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Journal of Surgical Case Reports最新文献

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Surgical treatment experiences in two cases of spontaneous esophageal ruptures. 自发性食管破裂2例手术治疗体会。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-09 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf406
Baoxiang Pei, Wenlong Gu, Qingmin Guan, Biao Kong
{"title":"Surgical treatment experiences in two cases of spontaneous esophageal ruptures.","authors":"Baoxiang Pei, Wenlong Gu, Qingmin Guan, Biao Kong","doi":"10.1093/jscr/rjaf406","DOIUrl":"10.1093/jscr/rjaf406","url":null,"abstract":"<p><p>Introduction and importance: Spontaneous esophageal ruptures (SREs), also known as Boerhaave syndrome, are rare but potentially fatal medical emergencies characterized by full-layer perforation of the esophagus. Early identification and surgical intervention are critical for improving patient outcomes and reducing mortality rates. Case presentation: This study presents two case reports of patients with SREs who underwent surgical treatment. Both patients experienced lower esophageal segment perforations and were treated with emergency surgery for primary esophageal repair. One patient developed severe septic shock postoperatively and required intensive care and conservative treatment. Both patients recovered completely and had no late complications, such as esophageal strictures or feeding tube issues, at 6-month follow-up. Clinical discussion: This study reports surgical treatment experiences in two cases of SRE, a rare and fatal condition characterized by full-layer perforation of the esophagus. Early identification, diagnosis, and prompt surgical intervention are crucial for improving patient survival chances. The two cases involved lower esophageal segment perforation and underwent emergency surgery for primary esophageal repair. Healthcare providers should be vigilant for Boerhaave syndrome in patients presenting with acute chest and abdominal pain, particularly those with a history of vomiting. Thorough irrigation of the thoracic cavity during surgery is key to preventing septic shock postoperatively. Conclusion: Early diagnosis and prompt surgical intervention are essential for managing SREs. Thorough surgical debridement and drainage are key to preventing postoperative complications and improving survival rates.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf406"},"PeriodicalIF":0.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259034","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
Ileo-ileal intussusception due to Vanek's tumor: a rare cause of small bowel obstruction. 由Vanek肿瘤引起的回肠-回肠肠套叠：一种罕见的小肠梗阻病因。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-08 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf383
Islam Rajab, Ahmad Nouri, Hala Mousa, Nuha Riyad, Mohamed Elagami, Walid Baddoura
{"title":"Ileo-ileal intussusception due to Vanek's tumor: a rare cause of small bowel obstruction.","authors":"Islam Rajab, Ahmad Nouri, Hala Mousa, Nuha Riyad, Mohamed Elagami, Walid Baddoura","doi":"10.1093/jscr/rjaf383","DOIUrl":"10.1093/jscr/rjaf383","url":null,"abstract":"<p><p>Inflammatory fibroid polyps (IFPs), also known as Vanek's tumors, are rare, benign mesenchymal neoplasms of the gastrointestinal tract, most commonly found in the gastric antrum. However, small bowel involvement is exceedingly uncommon, and when present, it can lead to intussusception, a rare yet serious complication. Here, we report a case of a 65-year-old female with a history of diabetes mellitus, hypertension, and dyslipidemia who presented with persistent abdominal pain and gastrointestinal symptoms. Imaging revealed an ileo-ileal intussusception, necessitating surgical resection. Histopathology confirmed an IFP as the lead point. This case highlights the diagnostic and therapeutic challenges of IFPs in the small intestine and underscores the importance of considering rare causes of intussusception in adults.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf383"},"PeriodicalIF":0.4,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250264","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
Challenges of Cushing's syndrome and bariatric surgery: a case report with literature review. 库欣综合征与减肥手术的挑战：一例报告并文献复习。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-08 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf366
Shaho F Ahmed, Sherzad W Mahmood, Deari A Ismaeil, Hiwa O Baba, Karzan M Salih, Soran H Tahir, Hemn H Kaka Ali, Rebaz O Mohammed, Swara H Abdullah, Rekan K Hama Ali, Berun A Abdalla, Fahmi H Kakamad
{"title":"Challenges of Cushing's syndrome and bariatric surgery: a case report with literature review.","authors":"Shaho F Ahmed, Sherzad W Mahmood, Deari A Ismaeil, Hiwa O Baba, Karzan M Salih, Soran H Tahir, Hemn H Kaka Ali, Rebaz O Mohammed, Swara H Abdullah, Rekan K Hama Ali, Berun A Abdalla, Fahmi H Kakamad","doi":"10.1093/jscr/rjaf366","DOIUrl":"10.1093/jscr/rjaf366","url":null,"abstract":"<p><p>Cushing's disease (CD), caused by an adrenocorticotropic hormone-secreting pituitary adenoma, is challenging to diagnose, especially in obese patients post-bariatric surgery. This report discusses a misdiagnosed case of CD in a 42-year-old obese male with hypertension. CD was suspected only after surgery, confirmed by magnetic resonance imaging (MRI) showing a pituitary macroadenoma. Despite transsphenoidal surgery and ketoconazole therapy, the patient suffered liver failure and died. Among 20 CD reviewed cases in the literature, 65% were misdiagnosed. MRI and immunohistochemistry confirmed tumors, with 55% achieving remission post-surgery. Screening for CD before bariatric surgery may prevent mismanagement and complications.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf366"},"PeriodicalIF":0.4,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250261","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
