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Journal of Surgical Case Reports最新文献

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Hybrid total hip arthroplasty 28 years after Pol Le Cœur triple pelvic osteotomy used for the treatment of developmental dysplasia of the hip: a case report. 混合全髋关节置换术后28年Pol Le Cœur三段式骨盆截骨术治疗髋关节发育不良1例报告。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-21 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf577
Daniela M Isidoro, João Castro Mendes, Patrícia Dias, Catarina Corte-Real, Maria Alves Parreira, Diana Bicas Machado, Diogo Lino Moura, Fernando Judas
{"title":"Hybrid total hip arthroplasty 28 years after Pol Le Cœur triple pelvic osteotomy used for the treatment of developmental dysplasia of the hip: a case report.","authors":"Daniela M Isidoro, João Castro Mendes, Patrícia Dias, Catarina Corte-Real, Maria Alves Parreira, Diana Bicas Machado, Diogo Lino Moura, Fernando Judas","doi":"10.1093/jscr/rjaf577","DOIUrl":"10.1093/jscr/rjaf577","url":null,"abstract":"<p><p>A 35-year-old female patient with acetabular dysplasia underwent a Pol Le Cœur triple pelvic osteotomy (TPO). Twenty-eight years later, she presented with painful end-stage hip osteoarthritis and underwent total hip arthroplasty (THA). A press-fit cementless acetabular cup and a cemented straight femoral stem were implanted without complications. At 13-year follow-up, hip radiographs revealed no signs of prothesis instability and no signs of implant loosening. TPO may not completely prevent the progression of hip osteoarthritis. In this case, the patient developed progressive end-stage osteoarthritis 28 years after the osteotomy, requiring THA. Pol Le Cœur TPO is a viable treatment option for symptomatic acetabular dysplasia in younger adults with low-grade osteoarthritis, effectively delaying hip prosthesis implantation. Hybrid THA after TPO can yield very satisfactory clinical and radiographic outcomes at mid-term follow-up.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf577"},"PeriodicalIF":0.5,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126140","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 study: robotic foreign body removal of bullet in the aortopulmonary window. 案例研究：机器人在主动脉肺窗内取出异物。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-20 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf652
Julia Todderud, Arvin Gee, Duy Nguyen
{"title":"Case study: robotic foreign body removal of bullet in the aortopulmonary window.","authors":"Julia Todderud, Arvin Gee, Duy Nguyen","doi":"10.1093/jscr/rjaf652","DOIUrl":"10.1093/jscr/rjaf652","url":null,"abstract":"<p><p>This case study reports on a 17-year-old male that underwent robotic assisted foreign body removal after sustaining a gunshot wound to the left upper arm that resulted in the bullet traversing through the chest wall to stop directly in the mediastinum at the aortopulmonary window. The proximity of the foreign body to the great vessels introduced challenges for preoperative imaging and surgical planning, thus becoming the focus of this unique case. Ultimately, the robotic-assisted removal of the bullet was successful without damage to the surrounding structures. To date, no known study has reported on robotic foreign body removal at this anatomic location.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf652"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114562","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
Primary colonic lymphoma: clinical dilemmas in diagnosis and treatment strategy. 原发性结肠淋巴瘤：诊断和治疗策略的临床困境。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-20 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf744
Kevin J Fuentes-Calvo, Francisco E Alvarez-Bautista, Oscar Santes, Luis F Arias-Ruíz, Noel Salgado-Nesme
{"title":"Primary colonic lymphoma: clinical dilemmas in diagnosis and treatment strategy.","authors":"Kevin J Fuentes-Calvo, Francisco E Alvarez-Bautista, Oscar Santes, Luis F Arias-Ruíz, Noel Salgado-Nesme","doi":"10.1093/jscr/rjaf744","DOIUrl":"10.1093/jscr/rjaf744","url":null,"abstract":"","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf744"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114728","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
Isolated pancreatic tail and splenic hilum tuberculosis: a rare case report. 孤立性胰尾及脾门结核1例。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-20 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf754
Yogesh Rawat, Mohd Sadik Akhtar, Ankur Rawat, Praveen Raj
{"title":"Isolated pancreatic tail and splenic hilum tuberculosis: a rare case report.","authors":"Yogesh Rawat, Mohd Sadik Akhtar, Ankur Rawat, Praveen Raj","doi":"10.1093/jscr/rjaf754","DOIUrl":"10.1093/jscr/rjaf754","url":null,"abstract":"<p><p>Abdominal tuberculosis (TB) is a rare extrapulmonary manifestation, with pancreatic and splenic involvement being extremely uncommon and often misdiagnosed as malignancy. We present the case of a 22-year-old female with chronic epigastric pain, weight loss, and fever. Imaging revealed a necrotic lymph node mass near the pancreatic tail and splenic hilum with splenic infarction. Fine-needle aspiration cytology confirmed TB, and the patient responded well to anti-tubercular therapy, avoiding surgical intervention. This case underscores the importance of considering TB in the differential diagnosis of upper abdominal masses in endemic regions to prevent unnecessary surgeries.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf754"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114723","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
