis. Following multidisciplinary evaluation, the patient underwent video-assisted thoracoscopic surgery with wedge resection of the right middle lobe and partial diaphragmatic resection with primary repair. Histopathological examination demonstrated endometrial glands and stroma involving the pulmonary parenchyma, pulmonary bulla, and diaphragm, with positive estrogen receptor and CD10 immunostaining, confirming TES. The postoperative course was uneventful, and the patient subsequently delivered a healthy 3.2-kg female infant at 40 weeks' gestation without maternal or neonatal complications. This case demonstrates that pregnancy does not exclude TES and highlights the importance of maintaining clinical suspicion in pregnant women with recurrent or persistent right-sided pneumothorax. Early multidisciplinary surgical management can safely achieve definitive diagnosis and treatment while optimizing both maternal and fetal outcomes.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag922"},"PeriodicalIF":0.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197090","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

Giant primary retroperitoneal myxofibrosarcoma mimicking myxoid liposarcoma: a diagnostic and surgical challenge. 巨大原发性腹膜后黏液纤维肉瘤模拟黏液样脂肪肉瘤：诊断和手术的挑战。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag919

Amina Houmada, Zakaria El Mouatassim, Yassine El Bouazizi, Mohammed Reda El Hassouni, Oumayma Lahnaoui, Mohammed Anass Majbar, Amine Souadka

{"title":"Giant primary retroperitoneal myxofibrosarcoma mimicking myxoid liposarcoma: a diagnostic and surgical challenge.","authors":"Amina Houmada, Zakaria El Mouatassim, Yassine El Bouazizi, Mohammed Reda El Hassouni, Oumayma Lahnaoui, Mohammed Anass Majbar, Amine Souadka","doi":"10.1093/jscr/rjag919","DOIUrl":"10.1093/jscr/rjag919","url":null,"abstract":"Myxofibrosarcoma (MFS) is a fibroblastic sarcoma that typically arises in the extremities of elderly patients; primary retroperitoneal involvement is exceptionally rare and often mimics myxoid liposarcoma. We report a 53-year-old man with a three-month history of progressive abdominal distension caused by a giant retroperitoneal mass measuring 26 cm. Core needle biopsy suggested a low-grade myxoid sarcoma, with myxoid liposarcoma not excluded. Multidisciplinary discussion led to en bloc left compartmental resection, including left colectomy, nephrectomy, adrenalectomy, and splenopancreatectomy. Histopathology confirmed a FNCLCC grade II myxoid sarcoma; fluorescence in situ hybridization showed no MDM2 amplification, confirming MFS and excluding dedifferentiated liposarcoma. The patient remained disease-free at 22 months. This case underscores the diagnostic overlap between retroperitoneal MFS and liposarcoma, the pivotal role of molecular pathology, and the importance of complete compartmental resection for local control.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag919"},"PeriodicalIF":0.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197100","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

Bilateral breast implant-associated anaplastic large cell lymphoma presenting as late peri-implant effusion: a case report. 双侧乳房假体相关间变性大细胞淋巴瘤表现为晚期假体周围积液1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag917

Noof Al Shaibani, Gala Kaazan Moussallem, Naina Simon, Omar R Gomaa, Khalid A Al Sindi

{"title":"Bilateral breast implant-associated anaplastic large cell lymphoma presenting as late peri-implant effusion: a case report.","authors":"Noof Al Shaibani, Gala Kaazan Moussallem, Naina Simon, Omar R Gomaa, Khalid A Al Sindi","doi":"10.1093/jscr/rjag917","DOIUrl":"10.1093/jscr/rjag917","url":null,"abstract":"Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare T-cell lymphoma strongly associated with textured breast implants; bilateral synchronous disease is exceptionally uncommon. We report a 51-year-old woman with 6 months of right breast swelling, 20 years after bilateral augmentation and 3 years after revision surgery. Imaging showed bilateral peri-implant effusions with irregular capsular thickening. Ultrasound-guided aspiration revealed malignant cells suspicious for high-grade lymphoma, and staging positron emission tomography-computed tomography (PET-CT) showed no distant disease. The patient underwent bilateral en-bloc capsulectomy with removal of both implants. Using the tumor, node, metastasis staging system for BIA-ALCL, the disease was classified as T3N0M0 (Stage IC) bilaterally. Histopathology confirmed bilateral BIA-ALCL with CD30-positive, anaplastic lymphoma kinase (ALK)-negative cells. Postoperative PET-CT showed patchy metabolic activity, but biopsy confirmed a foreign body giant cell reaction without residual malignancy. Bilateral BIA-ALCL should be considered with late peri-implant effusion even when symptoms are unilateral, and suspicious postoperative PET-CT findings require histological confirmation.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag917"},"PeriodicalIF":0.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13668424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197139","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

