Journal of Surgical Case Reports最新文献_第8页

Methicillin-resistant Staphylococcus aureus meningitis following revision microdiscectomy: a case report. 微创椎间盘切除术后耐甲氧西林金黄色葡萄球菌脑膜炎一例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag868

Zachary Troiani, Meaghan Gleason, David Kowalski, Ellen Lutnick, Maxwell Scott, Joseph Kowalski

{"title":"Methicillin-resistant Staphylococcus aureus meningitis following revision microdiscectomy: a case report.","authors":"Zachary Troiani, Meaghan Gleason, David Kowalski, Ellen Lutnick, Maxwell Scott, Joseph Kowalski","doi":"10.1093/jscr/rjag868","DOIUrl":"10.1093/jscr/rjag868","url":null,"abstract":"Healthcare-associated bacterial meningitis is a rare but life-threatening complication of spinal surgery, most commonly associated with incidental durotomy. A 59-year-old man developed fever, altered mental status, and generalized seizures 1week after uncomplicated revision L4-L5 microdiscectomy. Magnetic resonance imaging demonstrated diffuse intracranial and spinal leptomeningeal enhancement with a postoperative lumbar fluid collection. Cerebrospinal fluid (CSF) analysis was consistent with bacterial meningitis. Emergent irrigation and debridement revealed copious purulent fluid without evidence of a CSF leak despite meticulous dural exploration. Wound and CSF cultures grew methicillin-resistant Staphylococcus aureus (MRSA). Following surgical debridement and targeted intravenous vancomycin, the patient achieved substantial neurological recovery and was independently ambulatory with only mild residual cognitive impairment at 6 months. MRSA meningitis may occur after revision lumbar microdiscectomy without a recognized dural tear. Early recognition, surgical source control, and targeted antimicrobial therapy are essential to optimize outcomes.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag868"},"PeriodicalIF":0.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082351","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

Management of concomitant cholecystoduodenal and cholecystocolonic fistulas with sigmoid colonic gallstone: a case report. 乙状结肠结石合并胆囊、十二指肠及胆囊结肠瘘1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag866

Akinfemi Akingboye, Sadik Al-Hassani, Devyani Bhatt, Adrian Hall, Chaminda Sellahewa

{"title":"Management of concomitant cholecystoduodenal and cholecystocolonic fistulas with sigmoid colonic gallstone: a case report.","authors":"Akinfemi Akingboye, Sadik Al-Hassani, Devyani Bhatt, Adrian Hall, Chaminda Sellahewa","doi":"10.1093/jscr/rjag866","DOIUrl":"10.1093/jscr/rjag866","url":null,"abstract":"Cholecystoduodenal fistula and cholecystocolonic fistula are rare complications of gallstone pathology. A 62-year-old female presented to our surgical assessment unit with abdominal pain and vomiting. A computed tomographic scan revealed complex biliary-enteric fistulas. The fistulas involved the gallbladder, duodenum, and colon, with evidence of partial gastric outlet obstruction secondary to a gallstone in the proximal duodenum. Furthermore, imaging revealed a large gallstone impacted proximal to the diverticular stricture in the sigmoid colon. A minimally invasive approach to resolve the fistula was unsuccessful; endoscopic retrograde cholangiopancreatography and sigmoidoscopy to dislodge the gallstones failed. This led to a laparotomy with jejunal enterotomy for stone removal and a Hartmann's procedure to address the impacted gallstone and the sigmoid diverticular stricture. Furthermore, the repair of both fistulae was performed during the index operation at the second operation, while dealing with unexpected colostomy necrosis.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag866"},"PeriodicalIF":0.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082366","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

Transient intussusception following single anastomosis duodeno-ileal (SADI) bypass surgery: case report and literature review. 单次十二指肠回肠搭桥术后一过性肠套叠一例报告并文献复习。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag860

