Journal of Surgical Case Reports最新文献_第5页

Ultra-short bowel syndrome after near-total small bowel resection for gangrenous gut due to superior mesenteric artery thrombosis: a case report. 肠系膜上动脉血栓形成致坏疽性肠近全切除术后超短肠综合征1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-08 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag738

Faran Hamid, Bilal Afsar, Afsar Ali Bhatti, Amir Usman, Naila Yasmeen, Dania Hussain, Anas Nasir, Bilal Aslam, Fazeela Bibi, Mahshid Muhammadi

{"title":"Ultra-short bowel syndrome after near-total small bowel resection for gangrenous gut due to superior mesenteric artery thrombosis: a case report.","authors":"Faran Hamid, Bilal Afsar, Afsar Ali Bhatti, Amir Usman, Naila Yasmeen, Dania Hussain, Anas Nasir, Bilal Aslam, Fazeela Bibi, Mahshid Muhammadi","doi":"10.1093/jscr/rjag738","DOIUrl":"10.1093/jscr/rjag738","url":null,"abstract":"Ultra-short bowel syndrome (USBS) is a rare and life-threatening condition defined by the retention of ˂30 cm of small intestine following resection. We report the case of a 53-year-old male who presented with gangrenous gut secondary to superior mesenteric artery thrombosis, necessitating near-total small bowel resection. The patient was left with ~15 cm of proximal jejunum and 10 cm of distal ileum, with a jejuno-ileal end-to-end anastomosis. He developed severe postoperative watery diarrhoea and required Total Parenteral Nutrition (TPN) via a peripherally inserted central catheter line. With careful multidisciplinary management, the patient achieved intestinal adaptation and was weaned off TPN ~6 weeks postoperatively. This case highlights the challenges of managing USBS in a resource-limited setting and demonstrates that survival with gut adaptation is possible even with very limited residual small bowel length, provided that experienced surgical care and nutritional support are available.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag738"},"PeriodicalIF":0.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138312","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

Digit revascularization in patient with congenital monodactyly: expanding indications for salvage. 先天性单指患者手指血运重建术：扩大抢救指征。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-07 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag905

Alisa O Girard, Shruthi Deivasigamani, Srivalli S Valluri, Michael J Franco

{"title":"Digit revascularization in patient with congenital monodactyly: expanding indications for salvage.","authors":"Alisa O Girard, Shruthi Deivasigamani, Srivalli S Valluri, Michael J Franco","doi":"10.1093/jscr/rjag905","DOIUrl":"10.1093/jscr/rjag905","url":null,"abstract":"Management of partial and complete digit amputations is guided by injury characteristics, patient comorbidities, and functional prognosis; however, congenital hand differences and disability remain underexplored in current literature. We present a 47-year-old congenitally blind patient with tetramelic monodactyly who sustained a near-complete zone II amputation of his only left digit following a dog bite, with associated metacarpal head destruction. Despite relative contraindication conferred by the mechanism of injury, the patient had profound reliance on his digit for independence; as such, emergent revascularization was performed via metacarpophalangeal joint (MCPJ) arthrodesis and repair of a single digital artery and nerve. Venous outflow was facilitated by topical heparin-soaked pledgets and acetylsalicylic acid. At five months, the patient demonstrated meaningful MCPJ motion, sensory restoration, and return to activities of daily living. This case highlights the critical role of patient-centered social factors and reconstructive principles in surgical decision-making when established prognostic frameworks offer limited guidance.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag905"},"PeriodicalIF":0.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138789","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

Surgical removal of a long-retained vaginal foreign body with extensive cicatricial stenosis: a case report. 手术切除长时间保留的阴道异物伴广泛瘢痕狭窄1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-07 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag897

Hajime Morimoto, Takashi Shibata, Shigeki Nishikawa, Yasunori Fukuoka, Hiroki Kato

引用次数: 0

Trauma-induced uterine rupture: a rare but fatal obstetric emergency case report. 外伤性子宫破裂：罕见但致命的产科急诊病例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-07 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag900

Nurul Nasibah Mohd Zaini, Safreeda S F Salim, Mohamad Iqhbal Kunji Mohamad

引用次数: 0

Gastric volvulus following Nissen fundoplication: a case report and review of reported cases, risk factors, and management strategies. 胃扭转后尼森底：1例报告和回顾报告的病例，危险因素，和管理策略。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-07 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag902