Early rupture of a tetrafluoroethylene loop due to fixation with polypropylene resulting in recurrent mitral valve regurgitation; a word of caution. 聚丙烯固定导致四氟乙烯环早期破裂，导致二尖瓣返流复发；提醒你一句。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-08 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf393
Keijiro Mitsube, Naohiro Wakabayashi, Masahiro Tsutsui, Ryohei Ushioda, Hiroyuki Kamiya, Tsutomu Fujita
{"title":"Early rupture of a tetrafluoroethylene loop due to fixation with polypropylene resulting in recurrent mitral valve regurgitation; a word of caution.","authors":"Keijiro Mitsube, Naohiro Wakabayashi, Masahiro Tsutsui, Ryohei Ushioda, Hiroyuki Kamiya, Tsutomu Fujita","doi":"10.1093/jscr/rjaf393","DOIUrl":"10.1093/jscr/rjaf393","url":null,"abstract":"<p><p>This case report describes early rupture of an expanded polytetrafluoroethylene (ePTFE) loop used in mitral valve repair, likely due to leaflet fixation with 5/0 polypropylene suture. A 52-year-old man developed recurrent mitral valve regurgitation 3 weeks postoperatively. Reoperation revealed rupture at the fixation site. This case suggests that ePTFE may be a more suitable material than polypropylene for leaflet fixation to prevent early loop failure.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf393"},"PeriodicalIF":0.4,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250262","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
Two-stage surgical correction of L4/5 non-union using ALIF and endoscopic TLIF cage removal: a case report. ALIF和内镜下TLIF笼移除两期手术矫正L4/5骨不连1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-08 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf385
Ralph J Mobbs
{"title":"Two-stage surgical correction of L4/5 non-union using ALIF and endoscopic TLIF cage removal: a case report.","authors":"Ralph J Mobbs","doi":"10.1093/jscr/rjaf385","DOIUrl":"10.1093/jscr/rjaf385","url":null,"abstract":"<p><p>Anterior lumbar interbody fusion (ALIF) offers a viable solution for failed posterior fusion procedures, including non-union following transforaminal lumbar interbody fusion (TLIF). This case report presents a novel two-stage corrective approach involving ALIF followed by endoscopic removal of a failed TLIF cage in a patient with L4/5 pseudarthrosis and persistent symptoms. Stage one involved placement of an ALIF cage with integral fixation, while stage two comprised minimally invasive endoscopic decompression and TLIF cage retrieval. The procedure was completed successfully without complications, resulting in improved neurological status, segmental stabilization, and symptomatic relief. This case illustrates a novel and effective surgical strategy for managing interbody non-union and highlights the role of endoscopic techniques in revision spine surgery.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf385"},"PeriodicalIF":0.4,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250269","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
Emergency total gastrectomy for gastric perforation secondary to metastatic lobular breast cancer: a case for aggressive surgical intervention in select patients. 转移性小叶性乳腺癌继发胃穿孔急诊全胃切除术：选择性患者积极手术干预一例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf387
Amirpasha Rafizadeh, Tze Wei Wilson Yang, Simon Nazaretian, Richard Chen
{"title":"Emergency total gastrectomy for gastric perforation secondary to metastatic lobular breast cancer: a case for aggressive surgical intervention in select patients.","authors":"Amirpasha Rafizadeh, Tze Wei Wilson Yang, Simon Nazaretian, Richard Chen","doi":"10.1093/jscr/rjaf387","DOIUrl":"10.1093/jscr/rjaf387","url":null,"abstract":"<p><p>Breast cancer remains a predominant contributor to cancer-related morbidity and mortality among women worldwide. Invasive lobular carcinoma (ILC), the second most prevalent histological subtype, exhibits a distinctive propensity for diffuse infiltration and distant metastases, including rare involvement of the gastrointestinal tract. We describe a case of acute gastric perforation secondary to metastatic ILC in a 67-year-old woman with recurrent Luminal A disease. Her prior treatment included wide local excision, adjuvant chemoradiotherapy, and salvage mastectomy. Emergent imaging revealed gastric perforation with diffuse intraperitoneal fluid. Following multidisciplinary discussion and in accordance with the patient's wishes, an R1 total gastrectomy was performed with palliative intent. The patient recovered well, despite a minor duodenal stump leak managed conservatively. She was subsequently discharged for ongoing oncological management. To our knowledge, this is the first reported case of emergency total gastrectomy for ILC-related gastric perforation, highlighting the potential role of aggressive surgical intervention in select individualized metastatic presentations.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf387"},"PeriodicalIF":0.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250263","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
Ascending cholangitis in gastric bypass patients following hepatobiliary scintigraphy and oral protein shake administration: a case report. 胃分流术患者肝胆造影及口服蛋白奶昔后出现升胆管炎1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf365
Mahmoud K Abd-El-Hafez, Monte L Roper, Kevin Durkee, Roger A De la Torre