Kaeun Bae, Fraser Hugh Simpson, Michael Hatzifotis

{"title":"Transient intussusception following single anastomosis duodeno-ileal (SADI) bypass surgery: case report and literature review.","authors":"Kaeun Bae, Fraser Hugh Simpson, Michael Hatzifotis","doi":"10.1093/jscr/rjag860","DOIUrl":"10.1093/jscr/rjag860","url":null,"abstract":"Intussusception is a rare but recognized complication following bariatric surgery, most commonly occurring after a Roux-en-Y gastric bypass. This report details a case of postoperative transient intussusception following a single anastomosis duodeno-ileal (SADI) bypass which has not previously been described. A 47-year-old male presented with intermittent colicky abdominal pain with a computed tomography demonstrating features consistent with intussusception several years after a SADI bypass. The patient underwent diagnostic laparoscopy which showed the intussusception had spontaneously resolved. Intussusception following bariatric surgery is uncommon, with proposed mechanisms, including altered bowel motility or loss of coordinated bowel peristalsis, loss of mesenteric fat after significant weight loss, and anastomotic staple lines acting as potential points of intussusception. Although exceedingly rare, intussusception should be considered in the differential diagnosis of post-SADI bypass patients presenting with episodic abdominal pain.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag860"},"PeriodicalIF":0.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082369","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

The hidden costs of technical advancements: software and equipment troubleshooting in robotic inguinal hernia repair. 技术进步的隐性成本：机器人腹股沟疝修补中的软件和设备故障排除。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag878

Christian Martin, Christian Howells

引用次数: 0

Oral intake recovery following salvage laryngectomy with circumferential free flap reconstruction in a patient with prior pharyngogastric anastomosis and chemoradiation. 喉胃吻合术及放化疗后喉切除围周游离皮瓣重建术后的口服摄食恢复。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-29 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag852

Chloe E Coulter, Samuel J Hopper, Gina D Jefferson

{"title":"Oral intake recovery following salvage laryngectomy with circumferential free flap reconstruction in a patient with prior pharyngogastric anastomosis and chemoradiation.","authors":"Chloe E Coulter, Samuel J Hopper, Gina D Jefferson","doi":"10.1093/jscr/rjag852","DOIUrl":"10.1093/jscr/rjag852","url":null,"abstract":"Salvage laryngopharyngectomy in patients with a prior history of chemoradiation and surgery constitutes a substantial reconstructive challenge. Functional recovery is often limited by compromised vascular integrity combined with loss of pharyngeal mucosa, contributing to high rates of post-operative complications. We present a patient with squamous cell carcinoma of the esophagus, previously managed with chemoradiation and salvage esophagectomy with pharyngogastric anastomosis. She developed a second recurrence involving the pyriform sinus adjacent to the neoesophagus, requiring salvage laryngopharyngectomy and circumferential free flap reconstruction. An anterolateral thigh microvascular free flap was anastomosed to the gastric conduit. Despite significant risk factors of anatomic defect and hypovascularity, the patient successfully regained oral intake. This case demonstrates that favorable functional outcomes are possible in medically complex patients undergoing salvage reconstruction.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag852"},"PeriodicalIF":0.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082397","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

Laryngeal amyloidosis: a single-centre four-patient case series highlighting diagnostic challenges and clinical heterogeneity. 喉淀粉样变：单中心4例病例系列突出诊断挑战和临床异质性。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-28 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag854

Ruben Raj Ellan Govan, Aparajith Sathish Kumar, Abdur Rahmaan, Ahmed Youssef, Jaiganesh Jai Manickavasagam

引用次数: 0

Splenic-preserving total duodenopancreatectomy and a conservative postoperative management: a case report. 保脾全十二指肠胰切除术及术后保守治疗1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-28 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag858

Khadija El Aalaoui, Sarah Benammi, Nsiri Zakaria, Achour Youssef, Ezzaki Houda, Benkabbou Amine

