Journal of Surgical Case Reports最新文献_第7页

Gastric and peritoneal metastases from breast carcinoma with a mixed ductal-lobular phenotype and aberrant E-cadherin: a case report. 伴有混合导管-小叶表型和e -钙粘蛋白异常的乳腺癌胃和腹膜转移一例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-10-04 eCollection Date: 2026-10-01 DOI: 10.1093/jscr/rjag870

Hind S Al-Otaibi, Ali Basha, Tahani AlBaqer, Amrou Shaaban, Tarek Essam Abdulfattah

{"title":"Gastric and peritoneal metastases from breast carcinoma with a mixed ductal-lobular phenotype and aberrant E-cadherin: a case report.","authors":"Hind S Al-Otaibi, Ali Basha, Tahani AlBaqer, Amrou Shaaban, Tarek Essam Abdulfattah","doi":"10.1093/jscr/rjag870","DOIUrl":"https://doi.org/10.1093/jscr/rjag870","url":null,"abstract":"Gastric metastasis from breast cancer is rare and frequently misdiagnosed as primary gastric adenocarcinoma. Mixed ductal-lobular carcinoma demonstrates a unique metastatic pattern with a predilection for the gastrointestinal tract and serosal surfaces, creating significant diagnostic and therapeutic challenges. We describe a 77-year-old woman with a history of estrogen receptor-positive breast carcinoma who presented 3 years after mastectomy with epigastric pain, vomiting, and weight loss. Endoscopy revealed a malignant-appearing gastric ulcer and initial histology suggested primary gastric adenocarcinoma with signet-ring features. However, immunohistochemical analysis (pan-CK, CK7, mammaglobin, ER, PR positivity with CK20 and CDX2 negativity) confirmed metastatic breast carcinoma. Operative findings revealed diffuse peritoneal and omental metastases. The patient underwent palliative gastrojejunostomy but developed severe postoperative complications and died on postoperative day 51. This case highlights the importance of immunohistochemistry and multidisciplinary evaluation to avoid unnecessary radical surgery in metastatic breast carcinoma.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 10","pages":"rjag870"},"PeriodicalIF":0.5,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116548","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-hiatal small-bowel herniation after laparoscopic radical total gastrectomy for gastric cancer: a case report and literature review. 腹腔镜胃癌根治性全胃切除术后发生经裂孔小肠疝1例并文献复习。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag776

Dalai Xu, Lei Qiu, Feng Lu, Xuzhu Gao, Yongchang Miao, Gang Wang

引用次数: 0

Acute abdominal presentation of mantle cell lymphoma mimicking acute appendicitis: a case report. 急性腹部表现为模拟急性阑尾炎的套细胞淋巴瘤1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag856

Marena Gray, Ilias Marios Oikonomou, Mohammad Limbada, Stavros Gourgiotis

{"title":"Acute abdominal presentation of mantle cell lymphoma mimicking acute appendicitis: a case report.","authors":"Marena Gray, Ilias Marios Oikonomou, Mohammad Limbada, Stavros Gourgiotis","doi":"10.1093/jscr/rjag856","DOIUrl":"https://doi.org/10.1093/jscr/rjag856","url":null,"abstract":"Lymphoma presenting as an acute abdomen is rare in adults and is more commonly seen in children, particularly with Burkitt or diffuse large B-cell lymphoma. Approximately 1 per cent of appendicectomy specimens contain neoplasms, with only a very small proportion (~0.015 per cent) representing primary appendiceal lymphomas. A man in his 50s with no prior history of malignancy presented with a two-day history of right iliac fossa pain. Computed tomography demonstrated features consistent with acute appendicitis, without features suggestive of malignancy. A laparoscopic appendicectomy was performed without complication. Histopathological examination confirmed acute transmural appendicitis and mantle cell lymphoma (MCL) involving the appendiceal lymphoid tissue. The lymphoma was non-mass-forming and would likely have remained undetected without routine immunohistochemical analysis. This report describes a rare presentation of previously undiagnosed MCL identified alongside acute appendicitis, highlighting the importance of routine histopathological examination, even when intraoperative and radiological findings are consistent with uncomplicated appendicitis.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag856"},"PeriodicalIF":0.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116537","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

