Haley Bayne, Richard Q Vuong, Shubhneet Bal, Jeffrey West, Anya Laibangyang, David Doo
{"title":"Obturator nerve schwannoma: a case report and review of the robotic literature.","authors":"Haley Bayne, Richard Q Vuong, Shubhneet Bal, Jeffrey West, Anya Laibangyang, David Doo","doi":"10.1093/jscr/rjae694","DOIUrl":"10.1093/jscr/rjae694","url":null,"abstract":"<p><p>Obturator schwannomas are rare and often misdiagnosed as intraperitoneal pelvic masses. The optimal surgical approach for their resection is unclear. This study presents a case demonstrating the safe use of robotics for resecting a benign pelvic schwannoma and reviews the literature on robotic cases. Here, a 40-year-old woman with right lower quadrant pain underwent imaging, revealing a 4.6 × 3.3 × 3.6 cm pelvic mass. She had a robotic-assisted laparoscopic excision, with pathology confirming a benign schwannoma. Complete tumor resection is the gold standard. The use of minimally invasive robotic-assisted surgery is increasing due to improved visualization, efficient movement, and safety, making it a viable option for resecting obturator schwannomas.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae694"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740962","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}
Manzoor Ahmad, Kartik Varshney, Shagufta Qadri, Wasif Mohammad Ali, Imad Ali
{"title":"A case of asymptomatic giant renal angiomyolipoma with extrusion of fat content with literature review.","authors":"Manzoor Ahmad, Kartik Varshney, Shagufta Qadri, Wasif Mohammad Ali, Imad Ali","doi":"10.1093/jscr/rjae732","DOIUrl":"10.1093/jscr/rjae732","url":null,"abstract":"<p><p>Angiomyolipoma is a benign mesenchymal tumour of kidney that consists of adipose tissue, muscle cells and blood vessels. Renal angiomyolipomas represent almost one percent of all renal tumours. We reported a case of a 50-year-old woman complaining of mild abdominal discomfort with no other symptoms and no remarkable medical history. Clinical examination was inconclusive and no lump was palpable in abdomen. Ultrasonography raised the suspicion of existence of a large, homogeneous, hyperechoic tissue mass arising from right kidney. Abdominal computed tomography scan suggested the presence of giant angiomyolipoma of right kidney. The histopathological examination confirmed the diagnosis of renal angiomyolipoma. The patient underwent open simple nephrectomy to remove the tumour without any complications. We documented a rare case of retroperitoneal angiomyolipoma with extrusion of fat content from the renal hilum breaching the cortex as peculiarity which presented just as mild abdominal discomfort.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae732"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740927","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}
Santiago Muñoz-Palomeque, William Aguayo-Vistin, Gabriel A Molina, Zanny Bastidas-Arévalo, Jaime Paul Herrera Gonzalez, Christian I Gordon
{"title":"Mixed functional tumor of the left adrenal as a cause of palpitations, surgical management. Case report.","authors":"Santiago Muñoz-Palomeque, William Aguayo-Vistin, Gabriel A Molina, Zanny Bastidas-Arévalo, Jaime Paul Herrera Gonzalez, Christian I Gordon","doi":"10.1093/jscr/rjae731","DOIUrl":"10.1093/jscr/rjae731","url":null,"abstract":"<p><p>Compound pheochromocytoma refers to a rare adrenal tumor that includes neuroblastic components and is a rare catecholamine-producing tumor from chromaffin cells, typically found in the adrenal medulla. It usually presents with symptoms like tachycardia, headache, and intermittent diaphoresis, although its clinical manifestations can vary. Diagnosis involves biochemical studies and imaging such as catecholamines, metanephrines, CT scans, and positron emission tomography (PET). The surgical management is the definitive, being the laparoscopic approach of choice in most cases. This case report discusses a 45-year-old male who presented with tachycardia and palpitations, diagnosed with left pheochromocytoma exhibiting neuroblastoma differentiation, surgically treated through anterior laparoscopy without any trans-surgical complications and with low bleeding. Postoperative recovery was uneventful, and pathology confirmed the diagnosis. Timely diagnosis and surgical removal are crucial, with laparoscopy being the preferred approach for tumor resection.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae731"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740946","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}
Sophie Tillotson, Ping Shi, Elizabeth Ray, Robert P Seifert
