Varsha Reddy, Shailesh Solanki, Ravi P Kanojia, Nitin J Peters, Jai K Mahajan
{"title":"Rectal ectasia in children: challenges in management.","authors":"Varsha Reddy, Shailesh Solanki, Ravi P Kanojia, Nitin J Peters, Jai K Mahajan","doi":"10.1093/jscr/rjaf753","DOIUrl":"10.1093/jscr/rjaf753","url":null,"abstract":"<p><p>Rectal ectasia is a condition characterized by significant dilatation of the rectum. It can be either primary or secondary to distal obstruction. The literature does not clarify the embryo-pathogenesis, diagnostic criteria, investigation protocols, or management strategies. A key aspect of diagnosis is to exclude medical causes of constipation and Hirschsprung's disease. Surgical management involves various interventions, but insufficient data support the literature. Here, we describe our experience with two children diagnosed with rectal ectasia. We discuss the presentation, diagnosis, surgical intervention, complications, and the rationale for selecting one procedure over another while reviewing the relevant literature.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf753"},"PeriodicalIF":0.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114636","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":"Management of retrohepatic inferior vena cava injury during hepatectomy and an intravascular foreign body caused by surgical gauze migration: a case report.","authors":"Thanh Tung Lai, Hideyuki Matsushima, Hisashi Kosaka, Kosuke Matsui, Gozo Kiguchi, Hidekazu Yamamoto, Takuya Ohigashi, Hoang Hai Duong, Van Khanh Nguyen, Shuji Kariya, Masaki Kaibori","doi":"10.1093/jscr/rjaf755","DOIUrl":"10.1093/jscr/rjaf755","url":null,"abstract":"<p><p>We report a case involving a hepatocellular carcinoma with massive bleeding from a large (retrohepatic inferior vena cava) RHIVC laceration during laparoscopic posterior sectionectomy, complicated by the exceedingly rare migration of surgical gauze into the left pulmonary artery (LPA). Hemostasis was achieved by manual compression and two anchoring Prolene sutures at both ends of the laceration, allowing effective RHIVC wall approximation. Given the low central venous pressure during hepatectomy, edge approximation significantly reduced bleeding and improved repair visibility. Postoperative imaging showed the gauze was lodged in the LPA, constituting an intravascular foreign body (IFB). The gauze was successfully retrieved via endovascular intervention without additional complications. Anchoring sutures with manual compression may be a helpful technique for managing a large RHIVC injury, and endovascular retrieval may provide a safe alternative to reoperation for a large IFB.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf755"},"PeriodicalIF":0.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114677","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}
Nicolas Inga-Estrada, Martin Hemeryth-Rengifo, Fritz Fidel Váscones-Román, María Claudia Hinojosa-Ríos, Percy Amador Inga-San Bartolomé
{"title":"Acute cholecystitis in H-type duplicated gallbladder: a case report.","authors":"Nicolas Inga-Estrada, Martin Hemeryth-Rengifo, Fritz Fidel Váscones-Román, María Claudia Hinojosa-Ríos, Percy Amador Inga-San Bartolomé","doi":"10.1093/jscr/rjaf720","DOIUrl":"10.1093/jscr/rjaf720","url":null,"abstract":"<p><p>Gallbladder duplication is a rare congenital anomaly. Abnormal biliary anatomy is associated with an increased risk of complications, such as bile duct injury, during cholecystectomy. In this article, we present a clinical case of gallbladder duplication identified preoperatively by magnetic resonance cholangiopancreatography, which guided surgical planning. A 70-year-old man was admitted with acute cholecystitis, low-grade fever, jaundice, and dyspnea. Magnetic resonance cholangiopancreatography revealed a duplicated gallbladder (Type H). During surgery, the chronically inflamed upper gallbladder was completely resected. The larger lower gallbladder, with acute cholecystitis and a Mirizzi-like pattern, was partially resected due to severe inflammation and the inability to identify the cystic duct. The patient had an uneventful course. Gallbladder duplication is a rare congenital anomaly that may be associated with other congenital anomalies. Thorough preoperative imaging studies, meticulous surgical technique, and rigorous intraoperative monitoring are essential, as these abnormalities can lead to serious injuries.