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Journal of Surgical Case Reports最新文献

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Open repair of a giant hepatic artery aneurysm. 巨大肝动脉瘤开放性修复术。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-07 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf799
Arunan Mahendravarman, Christopher Seng Hong Lim, Jaswinder Singh Samra
{"title":"Open repair of a giant hepatic artery aneurysm.","authors":"Arunan Mahendravarman, Christopher Seng Hong Lim, Jaswinder Singh Samra","doi":"10.1093/jscr/rjaf799","DOIUrl":"10.1093/jscr/rjaf799","url":null,"abstract":"<p><p>Hepatic artery aneurysms (HAAs) are rare vascular lesions with significant risk of rupture and high mortality if untreated. We report a 59-year-old male who re-presented with severe chest and abdominal pain 10 years after failed embolization of a known HAA. Imaging revealed a massive lesion with extensive local mass effect, ultimately requiring complex multivisceral resection and vascular reconstruction to achieve definitive management.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf799"},"PeriodicalIF":0.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253121","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
Delayed-onset organizing pneumonia following perioperative COVID-19 after lobectomy. 肺叶切除术后COVID-19围手术期并发迟发性肺炎。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-07 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf806
Yasuhiro Nakashima, Shinji Katayanagi, Mariko Hanafusa, Hironori Ishibashi, Kei Aoyagi, Atsushi Nakagawa, Chika Noguchi, Hiroshi Hosoda
{"title":"Delayed-onset organizing pneumonia following perioperative COVID-19 after lobectomy.","authors":"Yasuhiro Nakashima, Shinji Katayanagi, Mariko Hanafusa, Hironori Ishibashi, Kei Aoyagi, Atsushi Nakagawa, Chika Noguchi, Hiroshi Hosoda","doi":"10.1093/jscr/rjaf806","DOIUrl":"10.1093/jscr/rjaf806","url":null,"abstract":"<p><p>Delayed-onset organizing pneumonia as a manifestation of post-acute coronavirus disease 2019 (COVID-19) syndrome has not been documented in the perioperative setting. Here, a 61-year-old man underwent left lower lobectomy complicated by persistent air leakage requiring seven pleurodesis procedures. He developed COVID-19 on postoperative Day 10 and initially recovered but was readmitted on Day 27 with fever and respiratory failure. Chest computed tomography revealed progressive consolidations with ground-glass opacities. Initial methylprednisolone pulse therapy showed limited response, necessitating a second course with cyclosporine A addition. The patient achieved substantial radiological improvement by postoperative Day 104. Based on the biphasic clinical course, distinctive radiological progression, and limited steroid response, delayed-onset organizing pneumonia secondary to post-acute COVID-19 syndrome was diagnosed. This case highlights the importance of extended monitoring in post-lung resection patients with COVID-19 to enable early recognition and prompt intervention of delayed pulmonary complications.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf806"},"PeriodicalIF":0.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253197","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 rare case of necrotic erysipelas of the breast in a healthy, postpartum female. 一个罕见的病例坏死性丹毒的乳房在一个健康的，产后女性。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-07 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf807
Alexandra Jolley, Craig Murphy
{"title":"A rare case of necrotic erysipelas of the breast in a healthy, postpartum female.","authors":"Alexandra Jolley, Craig Murphy","doi":"10.1093/jscr/rjaf807","DOIUrl":"10.1093/jscr/rjaf807","url":null,"abstract":"<p><p>Breast erysipelas is extremely rare, particularly cases with necrosis or requiring surgical intervention. Scant evidence exists, with most occurring in otherwise immunocompromised or comorbid patients. This is a case of severe erysipelas in an otherwise healthy, postpartum female. She presented initially with mastitis appearing changes, with gradual progression to necrosis. Importantly, another uncommon, but more lethal, diagnosis was considered and excluded: necrotizing fasciitis. Ultimately, this patient required several operations and skin grafting, with good cosmetic outcome. The case highlights the need for early and senior surgical review to exclude more concerning diagnoses, as well as prompt antibiotic treatment and surgical debridement.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf807"},"PeriodicalIF":0.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12501110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253165","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
Late-onset esophagogastric anastomotic fistula managed without continuous fasting: a case report. 无连续禁食治疗迟发型食管胃吻合口瘘1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-06 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf796
Yuhui Gong, Yu Zhang, Haitao Ma, Wei Jiang, Jiangjiang Liu, Yunteng Kang, Jialiang Liu, Xiaojun Yu
