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Journal of Surgical Case Reports最新文献

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Primary anorectal melanoma: report of two cases. 原发性肛门直肠黑色素瘤：附2例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-06 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf376
Ever Frank Lopez-Cutipa, Lizbeth Katherine Quintero-Aquino, Cesar Torres-Mattos
{"title":"Primary anorectal melanoma: report of two cases.","authors":"Ever Frank Lopez-Cutipa, Lizbeth Katherine Quintero-Aquino, Cesar Torres-Mattos","doi":"10.1093/jscr/rjaf376","DOIUrl":"10.1093/jscr/rjaf376","url":null,"abstract":"<p><p>Anorectal melanoma is a rare and aggressive neoplasm with a poor prognosis; the overall survival rate at 5 years is around 20%. We report two clinical cases involving patients who experienced pain and bleeding associated with an anorectal mass. Histopathological studies confirmed the diagnosis of melanoma. The first case presented with localized disease characterized by a black, pedunculated lesion with irreducible prolapse managed with wide local excision. In the second case, the patient had a fixed, pink anal lesion accompanied by multiple inguinal and retroperitoneal lymphadenopathies. Due to the metastatic nature of the disease, immunotherapy was administered. Both patients remain alive after 1 year of follow-up.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf376"},"PeriodicalIF":0.4,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250268","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
Acute phlegmonous appendicitis with deciduosis: a case report and literature review. 急性痰性阑尾炎伴蜕膜病1例报告并文献复习。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-05 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf375
Takuya Shimogawa, Takanobu Yamao, Nobuya Daitoku, Mayumi Nagayasu, Hiroyuki Koita, Kunitaka Kuramoto
{"title":"Acute phlegmonous appendicitis with deciduosis: a case report and literature review.","authors":"Takuya Shimogawa, Takanobu Yamao, Nobuya Daitoku, Mayumi Nagayasu, Hiroyuki Koita, Kunitaka Kuramoto","doi":"10.1093/jscr/rjaf375","DOIUrl":"10.1093/jscr/rjaf375","url":null,"abstract":"<p><p>Acute appendicitis is a common disease in pregnancy that is often difficult to diagnose. However, delayed diagnosis may have a negative impact on the pregnant woman and the fetus. In this report, we present the case of a 34-year-old pregnant woman with acute appendicitis. The appendicitis was diagnosed based on her abdominal symptoms, but it was difficult to diagnose based on preoperative imaging studies. Pathological examination led to the diagnosis of appendiceal decidua. Acute appendicitis due to appendiceal decidua is extremely rare and has only been described in a few case reports. It is difficult to diagnose appendiceal decidua from imaging findings. When a pregnant woman is diagnosed with acute abdomen, clinicians should consider appendiceal decidua as one of the causes of acute appendicitis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf375"},"PeriodicalIF":0.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235545","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
Bilateral pulmonary parenchymal metastasis from a low-grade appendiceal mucinous neoplasm. 低级别阑尾黏液性肿瘤双侧肺实质转移。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-05 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf367
John D M Cavaye, Bree D Stephensen, Jeffrey B Macemon
{"title":"Bilateral pulmonary parenchymal metastasis from a low-grade appendiceal mucinous neoplasm.","authors":"John D M Cavaye, Bree D Stephensen, Jeffrey B Macemon","doi":"10.1093/jscr/rjaf367","DOIUrl":"10.1093/jscr/rjaf367","url":null,"abstract":"<p><p>Low-grade appendiceal mucinous neoplasms, are the most common precursor lesions to pseudomyxomatous peritonei. They are relatively indolent in nature, with a \"pushing\" style of invasion. We present a case of a 50-year-old gentlemen who underwent staged video assisted thoracoscopic surgery for bilateral pulmonary metastasis secondary to a low-grade appendiceal mucinous neoplasm that had been resected 12 years prior. We highlight the under recognized rare etiology of distant metastasis without evidence of local spread, and therefore whether imaging of the chest should be considered as part of the surveillance protocol.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf367"},"PeriodicalIF":0.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235546","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
