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Perianal panniculitis presenting as chronic perianal pain: a diagnostic challenge. 表现为慢性肛周疼痛的肛周膜炎：一个诊断挑战。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf340
Imran Thariq Ajmal, Amrithraj Thiyagarajan, Felix Anand Raj, Santhya Govindaraju, P Pravali, Venkiteswaran Muralidhar
{"title":"Perianal panniculitis presenting as chronic perianal pain: a diagnostic challenge.","authors":"Imran Thariq Ajmal, Amrithraj Thiyagarajan, Felix Anand Raj, Santhya Govindaraju, P Pravali, Venkiteswaran Muralidhar","doi":"10.1093/jscr/rjaf340","DOIUrl":"10.1093/jscr/rjaf340","url":null,"abstract":"<p><p>Perianal panniculitis is a rare inflammatory condition characterized by painful, tender, and swollen lesions in the perianal region. It can mimic other conditions such as abscesses, fistulas, malignancies, or inflammatory bowel disease. This case reflects on the rarity of Perianal panniculitis and its varied presentations and the importance of considering it in the differential diagnosis of perianal lesions. Furthermore, the case highlights limited literature addressing tools of diagnosis, management, and protocol for long-term follow-up to ensure early identification and appropriate management in case of recurrence. Considering perianal panniculitis in the differential diagnosis is crucial to avoid misdiagnosis and ensure timely treatment.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf340"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200440","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
Spontaneously ruptured undifferentiated gallbladder carcinoma in a young woman: a rare and aggressive entity. 年轻女性自发性破裂的未分化胆囊癌：一种罕见的侵袭性肿瘤。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf345
Youness Slimi, Mohammed Mahmoudi, Mohammed Meziane, Nada Akouh, Abdelali Guellil, Rachid Jabi, Amal Bennani, Mohammed Bouziane
{"title":"Spontaneously ruptured undifferentiated gallbladder carcinoma in a young woman: a rare and aggressive entity.","authors":"Youness Slimi, Mohammed Mahmoudi, Mohammed Meziane, Nada Akouh, Abdelali Guellil, Rachid Jabi, Amal Bennani, Mohammed Bouziane","doi":"10.1093/jscr/rjaf345","DOIUrl":"10.1093/jscr/rjaf345","url":null,"abstract":"<p><p>Gallbladder cancer is a rare and aggressive malignancy, representing 3%-4% of digestive cancers, and is often diagnosed at advanced stages, resulting in poor prognosis. This case report presents a 30-year-old woman with a 10-day history of right upper quadrant abdominal pain. Laboratory results revealed GB:12250, Hb:10.8 g/dL, Plt:538000, CRP:299 mg/L, with mild liver function disturbance (GGT:36, PAL:46, ASAT:13, ALAT:6, BT/BD:5/3). Imaging revealed a large mass at the gallbladder bed, suspected to be a tubulo-papillary intra-vesicular tumor, along with liver lesions and hydatid cysts. Exploratory laparotomy confirmed a ruptured gallbladder tumor, with histopathological findings indicating undifferentiated carcinoma. Cytology of the peritoneal fluid confirmed malignant cells. The tumor was staged as pT3NxMx, suggesting invasion of adjacent structures with uncertain lymph node and metastasis status. The patient received six cycles of adjuvant chemotherapy with gemcitabine and cisplatin. This report highlights the diagnostic challenges and aggressive nature of gallbladder cancer and presents a rare histological subtype with spontaneous rupture in a young patient, emphasizing the need for early detection and multidisciplinary management.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf345"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200441","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
Technique modifications: enabling laparoscopic repair of duodenal atresia in a preterm, very low birthweight infant. 技术改进：使腹腔镜修复十二指肠闭锁在早产，极低出生体重婴儿。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf323
Patricia Corujo Avila, John M Woodward, Joseph C L'Huillier, Brie Mucci-Jackson, Ruchi Amin, Mark L Wulkan, P Benson Ham Rd
{"title":"Technique modifications: enabling laparoscopic repair of duodenal atresia in a preterm, very low birthweight infant.","authors":"Patricia Corujo Avila, John M Woodward, Joseph C L'Huillier, Brie Mucci-Jackson, Ruchi Amin, Mark L Wulkan, P Benson Ham Rd","doi":"10.1093/jscr/rjaf323","DOIUrl":"10.1093/jscr/rjaf323","url":null,"abstract":"<p><p>Laparoscopic procedures, which are already challenging in infants and small children, are made even more challenging in very low birthweight infants due to the limited working space within the abdomen and the decreased tolerance for high insufflation pressures. Here we describe how modifying port placements and instrument positioning allowed for the laparoscopic repair of duodenal atresia in a preterm 1.3 kg infant. In our modified approach: (i) the umbilical-port was our right-hand working port, (ii) the right lower quadrant port was used for the telescope, (iii) the left central abdomen port was used as an optional assistant port, and (iv) the right upper quadrant port, was modified to be in the right lateral upper abdomen and used as the left hand working port. We believe these modifications could help pediatric surgeons maximize laparoscopic working space and therefore, prevent complications and improve patient outcomes for the procedure.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf323"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200442","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
