Journal of Surgical Case Reports最新文献_第6页

Anterior rib giant cell tumor of bone mimicking a malignant chest-wall tumor: a case report. 前肋骨巨细胞瘤模拟恶性胸壁肿瘤1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag872

Mami Yamamoto, Masanori Ishida, Yuichi Ichikawa, Maki Tanigawa, Ai Enomoto, Akitoshi Kanagawa, Jun Nishida, Toshitaka Nagao, Kazuhiro Saito

{"title":"Anterior rib giant cell tumor of bone mimicking a malignant chest-wall tumor: a case report.","authors":"Mami Yamamoto, Masanori Ishida, Yuichi Ichikawa, Maki Tanigawa, Ai Enomoto, Akitoshi Kanagawa, Jun Nishida, Toshitaka Nagao, Kazuhiro Saito","doi":"10.1093/jscr/rjag872","DOIUrl":"https://doi.org/10.1093/jscr/rjag872","url":null,"abstract":"Giant cell tumor of bone (GCTB) rarely arises in the rib, and anterior rib involvement may mimic malignant chest-wall tumors. A 44-year-old woman presented with a palpable mass in the left anterior chest wall. Computed tomography (CT) revealed an osteolytic mass arising from the anterior left third rib, enlarging from 31 to 55 mm over ~2 months. Magnetic resonance imaging showed diffusion restriction, and fluorodeoxyglucose positron emission tomography/CT demonstrated intense uptake with a maximum standardized uptake value of 15.7, raising suspicion for malignancy. Needle biopsy suggested GCTB, but malignancy could not be excluded. Wide resection of the left second to fourth ribs was performed. Histology showed no sarcomatous transformation, and nuclear histone H3.3 with a glycine-to-tryptophan substitution at amino acid position 34 positivity in mononuclear tumor cells supported the diagnosis of GCTB. The patient remained recurrence-free for ~2 years. Anterior rib GCTB can mimic malignancy, requiring integrated radiological and pathological evaluation.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag872"},"PeriodicalIF":0.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116586","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

NovoSorb™ biodegradable temporizing matrix for post-excision wound reconstruction in a paediatric giant congenital melanocytic naevus: a case report. NovoSorb™可生物降解的临时基质用于儿童巨大先天性黑素细胞痣切除术后伤口重建：1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag875

Kelly Ka Yee Chu, Calver Pang, Kana Miyagi

{"title":"NovoSorb™ biodegradable temporizing matrix for post-excision wound reconstruction in a paediatric giant congenital melanocytic naevus: a case report.","authors":"Kelly Ka Yee Chu, Calver Pang, Kana Miyagi","doi":"10.1093/jscr/rjag875","DOIUrl":"https://doi.org/10.1093/jscr/rjag875","url":null,"abstract":"Giant congenital melanocytic naevi (GCMN) presenting over large surface areas pose significant reconstructive challenges following surgical excision. We report the case of a paediatric female with a symptomatic GCMN covering ~2% of total body surface area on the right thigh, causing recurrent ulceration and psychological distress. Following failed conservative management, excision under general anaesthetic was performed, with reconstruction of the thigh defect using NovoSorb™ Biodegradable Temporizing Matrix (BTM). Despite a series of sequential infectious and contamination episodes during integration-including bacterial infection with Escherichia coli, Pseudomonas aeruginosa, and Klebsiella variicola, urine contamination, and maggot infestation-BTM maintained integration with conservative management. Successful split-thickness skin grafting was achieved at 4 weeks, with complete wound healing at 4 months and a well-matured scar at 1 year. This case supports BTM as a robust option for paediatric GCMN reconstruction in anatomically challenging, high-contamination locations.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag875"},"PeriodicalIF":0.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116563","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

Unusual manifestations of chest wall tuberculosis: diagnostic challenges in two cases from a low-incidence tuberculosis country. 胸壁结核的异常表现：来自结核病低发病率国家的两例诊断挑战。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag890

Mahmoud Yehya, Bhagwan Mantri, Abubaker S Ahmed, M S Abdelfattah, Mhmad Othman J Albaghdadi