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf720"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114621","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":"Bone union achieved in an ulnar shaft nonunion using dextrose prolotherapy without surgery: a case report.","authors":"Shinnosuke Hada, Kengo Sugitani, Hiroaki Kanazawa, Muneaki Ishijima","doi":"10.1093/jscr/rjaf741","DOIUrl":"10.1093/jscr/rjaf741","url":null,"abstract":"<p><p>Prolotherapy, involving hypertonic dextrose injections to stimulate growth factor release and promote tissue healing, has recently gained attention as a regenerative treatment for refractory musculoskeletal conditions. We report a 54-year-old man with a painful ulnar shaft nonunion after a karate injury. Conservative treatment failed over 12 months, and he presented with persistent pain (numeric rating scale [NRS] score 6). Ultrasound-guided prolotherapy using a 30% dextrose solution was performed in five sessions at 2-3 week intervals. Callus formation was noted at 4 weeks, pain completely resolved (NRS score 0), and the patient resumed karate at 12 weeks. Radiographic union was confirmed at 15 weeks without immobilization or surgery. This case highlights prolotherapy's potential as a minimally invasive and effective alternative to surgery for painful nonunion.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf741"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114579","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":"Going solo: TightRope as the sole fixation method for lateral end clavicle fractures.","authors":"Baijaeek Sain, Vishal Patel","doi":"10.1093/jscr/rjaf728","DOIUrl":"10.1093/jscr/rjaf728","url":null,"abstract":"<p><p>Lateral end clavicle fractures, especially those that are displaced, have a high rate of delayed and non-union. This case series presents three patients with unstable lateral end clavicle fractures successfully treated with TightRope fixation as the sole method of stabilization, demonstrating excellent functional outcomes and minimal complications. The comprehensive literature review reveals mounting evidence with eight reported studies supporting TightRope as an effective standalone treatment option, with the largest published series showing 79% union rates and only 10% complication rates. These findings, combined with the theoretical advantages of avoiding routine hardware removal, lower costs, and compatibility with day-surgery protocols, suggest that TightRope fixation merits serious consideration as a primary treatment modality for appropriately selected patients with lateral end clavicle fractures.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf728"},"PeriodicalIF":0.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114538","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}
Brendan P Stewart, Jen-Yuan C Kao, Kristina Kuklova, Marwan Alaoudi
{"title":"Ileocolic venous thrombophlebitis from associated enteropathogenic <i>E. coli</i> infection.","authors":"Brendan P Stewart, Jen-Yuan C Kao, Kristina Kuklova, Marwan Alaoudi","doi":"10.1093/jscr/rjaf740","DOIUrl":"10.1093/jscr/rjaf740","url":null,"abstract":"<p><p>Enteropathogenic <i>Escherichia coli</i> (EPEC) is a pathogenic strain of <i>E. coli</i>. Mesenteric vein thrombophlebitis is of surgical concern, as there is a risk of the development of bowel ischemia. We present a unique case of a patient with EPEC diarrhea who subsequently developed ileocolic thrombophlebitis. Our patient presented to the emergency department with 6 days of diarrhea and abdominal pain. A computed tomography angiography (CTA) abdomen and pelvis was performed which revealed occlusion of the ileocolic vein with perivenous inflammation, consistent with mesenteric thrombophlebitis. A gastrointestinal polymerase chain reaction (GI PCR) was positive for EPEC. The patient was managed non-operatively with intravenous antibiotics and anticoagulation with resolution of symptoms. Ileocolic thrombophlebitis is a rare cause of acute abdominal pain. Our patient is one of the first documented cases to develop thrombophlebitis following EPEC infection. We hypothesize the EPEC infection and inflammation predisposed our patient to developing ileocolic thrombophlebitis.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf740"},"PeriodicalIF":0.5,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114652","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}
Hamad AlJuwied, Dalal AlNajadah, Zahraa Mostafa, Ali Ashraf, Ali Jarragh, Ali Lari
{"title":"Missed and mismanaged: severe consequences of Morel Lavallee lesions-a case series.","authors":"Hamad AlJuwied, Dalal AlNajadah, Zahraa Mostafa, Ali Ashraf, Ali Jarragh, Ali Lari","doi":"10.1093/jscr/rjaf731","DOIUrl":"10.1093/jscr/rjaf731","url":null,"abstract":"<p><p>Morel-Lavallée lesions (MLLs) are rare soft tissue injuries that, when missed or mismanaged, can lead to serious complications. This retrospective case series analyzed seven male patients (aged 26-64) who sustained MLLs from high-velocity trauma. Initial management, often limited to aspiration, failed in most cases, leading to delayed surgical intervention (mean 25.7 days post-injury) and an average of 2.6 surgeries per patient. Complications included skin necrosis (n = 5), grafting (n = 4), and infection in all cases, most commonly Staphylococcus aureus. One patient died from cardiogenic and septic shock. These findings highlight that delayed recognition and conservative treatment often result in prolonged morbidity, whereas early surgical debridement and proper closure may significantly improve outcomes.