Nishchal Bogati, David Buchin, Andrew Johnson Godwin, Kaleab Ashebir Debebe, Minjae Kim, Rollin William Johnson

{"title":"Gastric volvulus following Nissen fundoplication: a case report and review of reported cases, risk factors, and management strategies.","authors":"Nishchal Bogati, David Buchin, Andrew Johnson Godwin, Kaleab Ashebir Debebe, Minjae Kim, Rollin William Johnson","doi":"10.1093/jscr/rjag902","DOIUrl":"10.1093/jscr/rjag902","url":null,"abstract":"Gastric volvulus is a rare but potentially life-threatening complication following Nissen fundoplication, with delayed diagnosis increasing the risk of gastric ischemia, necrosis, and perforation. We report the case of a 72-year-old man who presented on postoperative Day 10 with progressive dysphagia, severe epigastric pain, and intolerance to oral intake following robot-assisted laparoscopic Nissen fundoplication. Computed tomography and upper gastrointestinal contrast study demonstrated marked gastric distension with obstruction at the gastroesophageal junction. Urgent diagnostic laparoscopy revealed a complete retroesophageal organoaxial gastric volvulus around an intact fundoplication wrap. The patient subsequently underwent robot-assisted gastric decompression, reduction of the volvulus, takedown of the fundoplication, and posterior gastropexy. Postoperative recovery was uneventful. This case highlights the importance of maintaining a high index of suspicion for gastric volvulus in patients with persistent obstructive symptoms after fundoplication and demonstrates that prompt minimally invasive surgical intervention can prevent catastrophic complications.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag902"},"PeriodicalIF":0.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138801","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

Rete-like collateral PICA associated aneurysm surgical resection. 网状侧支异食癖相关动脉瘤手术切除。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-07 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag894

Dar-Yuan Fang, Ming-Chi Kuo

引用次数: 0

Duodenal perforation masquerading as an intra-abdominal abscess: successful management with pedicled falciformopexy. 伪装成腹内脓肿的十二指肠穿孔：带蒂镰形固定术的成功治疗。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-07 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag893

Rahul Jha, Mukesh Jaiswar, Papu K Sah, Srikant Agrawal, Bikash C Sah, Rishika Prasad

{"title":"Duodenal perforation masquerading as an intra-abdominal abscess: successful management with pedicled falciformopexy.","authors":"Rahul Jha, Mukesh Jaiswar, Papu K Sah, Srikant Agrawal, Bikash C Sah, Rishika Prasad","doi":"10.1093/jscr/rjag893","DOIUrl":"10.1093/jscr/rjag893","url":null,"abstract":"Duodenal perforation typically presents as an acute abdomen. In contrast, presentation as an intra-abdominal abscess is rare and may delay diagnosis. We report a 25-year-old male who presented with 8 days of upper abdominal pain and 4 days of progressive abdominal distension. Despite marked abdominal distension, he had no signs of peritonitis. Laboratory investigations showed marked leukocytosis. Chest radiography showed no classical subdiaphragmatic free air, whereas computed tomography confirmed pneumoperitoneum. Emergency exploratory laparotomy revealed an intra-abdominal abscess with dense omental adhesions encasing the bowel. A 1 × 1 cm perforation on the anterior wall of the first part of the duodenum was identified. As the omentum was unsuitable for conventional patch repair, the perforation was successfully repaired using a pedicled falciform ligament flap. This case highlights an uncommon presentation of duodenal perforation and demonstrates the falciform ligament flap as an effective alternative when omental patch repair is not feasible.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag893"},"PeriodicalIF":0.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138785","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

Lymphogranuloma venereum presenting as a giant rectal ulcer with inguinal lymphadenitis: a case report. 性病性淋巴肉芽肿表现为巨大直肠溃疡伴腹股沟淋巴结炎1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-07 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag899

Yidian Lei, Xiufeng Zhang, Zhong Shen, Zhiyong Liu, Mengjie Zhong

引用次数: 0

Use of the superior mesenteric artery as an arterial interposition graft in horseshoe kidney transplantation: a case report. 应用肠系膜上动脉介入马蹄形肾移植一例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag884

Abigail W Cheng, Karen Bach, Marianne Estrada, Evan Childers, Sunil Patel

引用次数: 0

Massive subcapsular hepatic haematoma after laparoscopic cholecystectomy managed by transarterial embolization. 经动脉栓塞治疗腹腔镜胆囊切除术后大量肝包膜下血肿。