{"title":"Chylous ascites discovered intraoperatively during laparoscopic cholecystectomy for gallstone pancreatitis.","authors":"Gabriella Donaldson, Aleisha Sutherland","doi":"10.1093/jscr/rjaf281","DOIUrl":"https://doi.org/10.1093/jscr/rjaf281","url":null,"abstract":"<p><p>We present the first reported case of incidental intraoperative chylous ascites at the time of laparoscopic cholecystectomy for gallstone pancreatitis. Our patient was managed successfully with dietary intervention and made a complete recovery.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf281"},"PeriodicalIF":0.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018310","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}
Tushar O Dahmiwal, Bhushan R Jajoo, Darshana Tote, Tanu Pradhan
{"title":"Chondroblastoma of hallux: a rare case report.","authors":"Tushar O Dahmiwal, Bhushan R Jajoo, Darshana Tote, Tanu Pradhan","doi":"10.1093/jscr/rjaf304","DOIUrl":"https://doi.org/10.1093/jscr/rjaf304","url":null,"abstract":"<p><p>In skeletally immature people, chondroblastoma is an uncommon benign-appearing tumor that develops in the epiphysis of long bones. It is a kind of tumor that produces cartilage and makes up less than 1% of all bone cancers. Here, we report a case of a 23-year-old boy having chondroblastoma of the distal phalanx of the left great toe, which is an unusual site for the occurrence of chondroblastoma. Chondroblastoma is an exceptionally rare primary bone tumor that presents at the distal phalanx of the great toe.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf304"},"PeriodicalIF":0.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064893","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":"Primary glomangioma of the chest wall: case report and review of literature.","authors":"Zymantas Jagelavicius, Eitvile Mickeviciute, Edvardas Zurauskas, Ricardas Janilionis","doi":"10.1093/jscr/rjaf300","DOIUrl":"https://doi.org/10.1093/jscr/rjaf300","url":null,"abstract":"<p><p>Glomus tumors are rare neoplasms that usually appear in subungual locations. A primary glomus tumor in the chest wall is extremely rare. We present a case of a 42-year-old male with intermittent pain under the right scapula for approximately a year. No skin lesions were observed. A magnetic resonance imaging and computed tomography scan showed a well-defined subpleural lesion on the right side of the chest along the ninth intercostal space. The tumor was removed via video-assisted thoracic surgery. The pathological report revealed a glomangioma. We analyzed in detail existing cases of glomus tumors in the chest wall. The chest wall is a possible site of a glomus tumor, which doesn't have any specific clinical or radiological signs. Radical surgical removal should be the treatment of choice.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf300"},"PeriodicalIF":0.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024791","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":"Falciform ligament cyst-a rare cause of abdominal pain.","authors":"LongHai Jin, Joel Budge","doi":"10.1093/jscr/rjaf302","DOIUrl":"https://doi.org/10.1093/jscr/rjaf302","url":null,"abstract":"<p><p>Falciform ligament is a fatty fibrous peritoneal fold located in the anterior abdomen. Falciform ligament cysts are rare, but they can cause significant symptoms and complications. A 38-year-old woman was diagnosed with an 8 cm falciform ligament cyst via ultrasound and computed tomography after presenting with chronic supraumbilical abdominal pain and a palpable abdominal mass. She underwent a laparoscopic resection of the cyst where the pathology subsequently confirmed the diagnosis. This article presents a literature review on the diagnosis and treatment of this rare pathological entity.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf302"},"PeriodicalIF":0.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001001","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}
Mohammed Dakhel Aldakhil, Jawaher A Alowayyid, Mashel A Alzunidi, Raghad Ibrahim Albarrak