A rare presentation of perforated Meckel diverticulitis in adulthood. 一例罕见的成人穿孔性梅克尔憩室炎。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf348
Alejandra Viera Plasencia, David A Motola
{"title":"A rare presentation of perforated Meckel diverticulitis in adulthood.","authors":"Alejandra Viera Plasencia, David A Motola","doi":"10.1093/jscr/rjaf348","DOIUrl":"10.1093/jscr/rjaf348","url":null,"abstract":"<p><p>Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract, often asymptomatic but capable of causing complications such as obstruction, bleeding, or diverticulitis. We present a 54-year-old male who presented with acute lower abdominal pain, leukocytosis, and imaging findings suggestive of Meckel diverticulitis. Surgery revealed signs of perforation, with final pathology confirming the diagnosis. The patient recovered well, with complete symptom resolution by postoperative day 14. This case emphasizes the importance of recognizing complicated Meckel diverticulitis as a surgical emergency and highlights the benefits of minimally invasive, robotic-assisted surgery in optimizing patient outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf348"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200433","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
Acute obstruction from adult left-sided Bochdalek hernia: a rare surgical emergency. 成人左侧Bochdalek疝急性梗阻：罕见的外科急诊。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf352
Tushar Nagtode, Amol Gupta, Darshana Tote, Swati Deshpande, Jhanwi Khurana, Riddhi Thakor
{"title":"Acute obstruction from adult left-sided Bochdalek hernia: a rare surgical emergency.","authors":"Tushar Nagtode, Amol Gupta, Darshana Tote, Swati Deshpande, Jhanwi Khurana, Riddhi Thakor","doi":"10.1093/jscr/rjaf352","DOIUrl":"10.1093/jscr/rjaf352","url":null,"abstract":"<p><p>A diaphragmatic hernia is a defect in the diaphragm that allows abdominal contents to enter the chest cavity due to negative intra-thoracic pressure. Diaphragmatic hernias can be acquired (iatrogenic and traumatic), congenital (Morgni hernia, Bochdalek hernia), or hiatal hernia. Bochdalek's hernia (BH) seldom affects adults and usually affects the left side. There are not >100 cases of adult left BH, and the majority of them have no symptoms.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf352"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200434","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
Malignant peripheral nerve sheath tumor of the nasal cavity: a rare diagnostic and therapeutic challenge. 恶性周围神经鞘肿瘤的鼻腔：罕见的诊断和治疗的挑战。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf349
Amine Oussalem, Anas Azgaoui, Bouchra Dani, Malik Boulaadas
{"title":"Malignant peripheral nerve sheath tumor of the nasal cavity: a rare diagnostic and therapeutic challenge.","authors":"Amine Oussalem, Anas Azgaoui, Bouchra Dani, Malik Boulaadas","doi":"10.1093/jscr/rjaf349","DOIUrl":"10.1093/jscr/rjaf349","url":null,"abstract":"<p><p>Malignant peripheral nerve sheath tumors (MPNSTs) are rare, aggressive sarcomas, often affecting the head and neck, with higher incidence in neurofibromatosis type 1. Early diagnosis is crucial to prevent recurrence and metastasis. We report a 78-year-old male with a rapidly enlarging right nasal cavity mass over 4 months, associated with recurrent epistaxis. His medical history included diabetes, hypertension, and tobacco use. Examination revealed a firm, non-adherent mass obstructing the nasal cavity. Computed tomography (CT) imaging localized it to the right inferior turbinate. Due to size and location, biopsy was not performed. Surgical resection confirmed a high-grade MPNST (FNCLCC grade 3). Chemotherapy was initiated postoperatively, but the patient passed away soon after, highlighting the tumor's aggressiveness. MPNSTs should be considered in nasal mass differentials, especially in elderly smokers. Early surgery and chemotherapy may improve outcomes, emphasizing the need for a multidisciplinary approach.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf349"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200438","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
Appendiceal diverticulitis masked as acute appendicitis. 阑尾憩室炎伪装成急性阑尾炎。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf315
Michael John Furey, Mary Elizabeth DeHaven, Mohammed Amer Swid, Richard Aaron Lopez
{"title":"Appendiceal diverticulitis masked as acute appendicitis.","authors":"Michael John Furey, Mary Elizabeth DeHaven, Mohammed Amer Swid, Richard Aaron Lopez","doi":"10.1093/jscr/rjaf315","DOIUrl":"10.1093/jscr/rjaf315","url":null,"abstract":"<p><p>Diverticula of the appendix have been the subject of study since the early 1900s. Appendiceal diverticulitis has varying presentations that can be acute or chronic and has features that differentiate it from classical acute appendicitis. We present the case of a 61-year-old female who was incidentally found to have appendiceal diverticulitis. Appendiceal diverticula are divided into two types, congenital and acquired. This patient developed an acquired appendiceal diverticula. The exact etiology and pathogenesis of acquired appendiceal diverticulosis is unknown. Risk factors associated with acquired appendiceal diverticulosis include male gender, older adults (>30 years old), Hirschsprung's disease, and cystic fibrosis. They were not found to be associated with colonic diverticulosis. Of these known risk factors, our patient only met the criteria of being an older adult. With the post-operative diagnosis of appendiceal diverticulitis, the patient does not require any further intervention beyond the appendectomy which was already completed.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf315"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200435","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