Sebaceous lymphadenoma of the parotid: a rare case report of an entity mimicking other salivary tumors. 腮腺皮脂腺淋巴结瘤：一个罕见的病例报告的实体模仿其他涎腺肿瘤。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-05 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf382
Amine Oussalem, Zein A B El Hassene, Bouchra Dani, Malik Boulaadas
{"title":"Sebaceous lymphadenoma of the parotid: a rare case report of an entity mimicking other salivary tumors.","authors":"Amine Oussalem, Zein A B El Hassene, Bouchra Dani, Malik Boulaadas","doi":"10.1093/jscr/rjaf382","DOIUrl":"10.1093/jscr/rjaf382","url":null,"abstract":"<p><p>Sebaceous lymphadenoma is a rare benign tumor of the salivary glands, with fewer than 50 cases reported worldwide. Its clinical and radiological resemblance to malignant tumors poses diagnostic challenges. A 35-year-old female presented with a slow-growing, painless left parotid mass persisting for 2 years. Ultrasonography revealed a well-circumscribed, hypoechoic nodule measuring 2.5 cm. Fine-needle aspiration cytology suggested a benign lymphoid lesion, but definitive diagnosis required histopathological examination post-superficial parotidectomy. Microscopic analysis showed proliferating sebaceous cells within lymphoid stroma, confirmed by immunohistochemistry (EMA+, CK7-). No recurrence was observed at 12-month follow-up. This case underscores the importance of histopathology in distinguishing sebaceous lymphadenoma from carcinomas (e.g. sebaceous carcinoma) or Warthin tumor, particularly in regions with limited molecular diagnostic resources. Despite its rarity, sebaceous lymphadenoma should be considered in differential diagnoses of parotid masses to avoid unnecessary aggressive treatments.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf382"},"PeriodicalIF":0.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235548","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
Navigating anatomical challenges of minimally invasive mitral valve replacement in a patient with severe scoliosis. 微创二尖瓣置换术在严重脊柱侧凸患者中的解剖学挑战。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-05 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf369
Henri Bartolozzi, Edward Bartolozzi, Darragh Rice, Ronan J Kelly, Mattia Glauber
{"title":"Navigating anatomical challenges of minimally invasive mitral valve replacement in a patient with severe scoliosis.","authors":"Henri Bartolozzi, Edward Bartolozzi, Darragh Rice, Ronan J Kelly, Mattia Glauber","doi":"10.1093/jscr/rjaf369","DOIUrl":"10.1093/jscr/rjaf369","url":null,"abstract":"<p><p>Minimally invasive mitral surgery is increasingly preferred due to reduced trauma and faster recovery. However, its technical complexity is exacerbated in patients with anatomical anomalies like scoliosis, affecting up to 8.3% of the elderly population. Severe scoliosis causes significant thoracic distortion and alters the positioning of cardiovascular structures, complicating access, visualization, and instrumentation. These factors make minimally invasive mitral valve replacement more complex, as this approach relies on optimal exposure of the mitral valve through a limited incision. We present the case of a 71-year-old female with severe scoliosis undergoing minimally invasive mitral valve replacement with a mechanical prosthesis and septal myectomy. Access was achieved via a 5 cm right mini-thoracotomy in the second intercostal space. This case report discusses the surgical challenges encountered and the unique considerations and adjustments required in performing cardiac surgery in patients with altered thoracic anatomy, and the importance of preoperative assessment and intraoperative flexibility.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf369"},"PeriodicalIF":0.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235547","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 first of its kind: iliacus hernia containing an inflamed appendix. 这是首例：髂疝伴阑尾发炎。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-03 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf362
Aulon Jerliu, Marwan Alaoudi, Noubar Kevorkian
