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Journal of Surgical Case Reports最新文献

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Pancreas-sparing duodenectomy for kissing duodenal ulcers spawned by refractory peptic ulcer disease: case report with technical note and literature review. 保留胰腺的十二指肠切除术治疗难治性消化性溃疡引起的吻合性十二指肠溃疡：附技术说明和文献复习1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf327
Simone Giungato, Concetta Lozito, Romana Palazzo, Camilla Dimito, Angelo Santo Pepe
{"title":"Pancreas-sparing duodenectomy for kissing duodenal ulcers spawned by refractory peptic ulcer disease: case report with technical note and literature review.","authors":"Simone Giungato, Concetta Lozito, Romana Palazzo, Camilla Dimito, Angelo Santo Pepe","doi":"10.1093/jscr/rjaf327","DOIUrl":"10.1093/jscr/rjaf327","url":null,"abstract":"<p><p>Peptic ulcer disease is a common condition that affects ~4 million people worldwide, according to a 1984 estimate. However, concomitant perforation of dual anterior and posterior ulcerations (so-called 'kissing ulcers') is rare and presents significant surgical challenges with high morbidity and mortality. Such scenarios present surgical challenges and impose very high-level morbidity and mortality. A 76-year-old man described herein required emergency treatment for duodenal peptic ulcer perforation. Overall, three operations took place in response to a single anterior peptic ulcer of duodenum that culminated in anterior/posterior kissing ulcers. Pancreas-sparing duodenectomy was performed as a final attempt, along with radiographic localisation of the papilla. This rare instance of duodenal peptic ulceration underscores the feasibility and importance of a more definitive approach after ineffective initial surgical intervention.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf327"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121163","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
Spinal arachnoid cyst among Nigerians. 尼日利亚人的脊髓蛛网膜囊肿。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf331
Toyin A Oyemolade, Augustine A Adeolu, Oluwakemi A Badejo, Olusola K Idowu, Ifeanyi E Iwuagwu
{"title":"Spinal arachnoid cyst among Nigerians.","authors":"Toyin A Oyemolade, Augustine A Adeolu, Oluwakemi A Badejo, Olusola K Idowu, Ifeanyi E Iwuagwu","doi":"10.1093/jscr/rjaf331","DOIUrl":"10.1093/jscr/rjaf331","url":null,"abstract":"<p><p>Spinal arachnoid cysts are rare spinal mass lesions. The pathogenesis is as yet poorly understood but the aetiology can be congenital or secondary to a number of infective and non-infective conditions. They can be extradural or intradural in location. They are characterized by a wide range of clinical manifestations, from asymptomatic lesions to severe myelopathy. Asymptomatic cysts can be managed conservatively while surgery is indicated in symptomatic cases. The operative technique of choice is complete excision of the cyst. The outcome is mainly related to the duration of symptoms, hence the need for early diagnosis and prompt treatment. In this study, we present the clinical profile and outcome of management of four operated cases of spinal arachnoid cysts in a tertiary hospital in Southwestern Nigeria.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf331"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121219","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 presentation of high-grade serous ovarian carcinoma with ulcerating inguinal lymph node metastasis: a case report. 罕见的高级别浆液性卵巢癌合并溃疡性腹股沟淋巴结转移一例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf317
Hassan M Latifah, Ruzanah Almarzugi, Hussam Bitar, Mohammad Alyafi, Abdulmalik Abumohssin, Zuhoor Almansouri, Batool Abdulaziz Kabli, Nusaybah A Shafi, Saeed Baradwan
{"title":"A rare presentation of high-grade serous ovarian carcinoma with ulcerating inguinal lymph node metastasis: a case report.","authors":"Hassan M Latifah, Ruzanah Almarzugi, Hussam Bitar, Mohammad Alyafi, Abdulmalik Abumohssin, Zuhoor Almansouri, Batool Abdulaziz Kabli, Nusaybah A Shafi, Saeed Baradwan","doi":"10.1093/jscr/rjaf317","DOIUrl":"10.1093/jscr/rjaf317","url":null,"abstract":"<p><p>High-grade serous ovarian carcinoma (HGSOC) typically spreads within the peritoneal cavity, and metastatic spread to extraperitoneal lymph nodes, particularly the inguinal region, is rare. Herein, we present a case of a 47-year-old premenopausal woman who presented with an enlarging, ulcerating right inguinal mass. Imaging revealed a necrotic inguinal mass, with no significant intra-abdominal findings. Surgical excision was performed, and histopathology confirmed metastatic HGSOC. She then underwent neoadjuvant chemotherapy, followed by radiotherapy. She then underwent robotic-surgical staging. Histopathological analysis showed bilateral ovarian involvement with multiple tumor foci. Genetic testing identified a BRCA1 mutation, leading to adjuvant maintenance therapy with Olaparib. This case emphasizes the importance of considering ovarian carcinoma in the differential diagnosis of unusual inguinal lymph node masses, even without a visible ovarian mass. Early detection, genetic testing, and a multidisciplinary approach are essential for optimizing patient outcomes in advanced HGSOC with atypical metastasis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf317"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121159","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 management of a facial artery aneurysm in sub-Saharan Africa: a rare case report. 手术治疗面动脉瘤在撒哈拉以南非洲：一个罕见的病例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf329
