Rawa M Ali, Rebaz M Ali, Aras J Qaradakhy, Dilan S Hiwa, Ari M Abdullah, Diyar A Omar, Shko H Hassan, Abdullah A Qadir, Abdulwahid M Salih, Fahmi H Kakamad
{"title":"Pleomorphic adenoma of the lip: a case report and literature review.","authors":"Rawa M Ali, Rebaz M Ali, Aras J Qaradakhy, Dilan S Hiwa, Ari M Abdullah, Diyar A Omar, Shko H Hassan, Abdullah A Qadir, Abdulwahid M Salih, Fahmi H Kakamad","doi":"10.1093/jscr/rjaf311","DOIUrl":"https://doi.org/10.1093/jscr/rjaf311","url":null,"abstract":"<p><p>Pleomorphic adenoma (PA) most commonly affects the major salivary glands but can also involve the minor salivary glands, particularly those of the hard and soft palate. However, the current study aims to present a case of upper lip PA. A 29-year-old male presented with a painless, firm, slow-growing swelling (1.5 × 1.5 cm) on the left upper lip. Ultrasonography showed a solid, hypoechoic nodule with irregular margins and mild peripheral vascularity. The encapsulated tumor was excised, and histopathology confirmed PA. At the 7-month follow-up, no evidence of recurrence was observed. Though typically seen in adults aged 40-70, PA can affect younger patients. Complete excision with clear margins is essential due to the risk of recurrence or malignant transformation. PA should be considered in the differential diagnosis of upper lip swellings.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf311"},"PeriodicalIF":0.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081366","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}
Ameen S Aldahar, Abdullah Zakaria Al-Dhayan, Raed N Alghamdi, Raneem Abdullah Alrouji, Ali Albargawi, Rakan Mounla Ali
{"title":"Symptomatic pleural lipoma: a case report from Saudi Arabia.","authors":"Ameen S Aldahar, Abdullah Zakaria Al-Dhayan, Raed N Alghamdi, Raneem Abdullah Alrouji, Ali Albargawi, Rakan Mounla Ali","doi":"10.1093/jscr/rjaf310","DOIUrl":"https://doi.org/10.1093/jscr/rjaf310","url":null,"abstract":"<p><p>Pleural lipomas are rare, benign, slow-growing tumors composed of fat cells. This case report highlights a symptomatic pleural lipoma, adding to the limited surgical literature on this condition. A 56-year-old female presented with intermittent left pleuritic chest pain. Imaging revealed a benign left pleural lipoma without effusion or pleural thickening. The patient underwent video-assisted thoracoscopy surgery (VATS) for resection of the lipoma. Postoperative recovery was uneventful, with complete resolution of symptoms. Pleural lipomas are rare, benign, slow-growing tumors that are usually asymptomatic. Symptomatic cases should be managed with surgical resection via VATS for optimal outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf310"},"PeriodicalIF":0.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081367","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":"Bilateral persistent sciatic artery presenting as critical limb ischemia: a case report and review of literature.","authors":"Wael Hashem, Hasan Khalili, Hossam Salameh","doi":"10.1093/jscr/rjaf242","DOIUrl":"https://doi.org/10.1093/jscr/rjaf242","url":null,"abstract":"<p><p>Persistent sciatic artery is a rare congenital vascular anomaly that presents with various clinical features, management planning depends on the aneurysmal changes, symptoms, and anatomical features of PSA and SFA. Asymptomatic cases can be managed with observation, while for more complicated cases, surgical or endovascular intervention is needed.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf242"},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081361","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}
Chloe Spillane, Roisin Daly, Mar Cotter, Kristali Ylli, Wala Eljack, Ciaran Sheehan, Corina Girleanu, Michael Bennett, Aongus Twomey
{"title":"Mucinous adenocarcinoma in the axilla of undetermined origin.","authors":"Chloe Spillane, Roisin Daly, Mar Cotter, Kristali Ylli, Wala Eljack, Ciaran Sheehan, Corina Girleanu, Michael Bennett, Aongus Twomey","doi":"10.1093/jscr/rjaf258","DOIUrl":"https://doi.org/10.1093/jscr/rjaf258","url":null,"abstract":"<p><p>Mucinous adenocarcinoma (MAC), accounts for ⁓1% of all cancer diagnoses. We present a case of a 75-year-old male who, after presenting for an elective inguinal hernia repair, disclosed concerns for a new lesion in his right axilla which was removed at the same time. Investigations revealed a MAC of unclear origin, with immunohistochemistry suggesting either a breast or primary cutaneous mucinous adenocarcinoma (PCMC). The patient was asymptomatic with an otherwise normal examination. Extensive investigations failed to identify any primary source. Axillary node clearance was performed, resulting in 0/9 positive nodes. After multi-disciplinary team discussion, this patient (who remains asymptomatic) will be kept under close clinical surveillance, with yearly computerized tomography scans. To our knowledge, minimal presentations have been reported in the literature. Thus, our case report is a unique addition of an atypical presentation of PCMC in the axilla.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf258"},"PeriodicalIF":0.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081364","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}