{"title":"Incidental low-grade appendiceal mucinous neoplasm in Crohn's disease patient post ileocecal resection: a case report.","authors":"Mohammed Dakhel Aldakhil, Jawaher A Alowayyid, Mashel A Alzunidi, Raghad Ibrahim Albarrak","doi":"10.1093/jscr/rjaf294","DOIUrl":"https://doi.org/10.1093/jscr/rjaf294","url":null,"abstract":"<p><p>Appendiceal mucinous neoplasm is a rare tumor, found in 0.2%-0.3% of appendectomies. Inflammatory bowel disease (IBD) is a known risk factor for colorectal cancer; however, appendiceal mucinous neoplasm is rarely reported in IBD patients. Here we report a rare case in a patient with Crohn's disease after ileocecal resection. She complained of recurrent, severe right lower quadrant pain. Further investigation revealed stenosis at the terminal ileum with a clear appendiceal orifice on magnetic resonance enterography and colonoscopy. She was referred for surgical evaluation after failure of medical management. The diagnosis of low-grade appendiceal mucinous neoplasm was confirmed by pathology after an uneventful laparoscopic ileocecal resection. Although this tumor is rare in IBD patients, a high index of suspicion is needed in those presenting with disease flare-ups, and pathological examination remains essential for diagnosis. This case underscores the diagnostic challenges and clearly highlights the importance of thorough evaluation.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf294"},"PeriodicalIF":0.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057268","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}
Q Carlos Diaz, Victor H Argueta, Pedro Chajon, Andrea Argueta
{"title":"Surgical dilemmas in Gardner syndrome: infiltrative basal cell carcinoma and total knee prosthesis failure.","authors":"Q Carlos Diaz, Victor H Argueta, Pedro Chajon, Andrea Argueta","doi":"10.1093/jscr/rjaf285","DOIUrl":"https://doi.org/10.1093/jscr/rjaf285","url":null,"abstract":"<p><p>Infiltrative basal cell carcinoma is one of the most common forms of skin cancer, generally presenting as a slow-growing, locally invasive lesion limited to the epidermis. However, in patients with genetic syndromes such as Gardner syndrome, basal cell carcinoma may present more aggressively and in atypical locations. This case describes a 52-year-old male patient with Gardner syndrome, presenting with infiltrative basal cell carcinoma on the oral mucosa and suffering from catastrophic failure of total knee prosthesis due to postoperative complications including infection and bone necrosis. The combination of these two unusual clinical factors presents a challenge for both oncological management and surgical treatment. This case highlights the complex interaction between genetic predisposition to cancer and orthopedic complications, emphasizing the need for a multidisciplinary approach.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf285"},"PeriodicalIF":0.4,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046156","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}
Steven L Zhang, Sofeah Samsuddin, Lee Chee Meng, Sabrina Ngaserin, Allen Wei-Jiat Wong
{"title":"Abdominal-based free flap reconstruction of the breast in a patient with prior cryolipolysis: a case report and literature review.","authors":"Steven L Zhang, Sofeah Samsuddin, Lee Chee Meng, Sabrina Ngaserin, Allen Wei-Jiat Wong","doi":"10.1093/jscr/rjae511","DOIUrl":"https://doi.org/10.1093/jscr/rjae511","url":null,"abstract":"<p><p>Abdominal-based flaps, including deep inferior epigastric artery perforator and transverse rectus abdominis myocutaneous flaps, are workhorse flaps for autologous breast reconstruction. These flaps are vascularized by perforators originating from the deep inferior epigastric vessels and traversing through the rectus abdominis muscle and subcutaneous tissue to supply the skin. As such, previous abdominal procedures, such as liposuction, may compromise flap perfusion and affect the choice of reconstruction. While there are numerous studies investigating the impact of liposuction on abdominal-based flaps, there is limited data on the implications of cryolipolysis, which is a relatively newer modality of non-invasive body contouring that is gaining increasing popularity. We describe a case of autologous breast reconstruction in a patient who had undergone cryolipolysis, where a free transverse rectus abdominis myocutaneous flap was used as the perforators were too small for reliable perfusion of a deep inferior epigastric artery perforator flap.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjae511"},"PeriodicalIF":0.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990515","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}
