{"title":"Adenomyoepithelioma of the breast: a challenging diagnosis on biopsy-case report and literature review.","authors":"Imane Tazi, Bouchra Kouhkouh, Soumaya Ech-Charif, Ismail Boujida, Mouna Khmou, Youssef Mahdi, Basma El Khannoussi","doi":"10.1093/jscr/rjaf372","DOIUrl":"10.1093/jscr/rjaf372","url":null,"abstract":"<p><p>Adenomyoepithelioma of the breast (AME) is a rare tumor characterized by a dual proliferation of epithelial and myoepithelial cells. Although typically benign, AME carries a significant risk of recurrence and, in rare cases, malignant transformation. Its rarity, variable imaging features, and histological complexity make diagnosis challenging. Because it can closely mimic invasive breast carcinoma and overlap with other myoepithelial lesions, accurate histopathological assessment is essential. Here, we present the case of a 58-year-old woman with AME diagnosed on mastectomy following an initial misdiagnosis as carcinoma based on biopsy results. We review the literature and highlight the histopathological pitfalls associated with this rare entity.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf372"},"PeriodicalIF":0.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12161491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286816","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}
{"title":"Hepatic rupture as a life-threatening emergency and rare complication of CPR with the CORPULS device.","authors":"Tomás Marín-Cuartas, Steffen Pönitz, Steffi Scholz, Jörg-Peter Ritz, Judith Sporn, Jana Protzel","doi":"10.1093/jscr/rjaf409","DOIUrl":"10.1093/jscr/rjaf409","url":null,"abstract":"<p><p>Cardiopulmonary resuscitation (CPR) is a life-saving intervention to restore circulation in cardiac arrest patients, with chest compressions being its cornerstone. However, CPR is associated with complications, predominantly chest wall injuries such as rib and sternum fractures. Rarely, intra-abdominal injuries, including liver rupture, can occur, posing life-threatening bleeding risks that require emergent intervention. Recognition of these less common complications can lead to significant improvements in post-CPR protocols and patient outcomes. Raising awareness of visceral injuries after resuscitation highlights the critical need for systematic evaluation and timely intervention. Here, we present a case of a patient with hepatic laceration following CPR with a CORPULS system, successfully identified and managed through a multidisciplinary approach. We propose the adoption of a structured post-CPR abdominal assessment protocol in high-risk patients who have undergone resuscitation.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf409"},"PeriodicalIF":0.4,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12161492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286817","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}
{"title":"Real-time transrectal ultrasound-guided transurethral resection of prostate cyst: a novel technique and initial clinical experience.","authors":"Fu-Xiang Lin, Fu Feng, Zhan-Ping Xu","doi":"10.1093/jscr/rjaf407","DOIUrl":"10.1093/jscr/rjaf407","url":null,"abstract":"<p><p>This study introduces real-time transrectal ultrasound (TRUS)-guided transurethral resection of prostate cysts (TURP-Cyst) and reports initial outcomes. Eight patients with symptomatic prostatic cysts underwent the procedure. Mean cyst size was 2.5 ± 0.3 cm, operative time 35.0 ± 16.0 min, and blood loss 14.0 ± 3.6 ml. No major complications occurred. Postoperative catheterization lasted 1.9 ± 0.6 days. At 6 months, TRUS confirmed cyst resolution in all cases. The International Prostate Symptom Score improved from 19.5 ± 1.2 to 7.5 ± 2.5 (<i>P</i> < .001), and quality of life score from 4.4 ± 0.5 to 1.3 ± 0.5 (<i>P</i> < .001). No significant complications like urinary incontinence or erectile dysfunction were observed, and no cyst recurrences were noted. Real-time TRUS-guided TURP-Cyst is safe and effective, offering precise localization, minimal trauma, and significant LUTS improvement. Larger studies with longer follow-ups are needed to validate these results.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf407"},"PeriodicalIF":0.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12152415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276274","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}
Saleh Husam Aldeligan, Abdulaziz S AlQahtani, Abdullah Aljunaydil, Nashwa Alzahrani, Fadi Alakeel, Budur T Althobaiti, Areej Bokhari
