Journal of Surgical Case Reports最新文献_第4页

Ciliated foregut cyst of the pancreas mimicking a cystic neoplasm. 胰腺纤毛前肠囊肿，类似囊性肿瘤。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-12 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag885

Wisal Al Sukaiti, Natasha Ranjit, Al Warith Al Hashmi, Salim Al Riyami

引用次数: 0

Primary Epstein-Barr virus-negative lymphoepithelioma-like carcinoma of the supraglottic larynx mimicking nasopharyngeal carcinoma: a case report. 原发性类似鼻咽癌的声门上喉淋巴上皮瘤样癌1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-12 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag908

Fabrizio Crudo, Nicola Di Giuseppe, Franco Brandimarte, Giovanna Granchelli, Pietro Romualdi

引用次数: 0

Mini OPCAB in severe COPD-world's first report of three cases. 迷你OPCAB在严重copd -世界上首次报告三例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-12 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag907

Ganesh Kumar K Ammannaya, Federico Jose Benetti

{"title":"Mini OPCAB in severe COPD-world's first report of three cases.","authors":"Ganesh Kumar K Ammannaya, Federico Jose Benetti","doi":"10.1093/jscr/rjag907","DOIUrl":"https://doi.org/10.1093/jscr/rjag907","url":null,"abstract":"Chronic obstructive pulmonary disease (COPD) among patients requiring coronary artery bypass graft is common and is associated with worse outcomes. Although off pump coronary artery bypass (OPCAB) ameliorates cardiopulmonary bypass related derangements, COPD is still an independent risk factor for adverse outcomes. As minimally invasive direct coronary artery bypass is an absolute contraindication in COPD, an alternative minimally invasive approach is imperative to optimize outcomes. We present the world's first reported cases in the literature of Mini OPCAB performed successfully in three patients with severe COPD that received left internal mammary artery to left anterior descending artery (LAD) revascularization. All three patients were discharged on the first post-operative day with nil complications. All three patients were well at 3 months follow-up, having returned to their normal daily routine by 3 weeks with normal wound healing and without hospital readmission. Therefore, Mini OPCAB as a minimally invasive approach seems an attractive and feasible option in severe COPD, particularly those requiring revascularization to single vessel (LAD). This is the first documented report of Mini OPCAB performed successfully in patients with severe COPD.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag907"},"PeriodicalIF":0.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13656175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185105","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

Self-inflicted thoracoabdominal nail-gun injury presenting as STEMI: diagnostic challenges in a time-critical care pathway. 自我造成的胸腹钉枪损伤表现为STEMI：在时间关键的护理途径中的诊断挑战。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-10 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag914

Charles Belling, Hye Rim Suh, Kayna Fichadia, Saimurooban Muralidaran, Arooj Ahmed, Susmit Roy, Jeremy Hsu

{"title":"Self-inflicted thoracoabdominal nail-gun injury presenting as STEMI: diagnostic challenges in a time-critical care pathway.","authors":"Charles Belling, Hye Rim Suh, Kayna Fichadia, Saimurooban Muralidaran, Arooj Ahmed, Susmit Roy, Jeremy Hsu","doi":"10.1093/jscr/rjag914","DOIUrl":"https://doi.org/10.1093/jscr/rjag914","url":null,"abstract":"A 60-year-old male with a history of depression and a prior nail-gun thoracic injury was found in shock at home, with inferior ST-segment elevation on the paramedic electrocardiogram prompting pre-hospital ST-elevation myocardial infarction pathway activation. Initial high-sensitivity troponin was elevated, consistent with the presumed diagnosis. Normal coronary angiography and preserved ventricular function were discordant with the patient's ongoing haemodynamic instability. Four small anterior chest puncture wounds and radiopaque foreign bodies demonstrated on chest radiograph and angiographic imaging did not initially prompt consideration of penetrating injury. Computed tomography pulmonary angiography, performed to exclude pulmonary embolism, identified four nail-gun projectiles penetrating the heart and stomach. The patient underwent sternotomy and laparotomy with repair of cardiac, diaphragmatic, and gastric injuries. The case illustrates the challenges of situation awareness and diagnostic reassessment within time-critical, protocol-driven care.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag914"},"PeriodicalIF":0.5,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171415","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

Bone missile injury with an intact host femur after high energy road traffic trauma: a case report. 高能道路交通创伤后完整股骨骨弹伤1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-10 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag903

Ezekiel Baguma, Mark Jjuuko, Paul Kabazzi, Daniel Ezati, Phillip Mulepo, Peter Muwanguzi

引用次数: 0

Robot-assisted total laparoscopic pancreaticoduodenectomy with transvaginal specimen extraction: a case report. 机器人辅助全腹腔镜胰十二指肠切除术并经阴道标本提取一例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-10 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag909