{"title":"Late-onset esophagogastric anastomotic fistula managed without continuous fasting: a case report.","authors":"Yuhui Gong, Yu Zhang, Haitao Ma, Wei Jiang, Jiangjiang Liu, Yunteng Kang, Jialiang Liu, Xiaojun Yu","doi":"10.1093/jscr/rjaf796","DOIUrl":"10.1093/jscr/rjaf796","url":null,"abstract":"<p><p>Esophagogastric anastomotic fistula is a common complication following esophageal cancer surgery, typically occurring within the first postoperative week. Conventional management requires prolonged fasting until complete fistula closure, which significantly impacts patient quality of life. We present a case of a male who developed an esophagogastric anastomotic fistula 2 months postoperatively, complicated by a concurrent gastrobronchial fistula. Endoscopic evaluation revealed persistent gastric wall defects at the fistula site. As the disease progressed, thickened visceral pleura formed dense adhesions with the damaged gastric tissue, effectively sealing the defect and preventing digestive fluid leakage into the thoracic cavity. By promptly promoting gastric emptying and reducing gastric acid secretion, the patient resumed oral intake without developing severe infections or complications.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf796"},"PeriodicalIF":0.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245589","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
Delayed pancreatic metastasis from renal cell carcinoma managed with pazopanib and stereotactic ablative body radiotherapy. 帕唑帕尼联合立体定向消融体放疗治疗肾细胞癌延迟性胰腺转移。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-06 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf798
Mutahar A Tunio, Wael Mohamed, Sing-Yu Moorcraft, Basil Mary Eldo, Waqas Mehmood, Tawfik Elazzabi
{"title":"Delayed pancreatic metastasis from renal cell carcinoma managed with pazopanib and stereotactic ablative body radiotherapy.","authors":"Mutahar A Tunio, Wael Mohamed, Sing-Yu Moorcraft, Basil Mary Eldo, Waqas Mehmood, Tawfik Elazzabi","doi":"10.1093/jscr/rjaf798","DOIUrl":"10.1093/jscr/rjaf798","url":null,"abstract":"<p><p>The pancreas is a rare site of distant metastasis from renal cell carcinoma. We present the case of a 68-year-old man with a prior history of left radical nephrectomy for renal cell carcinoma, who was found to have an isolated pancreatic metastasis in the pancreatic tail during routine follow-up imaging 4 years postsurgery. The patient was initially managed with pazopanib, but due to progressive growth of the pancreatic lesion without other metastatic sites, stereotactic ablative body radiotherapy (SABR) was given, with complete response at 12 months after SABR.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf798"},"PeriodicalIF":0.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245608","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
Revision total knee arthroplasty with long-stem prosthesis following primary knee replacement for giant cell tumor with fracture: a case report. 原发性巨细胞瘤合并骨折行全膝关节置换术后长柄假体改良全膝关节置换术1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-06 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf789
Dung A Vu, Nhat D Vu, Tien T Nguyen, Tien T Pham, Ngoc B Thai
{"title":"Revision total knee arthroplasty with long-stem prosthesis following primary knee replacement for giant cell tumor with fracture: a case report.","authors":"Dung A Vu, Nhat D Vu, Tien T Nguyen, Tien T Pham, Ngoc B Thai","doi":"10.1093/jscr/rjaf789","DOIUrl":"10.1093/jscr/rjaf789","url":null,"abstract":"<p><p>This case report describes a 30-year-old woman with a rare giant cell tumor (GCT) in the distal femur complicated by a fracture. Initially, treated with total knee arthroplasty, the patient experienced implant loosening after four years, requiring revision surgery with a long-stem prosthesis. The procedure successfully restored joint stability and function, with no tumor recurrence observed at the 18-month follow-up. This case demonstrates the effectiveness of megaprosthetic revision in managing complex GCT-related failures, offering both oncologic control and durable biomechanical reconstruction.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf789"},"PeriodicalIF":0.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245324","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
Porto-spleno-mesenteric thrombosis secondary to medroxyprogesterone acetate as a treatment for abnormal uterine bleeding: a case report. 醋酸甲孕酮继发于门脾肠系膜血栓形成治疗子宫异常出血1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-06 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf791
David J Alvarez Chavez, Javier A Maciel Urzua, Maria C Torres González, Carlos A Bautista López, Carla M Cruz Rocha, Esther A Casado De La Torre, Daniela I Sánchez Lozano
{"title":"Porto-spleno-mesenteric thrombosis secondary to medroxyprogesterone acetate as a treatment for abnormal uterine bleeding: a case report.","authors":"David J Alvarez Chavez, Javier A Maciel Urzua, Maria C Torres González, Carlos A Bautista López, Carla M Cruz Rocha, Esther A Casado De La Torre, Daniela I Sánchez Lozano","doi":"10.1093/jscr/rjaf791","DOIUrl":"10.1093/jscr/rjaf791","url":null,"abstract":"<p><p>Acute mesenteric venous thrombosis is a rare and potentially lethal cause of intestinal ischemia. We report a 38-year-old woman with abnormal uterine bleeding, with anemia, and prolonged use of medroxyprogesterone acetate. She presented severe abdominal pain, peritoneal signs, and systemic inflammatory response. Computed tomography revealed thrombosis of the portal, splenic, and superior mesenteric veins with jejunal wall thickening. Initial laparotomy showed a viable bowel; full anticoagulation was started. She later developed perforation requiring jejunal resection and subsequent reoperation for anastomotic dehiscence. Extensive workup revealed no prothrombotic disorder other than progestin use. This case highlights the need to consider hormonal agents as potential triggers of porto-spleno-mesenteric thrombosis, even in young women without comorbidities, and to pursue multidisciplinary, individualized management to balance timely surgery with preservation of bowel length.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf791"},"PeriodicalIF":0.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245288","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 rare case of metastatic myxofibrosarcoma to the right colon. 右结肠转移性黏液纤维肉瘤1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-06 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf635
