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Journal of Surgical Case Reports最新文献

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Incidentally discovered large ancient retroperitoneal schwannoma: a rare case report and literature review. 偶然发现大的古代腹膜后神经鞘瘤：罕见病例报告及文献复习。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-23 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf303
Abdellatif Khader, Khaled Abbadi, Ammar Khader, Asil Musleh, Malvina Asbah, Oadi N Shrateh
{"title":"Incidentally discovered large ancient retroperitoneal schwannoma: a rare case report and literature review.","authors":"Abdellatif Khader, Khaled Abbadi, Ammar Khader, Asil Musleh, Malvina Asbah, Oadi N Shrateh","doi":"10.1093/jscr/rjaf303","DOIUrl":"10.1093/jscr/rjaf303","url":null,"abstract":"<p><p>Ancient schwannoma is a rare retroperitoneal tumor that often remains asymptomatic and is frequently misdiagnosed. We present a case of a 16-year-old male with acute appendicitis, where a contrast-enhanced computed tomography scan incidentally revealed a well-defined cystic retroperitoneal lesion. The patient underwent appendectomy and enucleation of the mass. Histopathological analysis confirmed ancient schwannoma, showing Antoni A and B areas, degenerative changes, and positive S100 staining. Postoperative recovery was uneventful, with no recurrence at 6 months. This case underscores the importance of thorough imaging evaluations, even when assessing unrelated conditions, as incidental findings like ancient schwannoma can significantly impact patient management. Early diagnosis and complete surgical excision offer favorable outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf303"},"PeriodicalIF":0.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143933","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
High grade endometrioid carcinoma arising from deep infiltrating endometriosis extending deeply into the pelvis: a case report. 由深浸润性子宫内膜异位症引起的高级别子宫内膜样癌深入骨盆1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-23 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf266
Tomohiro Goda, Yasuhiro Yokoyama, Yasumasa Sato, Tomoko Kanda, Mariko Suzuki, Kazuki Sato, Takeaki Saitake, Masaki Katayama
{"title":"High grade endometrioid carcinoma arising from deep infiltrating endometriosis extending deeply into the pelvis: a case report.","authors":"Tomohiro Goda, Yasuhiro Yokoyama, Yasumasa Sato, Tomoko Kanda, Mariko Suzuki, Kazuki Sato, Takeaki Saitake, Masaki Katayama","doi":"10.1093/jscr/rjaf266","DOIUrl":"10.1093/jscr/rjaf266","url":null,"abstract":"<p><p>Carcinoma arising from deep infiltrating endometriosis (DIE) and extending into the rectovaginal septum is extremely rare. Its treatment requires extensive surgical resection and adjuvant chemotherapy. Herein, we present a case demonstrating that concurrent chemoradiation therapy (CCRT) can achieve effective cancer control. A 44-year-old nulliparous woman had been taking oral contraceptives due to pelvic endometriosis for years. The tumor markers have increased, and the tumor was localized within the pelvic cavity, particularly around the vesicouterine pouch and the rectouterine pouch. The patient underwent extensive surgery, but resection was incomplete. Considerable amounts of cancer tissue were retained in the left pelvic wall. CCRT was chosen as an adjuvant therapy due to localized high-grade adenocarcinoma, resulting in a complete response. Treatments for the malignant transformation of extra-gonadal endometriosis vary depending on the involved organs and the degree of extension. CCRT could be selected if the lesion is localized.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf266"},"PeriodicalIF":0.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143845","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
Novel application of orthopedic suture tape for sternal closure after upper hemisternotomy. 骨科缝合带在上半截骨术后胸骨闭合中的新应用。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-23 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf343
Vishal N Shah, Joshua R Chen, Konstadinos A Plestis
{"title":"Novel application of orthopedic suture tape for sternal closure after upper hemisternotomy.","authors":"Vishal N Shah, Joshua R Chen, Konstadinos A Plestis","doi":"10.1093/jscr/rjaf343","DOIUrl":"10.1093/jscr/rjaf343","url":null,"abstract":"<p><p>The FiberTape (FT) System (Arthrex, Naples, FL, USA), initially developed for orthopedic surgery, is a new, nonmetallic, suture-based alternative to standard stainless-steel wires for sternal reapproximation. Publications on FT use after cardiothoracic surgery are limited. The FT System has not been used in upper hemisternotomy (UHS) closure. Consequently, we report the use of the FT System for sternal closure in a 70-year-old man after UHS aortic valve replacement and discuss several advantages of its application.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf343"},"PeriodicalIF":0.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143935","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
Solitary fibrous tumors of the infratemporal fossa: case series. 颞下窝孤立性纤维性肿瘤：病例系列。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-23 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf338