Gallbladder agenesis - a unique condition with common symptoms. 胆囊发育不全-一种具有常见症状的独特病症。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-20 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf729
Dison Feyang Limbu, Ashish Kiran Shrestha, Jann Yee Colledge
{"title":"Gallbladder agenesis - a unique condition with common symptoms.","authors":"Dison Feyang Limbu, Ashish Kiran Shrestha, Jann Yee Colledge","doi":"10.1093/jscr/rjaf729","DOIUrl":"10.1093/jscr/rjaf729","url":null,"abstract":"<p><p>Agenesis of the gallbladder is a rare abnormality with an incidence of 0.01%-0.06% and affects more women than men. Many patients can present with abdominal pain, particularly biliary colic. A woman presented with symptoms and signs of biliary colic-type pain. There was no history of cholecystectomy surgery. All her routine bloods, including inflammatory markers, liver function test, and amylase, were within normal limits. A combination of transabdominal ultrasound, computerised tomography (CT) scan, magnetic resonance cholangiopancreatography (MRCP), and hepatobiliary iminodiacetic acid (HIDA) scans concluded gallbladder agenesis without extrahepatic biliary atresia. Currently, she is being managed conservatively with analgesia and antispasmodics. Diagnosis begins by first excluding common pathologies. MRCP is the recommended investigation to diagnose gallbladder agenesis. Sphincter of Oddi dysfunction can cause biliary colic pain and this is suggested to be the mechanism of pain seen with gallbladder agenesis. Antispasmodic medication with simple analgesia is effective for management of symptoms.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf729"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114574","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
High-intensity focused ultrasound rectoanal lifting (HIFU-RAL) for prolapsed hemorrhoids: a case series. 高强度聚焦超声直肠提升术（HIFU-RAL）治疗痔疮脱垂：一个病例系列。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-20 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf650
Shunsuke Suzuki
{"title":"High-intensity focused ultrasound rectoanal lifting (HIFU-RAL) for prolapsed hemorrhoids: a case series.","authors":"Shunsuke Suzuki","doi":"10.1093/jscr/rjaf650","DOIUrl":"10.1093/jscr/rjaf650","url":null,"abstract":"<p><p>Prolapsed hemorrhoids can affect quality of life, owing to associated pain and other symptoms. Although hemorrhoidectomies are curative, postoperative complications such as pain, bleeding, and delayed recovery are unavoidable. Some patients cannot undergo surgery due to comorbidities or social factors. These challenges highlight the need for minimally invasive, immediate treatments. This study explored the effectiveness of high-intensity focused ultrasound rectoanal lifting (HIFU-RAL) in 10 patients with grade IV hemorrhoids. The procedure was completed within 13.5 ± 3.2 min. Immediately afterward, the prolapsed lesions visibly shrank or disappeared. No prolapse was observed between 9 days and 3 months following HIFU-RAL, and no adverse events were reported. Heating induced by HIFU may have triggered contraction of the longitudinal muscles, repositioning the hemorrhoids to their anatomical location and visually reducing the prolapsed lesion. HIFU-RAL is a promising, minimally invasive treatment for prolapsed hemorrhoids that can be performed immediately in a consultation room.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf650"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114668","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
When appendicitis mimics a liver abscess: diagnostic challenges in pediatric surgery. 当阑尾炎模仿肝脓肿：儿科外科的诊断挑战。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-20 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf470
Tomasz Waszak, Monika Wiczuk-Wiczewska, Adam Szymczak, Katarzyna Jończyk-Potoczna
{"title":"When appendicitis mimics a liver abscess: diagnostic challenges in pediatric surgery.","authors":"Tomasz Waszak, Monika Wiczuk-Wiczewska, Adam Szymczak, Katarzyna Jończyk-Potoczna","doi":"10.1093/jscr/rjaf470","DOIUrl":"10.1093/jscr/rjaf470","url":null,"abstract":"<p><p>Subhepatic abscesses are rare complications of acute appendicitis, often caused by delayed diagnosis and atypical presentation. We report the case of a 3-year-old male presenting with fever and abdominal pain, later diagnosed with a subhepatic abscess secondary to acute appendicitis. Abdominal imaging revealed multiple abscesses, including a primary subhepatic abscess adjacent to liver segments V and VI, and a retrocecal inflamed appendix with an appendicolith. The patient was treated with antibiotics and underwent laparotomy, drainage of the subhepatic abscess, and removal of a gangrenous appendix. Surgical exploration revealed inflammatory adhesions involving the duodenum and adjacent intestinal structures, which were meticulously dissected and managed. This case underscores the importance of high clinical suspicion and timely imaging in pediatric patients with atypical presentations of acute appendicitis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf470"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114655","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
