{"title":"Is it a hemangioma? A combined case report of soft tissue sarcomas mimicking infantile hemangioma.","authors":"Shaden Almutairi, Wed AlWabel, Saud Aljadaan, Norah Alsabty, Afnan Alshehri, Faten Alrobian","doi":"10.1093/jscr/rjaf748","DOIUrl":"10.1093/jscr/rjaf748","url":null,"abstract":"<p><p>Infantile hemangiomas (IHs) are the most common infantile tumors. They are benign and often responsive to propranolol. IHs are difficult to distinguish from malignant soft tissue tumors like sarcomas. Sarcomas are rare mesenchymal tumors that mimic hemangiomas, delaying treatment and affecting outcomes. We report two instances in which female infants with sarcomas were initially misdiagnosed as hemangiomas. In the first case, propanolol was administered to a 1-month-old presenting with a left inguinal mass. Imaging revealed a hemangioma. Tumor growth necessitated a biopsy, revealing a sarcoma. In the second case, a 2-month-old presented with a rapid growing and ulcerating left-hand swelling and was misdiagnosed as a hemangioma. Imaging and biopsy revealed metastatic sarcoma. Both patients developed brain metastases and passed away. These cases highlight that IHs need to be re-evaluated when rapid growth or ulceration is encountered. Early detection is essential for optimal outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf748"},"PeriodicalIF":0.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151488","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}
{"title":"Adenomyoma of the round ligament of the uterus in the inguinal canal: a case report.","authors":"Linhan Dai, Jin Wang, Yuhan Chen, Lvjia Cheng, Xiaoshen Zhang, Wenbin Zhang","doi":"10.1093/jscr/rjaf421","DOIUrl":"10.1093/jscr/rjaf421","url":null,"abstract":"<p><p>Adenomyoma originating from the round ligament of the uterus represents a remarkably uncommon pathological entity. Considering the anatomical course of the round ligament through the inguinal canal, pathological lesions in this structure may clinically present as pelvic or inguinal masses, thereby requiring differentiation from a broad spectrum of alternative pathological conditions. Of particular clinical significance, adenomyoma-associated manifestations causing inguinal hernia remain exceedingly rare, with definitive diagnostic confirmation contingent upon histopathological verification. We herein present a case of primary round ligament adenomyoma localized within the inguinal canal, with the objective of enhancing clinical awareness and providing evidence-based guidance and optimizing diagnostic and therapeutic decision-making in comparable clinical scenarios.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf421"},"PeriodicalIF":0.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151421","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}
Luis Francisco Llerena Freire, Majerlly Anahí Gallardo, Ivonne Carolina Córdova
{"title":"Laparoscopic management of a Gharbi type II hepatic hydatid cyst after failed pair.","authors":"Luis Francisco Llerena Freire, Majerlly Anahí Gallardo, Ivonne Carolina Córdova","doi":"10.1093/jscr/rjaf665","DOIUrl":"10.1093/jscr/rjaf665","url":null,"abstract":"<p><p>Hepatic hydatidosis, caused by Echinococcus granulosus, remains prevalent in endemic regions. Surgery is the cornerstone of treatment, although laparoscopic approaches have gained prominence in selected cases in the past decade. We present a case of a Gharbi-type II hepatic hydatid cyst successfully treated via laparoscopy. A 19-year-old man from a rural endemic area, presented with right upper quadrant pain. Imaging revealed a Gharbi type 2 hydatid cyst in the posterior segment VII of the liver. Laparoscopic evacuation of the cyst content was performed with strict preventive measures to avoid dissemination. The patient had a favorable outcome without complications. Laparoscopy offers a safe alternative for peripheral cysts without biliary communication and in experienced centers. Proper patient selection and technical proficiency are essential to minimize risks. This report highlights the feasibility of laparoscopic management of Gharbi type II cysts in carefully selected patients and illustrates the role of laparoscopy as a salvage strategy following failed PAIR.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf665"},"PeriodicalIF":0.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151461","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}
Ziad A Bataineh, Abdullah S Al-Darwish, Sumaiah Alkhulaifi, Thekraiat M Al Quran