Ahmad Fasfoos, Obada Amro, Safaa Heeh, Walaa Zighan, Ansam Manasrah, Safa Bakri, Radwan Abu Karsh, Mahran Abu Sirrieh
{"title":"Multidisciplinary management of a neonate with oropharyngeal teratoma and bilateral cleft lip and palate: a rare congenital presentation.","authors":"Ahmad Fasfoos, Obada Amro, Safaa Heeh, Walaa Zighan, Ansam Manasrah, Safa Bakri, Radwan Abu Karsh, Mahran Abu Sirrieh","doi":"10.1093/jscr/rjaf293","DOIUrl":"https://doi.org/10.1093/jscr/rjaf293","url":null,"abstract":"<p><p>This case report describes a rare presentation of a male infant with a large congenital oropharyngeal teratoma, bilateral cleft lip and palate, and a low-type imperforate anus. The infant experienced airway obstruction at birth, necessitating immediate neonatal intensive care unit admission and surgical intervention. Imaging revealed craniofacial teratoma involvement, contributing to palatal fusion failure during embryonic development. Two major surgeries were performed: teratoma excision and anoplasty. Postoperatively, the infant faced respiratory distress, Klebsiella sepsis, and a urinary tract infection, all successfully managed. The coexistence of craniofacial teratoma with bilateral cleft lip and palate is exceptionally uncommon, highlighting the need for early diagnosis, multidisciplinary collaboration, and meticulous surgical planning to ensure optimal outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf293"},"PeriodicalIF":0.4,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024452","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}
Vladimir Belostotsky, Darko Bislimovski, Aleksandar Nikolic, Milan Milojevic
{"title":"Single graft \"peninsula-style\" transverse aortic arch replacement in patients with type A acute aortic dissection: case report.","authors":"Vladimir Belostotsky, Darko Bislimovski, Aleksandar Nikolic, Milan Milojevic","doi":"10.1093/jscr/rjaf292","DOIUrl":"https://doi.org/10.1093/jscr/rjaf292","url":null,"abstract":"<p><p>Acute type A aortic dissection, despite treatment advances, remains a critical emergency with markedly high morbidity and mortality rates. The primary goals of immediate surgical intervention are to ensure survival, prevent severe complications, and avoid subsequent interventions. We present a case of a 55-year-old male who presented with new-onset chest pain, dyspnea, and hypotension. Emergent transthoracic echocardiography and subsequent computed tomography revealed an ascending aortic dissection. The patient underwent immediate surgical repair using a \"peninsula-style\" technique for transverse arch replacement with a single piece of Dacron graft, preserving continuity with the proximal descending aorta and performing routine aortic valve commissural resuspension. Following an uncomplicated postoperative course, he was discharged in a stable condition, and an 18-month follow-up CT showed no signs of aorta-related complications. This case report underscores the importance of having specialized thoracic aortic teams capable of using easily reproducible techniques, reducing operative time, and yielding reliable results.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf292"},"PeriodicalIF":0.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006427","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}
Sarra Benwadih, Maha Bouksirat, Bouchra Dani, Malik Boulaadas
{"title":"Management of rhinophyma.","authors":"Sarra Benwadih, Maha Bouksirat, Bouchra Dani, Malik Boulaadas","doi":"10.1093/jscr/rjaf280","DOIUrl":"https://doi.org/10.1093/jscr/rjaf280","url":null,"abstract":"<p><p>Rhinophyma is a chronic skin condition that predominantly affects the nose, characterized by thickening and fibrosis of the skin, leading to a bulbous, enlarged appearance. It is typically associated with rosacea, though its exact etiology remains unclear. Our department recently managed two cases of rhinophyma, which allowed us to explore the clinical presentation, diagnostic challenges, and treatment strategies. This report summarizes the key aspects of these cases and offers insights into the management of rhinophyma.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf280"},"PeriodicalIF":0.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015954","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}