Abdel Kémal Bori Bata, Désiré Nékoua, Ahmad Ibrahim, Ernest Ahounou, Emmanuel Gbessi
{"title":"Surgical management of a facial artery aneurysm in sub-Saharan Africa: a rare case report.","authors":"Abdel Kémal Bori Bata, Désiré Nékoua, Ahmad Ibrahim, Ernest Ahounou, Emmanuel Gbessi","doi":"10.1093/jscr/rjaf329","DOIUrl":"10.1093/jscr/rjaf329","url":null,"abstract":"<p><p>Facial artery aneurysms are extremely rare. To date, only nine cases have been reported in the literature. We report here the first case in Sub-Saharan Africa, in a 48-year-old male with no significant medical history, who presented with a swelling in the right submandibular region. Following radiological investigations, he underwent successful surgical resection. No complications or recurrence of the aneurysm were noted during a five-year follow-up.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf329"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119976","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
Trans-scaphoid trans-triquetrum lunate dorsal dislocation combined with fracture of ulnar and radius with forearm compartment syndrome: a case report. 经舟状骨半月骨背脱位合并尺桡骨骨折伴前臂隔室综合征1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf314
Liang Zhou, Hao-Jie Guan, Gang-Xiang Wang
{"title":"Trans-scaphoid trans-triquetrum lunate dorsal dislocation combined with fracture of ulnar and radius with forearm compartment syndrome: a case report.","authors":"Liang Zhou, Hao-Jie Guan, Gang-Xiang Wang","doi":"10.1093/jscr/rjaf314","DOIUrl":"10.1093/jscr/rjaf314","url":null,"abstract":"<p><p>We reported a case of a 45-year-old male patient with trans-scaphoid trans-triquetrum lunate dorsal dislocation combined with fracture of ulnar and radius with forearm compartment syndrome. During the initial surgery, the scaphoid fracture end was mistakenly fixed together with the triquetrum fracture end, leading to an erroneous reduction, which was later identified and corrected through a secondary reduction. It is emphasized that in patients with lunate dislocation and concomitant scaphoid and triquetrum fractures, accurate identification of the fracture ends of both the scaphoid and triquetrum bones is critical to avoid erroneous fixation. Furthermore, the presence of ulnar and radial fractures increases the risk of forearm compartment syndrome.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf314"},"PeriodicalIF":0.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112443","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
Successful treatment of necrotising fasciitis following cobra bite: a case report. 眼镜蛇咬伤后坏死性筋膜炎的成功治疗一例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf309
Santosh Dev, Amit Yadav, Prajjwol Luitel, Barsha Dev, Gyaneshwor Shrestha, Badal Karki
{"title":"Successful treatment of necrotising fasciitis following cobra bite: a case report.","authors":"Santosh Dev, Amit Yadav, Prajjwol Luitel, Barsha Dev, Gyaneshwor Shrestha, Badal Karki","doi":"10.1093/jscr/rjaf309","DOIUrl":"10.1093/jscr/rjaf309","url":null,"abstract":"<p><p>Necrotising fasciitis following cobra envenomation is an infrequent but life-threatening complication. We report a case of a 72-year-old woman from Khotang who developed a rapidly progressive, discharging wound on her right foot 3 days after sustaining a cobra bite. Initially treated at a local snakebite center with 30 vials of antivenom, she later presented with tachycardia, low-grade fever, and leukocytosis. Local tissue culture revealed <i>Streptococcus pyogenes</i>, prompting escalation of antibiotics to Piperacillin-Tazobactam. The ensuing extensive tissue necrosis, driven by venom cytotoxicity, facilitated secondary bacterial colonization. Aggressive resuscitation, repeated surgical debridement, and nutritional support with a high-protein diet and multivitamins resulted in robust granulation tissue formation. Definitive reconstruction was achieved with a split-thickness skin graft. This case underscores that while antivenom reverses systemic toxicity, early recognition and prompt surgical intervention are paramount in preventing the devastating progression of local necrosis to necrotising fasciitis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf309"},"PeriodicalIF":0.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112438","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
Taming widow Dimanche's horn: excision and reconstruction of recurrent dermatofibrosarcoma protuberans of the forehead. 驯服寡妇Dimanche角：前额复发性皮肤纤维肉瘤隆突的切除和重建。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-20 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf283
Surjeet Dwivedi, Nilanjan Roy, Kshitij Jyoti, Animesh Vatsa, Ayush Mathur, Pragya Sharma