Timothy K Farrell, Matthew A Carnell, Vincent J Obias
{"title":"A rare case of metastatic myxofibrosarcoma to the right colon.","authors":"Timothy K Farrell, Matthew A Carnell, Vincent J Obias","doi":"10.1093/jscr/rjaf635","DOIUrl":"10.1093/jscr/rjaf635","url":null,"abstract":"<p><p>Myxofibrosarcoma (MFS) is a common soft tissue sarcoma typically arising in the extremities of older adults. Metastatic spread usually involves the lungs, lymph nodes, or bone. We describe a rare case of metastatic MFS to the colon in a 76-year-old man, three years after surgical excision and radiation treatment for a left flank primary tumor. The patient presented with symptoms of obstipation and was found to have a 4 cm cecal mass confirmed by imaging and colonoscopy. Biopsy and surgical pathology confirmed metastatic MFS. A right colectomy was performed without complication. This case highlights an uncommon site of MFS metastasis and underscores the importance of long-term surveillance in high-grade tumors, including evaluation of the gastrointestinal tract when symptoms arise.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf635"},"PeriodicalIF":0.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12499913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245600","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
Neuroendocrine tumor of the appendix associated with an appendiceal mucocele: an incidental discovery during breast tumor surveillance. 阑尾神经内分泌肿瘤伴阑尾黏液囊肿：在乳腺肿瘤监测中偶然发现。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-04 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf787
Yassine Hamdaoui, Mohamed El Hammouti, Zakaria Saber, Mohammed Doumar, Ayoub Kharkhach, Tariq Bouhout, Badr Serji
{"title":"Neuroendocrine tumor of the appendix associated with an appendiceal mucocele: an incidental discovery during breast tumor surveillance.","authors":"Yassine Hamdaoui, Mohamed El Hammouti, Zakaria Saber, Mohammed Doumar, Ayoub Kharkhach, Tariq Bouhout, Badr Serji","doi":"10.1093/jscr/rjaf787","DOIUrl":"10.1093/jscr/rjaf787","url":null,"abstract":"<p><p>Neuroendocrine tumors of the appendix are rare but clinically significant tumors, often discovered incidentally during surgical procedures or radiological investigations for other abdominal conditions. When they occur in association with an appendiceal mucocele, another uncommon entity characterized by abnormal dilation of the appendix due to mucus accumulation, these concurrent findings can present diagnostic and therapeutic challenges. Herein, we report the case of a 54-years-old female, previously diagnosed and treated for early-stage breast cancer. During routine surveillance, an abdominal ultrasound revealed a suspicious mass in the region of the appendix. The patient underwent abdominal computed tomography followed by abdominal magnetic resonance imaging, which demonstrated a heterogeneous mass in the right lower quadrant. The patient underwent an appendectomy and resection of the tumor.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf787"},"PeriodicalIF":0.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233810","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
Lymphoepithelioma-like carcinoma of the distal urethra: a case report and management strategies. 尿道远端淋巴上皮瘤样癌1例报告及治疗策略。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-10-03 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf785
Ramiro Fonseca, José Ignacio Perez Reggeti, Cristina Ferreiro Pareja, Gabriela Paganini, Marcial Berrios-Quinteros, Gilberto Eduardo Chechile, Nahuel Paesano
{"title":"Lymphoepithelioma-like carcinoma of the distal urethra: a case report and management strategies.","authors":"Ramiro Fonseca, José Ignacio Perez Reggeti, Cristina Ferreiro Pareja, Gabriela Paganini, Marcial Berrios-Quinteros, Gilberto Eduardo Chechile, Nahuel Paesano","doi":"10.1093/jscr/rjaf785","DOIUrl":"10.1093/jscr/rjaf785","url":null,"abstract":"<p><p>Lymphoepithelioma-like carcinoma (LELC) of the urethra is an exceptionally rare and aggressive neoplasm, with limited evidence available to inform optimal management. We present the case of a 63-year-old male diagnosed with high-grade urethral LELC, who presented with locally advanced disease. The patient underwent partial penectomy with bilateral inguinal lymphadenectomy, followed by systemic chemotherapy and immunotherapy. This case underscores the importance of a multidisciplinary approach combining surgical resection with systemic therapy in the management of aggressive urethral malignancies. Given the paucity of literature on urethral LELC, additional case reports are critical to enhance our understanding and to develop evidence-based treatment strategies for this rare entity.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf785"},"PeriodicalIF":0.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233773","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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