{"title":"Splenic-preserving total duodenopancreatectomy and a conservative postoperative management: a case report.","authors":"Khadija El Aalaoui, Sarah Benammi, Nsiri Zakaria, Achour Youssef, Ezzaki Houda, Benkabbou Amine","doi":"10.1093/jscr/rjag858","DOIUrl":"10.1093/jscr/rjag858","url":null,"abstract":"Pancreatic ductal adenocarcinoma (PDAC) is aggressive. Tumors in the isthmus or body may require extended resection. Splenectomy is common, but spleen preservation can reduce hematologic and infectious morbidity while risking splenic ischemia. A 65-year-old man with insulin-treated type 2 diabetes and mid-body PDAC underwent neoadjuvant chemotherapy and laparoscopic spleen-preserving total duodenopancreatectomy. The patient was admitted in the intensive care unit on postoperative day 1 and 2. On postoperative day 9 patient reported left upper-quadrant pain; computed tomography scan showed a small splenic infarct managed nonoperatively with analgesia and a short antibiotic course. Discharged day was on postoperative day 16. Final pathology reported moderately differentiated PDAC with high-grade PanIN, lymphovascular, and perineural invasion, peripancreatic fat infiltration; 6/26 nodes were positive (ypT3 N2) and 6 nodes with non-necrotizing granulomas. Margins were negative. Spleen-preserving total duodenopancreatectomy can achieve oncologic clearance but poses technical challenges and splenic ischemia risk that can be managed with non-invasive approach. Feasible for select centrally located PDACs with meticulous vascular technique and vigilant follow-up.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag858"},"PeriodicalIF":0.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076169","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

Complex patellar tendon reconstruction using a peroneus longus autograft and structural cortical bone graft after multiple failures: a case report. 自体腓骨长肌和结构皮质骨移植在多次失败后重建复杂的髌骨肌腱：1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-28 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag844

Lucas Rezende, Marcos Paulo Tercziany Vanzin, Luis Antonio de Ridder Bauer, Luis Henrique Longo, Camille Midori Okuyama, Sofia de Almeida Queiroz, Christiano Barbieri de Oliveira Martoni

{"title":"Complex patellar tendon reconstruction using a peroneus longus autograft and structural cortical bone graft after multiple failures: a case report.","authors":"Lucas Rezende, Marcos Paulo Tercziany Vanzin, Luis Antonio de Ridder Bauer, Luis Henrique Longo, Camille Midori Okuyama, Sofia de Almeida Queiroz, Christiano Barbieri de Oliveira Martoni","doi":"10.1093/jscr/rjag844","DOIUrl":"10.1093/jscr/rjag844","url":null,"abstract":"Patellar tendon rupture is an uncommon but disabling injury of the knee extensor mechanism. Chronic rupture and repeated repair failure are associated with tendon degeneration, patella alta, and compromised bone stock, making reconstruction challenging and without a standardized approach. We report a 41-year-old male with spontaneous patellar tendon rupture following tendinopathy, with two failed repairs evolving to re-rupture, patella alta, and severe bone loss of the inferior patellar pole. Reconstruction was performed using suture anchors, structural autologous cortical bone graft from the distal tibia, and augmentation with a peroneus longus tendon autograft. At 26 weeks, the patient achieved full active extension, range of motion from 0° to 120°, improved patellar height, and significant functional recovery. This combined biological and structural approach may represent a viable option in complex revision cases with tendon and bone deficiency.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag844"},"PeriodicalIF":0.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076018","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 false alarm in bladder cancer surveillance: eosinophilic cystitis after intravesical BCG instillations. 膀胱癌监测中的虚报：膀胱内注射卡介苗后嗜酸性膀胱炎。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-28 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag855

Mohamed Yassine Gounni, Chadi Bourimi, Reda Tariqi, Mohammed Bakouch, Idriss Ziani, Imad Boualaoui, Ahmed Ibrahimi, Yassine Nouini

引用次数: 0

Surgical elimination of inflammatory fibrous hyperplasia associated with combination syndrome: a two-year follow-up case report. 手术消除与联合综合征相关的炎性纤维增生：两年随访病例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-28 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag853

Cansu Can Yasar, Kamar Albaba, Ganime Coban

引用次数: 0