{"title":"Synchronous presentation of Hodgkin lymphoma and papillary thyroid carcinoma in a young patient: a case review.","authors":"Saleh Husam Aldeligan, Abdulaziz S AlQahtani, Abdullah Aljunaydil, Nashwa Alzahrani, Fadi Alakeel, Budur T Althobaiti, Areej Bokhari","doi":"10.1093/jscr/rjaf398","DOIUrl":"10.1093/jscr/rjaf398","url":null,"abstract":"<p><p>The synchronous occurrence of Hodgkin lymphoma (HL) and papillary thyroid carcinoma (PTC) in a young adult without prior radiation exposure is exceedingly rare. The diagnostic challenge arises in differentiating between lymph node metastases from PTC and HL involvement. The absence of clear protocols for managing such cases further complicates treatment. We report a 28-year-old male with a body mass index (BMI) of 44.3 kg/m<sup>2</sup> who presented with progressive neck swelling over 2 years. Initial investigations, including fine-needle aspiration (FNA) and imaging, revealed concurrent diagnoses of PTC and HL. The patient underwent total thyroidectomy with central compartment lymph node dissection, followed by radioactive iodine (RAI) ablation. Despite initial disease control, he later developed recurrent HL, confirmed via histopathological and immunohistochemical analysis. The coexistence of HL and PTC in a single patient raises questions regarding shared risk factors, though no established causal link exists. The rarity of this presentation highlights the necessity of a multidisciplinary approach for accurate diagnosis and treatment. Coordinating therapies such as RAI for PTC and chemotherapy for HL is critical to optimizing patient outcomes while minimizing adverse effects. This case underscores the importance of early recognition and tailored management of synchronous malignancies. The lack of established guidelines necessitates documentation of such cases to inform future clinical practice. Further research into potential risk factors, including genetic predisposition and environmental influences, is warranted.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf398"},"PeriodicalIF":0.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267605","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}
{"title":"Correction to: Complex postoperative ureterovaginal and vesicovaginal fistula following a non-oncological hysterectomy: a report of a challenging complication.","authors":"","doi":"10.1093/jscr/rjaf424","DOIUrl":"https://doi.org/10.1093/jscr/rjaf424","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/jscr/rjae692.].</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf424"},"PeriodicalIF":0.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267604","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}
Megan M Finneran, Angeli Mittal, Amit Vyas, Jason Seibly
{"title":"A creative approach to the diagnosis and treatment of low back pain: case report and review of the literature.","authors":"Megan M Finneran, Angeli Mittal, Amit Vyas, Jason Seibly","doi":"10.1093/jscr/rjaf403","DOIUrl":"10.1093/jscr/rjaf403","url":null,"abstract":"<p><p>Chronic low back pain is a common complaint seen in the neurosurgical clinic that is often difficult to manage. A relatively new addition to the diagnostic armamentarium is single photon emission computed tomography-computed tomography (SPECT-CT). We present the case of a 76-year-old male who presented with long-standing right-sided low back pain that had progressed to the point of making him wheelchair-bound. SPECT-CT demonstrated increased uptake within an osteoblastic-appearing focus between the right L5 transverse process, sacral ala, and anterior sacroiliac joint. The patient underwent right SI joint fusion with pedicle screw fixation at L4 and L5, connected to a right-sided iliac screw. The patient had significant resolution of his pain and was able to ambulate postoperatively for the first time in several years. This creative treatment approach aimed to specifically target the problematic lesion and successfully provided clinical relief.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf403"},"PeriodicalIF":0.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259029","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}
Ali Toffaha, Hafiz Bilal Zafar, Hamza A Abdul-Hafez, Mahmood Al-Dhaheri, Mohamed Abunada, Amjad Parvaiz
{"title":"An unusual case of isolated brain metastasis with impending brain herniation from sigmoid colon cancer: case report and review of literature.","authors":"Ali Toffaha, Hafiz Bilal Zafar, Hamza A Abdul-Hafez, Mahmood Al-Dhaheri, Mohamed Abunada, Amjad Parvaiz","doi":"10.1093/jscr/rjaf394","DOIUrl":"10.1093/jscr/rjaf394","url":null,"abstract":"<p><p>Colorectal carcinoma with a finding of isolated brain metastasis is rare. Furthermore, neurologic symptoms secondary to oligometastasis to the brain are very rare initial presentations for colorectal cancer. Hence, it is uncommon to do brain imaging in the initial staging of colon carcinoma. We present an unusual case of a patient who initially presented with a headache. Laboratory tests revealed mild anemia. Brain imaging revealed a mass in the parietal lobe; hence, neurosurgery was performed with resection of the mass. Histopathology showed it's colonic in origin. Colonoscopy revealed adenocarcinoma in the sigmoid colon and a staging computed tomography scan showed no distant metastases. This case report highlights the unusual presentation of an isolated brain metastasis secondary to primary colon carcinoma. Any patient with a primary colon tumor who complains of neurologic symptoms should be considered for brain evaluation to minimize the risk of overlooking such important finding.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf394"},"PeriodicalIF":0.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259030","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}