{"title":"Ascending cholangitis in gastric bypass patients following hepatobiliary scintigraphy and oral protein shake administration: a case report.","authors":"Mahmoud K Abd-El-Hafez, Monte L Roper, Kevin Durkee, Roger A De la Torre","doi":"10.1093/jscr/rjaf365","DOIUrl":"10.1093/jscr/rjaf365","url":null,"abstract":"<p><p>We present the unusual case of a 66-year-old female who was found to have ascending cholangitis following hepatobiliary scintigraphy and fatty meal administration, in the setting of isolated cholelithiasis. Given her surgical history of Roux-en-Y gastric bypass, a robotic cholecystectomy with transcystic common bile duct (CBD) exploration was performed. Patient was discharged on post-operative day (POD) 7 with a T-tube following antibiotic completion. Tube study at 1 week confirmed resolution of her CBD outlet obstruction. Acute cholangitis is a concerning outcome following hepatobiliary iminodiacetic acid scan and cholecystokinin (CCK) administration in patients with preexisting cholelithiasis. We do believe that this is a risk that warrants consideration and informed patient discussion when using this imaging modality. We also present an early experience with transcystic common bile duct exploration with balloon dilation. A technique, we believe, will be of benefit for our bariatric patient population when presenting with choledocholithiasis or acute cholangitis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf365"},"PeriodicalIF":0.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250260","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
Intrapulmonary migration of a Kirschner wire 12 years after clavicular fracture fixation: case report and review of literature. 锁骨骨折固定后12年克氏针肺内移位一例报告及文献复习。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf377
Robbe Van Dyck, Georges Decker
{"title":"Intrapulmonary migration of a Kirschner wire 12 years after clavicular fracture fixation: case report and review of literature.","authors":"Robbe Van Dyck, Georges Decker","doi":"10.1093/jscr/rjaf377","DOIUrl":"10.1093/jscr/rjaf377","url":null,"abstract":"<p><p>Kirschner wires are still widely used for osteosynthesis in orthopedics and trauma surgery. Breaking of this material and migration into the lung parenchyma is a complication that has been occasionally described. We report a case of a patient who presented at our clinic with left thoracic discomfort and an intermittent non-productive cough. Chest X-ray showed a broken clavicular pin with the distal half inside the left chest. The pin was extracted from the lung parenchyma using a left 3-port video-assisted thoracoscopic approach. A literature review suggests that all intrathoracically migrated material should be removed, because of the risk of further migration and harm to the heart or major broncho-vascular structures. A minimally invasive approach should be considered whenever anatomy, clinical presentation and location of the material allows this.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf377"},"PeriodicalIF":0.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250265","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
No mesh, no problem: an innovative surgical approach to a primary superior lumbar hernia repair. 没有补片，没有问题：一种创新的手术方法来修复原发性上腰疝。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf386
Calvin D De Louche, Shoaib Fahad Hussain, Hemant Sheth
{"title":"No mesh, no problem: an innovative surgical approach to a primary superior lumbar hernia repair.","authors":"Calvin D De Louche, Shoaib Fahad Hussain, Hemant Sheth","doi":"10.1093/jscr/rjaf386","DOIUrl":"10.1093/jscr/rjaf386","url":null,"abstract":"<p><p>Superior lumbar hernias are rare abdominal wall defects that protrude through the superior lumbar triangle and are often misdiagnosed due to their infrequency. This case highlights the successful mesh-free repair of a superior lumbar hernia in a 64-year-old patient, who initially presented with a growing lump and intermittent pain. Though initially suspected to be a sub-fascial lipoma, magnetic resonance imaging was crucial in revealing the true diagnosis. The patient underwent a primary Mayo repair without mesh due to favorable surrounding tissue quality. This report emphasizes the importance of considering lumbar hernias as a differential diagnosis despite their rarity, the potential role of magnetic resonance imaging as an effective imaging modality for diagnosis and surgical planning, and provides strong evidence to support the viability of mesh-free repair techniques in specific cases with good muscle quality.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf386"},"PeriodicalIF":0.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250267","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
Management of a complex pelvic ring fracture in a polytrauma patient: a two-stage approach. 多处创伤患者复杂骨盆环骨折的处理：两阶段入路。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf368
Leonardo V Coelho, Julio Y Konasugawa, Thiago Soares Coutinho, Gustavo Miranda Pires, Gustavo H Carillo Ambrosio, Paulo H S Lara
{"title":"Management of a complex pelvic ring fracture in a polytrauma patient: a two-stage approach.","authors":"Leonardo V Coelho, Julio Y Konasugawa, Thiago Soares Coutinho, Gustavo Miranda Pires, Gustavo H Carillo Ambrosio, Paulo H S Lara","doi":"10.1093/jscr/rjaf368","DOIUrl":"10.1093/jscr/rjaf368","url":null,"abstract":"","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf368"},"PeriodicalIF":0.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250266","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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