{"title":"A first of its kind: iliacus hernia containing an inflamed appendix.","authors":"Aulon Jerliu, Marwan Alaoudi, Noubar Kevorkian","doi":"10.1093/jscr/rjaf362","DOIUrl":"10.1093/jscr/rjaf362","url":null,"abstract":"<p><p>Iliacus hernias are extremely rare internal hernias with only sporadic reports in the literature. No previous report has documented an inflamed appendix herniating into the iliacus muscle. This report describes such a case, highlighting the diagnostic challenges and the surgical management of this atypical hernia. This case expands the spectrum of internal hernias and emphasizes the importance of advanced imaging and a customized surgical approach when encountering atypical hernia locations. Early recognition and prompt management are critical for this rare hernia type. Further study is needed to establish standardized treatment protocols for internal hernias in uncommon locations.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf362"},"PeriodicalIF":0.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217287","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 life-threatening esophageal perforation during laparoscopic sleeve gastrectomy: a case study of an Ecuadorian patient. 腹腔镜袖胃切除术中危及生命的食管穿孔的处理：厄瓜多尔患者的病例研究。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-03 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf370
Bernarda Patiño-Araujo, María Salgado-Báez, Gabriel Villavicencio-Logroño, María Ayora-Pérez, Gabriela Zapata-Jaramillo, Napoleón Salgado-Macías
{"title":"Management of a life-threatening esophageal perforation during laparoscopic sleeve gastrectomy: a case study of an Ecuadorian patient.","authors":"Bernarda Patiño-Araujo, María Salgado-Báez, Gabriel Villavicencio-Logroño, María Ayora-Pérez, Gabriela Zapata-Jaramillo, Napoleón Salgado-Macías","doi":"10.1093/jscr/rjaf370","DOIUrl":"10.1093/jscr/rjaf370","url":null,"abstract":"<p><p>Esophageal perforation (EP) during laparoscopic sleeve gastrectomy is a rare but life-threatening complication. We report a case of a 46-year-old woman who developed late-onset EP, over 24 h postoperatively, following a sleeve gastrectomy, cholecystectomy, and hiatoplasty. The patient presented with epigastric pain, retrosternal discomfort, and dyspnea, and was diagnosed with a distal esophageal leak and mediastinitis. Surgical intervention included upper endoscopy, drainage tubes placement, thoracic and abdominal cavity lavage, and cervical esophagostomy. Postoperatively, the patient required intensive care for circulatory and ventilatory support, and antibiotic therapy was adjusted following positive culture results. Despite aggressive treatment, the patient remained in the intensive care unit for 12 days due to persistent systemic inflammatory response syndrome, but eventually recovered. This case emphasizes the importance of prompt diagnosis and management of EP in bariatric surgery. More research is needed to standardize treatment protocols for this rare but serious complication.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf370"},"PeriodicalIF":0.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217290","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
Clinical characteristics and surgical management of ileal strictures caused by ischemic enteritis: a report of three cases. 缺血性肠炎致回肠狭窄3例临床特点及手术治疗。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-03 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf363
Yuya Kondo, Shingo Tsujinaka, Tomoya Miura, Yoh Kitamura, Yoshihiro Sato, Kentaro Sawada, Atsushi Mitamura, Toru Nakano, Yu Katayose, Chikashi Shibata
{"title":"Clinical characteristics and surgical management of ileal strictures caused by ischemic enteritis: a report of three cases.","authors":"Yuya Kondo, Shingo Tsujinaka, Tomoya Miura, Yoh Kitamura, Yoshihiro Sato, Kentaro Sawada, Atsushi Mitamura, Toru Nakano, Yu Katayose, Chikashi Shibata","doi":"10.1093/jscr/rjaf363","DOIUrl":"10.1093/jscr/rjaf363","url":null,"abstract":"<p><p>Ischemic enteritis (IE) is characterized by blood flow insufficient to meet metabolic demands. The incidence of IE is increasing owing to the aging population and advancements in radiographic and endoscopic diagnostics. Many patients eventually require surgical management, indicating an irreversible and progressive pathology. Therefore, clear definitions, early