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

Emergency liver retransplantation for acute arterial thrombosis in a liver multi-transplanted patient: a case report. 多肝移植患者急性动脉血栓急诊再肝移植1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-10-03 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf777

Priscila Begue Pons, Sol Salgado, Carolina Diego, Juan Pekolj

引用次数: 0

Prophylactic intestinal resection following carbon-ion radiotherapy for locally recurrent rectal cancer: a case report. 局部复发直肠癌碳离子放疗后预防性肠切除术1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-10-02 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf788

Takaki Furuyama, Hirotoshi Takiyama, Ito Kondo, Megumu Enjyoji, Makoto Hinokida, Yusuke Tatsutomi, Kunihiko Nakazawa, Shigeru Yamada, Yoshio Ushirokoji

{"title":"Prophylactic intestinal resection following carbon-ion radiotherapy for locally recurrent rectal cancer: a case report.","authors":"Takaki Furuyama, Hirotoshi Takiyama, Ito Kondo, Megumu Enjyoji, Makoto Hinokida, Yusuke Tatsutomi, Kunihiko Nakazawa, Shigeru Yamada, Yoshio Ushirokoji","doi":"10.1093/jscr/rjaf788","DOIUrl":"10.1093/jscr/rjaf788","url":null,"abstract":"Treatment of locally recurrent rectal cancer (LRRC) after surgery is often complex and challenging. A 52-year-old man received emergency surgery (Hartmann's procedure) for bowel perforation caused by a huge sigmoid colon cancer, followed by treatment for concurrent advanced lower rectal cancer with neoadjuvant chemoradiotherapy and abdominoperineal resection. A solitary lung metastasis emerged afterwards, and was surgically removed. However, the patient developed LRRC in front of the sacrum. As surgical resection for the local recurrence was considered too invasive, carbon-ion radiotherapy (CIRT) was performed as radical local therapy. Because the surrounding intestine was highly adherent to the tumor and there was a high risk of developing an ulcer, the intestine was prophylactically resected. The patient has remained relapse-free for 2 years and 6 months since the most recent surgery. CIRT for LRRC appears to represent a useful therapeutic option in combination with prophylactic intestinal resection.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf788"},"PeriodicalIF":0.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233576","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

Case report of left renal cell carcinoma with long standing retained common bile duct stent and secondary choledocholithiasis: a single-stage multidisciplinary surgical management in low resource setting. 左肾细胞癌合并长期保留胆总管支架并继发胆总管结石1例：低资源环境下的单期多学科外科治疗。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-10-02 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf783

Manzoor Ahmad, Azeem Farooqui, Ahmad Sadiq, Wasif M Ali, Mazher Alam

引用次数: 0

Talus insufficiency fracture due to long-term methotrexate therapy in a patient with rheumatoid arthritis. 类风湿性关节炎患者长期甲氨蝶呤治疗导致距骨不全骨折。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-10-02 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf780

Julian Ramin Andresen, Sebastian Radmer

引用次数: 0

Regressed anterior mediastinal nodule secondary to removal of dental crowns. 前纵隔结节退行性，继发于牙冠移除。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-10-02 eCollection Date: 2025-10-01 DOI: 10.1093/jscr/rjaf786

Masashi Nagata, Jun Miyagi, Yoshihiko Kanai, Shinichi Yamamoto, Hiroyoshi Tsubochi, Shunsuke Endo

引用次数: 0

Surgical management of concomitant and delayed complex pelvic and acetabular fractures. 伴发性复杂骨盆和髋臼骨折的外科治疗。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-10-01 DOI: 10.1093/jscr/rjaf760

Mohamed Amine Selmene, Mourad Zaraa, Hedi Annabi, Sabri Mahjoub

引用次数: 0

Palliative cholangiojejunostomy for refractory biliary obstruction in mucinous cholangiocarcinoma: a case report. 姑息性胆管空肠吻合术治疗黏液性胆管癌难治性胆道梗阻1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-10-01 DOI: 10.1093/jscr/rjaf718