Chiying Xu, Lei Lin, Kun Yang, Guanlei Liu, Taiyuan Li, Jinyuan Duan

{"title":"Robot-assisted total laparoscopic pancreaticoduodenectomy with transvaginal specimen extraction: a case report.","authors":"Chiying Xu, Lei Lin, Kun Yang, Guanlei Liu, Taiyuan Li, Jinyuan Duan","doi":"10.1093/jscr/rjag909","DOIUrl":"https://doi.org/10.1093/jscr/rjag909","url":null,"abstract":"Natural orifice specimen extraction surgery reduces incision-related complications and accelerates postoperative recovery while maintaining oncologic safety, whereas the da Vinci robotic surgical system further enhances the precision of minimally invasive procedures. This case report describes a robot-assisted total laparoscopic pancreaticoduodenectomy combined with transvaginal specimen extraction (RPD-TVSE). The patient was a 64-year-old female with moderately differentiated adenocarcinoma of the descending duodenum. The procedure took 350 min, with intraoperative blood loss of 200 mL; no blood transfusion was administered during the perioperative period. The patient was able to ambulate on postoperative day 1, with no adverse events recorded. Histopathology confirmed tumor staging as pT2N0M0, with all surgical margins negative. At 12-month follow-up, no evidence of recurrence was observed. This case demonstrates that RPD-TVSE is technically feasible and yields favorable short-term outcomes, providing a novel minimally invasive surgical option for female patients. However, long-term oncologic safety requires further investigation and validation.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag909"},"PeriodicalIF":0.5,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167565","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

Incidental giant subserosal lipoma of the transverse colon with fat necrosis and abscess formation discovered during emergency laparotomy for blunt abdominal trauma: a case report. 钝性腹部创伤急诊开腹术中发现横结肠偶发巨大浆膜下脂肪瘤伴脂肪坏死及脓肿形成1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-10 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag913

Mahmoud Mojahed, Mahmoud Al-Zaro, Raneen Shaher Alkaraki, Rima Awawdeh, Mutasem Sayyed Ahmad, Shahd Al-Qasrawi, Sulaiman NajiFares Fakhouri

{"title":"Incidental giant subserosal lipoma of the transverse colon with fat necrosis and abscess formation discovered during emergency laparotomy for blunt abdominal trauma: a case report.","authors":"Mahmoud Mojahed, Mahmoud Al-Zaro, Raneen Shaher Alkaraki, Rima Awawdeh, Mutasem Sayyed Ahmad, Shahd Al-Qasrawi, Sulaiman NajiFares Fakhouri","doi":"10.1093/jscr/rjag913","DOIUrl":"https://doi.org/10.1093/jscr/rjag913","url":null,"abstract":"Giant subserosal colonic lipomas are rare, benign tumors that are typically asymptomatic. However, they can mimic malignancy or become complicated by inflammation and necrosis. We present a 59-year-old male who underwent emergency laparotomy for a traumatic splenic rupture following blunt abdominal trauma. During surgery, a 12 × 10 cm incidental mass in the transverse colon was discovered, mimicking a malignant tumor. Due to gross purulent intra-abdominal contamination from an intratumoral abscess and patient instability, a segmental colonic resection with an end colostomy was performed alongside the splenectomy. Histopathology confirmed a giant subserosal lipoma complicated by fat necrosis and abscess formation. This case highlights a highly unusual presentation of an inflamed colonic lipoma discovered incidentally during trauma surgery. It underscores the diagnostic difficulty of benign tumors in acute settings and supports definitive surgical resection when malignancy cannot be excluded.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag913"},"PeriodicalIF":0.5,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165110","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

Deceased donor interposition graft repair of superior mesenteric artery injury during cytoreductive nephrectomy for metastatic renal cell carcinoma. 转移性肾细胞癌减量肾切除术中死亡供体间置修复肠系膜上动脉损伤。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-10 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag876

Nima Iranpour, Victor Yu, Fatima Gutierrez, Emily Smartt, Alison Zhang, John Boulas, Jerome Laurence

引用次数: 0

Necrotizing fasciitis secondary to Wohlfahrtiimonas chitiniclastica in the absence of myiasis. 在没有蝇蛆病的情况下，继发于几丁虫虫病的坏死性筋膜炎。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-10 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag892

James Sweeney, Anas El-Mahi, Colum Keohane

{"title":"Necrotizing fasciitis secondary to Wohlfahrtiimonas chitiniclastica in the absence of myiasis.","authors":"James Sweeney, Anas El-Mahi, Colum Keohane","doi":"10.1093/jscr/rjag892","DOIUrl":"https://doi.org/10.1093/jscr/rjag892","url":null,"abstract":"Wohlfahrtiimonas chitiniclastica is a rare Gram-negative bacillus associated with fly larvae, myiasis, chronic wounds, and severe polymicrobial infection. We report a 71-year-old woman with diabetes, peripheral neuropathy, severe peripheral vascular disease, and previous contralateral above-knee amputation who presented with septic shock secondary to an infected right hallux ulcer. Radiographs demonstrated soft-tissue gas extending into the distal calf. Emergency exploration revealed extensive necrosis and dishwater pus tracking proximally along the flexor hallucis longus tendon, consistent with necrotizing fasciitis. Radical debridement was performed, although major amputation was initially declined. Tissue and pus cultures grew W. chitiniclastica and Enterococcus faecalis; no larvae were identified. Despite temporary clinical stabilization with intensive care support and broad-spectrum antibiotics, the foot remained non-viable and definitive above-knee amputation was required. The patient improved rapidly following source control and was discharged to rehabilitation. This case highlights the importance of early recognition, aggressive debridement, and definitive source control for survival.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag892"},"PeriodicalIF":0.5,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13653663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170225","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

Neonatal airway emergency: congenital laryngeal myxoma. 新生儿气道急诊：先天性喉黏液瘤。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-10 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag904

Haifa K Alqahtani, Hesham S Almofada, Mohammed Dababo, Fahad Z Alotaibi

引用次数: 0