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf731"},"PeriodicalIF":0.5,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114704","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":"Unusual migration of a tooth root into the ethmoid sinus after dental extraction: a case report and literature review.","authors":"Sharif Almatrafi","doi":"10.1093/jscr/rjaf737","DOIUrl":"10.1093/jscr/rjaf737","url":null,"abstract":"<p><p>Iatrogenic foreign bodies of dental origin are rare and frequently involve the maxillary sinuses. We report an unusual case of tooth-root migration into the ethmoid sinus after dental extraction. A 54-year-old woman with a history of maxillary left molar extraction 6 months prior presented with symptoms of left nasal obstruction, green malodorous nasal discharge, hyposmia, and left-sided facial pressure for 3 months. She was diagnosed with unilateral sinusitis, and nasal endoscopy revealed severe left middle meatus edema with thick pus discharge. Computed tomography of the paranasal sinuses revealed a radiopaque foreign body in the left anterior ethmoid sinus with complete opacification of the left paranasal sinuses. The tooth root was extracted transnasally via functional endoscopic sinus surgery. Complete symptom resolution was achieved postoperatively. Sinonasal foreign bodies can cause sinusitis owing to mucosal irritation. Endoscopic extraction is an optimal treatment owing to its short operative time and reduced perioperative morbidity.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf737"},"PeriodicalIF":0.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114683","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}
Hussain A Alessa, Afnan N Alshayeb, Tahani M Alqurashi, Munira A Suwailem, Ali M Alghamdi, Fahad F Elmokyed, Tahar Yacoubi
{"title":"Castleman disease: a case report of a pediatric incidental case in Saudi Arabia.","authors":"Hussain A Alessa, Afnan N Alshayeb, Tahani M Alqurashi, Munira A Suwailem, Ali M Alghamdi, Fahad F Elmokyed, Tahar Yacoubi","doi":"10.1093/jscr/rjaf712","DOIUrl":"10.1093/jscr/rjaf712","url":null,"abstract":"<p><p>The most prevalent symptom of Castleman disease, a rare lymphoproliferative condition with an unclear etiology, is a mediastinal nodal mass. While it is quite uncommon in youngsters, it is prevalent in adults. We report a case of a 14-year-old boy who was admitted to the department of surgery for acute right-sided abdominal pain, with suspected acute appendicitis. Preoperative imaging investigation of the abdomen showed an inflammatory appendix as well a large mesenteric mass. Histopathology examination confirmed the diagnosis of acute appendicitis and mesenteric mass unicentric Castleman after resection by laparoscopic approach.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf712"},"PeriodicalIF":0.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114607","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":"Successful treatment of pyogenic spondylitis in a non-ankylosing lesion of diffuse idiopathic skeletal hyperostosis using penetrating endplate screws: a three-case report.","authors":"Kazuki Fujimoto, Narumi Maki, Daisuke Hashiba, Toshifumi Maeyama, Haruki Ito, Ryosuke Nakagawa, Hajime Arai, Seiji Ohtori","doi":"10.1093/jscr/rjaf734","DOIUrl":"10.1093/jscr/rjaf734","url":null,"abstract":"<p><p>Both pyogenic spondylitis and diffuse idiopathic skeletal hyperostosis (DISH) can develop in the thoracolumbar spine of older adults. Among patients with pyogenic spondylitis, those with DISH reportedly have a significantly higher mortality rate than those without DISH. However, the reasons for this increased mortality and effective strategies for preventing fatal outcomes remain to be determined. Here, we report three cases of pyogenic spondylitis affecting non-ankylotic lesions in older patients with DISH. These patients were successfully treated with anterior and posterior fixation using penetrating endplate screws, which provide strong fixation and are particularly advantageous in DISH. In cases of pyogenic spondylitis involving non-ankylotic lesions in DISH, early spinal fixation with penetrating endplate screws, guided using computed tomography and magnetic resonance imaging, may help prevent older adult patients from becoming bedridden.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 9","pages":"rjaf734"},"PeriodicalIF":0.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114718","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}