{"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}
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}
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}
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}
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}
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}
{"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}
Rem Ehab Abdelkader, Mohamed Elsherbiny, Adham Elsaied, Momen Abdelglil, Khadiga M Ali
{"title":"Fetus-in-fetu in an 11-day-old female infant with descriptive histopathological insights: a case report.","authors":"Rem Ehab Abdelkader, Mohamed Elsherbiny, Adham Elsaied, Momen Abdelglil, Khadiga M Ali","doi":"10.1093/jscr/rjaf611","DOIUrl":"10.1093/jscr/rjaf611","url":null,"abstract":"<p><p>Fetus-in-fetu (FIF), a rare congenital anomaly, involves a malformed fetus within its twin. It typically presents as an asymptomatic abdominal mass discovered postnatally, with an incidence of 1/500000 births. An 11-day-old Arab female infant presented with progressive abdominal distention. General physical examinations were normal. Abdominal examination revealed an ill-defined fixed lump in the right upper quadrant. Imaging revealed a 8 × 6 cm retroperitoneal mass containing skeletal elements. Surgical exploration via laparotomy confirmed diagnosis. Careful dissection was necessary due to its vascular and anatomical complexity. Histopathological examination revealed tissues from all three germ layers, excluding teratoma. FIF is distinguished from teratomas by the presence of a vertebral column with organized development of surrounding tissues, and typically manifests without malignant potential. Surgical excision is curative, with minimal risk of recurrence. Long-term follow-up with imaging and tumor markers is recommended to monitor for complications, despite its benign nature.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf611"},"PeriodicalIF":0.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233764","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}
Shaima Osman Mohamed Ali Alaraby, Sara Y Mukhtar, Mohamed Y Ibrahim, Eman Mohamed, Shima Abdalraheem Elnadeef Hussein, Mohamed Osman Mohamed Idres
{"title":"Splenic torsion in polysplenia syndrome: a rare cause of acute abdomen in a paediatric patient.","authors":"Shaima Osman Mohamed Ali Alaraby, Sara Y Mukhtar, Mohamed Y Ibrahim, Eman Mohamed, Shima Abdalraheem Elnadeef Hussein, Mohamed Osman Mohamed Idres","doi":"10.1093/jscr/rjaf771","DOIUrl":"10.1093/jscr/rjaf771","url":null,"abstract":"<p><p>Acute abdominal pain in children presents a significant diagnostic challenge due to its broad differential, including rare congenital anomalies. Torsion of an accessory spleen is a rare but important cause, particularly in the context of polysplenia syndrome. We report the case of a 6-year-old boy with polysplenia syndrome who presented with severe abdominal pain, vomiting, and diarrhea. Imaging revealed multiple splenic masses, and exploratory laparotomy identified a torsed accessory spleen with a twisted vascular pedicle. Resection of the infarcted splenule and correction of associated intestinal malrotation were performed. The patient recovered uneventfully and was discharged on the third postoperative day. Splenic torsion in polysplenia syndrome should be considered in the differential diagnosis of acute abdomen in children with congenital anomalies. Prompt imaging and surgical intervention are essential for favourable outcomes, and increased awareness may aid in early diagnosis and management of this rare condition.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf771"},"PeriodicalIF":0.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233584","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":"Monomicrobial necrotizing soft tissue infection of upper extremity caused by <i>Eggerthia catenaformis</i>.","authors":"Nadeem Chaudhry, Abid Qureshi, Dhipthika Srinivasan, Michael Davrayev, Natasha Vo, Heidi Wallour, Minnah Chaudhry","doi":"10.1093/jscr/rjaf769","DOIUrl":"10.1093/jscr/rjaf769","url":null,"abstract":"<p><p>Necrotizing soft tissue infections are characterized by fulminant tissue destruction that are rapidly progressive in nature, occurring as a result of trauma, minor skin lesions, nonpenetrating injuries, as well as in post-surgical and immunocompromised patients. <i>Eggerthia catenaformis</i> has mostly been reported linked to dental abscesses but this report presents a case of a poor controlled diabetic with <i>E. catenaformis</i> induced necrotizing infection. Forty nine-year-old male presented to the emergency department with left arm pain and swelling, associated with foul smelling drainage. Physical examination exhibited left upper extremity tenderness, erythema, fluctuance, and crepitus. Patient was taken to the operating room for forearm fasciotomy, amputation of third digit, and washout. Cultures were positive for <i>E. catenaformis</i>. The pathogenicity and severity of <i>E. catenaformis</i> is mostly unknown. Clinicians should be aware of this rare entity for its complexity and management worldwide.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf769"},"PeriodicalIF":0.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233726","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}