Hao Chen, Chuanzheng Yin, Zifang Song

{"title":"Palliative cholangiojejunostomy for refractory biliary obstruction in mucinous cholangiocarcinoma: a case report.","authors":"Hao Chen, Chuanzheng Yin, Zifang Song","doi":"10.1093/jscr/rjaf718","DOIUrl":"10.1093/jscr/rjaf718","url":null,"abstract":"Mucinous cholangiocarcinoma is a rare, aggressive biliary tract malignancy. Excessive mucin secretion causes diagnostic and therapeutic challenges. A 76-year-old male presented with painless progressive jaundice. Imaging showed cystic lesions with calcification in the right liver/hilum, intrahepatic bile duct dilation, and stones. Radical resection was deemed unfeasible due to insufficient predicted residual liver volume. Given the high risk of mucin-induced obstruction with conventional biliary drainage, palliative choledochojejunostomy was performed. Intraoperative findings revealed mucin and stones; frozen section pathology confirmed biliary mucinous adenocarcinoma. Postoperatively, bilirubin decreased significantly and biliary dilation improved. Mucinous cholangiocarcinoma management requires a multidisciplinary approach. When radical resection is contraindicated, palliative choledochojejunostomy effectively relieves mucin-related obstruction. Long-term outcomes depend on adjuvant therapy and surveillance; further, molecular research is needed to develop targeted therapies.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 10","pages":"rjaf718"},"PeriodicalIF":0.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214150","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

Thyroidectomy in thyrotoxic crisis: is a euthyroid state required? A case series. 甲状腺毒性危象的甲状腺切除术：是否需要甲状腺功能正常？一个案例系列。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-09-30 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf765

Guillermo Guzmán, Andres O Garcia, Oriana A Valderrama, Stefania Calderón, Julián A Molano, William Victoria, Luis F Tintinago, Juan L O Giraldo

{"title":"Thyroidectomy in thyrotoxic crisis: is a euthyroid state required? A case series.","authors":"Guillermo Guzmán, Andres O Garcia, Oriana A Valderrama, Stefania Calderón, Julián A Molano, William Victoria, Luis F Tintinago, Juan L O Giraldo","doi":"10.1093/jscr/rjaf765","DOIUrl":"10.1093/jscr/rjaf765","url":null,"abstract":"Thyrotoxic crisis is a life-threatening emergency where refractory cases require thyroidectomy. Achieving preoperative euthyroidism is difficult, and optimal surgical timing is debated. This study assessed outcomes of early thyroidectomy regardless of preoperative thyroid levels. A retrospective review included patients ≥18 years (2011-2020) meeting thyroid storm criteria (Japanese Thyroid Association and Burch-Wartofsky >25). Twelve women (median age 36) were included, primarily for medical treatment failure (83.3%). All received beta-blockers; median heart rate decreased from 110 to 76.5 bpm. All underwent total thyroidectomy with 100% parathyroid preservation. Complications included transient hypocalcemia and hypoparathyroidism (41.67% each). There was no mortality, thromboembolism, or need for renal replacement. Early thyroidectomy is a viable option for medically refractory thyrotoxic crisis. Strict heart rate control appears more critical than achieving preoperative euthyroidism, supporting its safety and feasibility.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf765"},"PeriodicalIF":0.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208066","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

Chylothorax-induced diaphragmatic herniation: a novel complication of Gorham-Stout syndrome. 乳糜胸引起的膈疝：Gorham-Stout综合征的新并发症。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-09-30 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf772

Quan Chen, Cuiyan Yang, Hui Chen, Chuanfeng Ke

引用次数: 0

A case of GLI1-altered mesenchymal pleural tumour with novel gene fusion: a clinical perspective. 一例gli1改变的间充质胸膜肿瘤伴新型基因融合：临床观点。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2025-09-30 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf781

Sheikh Izzat Bin Zainal-Abidin Bahajjaj, Cynthia Ming Li Chia, Benjamin Livingston Farah

{"title":"A case of GLI1-altered mesenchymal pleural tumour with novel gene fusion: a clinical perspective.","authors":"Sheikh Izzat Bin Zainal-Abidin Bahajjaj, Cynthia Ming Li Chia, Benjamin Livingston Farah","doi":"10.1093/jscr/rjaf781","DOIUrl":"10.1093/jscr/rjaf781","url":null,"abstract":"This report presents a case of a Glioma-associated homologue-1 (GLI1)-altered mesenchymal tumour with novel gene fusion arising from the pleura in a 25-year-old female undergoing treatment for primary colorectal adenocarcinoma. A pleural nodule was incidentally detected during staging, and biopsy revealed a mesenchymal tumour with a novel NCOR2(exon 7)::GLI1(exon 6) gene fusion. The tumour showed an indolent course over 10 months of surveillance during chemotherapy, with no significant growth. Despite the absence of malignant features, such as high mitotic rate, necrosis, or large size, and a low proliferation index, surgical excision was chosen due to the rarity and uncertain prognosis of this fusion. Histology confirmed a low-grade tumour with unusual SOX10 expression. This case expands the understanding of GLI1-altered mesenchymal tumours, especially in uncommon sites like the pleura, and highlights the importance of multidisciplinary decision-making. Ongoing molecular and pathological analysis is critical to establish robust diagnostic and prognostic frameworks for such rare tumour entities.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf781"},"PeriodicalIF":0.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208103","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