Eight-month functional and scar outcomes following conservative management of an extensive diabetic foot soft-tissue defect using high-purity type I collagen matrix and negative pressure wound therapy: a case report. 使用高纯度I型胶原基质和负压伤口治疗保守治疗广泛的糖尿病足软组织缺损后8个月的功能和疤痕结果：1例报告

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag867

Naveen Narayan

{"title":"Eight-month functional and scar outcomes following conservative management of an extensive diabetic foot soft-tissue defect using high-purity type I collagen matrix and negative pressure wound therapy: a case report.","authors":"Naveen Narayan","doi":"10.1093/jscr/rjag867","DOIUrl":"https://doi.org/10.1093/jscr/rjag867","url":null,"abstract":"Extensive diabetic foot defects with exposed tendons are typically managed with debridement followed by skin grafting or flap reconstruction. We report the 8-month outcome of a 45-year-old man with poorly controlled type 2 diabetes mellitus who developed a 17 × 10 cm post-infective dorsal foot defect with exposed extensor tendons after drainage of a diabetic foot abscess. The patient declined reconstructive surgery because of financial constraints and inability to interrupt daily-wage employment. Following shared decision-making, sequential applications of a high-purity type I collagen (HPTC) matrix combined with portable negative-pressure wound therapy (NPWT) achieved progressive granulation, epithelialization, and complete wound closure within 7 weeks without grafting or flap reconstruction. At 8 months, the wound remained completely healed with satisfactory scar maturation, preserved foot function, unrestricted ambulation, return to work, and no recurrent ulceration or infection. This case demonstrates the potential of an HPTC matrix combined with NPWT as a limb-salvage strategy in carefully selected patients unsuitable for conventional reconstruction.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag867"},"PeriodicalIF":0.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116558","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

Epigastric typhoid ileal perforation unmasking an incidental adult midgut malrotation: a rare clinical co-existence. 上胃伤寒回肠穿孔揭示偶然的成人中肠旋转不良：罕见的临床共存。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag861

Hafiz Syed Zaigham Ali Shah, Abdul Wahab Haider, Ayesha Mahmood, Fatima Syed, Syed Saqib Ali Shah, Jamal Anwar

{"title":"Epigastric typhoid ileal perforation unmasking an incidental adult midgut malrotation: a rare clinical co-existence.","authors":"Hafiz Syed Zaigham Ali Shah, Abdul Wahab Haider, Ayesha Mahmood, Fatima Syed, Syed Saqib Ali Shah, Jamal Anwar","doi":"10.1093/jscr/rjag861","DOIUrl":"https://doi.org/10.1093/jscr/rjag861","url":null,"abstract":"Peritonitis due to typhoid ileal perforation is a life-threatening surgical emergency that remains common in endemic regions but is rarely encountered in developed countries. Anatomically, its presentation is mostly localized to pain in right iliac fossa. A 33-year-old man presented with six days of fever, severe epigastric pain, vomiting, and septic shock. Because of the marked epigastric tenderness and pneumoperitoneum on X-rays, perforated peptic ulcer was the leading preoperative diagnosis. Emergency laparotomy instead revealed severe peritoneal contamination, incidental incomplete midgut malrotation with the caecum and ileocaecal junction in the epigastrium, and a 2 × 2 cm ileal perforation 15 cm proximal to the ileocaecal junction. A loop ileostomy was performed. Histology and blood cultures confirmed typhoid fever. The patient recovered uneventfully and underwent successful ileostomy reversal. This case highlights how intestinal malrotation can disguise the classical presentation of typhoid perforation, emphasizing the importance of diagnostic suspicion and intraoperative adaptability.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag861"},"PeriodicalIF":0.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116517","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

Robot-assisted laparoscopic nephropexy for symptomatic nephroptosis in a pediatric patient. 机器人辅助腹腔镜肾固定术治疗儿童症状性肾下垂1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag891