Mantle cell lymphoma of the colon: case report and literature review. 结肠套细胞淋巴瘤：1例报告及文献复习。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf347
Gregory Crisafulli, Pasha Shenasan, Aakash Trivedi, Nawras Radwan, Abraham El-Sedfy
{"title":"Mantle cell lymphoma of the colon: case report and literature review.","authors":"Gregory Crisafulli, Pasha Shenasan, Aakash Trivedi, Nawras Radwan, Abraham El-Sedfy","doi":"10.1093/jscr/rjaf347","DOIUrl":"10.1093/jscr/rjaf347","url":null,"abstract":"<p><p>Primary extranodal lymphoma is a rare presentation of B-cell non-Hodgkin's lymphoma (NHL), most commonly found in the gastrointestinal tract. Mantle cell lymphoma (MCL), a rare and aggressive subtype, accounts for only 2.5% of all lymphoid neoplasms and is less commonly localized in the colon. We present a 79-year-old man with abdominal pain and nausea. Imaging revealed cecal wall thickening with ileocolic intussusception. Colonoscopy identified a circumferential cecal mass, necessitating robotic-assisted right hemicolectomy. Final pathology confirmed MCL. The patient recovered well without complications. Colorectal MCL is a rare and aggressive NHL variant requiring a multidisciplinary approach. Surgery plays a crucial role in managing complications and localized disease. Given the lack of standardized treatment protocols, further research is needed to optimize therapeutic strategies and long-term outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf347"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200439","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
A ceramic liner fracture during total hip arthroplasty: a case report. 全髋关节置换术中陶瓷衬垫骨折1例。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf346
Huihui Zhou, Yan Wang
{"title":"A ceramic liner fracture during total hip arthroplasty: a case report.","authors":"Huihui Zhou, Yan Wang","doi":"10.1093/jscr/rjaf346","DOIUrl":"10.1093/jscr/rjaf346","url":null,"abstract":"<p><p>The ceramic-on-ceramic bearing has been a reliable bearing option in total hip arthroplasty (THA) for both elderly and younger patients with a long life expectancy. However, ceramic bearings are at risk of fracture. This case describes a complication during THA involving the use of a cementless press-fit acetabular shell and ceramic liner for a woman with bilateral avascular necrosis and collapse. Ceramic liner fracture occurred during its insertion owing to nonconcentric reduction. Our case report helps to expand the understanding of this rare complication of THA: ceramic liner fracture can occur intraoperatively.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf346"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12124477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200431","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
Infected urachal cyst presenting as acute abdomen - a case report. 以急腹症表现的感染性尿管囊肿1例报告。
IF 0.4
Journal of Surgical Case Reports Pub Date : 2025-05-30 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf359
Mohsin Yahya Murshid, Mohammed Ghandourah, Abdulmalik AlShamrani, Saeed Ahmed AlZahrani
{"title":"Infected urachal cyst presenting as acute abdomen - a case report.","authors":"Mohsin Yahya Murshid, Mohammed Ghandourah, Abdulmalik AlShamrani, Saeed Ahmed AlZahrani","doi":"10.1093/jscr/rjaf359","DOIUrl":"10.1093/jscr/rjaf359","url":null,"abstract":"<p><p>Urachal cysts are rare congenital anomalies arising from incomplete obliteration of the urachus, an embryological connection between the bladder and umbilicus. This report describes a 33-year-old man who presented with acute abdominal pain, constipation, and umbilical discharge. Diagnostic imaging, particularly computed tomography scans, revealed a thick-walled, fluid-filled cystic lesion adjacent to the umbilicus, indicative of an infected urachal cyst without evidence of bowel involvement. Diagnosing urachal anomalies in adults remains challenging due to their rarity and nonspecific clinical presentation, emphasizing the importance of imaging for accurate identification and targeted surgical intervention. The patient underwent successful surgical excision with drainage of the associated umbilical sinus and abscess, achieving satisfactory postoperative recovery. This case highlights the necessity of clinician awareness and prompt management of urachal cysts to prevent serious complications, such as persistent infection, abscess formation, or malignant transformation.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf359"},"PeriodicalIF":0.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200437","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
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