Khaoula Nini, Zakaria Aziz, Divina Ndelafei, Houssam Ghazoui, Mohamed Salah Koussay Hattab, Nadia Mansouri Hattab
{"title":"Solitary fibrous tumors of the infratemporal fossa: case series.","authors":"Khaoula Nini, Zakaria Aziz, Divina Ndelafei, Houssam Ghazoui, Mohamed Salah Koussay Hattab, Nadia Mansouri Hattab","doi":"10.1093/jscr/rjaf338","DOIUrl":"10.1093/jscr/rjaf338","url":null,"abstract":"<p><p>Solitary fibrous tumors (SFTs) were first described in the pleura. They are rare mesenchymal tumors of fibroblastic origin. An increasing number of SFTs has been described in the literature over the past years worldwide, particularly in the head and neck region, which is now considered the third most common site of occurrence. We report two cases of SFTs of the infratemporal fossa in two adult patients that were initially diagnosed as schwannomas on magnetic resonance imaging: one female patient with a small nodular lesion of the maxillary retromolar region and one male patient with a giant mass of the infratemporal fossa. Both cases were managed surgically using different approaches, achieving total excision of the masses. The first case has remained disease-free for four years postoperatively, while the second case is now at 1-year postop. To date, very few cases of SFTs in this region have been reported in Africa.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf338"},"PeriodicalIF":0.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143936","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 found tuberculous peritonitis during hernioplasty. 疝成形术中偶然发现结核性腹膜炎。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf328
Yu-Hsin Tu, Wei-Chang Huang, Wan-Tzu Lin, Jing Tong Fu, Sheng-Chun Hung
{"title":"Incidental found tuberculous peritonitis during hernioplasty.","authors":"Yu-Hsin Tu, Wei-Chang Huang, Wan-Tzu Lin, Jing Tong Fu, Sheng-Chun Hung","doi":"10.1093/jscr/rjaf328","DOIUrl":"10.1093/jscr/rjaf328","url":null,"abstract":"<p><p>We report the case of a 71-year-old male with palpable and painful left inguinal mass who underwent open hernioplasty. During the operation, ~700 ml of ascitic fluid and multiple nodules on the peritoneum were observed upon incision of the hernia sac. Culture and pathological examination confirmed a diagnosis of peritoneal tuberculosis (TB). Abdominal TB is rarely presented as a hernia. We review ten cases of abdominal TB associated with abdominal hernias and discuss surgical techniques and further management options.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf328"},"PeriodicalIF":0.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095999/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129232","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
Haemangioma of the small bowel mesentery: a case report. 小肠肠系膜血管瘤1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf268
Phoebe C Wood, Katie Lehane, Manju Chandrasegaram
{"title":"Haemangioma of the small bowel mesentery: a case report.","authors":"Phoebe C Wood, Katie Lehane, Manju Chandrasegaram","doi":"10.1093/jscr/rjaf268","DOIUrl":"10.1093/jscr/rjaf268","url":null,"abstract":"<p><p>Mesenteric haemangiomas are a rare manifestation of a common benign lesion. They present a diagnostic dilemma for multiple reasons, namely their low prevalence, vague clinical manifestations and atypical radiological features. However, they warrant investigation and management as they can lead to life-threatening complications such as in the case of rupture and haemoperitoneum. This report details the investigation and management pathway for a 64-year-old female presenting to our institution with a mesenteric haemangioma.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf268"},"PeriodicalIF":0.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129228","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
Recurrence of malignant insulinoma in the context of multiple endocrine neoplasia type 1: a case report. 多发1型内分泌肿瘤并发恶性胰岛素瘤复发1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf335
Marcela Palomo, Ximena Rivera, Isabella Santamarina
{"title":"Recurrence of malignant insulinoma in the context of multiple endocrine neoplasia type 1: a case report.","authors":"Marcela Palomo, Ximena Rivera, Isabella Santamarina","doi":"10.1093/jscr/rjaf335","DOIUrl":"10.1093/jscr/rjaf335","url":null,"abstract":"<p><p>Insulinomas are rare pancreatic neuroendocrine tumors, typically benign, but in the context of multiple endocrine neoplasia type 1 (MEN1), they can be malignant and recurrent. This case report presents a 58-year-old man with MEN1 who initially underwent partial pancreatectomy for a malignant insulinoma in the pancreatic tail in 2019. Despite recurrence in 2021, the patient declined surgery; however, in 2025, he presented with hypoglycemia and imaging revealed a 3-cm mass in the pancreatic head. He underwent a Whipple procedure, with histopathological analysis confirming the recurrent insulinoma. This case highlights the clinical challenge of managing malignant insulinomas in MEN1, emphasizing the importance of long-term follow-up and staged surgical interventions due to the high risk of recurrence.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf335"},"PeriodicalIF":0.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129234","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