{"title":"Unusual manifestations of chest wall tuberculosis: diagnostic challenges in two cases from a low-incidence tuberculosis country.","authors":"Mahmoud Yehya, Bhagwan Mantri, Abubaker S Ahmed, M S Abdelfattah, Mhmad Othman J Albaghdadi","doi":"10.1093/jscr/rjag890","DOIUrl":"https://doi.org/10.1093/jscr/rjag890","url":null,"abstract":"Chest wall tuberculosis (TB) is a rare manifestation of extrapulmonary TB and may present a significant diagnostic challenge, particularly in low-incidence TB countries such as the United Arab Emirates. We report two unusual cases of chest wall TB with distinct clinical presentations. The first case presented as a slowly enlarging chest wall mass that clinically and radiologically mimicked a soft-tissue neoplasm and was ultimately diagnosed as giant tuberculous lymphadenitis. The second case presented as a large posterolateral chest wall abscess without evidence of active pulmonary TB. Both patients were managed surgically for diagnostic and therapeutic purposes, and histopathological examination established the diagnosis of chest wall TB. Both patients received a 6-month course of anti-tuberculous therapy with complete recovery. These cases highlight the diverse clinical spectrum of chest wall TB and emphasize that the disease should be considered in the differential diagnosis of chest wall masses and abscesses, even in low-incidence TB settings. Histopathological confirmation remains essential for establishing the diagnosis and guiding appropriate management.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag890"},"PeriodicalIF":0.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116599","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

Type III endoleaks following endovascular aortic repair: a case series. 血管内主动脉修复后III型内陷：一个病例系列。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag887

Buraq Ahmed, Oliver Chan, Maite Del Campo Martinez, Hariesha Pathmaraj, Chris Grieco

{"title":"Type III endoleaks following endovascular aortic repair: a case series.","authors":"Buraq Ahmed, Oliver Chan, Maite Del Campo Martinez, Hariesha Pathmaraj, Chris Grieco","doi":"10.1093/jscr/rjag887","DOIUrl":"https://doi.org/10.1093/jscr/rjag887","url":null,"abstract":"Type III endoleaks, from disconnection between modular stent-graft components (type IIIa) or fabric defects within a limb (type IIIb), are uncommon but potentially life-threatening, transmitting systemic pressure into the aneurysm sac and carrying a high rupture risk. We describe three men with late type III endoleak failure after complex thoracic aortic repair. One presented with rupture at a mid-thoracic modular overlap, salvaged by emergency relining via a hostile femoral cut-down. A second, under surveillance for an asymptomatic endoleak managed conservatively given a static sac, later ruptured at a separate site and died despite emergency relining. A third developed a type IIIb fabric failure in a highly angulated aortic arch, salvaged using a conformable stent-graft and left-ventricular through-and-through wire support. These cases show type III endoleaks may be radiologically subtle yet rapidly fatal, sac stability alone should not determine management, and complex arch morphology demands tailored device selection and access planning.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag887"},"PeriodicalIF":0.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116584","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

Ancient schwannoma of the gluteal region: a case report. 臀区古发神经鞘瘤1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag883

Rıdvan Acar, Şeyma Öztürk

引用次数: 0

Benign emergence of pathological Q waves following minimally invasive direct coronary artery bypass surgery: a case series. 微创直接冠状动脉搭桥术后良性出现病理性Q波：一个病例系列。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag873

Hailei Liu, Laura DiChiacchio, Michael Shehata, Ashkan Ehdaie, Tarun Chakravarty, Raj R Makkar, Mamoo Nakamura, Xunzhang Wang, Sumeet S Chugh, Joanna Chikwe, Dominic Emerson

引用次数: 0

Partially calcified organized thrombus of the right atrium mimicking a cardiac tumor: a case report. 模拟心脏肿瘤的右心房部分钙化有组织血栓1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag880

Takura Taguchi, Shoko Iida, Takuya Yamakura, Yoshito Ito, Hiroyuki Nishi, Haruhiko Kondoh