'Kissing' squamous cell carcinoma occurring simultaneously in the upper and lower eyelids. “接吻”型鳞状细胞癌同时发生于上下眼睑。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag926

John T LiVecchi, Firoozeh Raygan, Yujia Zhou, David T Y Yang, Elizabeth S Yang, Anny M S Cheng

引用次数: 0

Modified Sullivan-type segment III hepatojejunostomy for radiologically presumed unresectable hilar cholangiocarcinoma: a technical case report. 改良sullivan型III段肝空肠吻合术治疗放射学推定不可切除的肝门胆管癌1例技术报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-12 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag906

Mirko Lombardi, Bahati G Kamwezi, Tulia M Hadi, Lusekelo W Mwalukambwe, Jonathan Mathayo, Shama V Mkini, Tresphory Boniphace Kamushaga, Agnes L Mlawa

{"title":"Modified Sullivan-type segment III hepatojejunostomy for radiologically presumed unresectable hilar cholangiocarcinoma: a technical case report.","authors":"Mirko Lombardi, Bahati G Kamwezi, Tulia M Hadi, Lusekelo W Mwalukambwe, Jonathan Mathayo, Shama V Mkini, Tresphory Boniphace Kamushaga, Agnes L Mlawa","doi":"10.1093/jscr/rjag906","DOIUrl":"https://doi.org/10.1093/jscr/rjag906","url":null,"abstract":"Hilar cholangiocarcinoma may present with advanced biliary obstruction requiring palliation. An 80-year-old frail woman with jaundice and severe pruritus had contrast-enhanced computed tomography findings radiologically consistent with Bismuth-Corlette type IV hilar cholangiocarcinoma. No tissue diagnosis was obtained. Cancer antigen 19-9, carcinoembryonic antigen, alkaline phosphatase, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, and percutaneous transhepatic cholangiography were unavailable at the treating hospital and were not performed. Because referral and non-operative biliary drainage were not feasible and the patient requested active symptom-directed treatment, a modified Sullivan-type segment III hepatojejunostomy was performed. Operative time was 85 min and blood loss 100 ml. Pruritus resolved and bilirubin decreased from 191.78 to 127.81 μmol/l by postoperative Day 10. The patient died ~2 months later from disease progression. The procedure therefore provided short-term symptomatic improvement and partial biochemical improvement only, illustrating a potential palliative option when standard drainage modalities are inaccessible.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag906"},"PeriodicalIF":0.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185029","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

Catamenial haemolacria and ocular pain as rare manifestations of extra-pelvic endometriosis. 盆腔外子宫内膜异位症的罕见表现为羊膜出血和眼痛。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-12 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag078

Emine Karabük, Beste Çakmakgil, Ayberk Çakır, Mehmet Faruk Köse

{"title":"Catamenial haemolacria and ocular pain as rare manifestations of extra-pelvic endometriosis.","authors":"Emine Karabük, Beste Çakmakgil, Ayberk Çakır, Mehmet Faruk Köse","doi":"10.1093/jscr/rjag078","DOIUrl":"https://doi.org/10.1093/jscr/rjag078","url":null,"abstract":"Ocular involvement in endometriosis is an exceptionally rare extrapelvic manifestation, typically presenting as catamenial haemorrhagia. We report the case of an adolescent girl who presented with recurrent eye bleeding and pain during her menstruation. A comprehensive physical examination and imaging, including orbital magnetic resonance imaging, were unremarkable. Hematologic and ophthalmological evaluations excluded coagulopathies and structural ocular pathologies. Given the cyclical pattern of her symptoms and the absence of other identifiable causes, a presumptive diagnosis of ocular endometriosis was made. The patient was treated with a combination of dienogest and ethinyl estradiol, leading to significant symptom improvement over a two-year follow-up period. Occasional minimal haemolacria persisted, but no further intervention was required. This case underscores the importance of considering endometriosis in the differential diagnosis of catamenial haemolacria, even in the absence of radiological confirmation. A multidisciplinary approach and individualized hormonal therapy can result in substantial symptom control and improved quality of life in affected patients with catamenial haemolacria.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag078"},"PeriodicalIF":0.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185099","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