Christian Payne, Leo Puhalla, Benjamin Petrinec, Hannah Agard Bachtel

引用次数: 0

Adult intratesticular splenogonadal fusion simulating testicular cancer: a diagnostic blind spot in modern urologic oncology. 成人睾丸内脾性腺融合模拟睾丸癌：现代泌尿肿瘤学的诊断盲点。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag863

Grace El Nabbout, John J Kowalczyk, Kelly J Manahan

{"title":"Adult intratesticular splenogonadal fusion simulating testicular cancer: a diagnostic blind spot in modern urologic oncology.","authors":"Grace El Nabbout, John J Kowalczyk, Kelly J Manahan","doi":"10.1093/jscr/rjag863","DOIUrl":"10.1093/jscr/rjag863","url":null,"abstract":"Splenogonadal fusion (SGF) remains one of the rarest and most diagnostically deceptive causes of scrotal pathology, frequently mimicking the clinical and imaging features of testicular malignancy despite its benign histology. Its exceptional rarity in adults, combined with the absence of reliable noninvasive preoperative diagnostic criteria, creates a major challenge in urologic practice, often necessitating management driven by concern for cancer. We present a 29-year-old man with a symptomatic left testicular mass and imaging highly suspicious for malignancy, prompting radical inguinal orchiectomy after standard evaluation could not confidently exclude a testicular neoplasm. Unexpectedly, final histopathology demonstrated ectopic splenic tissue consistent with SGF without evidence of germ cell tumour or other malignancy. This case highlights the persistent gap between preoperative suspicion and definitive diagnosis, emphasizing the importance of recognizing rare benign entities that closely imitate testicular cancer and may still lead to radical surgery in otherwise healthy young adults unnecessarily.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag863"},"PeriodicalIF":0.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082091","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

Breast tubular adenoma: diagnostic challenges and management insights from a six-case series. 乳腺管状腺瘤：六例诊断挑战和治疗见解。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag865

Wei Ren Ng, Samantha Pellegrino, Clara Macindoe, Maryam Shamassi, Hassan Shoushtari Zadeh, Henry To

{"title":"Breast tubular adenoma: diagnostic challenges and management insights from a six-case series.","authors":"Wei Ren Ng, Samantha Pellegrino, Clara Macindoe, Maryam Shamassi, Hassan Shoushtari Zadeh, Henry To","doi":"10.1093/jscr/rjag865","DOIUrl":"10.1093/jscr/rjag865","url":null,"abstract":"Tubular adenoma is a rare benign breast tumour that is often indistinguishable from fibroadenoma on clinical examination and imaging, making diagnosis and management challenging. We present a six-patient case series describing the clinical, radiological, and histopathological features of this uncommon lesion. Patients ranged from 22 to 62 years of age. Ultrasound consistently demonstrated well-circumscribed hypoechoic lesions with variable internal vascularity, while core biopsy established the diagnosis in all cases. Four patients underwent surgical excision, confirming benign tubular adenoma, and two were managed with surveillance following radiological-pathological concordance. No recurrence, interval growth, or malignant transformation was observed during follow-up. Although tubular adenoma is benign, rare reports of synchronous or adjacent breast carcinoma highlight the importance of histopathological confirmation and careful follow-up. Our findings suggest that selective surveillance may be considered in patients with radiological-pathological concordance, while surgical excision remains appropriate in cases of diagnostic uncertainty, lesion progression, or radiological-pathological discordance.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag865"},"PeriodicalIF":0.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082063","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

Spontaneous transomental internal hernia causing small bowel obstruction in an elderly patient with a virgin abdomen: a case report. 自发性跨期内疝引起小肠梗阻的老年处女腹部患者：1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag835

Zafer Goren, Yasar Kalip

引用次数: 0

Left-sided gallbladder associated with an accessory liver lobe and portal vein trifurcation encountered during laparoscopic cholecystectomy: a case report. 腹腔镜胆囊切除术中出现左侧胆囊伴副肝叶及门静脉三岔1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag871

Hussain Alamri, Razan Almowllad, Renad Alqahtani

引用次数: 0