引用次数: 0

Long-term neurological stability after decompression with duraplasty without resection of a non-dysraphic thoracic spinal lipoma: a 30-year follow-up case report. 硬脑膜成形术减压后不切除非异常胸椎脂肪瘤的长期神经稳定性：一份30年随访病例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag877

Takeru Ueno, Shizumasa Murata, Hiroshi Iwasaki, Kazunori Nomura, Munehito Yoshida, Hiroshi Yamada

{"title":"Long-term neurological stability after decompression with duraplasty without resection of a non-dysraphic thoracic spinal lipoma: a 30-year follow-up case report.","authors":"Takeru Ueno, Shizumasa Murata, Hiroshi Iwasaki, Kazunori Nomura, Munehito Yoshida, Hiroshi Yamada","doi":"10.1093/jscr/rjag877","DOIUrl":"https://doi.org/10.1093/jscr/rjag877","url":null,"abstract":"Intradural spinal lipomas without associated dysraphism are rare, and the optimal surgical strategy remains controversial, particularly for thoracic lesions strongly adhered to neural structures. A 17-year-old female presented with progressive spastic gait and sensory disturbances in the lower extremities that developed during pregnancy. Magnetic resonance imaging showed an intradural lesion at the T5-T8 level consistent with a spinal lipoma. Because of the absence of a clear dissection plane and strong adhesion to neural elements, tumor resection was not attempted. Instead, decompression and duraplasty were performed. The patient showed gradual neurological improvement and was discharged 5 weeks postoperatively. At the 30-year follow-up, the patient remained neurologically stable with no evidence of tumor progression. Decompression without tumor resection may provide favorable long-term outcomes in selected cases of non-dysraphic intradural spinal lipomas with strong adhesion to neural structures.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag877"},"PeriodicalIF":0.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116597","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

Delayed diagnosis of neurofibromatosis type I with an index presentation of haemothorax. 以血胸为主要表现的I型神经纤维瘤病的延迟诊断。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag882

Isaac Roberts, Theodore Hughes, Malcolm Will

引用次数: 0

A case of subserosal bile infiltration due to gallbladder injury during robot-assisted nephrectomy (with video). 机器人辅助肾切除术中胆囊损伤致浆膜下胆汁浸润1例（附视频）。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag879

Shunryo Minezaki, Fumihiko Miura, Keisuke Ueno, Yasuyuki Ikehata, Akitoshi Nankaku, Kenji Yamazaki, Junpei Takashima, Daisuke Fujimoto, Hirotoshi Kobayashi, Minato Yokoyama, Tatsuya Aso, Mikiko Takahashi, Keiji Sano, Yosuke Inoue, Takeo Fukagawa

{"title":"A case of subserosal bile infiltration due to gallbladder injury during robot-assisted nephrectomy (with video).","authors":"Shunryo Minezaki, Fumihiko Miura, Keisuke Ueno, Yasuyuki Ikehata, Akitoshi Nankaku, Kenji Yamazaki, Junpei Takashima, Daisuke Fujimoto, Hirotoshi Kobayashi, Minato Yokoyama, Tatsuya Aso, Mikiko Takahashi, Keiji Sano, Yosuke Inoue, Takeo Fukagawa","doi":"10.1093/jscr/rjag879","DOIUrl":"https://doi.org/10.1093/jscr/rjag879","url":null,"abstract":"With the spread of minimally invasive surgery (MIS), various MIS-specific iatrogenic complications have been reported; however, subserosal bile infiltration of the gallbladder has not been documented. We report a case of subserosal bile infiltration occurring during robot-assisted radical right nephrectomy for clear cell renal carcinoma after robot-assisted partial nephrectomy. Following right kidney resection, dark green discoloration of the gallbladder was observed. Reviewing the operative video revealed that the color change developed during retraction with a snake retractor. Although no bile spillage was observed, laparoscopic cholecystectomy was performed because gallbladder injury was suspected. During dissection from the gallbladder bed, bile was observed within the subserosal layer, confirming subserosal bile infiltration. Subserosal bile infiltration is a rare form of gallbladder injury; however, it may progress to bile peritonitis and should be recognized as a potential complication requiring careful attention during surgery.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag879"},"PeriodicalIF":0.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116541","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