{"title":"Taming widow Dimanche's horn: excision and reconstruction of recurrent dermatofibrosarcoma protuberans of the forehead.","authors":"Surjeet Dwivedi, Nilanjan Roy, Kshitij Jyoti, Animesh Vatsa, Ayush Mathur, Pragya Sharma","doi":"10.1093/jscr/rjaf283","DOIUrl":"10.1093/jscr/rjaf283","url":null,"abstract":"<p><p>Dermatofibrosarcoma protuberans (DFSP) is an uncommon soft tissue sarcoma primarily found on the trunk and proximal extremities that typically appears as a slowly progressing, firm, violet-red, or blue plaque. In this case report, we describe our experience with a patient who presented with recurrent DFSP of the forehead of size 10 × 6 cm. Patient underwent wide local excision and reconstruction with a rotational scalp flap and split skin graft (SSG) cover. No early or late complications were observed in the patient. The flaps survived completely and SSG had full uptake. This surgical technique allowed a radical excision of forehead DFSP, thus potentially decreasing tumor recurrence rate. All main reconstructive criteria, such as functional and cosmetic tissue characteristics, were completely fulfilled.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf283"},"PeriodicalIF":0.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112440","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
Correction to: TDAP flap in reconstruction of a severe postburn contracture of the axillary region-a case report. TDAP皮瓣重建腋窝严重烧伤后挛缩1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-18 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf364
{"title":"Correction to: TDAP flap in reconstruction of a severe postburn contracture of the axillary region-a case report.","authors":"","doi":"10.1093/jscr/rjaf364","DOIUrl":"10.1093/jscr/rjaf364","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/jscr/rjaf080.].</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf364"},"PeriodicalIF":0.4,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095382","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
Metastatic small intestinal neuroendocrine tumor presented with partial intestinal obstruction in Saudi Arabia: a case report. 转移性小肠神经内分泌肿瘤表现为部分肠梗阻在沙特阿拉伯：1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-17 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf307
Faris Alsobyani, Mansour Almalki, Hassan Abu Rokbah
{"title":"Metastatic small intestinal neuroendocrine tumor presented with partial intestinal obstruction in Saudi Arabia: a case report.","authors":"Faris Alsobyani, Mansour Almalki, Hassan Abu Rokbah","doi":"10.1093/jscr/rjaf307","DOIUrl":"10.1093/jscr/rjaf307","url":null,"abstract":"<p><p>Well-differentiated neuroendocrine tumors (NETs) of the ileocecal region are rare but increasingly recognized gastrointestinal neoplasms. They often present vague symptoms, delaying diagnosis. Despite slow growth, these tumors can metastasize to the liver and bone, complicating management. Despite their indolent nature, these tumors can metastasize to the liver and bone, complicating treatment. We report a case of a 54-year-old woman with a one-year history of vague abdominal symptoms that worsened over the last 2 months. Contrast-enhanced computed tomography imaging revealed a mesenteric lesion leading to partial intestinal obstruction. Further imaging revealed liver and spine metastases. Colonoscopy confirmed an obstructing ileocecal mass, and biopsy identified a Grade 1 well-differentiated NET. The patient underwent laparoscopic right hemicolectomy with ileocolic anastomosis for symptom relief, followed by octreotide therapy. This case highlights the diagnostic and therapeutic challenges of metastatic ileocecal NETs and emphasizes the importance of a multidisciplinary approach for effective treatment and long-term stability.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf307"},"PeriodicalIF":0.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095385","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 case report of splenic rupture related to colonoscopy. 结肠镜检查所致脾破裂1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-17 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf313
Navid Moghimi, Markus A Puchner
{"title":"A case report of splenic rupture related to colonoscopy.","authors":"Navid Moghimi, Markus A Puchner","doi":"10.1093/jscr/rjaf313","DOIUrl":"10.1093/jscr/rjaf313","url":null,"abstract":"<p><p>Splenic rupture is a rare but serious iatrogenic complication of colonoscopy, potentially leading to hemodynamic instability. When common complications such as post-polypectomy syndrome and perforation are excluded, physicians must maintain a high level of suspicion for splenic injury, particularly in patients presenting with abdominal pain after the procedure. This report describes an emergency splenectomy performed on an 80-year-old male following a routine colonoscopy. Seven hours of post-procedure, the patient presented abdominal pain, syncope, sweating, and hypotension. Computed tomography imaging revealed a ruptured spleen with a 7-cm parenchymal hematoma, a significant blood halo surrounding the liver, and a large blood accumulation in the pelvis. The patient underwent an emergency splenectomy and was discharged 6 days later without complications.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf313"},"PeriodicalIF":0.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095379","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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