Isolated splenic metastasis presenting at diagnosis of HER2-positive de novo metastatic breast cancer: a case report. 孤立性脾转移表现为her2阳性的新发转移性乳腺癌：1例报告。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-20 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf751
Maika Yoshioka, Masafumi Shimoda, Kaori Abe, Nanae Masunaga, Masami Tsukabe, Tetsuhiro Yoshinami, Yoshiaki Sota, Tomohiro Miyake, Tomonori Tanei, Kenzo Shimazu
{"title":"Isolated splenic metastasis presenting at diagnosis of HER2-positive <i>de novo</i> metastatic breast cancer: a case report.","authors":"Maika Yoshioka, Masafumi Shimoda, Kaori Abe, Nanae Masunaga, Masami Tsukabe, Tetsuhiro Yoshinami, Yoshiaki Sota, Tomohiro Miyake, Tomonori Tanei, Kenzo Shimazu","doi":"10.1093/jscr/rjaf751","DOIUrl":"10.1093/jscr/rjaf751","url":null,"abstract":"<p><p>Splenic metastasis is uncommon, and truly isolated splenic metastasis (ISM) from breast cancer is a clinical rarity. Contemporary autopsy series reports splenic involvement in <1% of breast cancer-related deaths, and fewer than 15 well-documented ISM cases have been published. We report a 71-year-old woman presenting with a right-breast mass, regional lymphadenopathy, and a solitary splenic lesion detected on staging computed tomography (CT) and positron emission tomography-CT. Biopsy confirmed hormone receptor-negative, HER2-positive invasive ductal carcinoma. Six cycles of docetaxel, trastuzumab, and pertuzumab led to a 59% reduction in the primary tumour and complete radiological resolution of the splenic lesion. The patient remains progression-free 22 months after initiating therapy, maintained on trastuzumab and pertuzumab. Although extremely rare, ISM can present as the initial manifestation of <i>de novo</i> metastatic breast cancer. Awareness of this possibility may facilitate early systemic therapy and obviate the need for diagnostic splenectomy.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf751"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114639","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
Skin adnexal tumor pilomatrix disease: a transformation from benign to malignant. 皮肤附件肿瘤：由良性到恶性的转变。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-20 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf549
Salman Akthar, Mark Kranc, Matthew Mancao, Hank Hill
{"title":"Skin adnexal tumor pilomatrix disease: a transformation from benign to malignant.","authors":"Salman Akthar, Mark Kranc, Matthew Mancao, Hank Hill","doi":"10.1093/jscr/rjaf549","DOIUrl":"10.1093/jscr/rjaf549","url":null,"abstract":"<p><p>Skin adnexal tumors are a wide category of both benign and malignant neoplasms that exhibit morphologic differentiation into one or more than one type of adnexal structure of the skin. We present here a unique finding of a large pilomatrix carcinoma (PC) of the upper extremity in a 54 year-old-man, initially believed to be a pilomatricoma (PM). He underwent surgical excision and lymph node biopsy successfully without any complications followed by reconstructive skin grafting. Imaging and initial pathology supported a benign diagnosis, however further tissue analysis revealed a malignant PC with evidence of matrical differentiation, increased mitotic activity, and central necrosis. Our patient's disease course may support the theory that benign PM are the origin of formation of PCs. Furthermore, this case report will discuss the histology, epidemiology, and evolving pathogenesis of these adnexal tumors.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf549"},"PeriodicalIF":0.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114660","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
Comamonas testosteroni in perforated appendicitis: a rare cause of intra-abdominal infection. 穿孔阑尾炎中的睾酮单胞菌：腹腔内感染的罕见原因。
IF 0.5
Journal of Surgical Case Reports Pub Date : 2025-09-19 eCollection Date: 2025-09-01 DOI: 10.1093/jscr/rjaf746
Ridha Hussain Alkhalifah, Mohammed A Almarzooq, Jawad S Alnajjar, Hussain J Aljubran
{"title":"<i>Comamonas testosteroni</i> in perforated appendicitis: a rare cause of intra-abdominal infection.","authors":"Ridha Hussain Alkhalifah, Mohammed A Almarzooq, Jawad S Alnajjar, Hussain J Aljubran","doi":"10.1093/jscr/rjaf746","DOIUrl":"10.1093/jscr/rjaf746","url":null,"abstract":"<p><p><i>Comamonas testosteroni</i> is an uncommon environmental Gram-negative bacillus rarely implicated in human infections. We report a case of a 34-year-old male who presented with acute appendicitis complicated by a sealed perforation. Laparoscopic appendectomy was performed, and postoperative cultures identified <i>C. testosteroni</i> in the appendiceal tissue, alongside <i>Pseudomonas aeruginosa</i> and <i>Streptococcus anginosus</i> in the peritoneal fluid. Initial empirical antibiotics were escalated to piperacillin-tazobactam based on culture results. The patient recovered uneventfully and was discharged on postoperative day nine. This case highlights the emerging clinical relevance of <i>C. testosteroni</i> and the importance of microbiological evaluation in guiding management of perforated appendicitis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf746"},"PeriodicalIF":0.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114626","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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