diagnosis, and tailored treatments are crucial. Herein, we report three patients with ileal strictures caused by IE who were successfully treated with surgical resection. In all three cases, the stricture was segmental and located within 50 cm from the ileocecal valve, which is a characteristic radiological feature of IE. Histological analysis revealed segmental, circumferential ulcers with inflammatory-cell infiltration, and fibrosis, although the presentation may vary with the disease phase. Clinicians and surgeons should consider IE in patients with small bowel obstruction and segmental strictures without apparent acute ischemia, especially in older patients with severe comorbidities such as hypertension, diabetes, hyperlipidemia, or thromboembolic diseases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf363"},"PeriodicalIF":0.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217288","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
Conglomerate of inguinal lymphadenopathies mimicking a strangulated hernia: a case report and review of imaging necessity. 模拟绞窄性疝的腹股沟淋巴结丛状病变：1例报告及影像学必要性回顾。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-03 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf371
Tarik Deflaoui, Anas Derkaoui, Lakhloufi Mohamed, Rihab Amara, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane
{"title":"Conglomerate of inguinal lymphadenopathies mimicking a strangulated hernia: a case report and review of imaging necessity.","authors":"Tarik Deflaoui, Anas Derkaoui, Lakhloufi Mohamed, Rihab Amara, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane","doi":"10.1093/jscr/rjaf371","DOIUrl":"10.1093/jscr/rjaf371","url":null,"abstract":"<p><p>A strangulated hernia is a common surgical emergency, often diagnosed clinically and managed without preoperative imaging. We report the case of a female patient admitted for a suspected strangulated inguinal hernia. However, intraoperative exploration revealed a conglomerate of inguinal lymphadenopathies, later diagnosed as lymphoma through histopathological analysis. The surgical procedure involved careful dissection and complete excision of the lymphadenopathy mass. This case underscores the critical importance of considering imaging studies, even when clinical presentation strongly suggests a hernia. A diagnostic algorithm is proposed to guide decision-making in similar scenarios.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf371"},"PeriodicalIF":0.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217289","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
Advanced squamous cell carcinoma with myiasis: a case report. 晚期鳞状细胞癌伴蝇蛆病1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-06-02 eCollection Date: 2025-06-01 DOI: 10.1093/jscr/rjaf263
Ali Adwal Ali, Anmar Mohammed Ahmed, Sajjad Ghanim Al-Badri, Muntadher Yousif Hasan Al Gehadi, Nabeel Al-Fatlawi
{"title":"Advanced squamous cell carcinoma with myiasis: a case report.","authors":"Ali Adwal Ali, Anmar Mohammed Ahmed, Sajjad Ghanim Al-Badri, Muntadher Yousif Hasan Al Gehadi, Nabeel Al-Fatlawi","doi":"10.1093/jscr/rjaf263","DOIUrl":"10.1093/jscr/rjaf263","url":null,"abstract":"<p><p>Advanced squamous cell carcinoma (SCC) is a challenge for treatment. It is also a risk factor for unintended infestation with Diptera larvae (maggots) known as myiasis. We describe a rare case of cutaneous myiasis located on a giant SCC of the face in an elderly female. Myiasis coupled with malignant skin conditions provides a unique surgical challenge as it is associated with a significantly increased risk of complications and mortalities. A literature review using PUBMED revealed 15 cases of SCC-associated myiasis due to different species. It is not only a disease of older age, as two of the patients were in their 20s. Pain, bleeding, and infection are possible symptoms due to infestation but not all patients reported complaints. Treatment aims to completely remove all maggots and to prevent secondary tissue damage with blindness due to eyeball destruction as one of the worst.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 6","pages":"rjaf263"},"PeriodicalIF":0.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209904","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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