{"title":"Young and naïve B cells are a diagnostic pitfall in pediatric tonsillectomies.","authors":"Sophie Tillotson, Ping Shi, Elizabeth Ray, Robert P Seifert","doi":"10.1093/jscr/rjae622","DOIUrl":"10.1093/jscr/rjae622","url":null,"abstract":"<p><p>Tonsillar marginal zone hyperplasia may mimic mucosa-associated lymphoid tissue lymphoma, a rare diagnosis in children. Histologically, both entities can demonstrate expansion of the marginal zone with disruption of follicular architecture. However, marginal zone hyperplasia may appear polyclonal by flow cytometry. We present two pediatric tonsillectomy cases with tonsillar marginal zone hyperplasia and discuss the diagnostic challenges this poses in the pediatric population. Both tonsillectomies demonstrated expansion of marginal zones with partial architectural effacement, and flow cytometric analysis of both cases detected lambda light chain restricted, CD20(bright) B cells without CD38. Authors have suggested that the lambda restricted B cells in this setting represent naïve, unmutated B cells with preferential, but polyclonal, lambda expression. Our cases are in line with this thought. While robust, BIOMED-2 primer PCR can show dominant <i>IgK</i> peaks, which may be misinterpreted. This presents a diagnostic pitfall in the workup of pediatric tonsils that community pathologists must consider.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae622"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741003","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":"Case report of central serous chorioretinopathy with intraretinal fluid and normal fundus fluorescein and indocyanine green angiography.","authors":"Manasi Hegde, Travers Weaver","doi":"10.1093/jscr/rjae723","DOIUrl":"10.1093/jscr/rjae723","url":null,"abstract":"<p><p>A 73-year-old man was diagnosed with central serous chorioretinopathy (CSCR). He had atypical features including a normal indocyanine green angiography (ICG) and fundus fluorescein angiography (FFA), uncommon age group for initial diagnosis and a finding of intraretinal fluid. This case report is the first of our knowledge that exemplifies this type of unusual clinical presentation for CSCR.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae723"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740934","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":"Laparoscopic removal of a metallic foreign body embedded in the abdominal wall.","authors":"Mizuki Okuno, Kaori Takasu, Takamune Goto, Toshiyuki Yamaguchi, Masahiro Hayashi","doi":"10.1093/jscr/rjae669","DOIUrl":"10.1093/jscr/rjae669","url":null,"abstract":"<p><p>We report the laparoscopic removal of a foreign body that was embedded in the abdominal wall. To the best of our knowledge, this is the first reported case of a foreign body in the abdominal wall being laparoscopically removed. A 27-year-old man working at a forging factory presented to our hospital with abdominal pain. He reported that three hours before presentation, a metal fragment came flying from an operating power hammer and penetrated his lower right abdomen. Abdominal CT revealed a 7 mm-sized radiopaque object near the peritoneum. The foreign body was successfully removed laparoscopically with real-time fluoroscopic guidance. Percutaneous removal is usually performed when a foreign body is present in the soft tissue; however, laparoscopic removal should be considered when the foreign body is located in the abdominal wall near the peritoneum. We provide principles for the safe and minimally invasive removal of foreign bodies based on this case.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae669"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740940","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}
Diana Marcela Cadena Buitrago, Manuel Felipe Aljure Díaz, Ana María Camargo López, Juan Sebastián Afanador Ardila, Jorge Luis Corcho Acosta
{"title":"Reconstruction of penile skin defect using negative pressure therapy, spiraling full-thickness skin grafts, and nanofat grafting: a case report.","authors":"Diana Marcela Cadena Buitrago, Manuel Felipe Aljure Díaz, Ana María Camargo López, Juan Sebastián Afanador Ardila, Jorge Luis Corcho Acosta","doi":"10.1093/jscr/rjae663","DOIUrl":"10.1093/jscr/rjae663","url":null,"abstract":"<p><p>The penis is a structure that requires both anatomical and functional reconstruction. Being a three-dimensional structure that changes in volume, it presents a reconstructive challenge for the plastic surgeon. Currently, various alternatives are available for covering these complex defects, such as grafts, flaps, and dermal matrices. The objective of this study is to present a case report describing a complex post-traumatic penile defect in which three combined strategies were implemented for the first time (spiral full-thickness grafts, nanolipoinjection, and negative pressure therapy). These strategies have been described in the literature for defect coverage, achieving satisfactory anatomical and functional results.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae663"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740964","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}