Ileal pouch-anal anastomosis in familial adenomatous polyposis and ulcerative colitis with coexisting colorectal cancer: a guideline for treatment. 家族性腺瘤性息肉病和溃疡性结肠炎并发结直肠癌的回肠袋-肛门吻合术：治疗指南。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf332
Mohammed Aldakhil, Nasser Alsanea
{"title":"Ileal pouch-anal anastomosis in familial adenomatous polyposis and ulcerative colitis with coexisting colorectal cancer: a guideline for treatment.","authors":"Mohammed Aldakhil, Nasser Alsanea","doi":"10.1093/jscr/rjaf332","DOIUrl":"10.1093/jscr/rjaf332","url":null,"abstract":"<p><p>Patients with familial adenomatous polyposis (FAP) or ulcerative colitis (UC) are at increased risk of colorectal cancer (CRC), making surgical decision-making complex. This case series reviews six patients with FAP or UC who developed CRC and underwent ileal pouch-anal anastomosis (IPAA). Two patients with stage III CRC developed metastases, while the remaining four with stage I/II had no recurrence. IPAA is feasible in stage I/II CRC regardless of tumor location. For stage III colon cancer, total proctocolectomy (TPC) with IPAA followed by adjuvant chemotherapy is appropriate. In stage III rectal cancer more than 2 cm from the dentate line, IPAA can follow total neoadjuvant treatment (TNT). For tumors within 2 cm of the dentate line, TPC with end ileostomy is advised. IPAA may be contraindicated in cases with severe proctitis due to bleeding risk or radiation intolerance. Overall, IPAA is a suitable option for selected FAP or UC patients with CRC.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf332"},"PeriodicalIF":0.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129230","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
Single-stage internal fixation with knee arthroplasty: a novel approach for concurrent knee osteoarthritis and distal femoral fracture. 单期内固定联合膝关节置换术：一种治疗并发膝骨关节炎和股骨远端骨折的新方法。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-22 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf322
Yinping Liu, Guosong Xu
{"title":"Single-stage internal fixation with knee arthroplasty: a novel approach for concurrent knee osteoarthritis and distal femoral fracture.","authors":"Yinping Liu, Guosong Xu","doi":"10.1093/jscr/rjaf322","DOIUrl":"10.1093/jscr/rjaf322","url":null,"abstract":"<p><p>This study investigates the clinical outcomes of single-stage internal fixation combined with total knee arthroplasty (TKA) for treating distal femoral fractures with concurrent knee osteoarthritis (OA). We report a case of a 68-year-old female patient who sustained a displaced distal femoral spiral fracture (AO/OTA type A1.2) and severe knee OA (Kellgren-Lawrence grade IV). The patient underwent single-stage surgery involving locked compression plating for fracture fixation and primary TKA. Postoperatively, the patient was allowed immediate weight-bearing and aggressive rehabilitation. At 4-year follow-up, the patient demonstrated significant functional improvement, with an Oxford Knee Score of 36.8 and a visual analog scale (VAS) pain score of 1.9. Radiographs showed no implant loosening and normal knee alignment. This case highlights the feasibility and effectiveness of single-stage internal fixation combined with TKA for elderly patients with osteoporotic distal femoral fractures and knee OA, offering a promising treatment option for such complex cases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf322"},"PeriodicalIF":0.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129237","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 proximal closed loop obstruction between gastric band and obstructed ventral hernia. 胃带近端闭合袢梗阻及梗阻性腹疝1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf326
Leonid Drober, Ahmad Assalia, Abd Elkarim Darawsha
{"title":"A rare case of proximal closed loop obstruction between gastric band and obstructed ventral hernia.","authors":"Leonid Drober, Ahmad Assalia, Abd Elkarim Darawsha","doi":"10.1093/jscr/rjaf326","DOIUrl":"10.1093/jscr/rjaf326","url":null,"abstract":"<p><p>A 68-year-old woman with severe obesity presented with abdominal pain, nausea, and dehydration. She had a history of laparoscopic adjustable gastric banding (LAGB). Examination revealed tachycardia, hypotension, a chronic ventral hernia with mild tenderness, no peritonitis, and slight abdominal distension. A computed tomography (CT) scan showed massive gastric and dilation and obstruction at the level of gastro-esophageal junction (Band), proximal small bowel loop dilation, distal bowel collapse, and a ventral hernia involving high-grade obstruction and ischemic bowel. Exploratory laparotomy revealed a \"closed-loop\" obstruction between the gastric band and hernia. Her stomach was dilated and obstructed at the gastroesophageal junction, and ischemia affected 70 cm of the intestine in the hernia sac. This case emphasizes that patients with LAGB may be unable to vomit, and therefore a closed-loop obstruction should not be overlooked even without vomiting. Early diagnosis and timely treatment led to a favorable outcome.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf326"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121131","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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