Jake William duPlooy, Spencer Tingey, Jorge Seoane, Bartlomiej Imielski
{"title":"Repair of type A aortic dissection in a patient with sickle cell disease.","authors":"Jake William duPlooy, Spencer Tingey, Jorge Seoane, Bartlomiej Imielski","doi":"10.1093/jscr/rjaf297","DOIUrl":"10.1093/jscr/rjaf297","url":null,"abstract":"<p><p>We describe a patient with homozygous HbSS sickle cell anemia and end stage renal disease who presented to our medical center with a Stanford type A aortic dissection. His dissection was successfully managed with a hemiarch repair and concomitant bio-Bentall aortic root replacement. Intraoperatively, he received exchange transfusion with omittance of cell saver. Postoperatively, he remained free of sickling events with a very low HbS fraction. His fluid status was managed by continuation of hemodialysis. His hospital course was otherwise uncomplicated, and he was discharged to home on postoperative Day 6.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf297"},"PeriodicalIF":0.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054179","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}
Rula Naqi, Vineeth Haridas, Ismail Kandiyil, Mohammed Al-Shehabi, Mai Nasser, Amal Al-Abdullah
{"title":"Not every nasal block is allergic rhinitis: a case report of sinonasal malignant melanoma.","authors":"Rula Naqi, Vineeth Haridas, Ismail Kandiyil, Mohammed Al-Shehabi, Mai Nasser, Amal Al-Abdullah","doi":"10.1093/jscr/rjaf295","DOIUrl":"10.1093/jscr/rjaf295","url":null,"abstract":"<p><p>Sinonasal malignant melanoma (SNMM) is an extremely rare and aggressive sinonasal tumor. It has nonspecific risk factors and clinical presentation which require a high index of suspicion. In this case report we present a case of a 47-year-old male who initially had persistent nasal obstruction not responding to intranasal steroids. Comprehensive imaging and histopathological studies confirmed SNMM. He underwent incomplete maxillectomy resection followed by immunotherapy abroad. Within 6 months period he had recurrence of the disease. As this disease is a rare entity, there are no specific treatment guidelines, however, surgical intervention is agreed to be the mainstay of treatment. Although their effectiveness is still controversial, radiation therapy, chemotherapy, immunological and biological therapies are adjuvant options. Multidisciplinary team approach is necessary to provide the optimal treatment plan, along with close follow up. Continuous research and clinical trials are still needed to ensure appropriate diagnosis and management of this rare entity.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf295"},"PeriodicalIF":0.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051048","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}
Suleiman Khaddour, Ahed Assaf, Saja Karaja, Mousa Barboura, William Borghol, Khaled Isa
{"title":"Mesh migration to the sigmoid colon complicated by the formation of colocutaneous fistula 36 years post incisional hernia repair: a case report.","authors":"Suleiman Khaddour, Ahed Assaf, Saja Karaja, Mousa Barboura, William Borghol, Khaled Isa","doi":"10.1093/jscr/rjaf306","DOIUrl":"10.1093/jscr/rjaf306","url":null,"abstract":"<p><p>This article provides clinical insights into a rare instance of mesh patch migration complicated by colocutaneous fistula formation occurring post incisional hernia repair operation in a 67-year-old male. Our patient had a history of laparotomy due to a gunshot wound, followed by the development of an incisional hernia which was subsequently repaired with mesh implantation. Further examinations suggested mesh migration to the sigmoid colon, necessitating him to undergo laparotomy. While some complications from mesh placement are well known, mesh migration to the sigmoid colon remains an extremely rare complication, particularly after such an extended period, and only reported in the literature in few cases with inguinal hernia. This case underscores the importance of considering mesh migration, although rare, as a potential diagnosis in patients with prior hernia repairs, regardless of the elapsed duration since surgery. It emphasizes the need for further research to establish follow-up guidelines for patients with mesh placement (refer to graphical abstract).