Sanem Yildirim, Yavuz Yigit, Atika Jabeen, Eslam Hussein Mohamed, Baha Hamdi Alkahlout
{"title":"A case of intraabdominal tuberculosis masquerading as inguinal hernia: a diagnostic challenge.","authors":"Sanem Yildirim, Yavuz Yigit, Atika Jabeen, Eslam Hussein Mohamed, Baha Hamdi Alkahlout","doi":"10.1093/jscr/rjae741","DOIUrl":"10.1093/jscr/rjae741","url":null,"abstract":"<p><p>Inguinal masses are common presentations in clinical practice, often attributed to hernias. However, atypical features may lead to diagnostic difficulties and delayed intervention. We present a case of a 32-year-old Ethiopian woman with a prolonged history of a growing groin mass 2 months following childbirth, her diagnosis potentially challenged by her recent obstetric history. Despite previous evaluations suggesting inguinal hernia, her symptoms worsened, prompting an emergency department visit. Further investigation revealed an unexpected diagnosis of intraabdominal tuberculosis, manifesting as a large iliopsoas abscess. This case underscores the importance of considering uncommon etiologies in the differential diagnosis of inguinal masses, particularly in high-risk populations with comparable situations, to ensure timely diagnosis and intervention.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae741"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740929","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}
José Luis Acha Sánchez, Jhon E Bocanegra-Becerra, Luis Contreras Montenegro, Manuel Cueva, Adriana Bellido, Shamir Contreras, Oscar Santos
{"title":"Microsurgery for basilar apex aneurysms: a case series.","authors":"José Luis Acha Sánchez, Jhon E Bocanegra-Becerra, Luis Contreras Montenegro, Manuel Cueva, Adriana Bellido, Shamir Contreras, Oscar Santos","doi":"10.1093/jscr/rjae720","DOIUrl":"10.1093/jscr/rjae720","url":null,"abstract":"<p><p>Although endovascular management has been increasingly adopted for basilar apex aneurysms (BAAs), microsurgery still represents an amenable treatment option. In this case series, six female patients (median age: 46 years) with six saccular high-riding BAAs (50% ruptured) were included. The median neck size was 5.3 mm (range: 2.9-7.9), and the median length from base to dome was 7.25 mm (range: 5.2-11.4). Preoperative complications included hydrocephalus (22%) and rebleeding (22%). All patients underwent clipping with a pterional craniotomy with extension into the temporal bone base. Intraoperative aneurysm rupture occurred in one patient (17%). Postoperative complications occurred in two patients (34%), of which one died because of extensive cerebral vasospasm and hospital-acquired pneumonia. At the 6-month follow-up, all remaining patients had modified Rankin scale scores ≤ 2. Microsurgery remains a viable option for BAAs in limited-resource settings. Technical success depends on delicate tissue work, in-depth anatomical knowledge, and maneuverability in narrow corridors.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae720"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740944","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":"An unexpected primary squamous cell carcinoma of the left colon: a rare case report.","authors":"Charlotte Cornwell, Tae Jun Kim, Chris M Byrne","doi":"10.1093/jscr/rjae680","DOIUrl":"10.1093/jscr/rjae680","url":null,"abstract":"<p><p>Colorectal cancer is a common cancer with a large burden of disease. Adenocarcinomas account for majority of colorectal cancers, arising from glandular epithelium. Other malignancies including neuroendocrine, adenosquamous, spindle cell and squamous cell carcinomas (SCCs) are seldomly encountered. Primary colorectal SCC was first reported in 1919 and is particularly rare. It is difficult to manage as patients present late, with locally invasive or metastatic disease. We present the case of a woman in her 40s with a previously resected sigmoid adenocarcinoma and a new splenic flexure mass. Histopathology revealed an SCC without evidence of extra-colonic disease. The patient underwent resection with clear margins, however, did not tolerate systemic adjuvant treatment and developed local recurrence within twelve months. We add our patient's case to the small compilation of cases of primary colorectal SCC along with a summary of its clinical and histological characteristics, strategies in management and considerations for future research.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2024 11","pages":"rjae680"},"PeriodicalIF":0.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740954","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}