{"title":"Tension gastrothorax in a late-presenting congenital diaphragmatic hernia: a case report and review of the literature.","authors":"Ziad A Bataineh, Abdullah S Al-Darwish, Sumaiah Alkhulaifi, Thekraiat M Al Quran","doi":"10.1093/jscr/rjaf750","DOIUrl":"10.1093/jscr/rjaf750","url":null,"abstract":"<p><p>Congenital diaphragmatic hernia (CDH), a rare but potentially life-threatening anomaly resulting from incomplete diaphragm closure during fetal development, typically presents neonatally but can rarely manifest later in infancy as tension gastrothorax-a critical condition of intrathoracic gastric herniation and distension causing severe respiratory distress and mediastinal shift; we describe a 2-month-old male infant who developed sudden dyspnea and mediastinal shift due to a left-sided Bochdalek hernia with a distended stomach occupying the thoracic cavity, requiring emergent laparotomy with gastric decompression and defect repair using non-absorbable sutures, leading to full lung re-expansion and recovery; this case highlights the diagnostic and therapeutic challenges of late-presenting CDH complicated by tension gastrothorax, the importance of distinguishing it from other causes of respiratory distress, and emphasizes that prompt recognition, timely decompression, and surgical repair are vital for favorable outcomes, urging clinicians to maintain high suspicion when imaging reveals an air-filled hemithorax in distressed infants.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf750"},"PeriodicalIF":0.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151496","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}
{"title":"Genomic profiling guided therapy for synchronous SCC and CLL of the parotid gland: a rare case report.","authors":"Rockey Dahiya, Natalie Weiss, Prishae Wilson, Bastien A Valencia-Sanchez, Phillip Pirgousis","doi":"10.1093/jscr/rjaf752","DOIUrl":"10.1093/jscr/rjaf752","url":null,"abstract":"<p><p>Synchronous squamous cell carcinoma (SCC) and chronic lymphocytic leukemia (CLL) in the parotid gland is rare, with limited evidence on personalized treatment. We report a 75-year-old male with prior cutaneous SCC who presented with a hypermetabolic parotid mass and cervical lymphadenopathy; fine needle aspiration confirmed SCC. Surgery revealed poorly differentiated SCC and CLL in multiple lymph nodes. He underwent radiotherapy but developed regional SCC relapse without systemic CLL symptoms. Recurrence in the ear required extensive surgical resection and reconstruction. Genetic profiling showed high tumor mutational burden (>50 mutations/Mb) and mutations in ARID1B, CDKN2A, MSH2, PMS2, and TP53. He received six cycles of cemiplimab followed by cetuximab-based targeted therapy, based on rising circulating DNA levels. This case emphasizes the value of genetic profiling and tools like TMB, FISH, and immunohistochemistry for risk stratification and personalized treatment in managing advanced or complex parotid malignancies, including synchronous SCC and CLL, to optimize patient outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf752"},"PeriodicalIF":0.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151418","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}
El Mehdi Bouayad, Taha Yassine Aaboudech, Sabrine Derqaoui, Hamza Bouayad, Siham Mesmoudi, Kaoutar Znati, Zakia Bernoussi, Ahmed Jahid
{"title":"Malignant triton tumor of the bladder with fatal outcome: a rare case report.","authors":"El Mehdi Bouayad, Taha Yassine Aaboudech, Sabrine Derqaoui, Hamza Bouayad, Siham Mesmoudi, Kaoutar Znati, Zakia Bernoussi, Ahmed Jahid","doi":"10.1093/jscr/rjaf756","DOIUrl":"10.1093/jscr/rjaf756","url":null,"abstract":"<p><p>Malignant triton tumors (MTTs) are a rare subtype of malignant peripheral nerve sheath tumors characterized by rhabdomyoblastic differentiation, often associated with neurofibromatosis type 1 (NF-1). Primary MTTs of the bladder are exceptionally uncommon, with few documented cases. We report a case of a 75-year-old male without neurofibromatosis type 1 history presenting with hematuria and urinary obstruction. Imaging revealed a 6.5 × 4 × 2 cm invasive bladder mass, and histopathology confirmed a high-grade spindle cell neoplasm with biphasic neurogenic (S100-positive) and rhabdomyoblastic (desmin- and myogenin-positive) differentiation, consistent with a diagnosis of MTT. Despite radical cystoprostatectomy, the patient succumbed to postoperative complications. This case highlights the aggressive behavior, diagnostic challenges, and poor prognosis of bladder MTTs, emphasizing the critical role of immunohistochemistry in distinguishing them from other spindle cell neoplasms. The rarity of this presentation underscores the need for further research to elucidate its pathogenesis and optimize therapeutic strategies.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf756"},"PeriodicalIF":0.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151441","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}
Katherine L Szeliga, Jenny C McCloskey, Abdallah Elsabagh, Gawri Rajakaruna