</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf306"},"PeriodicalIF":0.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021622","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":"Supraclavicular lymphadenopathy: an unexpected consequence of breast implant rupture.","authors":"Rasheed Elayyan, Rebaz Abdullah, Tani Fasih","doi":"10.1093/jscr/rjaf308","DOIUrl":"10.1093/jscr/rjaf308","url":null,"abstract":"<p><p>Supraclavicular lymphadenopathy is a rare manifestation of silicone lymphadenopathy, a complication arising from breast implant rupture. We present a case of a 39-year-old woman with a history of bilateral breast augmentation using Poly Implant Prothèse implants who developed left breast swelling and progressive supraclavicular lymphadenopathy. Imaging revealed rupture of the left implant with silicone migration to supraclavicular lymph nodes, confirmed by the characteristic \"snowstorm\" sign on ultrasound. Surgical intervention involved bilateral implant removal and partial capsulectomy, with histopathological evaluation showing benign findings. Silicone lymphadenopathy, though typically associated with axillary nodes, can extend to cervical region posing diagnostic challenges. This case highlights the importance of considering silicone lymphadenopathy in patients with unexplained cervical lymphadenopathy and a history of breast implants. Diagnostic imaging and patient-centered management strategies remain crucial in addressing this rare but significant condition.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf308"},"PeriodicalIF":0.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022055","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}
Emmanuel García Romero, Rubén Daniel Pérez López, Yunuen Ailyn Morales Tercero
{"title":"Diagnosis and treatment of appendiceal mucocele: a rare cause of intestinal blockage.","authors":"Emmanuel García Romero, Rubén Daniel Pérez López, Yunuen Ailyn Morales Tercero","doi":"10.1093/jscr/rjaf296","DOIUrl":"https://doi.org/10.1093/jscr/rjaf296","url":null,"abstract":"<p><p>Inguinal hernias are common in surgical practice, with a small percentage involving bladder herniation. These inguinoscrotal bladder hernias, though rare, present significant diagnostic and treatment challenges. This case report details the diagnosis, treatment, and postoperative management of a 63-year-old male with benign prostatic hyperplasia, presenting with an inguinal hernia involving the bladder. Diagnosis was confirmed with physical examination and computed tomography scans, showing bladder herniation into the inguinal canal. Surgery involved laparoscopic inguinal hernia repair using a transabdominal preperitoneal approach. The surgery was successful with no complications and the patient was discharged 48 hours later. A three-month follow-up showed no recurrence or urinary complications. This case emphasizes the importance of considering inguinoscrotal bladder hernias in patients with inguinal bulges and urinary symptoms. Early diagnosis, supported by imaging and awareness, followed by laparoscopic repair, is essential for favorable outcomes in these rare cases.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf296"},"PeriodicalIF":0.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000508","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":"Incidental sternal foramen discovered during the evaluation of a traumatic fracture: a case report.","authors":"César L Baute, Daniela Saenz","doi":"10.1093/jscr/rjaf299","DOIUrl":"https://doi.org/10.1093/jscr/rjaf299","url":null,"abstract":"<p><p>Traumatic sternal fractures are rare injuries, typically caused by high-energy blunt chest trauma. While most cases are managed conservatively, the presence of congenital anomalies, such as a sternal foramen, can complicate diagnosis and treatment. This case report presents a 39-year-old male with severe retrosternal pain after a motorcycle collision. Imaging revealed a non-displaced oblique sternal fracture adjacent to a sternal foramen. Due to pain severity and fracture location, open reduction and internal fixation (ORIF) was performed with precautions to avoid mediastinal injury. This case highlights the importance of detailed imaging to identify anatomical variations that may influence management. ORIF provided effective stabilization, pain relief, and minimized the risk of complications in the presence of a sternal foramen.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf299"},"PeriodicalIF":0.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046189","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}