Samuel Hernández-Alvarado, Christian Guadalupe Peña-Gio, Rodrigo Villarreal-Zavala, Misael Gutiérrez-Pérez, Diego Pérez-Valdez, José Rodrigo Alcántara-Dzib, Johny Jefrey Ortiz-Agustín
{"title":"Gastric duplication cyst in an adult woman: a case report.","authors":"Samuel Hernández-Alvarado, Christian Guadalupe Peña-Gio, Rodrigo Villarreal-Zavala, Misael Gutiérrez-Pérez, Diego Pérez-Valdez, José Rodrigo Alcántara-Dzib, Johny Jefrey Ortiz-Agustín","doi":"10.1093/jscr/rjaf324","DOIUrl":"10.1093/jscr/rjaf324","url":null,"abstract":"<p><p>Gastric duplication cyst is one of the rarest congenital anomalies of gastrointestinal tract duplications. These are usually diagnosed within the first year of life; however, some cases are diagnosed in adulthood. The diagnosis of these cysts is challenging because symptoms vary depending on their location and are often nonspecific. Definitive diagnosis is achieved through histopathological results. The purpose of this report is to describe a case of gastric duplication in a 71-year-old woman treated at the Regional Hospital in the city of Mérida, Mexico, who underwent exploratory laparotomy for resection of a cyst located in the gastric fundus.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf324"},"PeriodicalIF":0.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259031","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}
Daniel Alejandro Vega-Moreno, Mónica Serrano-Murillo, Julio César López-Valdés, Gervith Reyes-Soto
{"title":"Giant metastasis to the choroid plexus of papillary thyroid cancer: case report and review of the literature.","authors":"Daniel Alejandro Vega-Moreno, Mónica Serrano-Murillo, Julio César López-Valdés, Gervith Reyes-Soto","doi":"10.1093/jscr/rjaf396","DOIUrl":"10.1093/jscr/rjaf396","url":null,"abstract":"<p><p>Metastases to the choroid plexus are extremely rare, accounting for only 1% of brain metastasis cases. Among intraventricular tumors, the most frequent are papillary carcinomas, meningiomas, and papilloma, with rare metastatic lesions accounting for only 6% of all intraventricular lesions. We report the case of a patient with a giant metastatic lesion of papillary thyroid cancer with intratumorally hemorrhage in the choroid plexus of the left lateral ventricle, which was treated urgently with subtotal resection of the lesion and subsequent adjuvant treatment with radiotherapy. To date, we report the 10th case of primary choroid plexus metastasis of the thyroid.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf396"},"PeriodicalIF":0.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259033","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}
{"title":"Gastroesophageal junction pancreatic heterotopia/metaplasia: a case series.","authors":"Moaaz Amir, Salwa Sheikh","doi":"10.1093/jscr/rjaf390","DOIUrl":"10.1093/jscr/rjaf390","url":null,"abstract":"<p><p>Gastroesophageal junction pancreatic heterotopia is an uncommon congenital condition where pancreatic tissue is present outside its normal anatomical location. We present a case series of four patients who have presented with nonspecific, vague gastrointestinal symptoms that included abdominal pain, dyspepsia, and heartburn. Endoscopy was performed and revealed irregular Z-lines in three out of the four patients, with high suspicion of Barrett's esophagus. Further histopathologic evaluation confirmed ectopic pancreatic tissue in all four patients, two of whom had mild chronic inflammation, another presented with chronic gastritis as well as reflux esophagitis, and the last patient exhibited intestinal metaplasia. Also, three patients were treated with proton pump inhibitors and were kept under constant surveillance, while one patient was lost to follow-up. Pancreatic heterotopia involving the gastroesophageal junction is a rare presentation that usually goes unnoticed due to its asymptomatic nature. It is important that clinicians recognize such presentations to provide optimal treatment.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf390"},"PeriodicalIF":0.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259032","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}