{"title":"Late human immunodeficiency virus presenting as necrotizing anal ulceration due to cytomegalovirus.","authors":"Katherine L Szeliga, Jenny C McCloskey, Abdallah Elsabagh, Gawri Rajakaruna","doi":"10.1093/jscr/rjaf763","DOIUrl":"10.1093/jscr/rjaf763","url":null,"abstract":"<p><p>The morbidity and mortality of severe disease secondary to cytomegalovirus (CMV) infection in immunocompromised patients has been well documented. We report an interesting case of CMV proctitis in a heterosexual adult male in his 50s who initially presented with an 8-month history of rectal pain, intermittent haematochezia, and weight loss. On examination, he was found to have perianal condyloma acuminata and ulceration up to the internal anal sphincter. The clinical suspicion of acquired immunodeficiency, such as human immunodeficiency virus, is of paramount importance in patients with severe, painful anorectal ulceration.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf763"},"PeriodicalIF":0.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151446","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}
Midani Touati, Faiez Boughanmi, Hiba Ben Hassine, Hanene Zenati, Leith Limayem, Faouzi Noomen
{"title":"Jejunal lipoma presenting as small bowel intussusception in an adult: diagnostic and surgical challenges-a case report.","authors":"Midani Touati, Faiez Boughanmi, Hiba Ben Hassine, Hanene Zenati, Leith Limayem, Faouzi Noomen","doi":"10.1093/jscr/rjaf551","DOIUrl":"10.1093/jscr/rjaf551","url":null,"abstract":"<p><p>Intussusception is a rare cause of adult small bowel obstruction, often associated with malignant lesions but occasionally caused by benign etiologies like lipomas. The clinical presentation is diverse, with symptoms ranging from abdominal pain to changes in bowel habits. Computed tomography plays a pivotal role in diagnosis. Surgical intervention remains the cornerstone of treatment, involving resection of the affected bowel segment and removal of underlying lesions. This case report presents a unique occurrence of intussusception caused by jejunal lipoma in a 27-year-old male, highlighting its clinical features, diagnostic approach, and the crucial role of timely surgical intervention for optimal patient outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf551"},"PeriodicalIF":0.5,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12459257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151464","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}
Josep Rubio-Palau, Ferran Escrigas-Cañameras, Adaia Valls-Ontañon, Albert Malet-Contreras, Maria Victoria Becerra-Castro, Jordi Muchart-López, José Hinojosa-Bernal
{"title":"Multidisciplinary management of intracranial migration of a fractured dental needle through the foramen ovale: a case report.","authors":"Josep Rubio-Palau, Ferran Escrigas-Cañameras, Adaia Valls-Ontañon, Albert Malet-Contreras, Maria Victoria Becerra-Castro, Jordi Muchart-López, José Hinojosa-Bernal","doi":"10.1093/jscr/rjaf662","DOIUrl":"10.1093/jscr/rjaf662","url":null,"abstract":"<p><p>Local anaesthesia and nerve block are common practices in dental therapy. Although they are associated with low rate of complications, local events such as needle fracture could entail life threatening consequences. We present a case of a needle fracture in a 4 year old girl who underwent a minor dental procedure. The needle migrated intracranially through the foramen ovale. She required a multidisciplinary management with a final neurosurgical intervention in order to remove it. In addition to an initial diagnostic computerized tomography (CT), it was of utmost importance to have access to an intraoperative imaging tools (preferably low radiation CT in paediatric population) to monitor the potential risk of needle migration. This report demonstrates that a broken needle may migrate intracranially, among other complications, underscoring the importance of managing these cases in a tertiary referral hospital with the appropriate equipment and specialists.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf662"},"PeriodicalIF":0.5,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138997","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}
Natasha Lim, Lee Chee Meng, Marissa Teo, Allen Wei-Jiat Wong
{"title":"Pedicled transverse rectus abdominis myocutaneous flap removal after 21 years: a case report.","authors":"Natasha Lim, Lee Chee Meng, Marissa Teo, Allen Wei-Jiat Wong","doi":"10.1093/jscr/rjaf654","DOIUrl":"10.1093/jscr/rjaf654","url":null,"abstract":"<p><p>Despite the widespread use of free abdominal based flaps for autologous breast reconstruction, the pedicled transverse rectus abdominis myocutaneous (p-TRAM) flap remains a popular alternative. Although the p-TRAM flap has been commonly utilized since the 90s, there is a paucity of information on the long-term changes that occur in the p-TRAM flap with the passage of time. Imaging studies have demonstrated changes in muscle volumes and fatty attenuation of myocutaneous flaps over time. However, the use of a histopathological approach in analysing the changes in a myocutaneous flap is rarely done as rarely do patients undergo a removal of a healthy flap. Our report seeks to show the loss of the muscle volume over time through a histopathological approach in a patient who underwent p-TRAM Flap removal after 21 years.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf654"},"PeriodicalIF":0.5,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126160","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}