Journal of Surgical Case Reports最新文献_第9页

Discordant pathology following pancreatoduodenectomy for suspected intraductal papillary mucinous neoplasm: reassessment of cyst fluid genetic analysis. 疑似导管内乳头状黏液瘤的胰十二指肠切除术后病理不一致：囊肿液遗传分析的重新评估。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-28 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag798

Ella Sibbersen, Dhruv J Patel, Hassam A Cheema, Ralph H Hruban, C Max Schmidt

{"title":"Discordant pathology following pancreatoduodenectomy for suspected intraductal papillary mucinous neoplasm: reassessment of cyst fluid genetic analysis.","authors":"Ella Sibbersen, Dhruv J Patel, Hassam A Cheema, Ralph H Hruban, C Max Schmidt","doi":"10.1093/jscr/rjag798","DOIUrl":"10.1093/jscr/rjag798","url":null,"abstract":"A molecular analysis of pancreatic cyst fluid is revolutionizing the clinical management of pancreatic cysts. Yet, there remains need for ongoing correlation of molecular testing with surgical pathology. An ~70-year old male was found to have focal main pancreatic duct dilation up to 7 mm at the pancreatic head/neck on imaging without any discrete mass lesions. Duct fluid analysis found elevated carcinoembryonic antigen and decreased glucose level suggestive of intraductal papillary mucinous neoplasm (IPMN). Yet, molecular testing revealed no mutations. In the absence of a mass lesion, he was recommended surveillance. A year later, he had stable imaging and underwent repeat molecular testing, which revealed KRAS and GNAS mutations. He underwent pancreatoduodenectomy for suspected main duct IPMN. Final pathology revealed low-grade, multifocal pancreatic intraepithelial neoplasia, not IPMN. Ongoing assessment of concordance between molecular testing and postoperative pathology after pancreatectomy is needed to refine the multimodal diagnostic evaluation of pancreatic cysts.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag798"},"PeriodicalIF":0.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076120","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

Severe hypernatremia and rhabdomyolysis 30 days after laparoscopic sleeve gastrectomy: a case report. 腹腔镜袖胃切除术后30天严重高钠血症伴横纹肌溶解1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-28 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag859

Seyed Nooredin Daryabari, Ali Nadjafi-Semnani

{"title":"Severe hypernatremia and rhabdomyolysis 30 days after laparoscopic sleeve gastrectomy: a case report.","authors":"Seyed Nooredin Daryabari, Ali Nadjafi-Semnani","doi":"10.1093/jscr/rjag859","DOIUrl":"10.1093/jscr/rjag859","url":null,"abstract":"Rhabdomyolysis is an uncommon but potentially life-threatening complication of bariatric surgery, typically occurring in the immediate postoperative period and associated with prolonged operative time, improper positioning, or extreme obesity. We report a 16-year-old female with class III obesity who underwent uneventful laparoscopic sleeve gastrectomy and was discharged on postoperative day 1. Approximately 30 days later, she presented with progressive weakness, myalgia and severe hypernatremia, elevated creatinine and creatine phosphokinase, suggestive of rhabdomyolysis. She was managed with aggressive intravenous hydration and gradual correction of hypernatremia, with full recovery of muscle strength and renal function. This case highlights a delayed presentation of severe hypernatremia and rhabdomyolysis following laparoscopic sleeve gastrectomy in an adolescent patient. Clinicians should maintain a low threshold for checking creatine phosphokinase and electrolytes in post-bariatric patients with myalgia, weakness, or dark-colored urine, regardless of the time elapsed since surgery.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag859"},"PeriodicalIF":0.5,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076103","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

Solitary endobronchial glandular papilloma: a report of two rare cases. 孤立性支气管内腺状乳头状瘤：附2例罕见病例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-28 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag745

Naomi Mercieca, David Sladden, Joseph Galea

引用次数: 0

Perforated jejunal diverticulitis in a Jehovah's Witness complicated by postoperative haemorrhage: a case report of successful bloodless management.

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-25 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag822

Andrej Nikolovski, Klaudia Gjinoska, Shqipe Misimi, Emil Stoicovski, Zan Mitrev

{"title":"Perforated jejunal diverticulitis in a Jehovah's Witness complicated by postoperative haemorrhage: a case report of successful bloodless management.","authors":"Andrej Nikolovski, Klaudia Gjinoska, Shqipe Misimi, Emil Stoicovski, Zan Mitrev","doi":"10.1093/jscr/rjag822","DOIUrl":"https://doi.org/10.1093/jscr/rjag822","url":null,"abstract":"While colonic diverticulosis affects approximately half of adults over 60 years of age in Western populations, jejunal diverticulosis are rare with a reported prevalence of 0.2%-1.9% associated with high mortality rate (up to 40%) when presented as complicated. Performing lifesaving surgery while respecting patient's autonomy and informed refusal of blood transfusion represents a challenge on its own for the medical team. We present a case of a 74-year-old Jehovah's Witness man who was diagnosed intraoperatively with perforated jejunal diverticulitis. Emergency laparotomy with segmental jejunal resection and primary anastomosis was performed. On the fifth postoperative day the patient developed post-operative haemorrhage secondary to laparotomy disruption with omental tearing, requiring urgent reoperation. Despite refusing allogenic blood transfusion, blood loss was successfully managed without transfusion. Post-operative anemia was treated with intravenous iron, vitamin B12, Folic acid, and supportive care which resulted in gradual improvement. The patient was discharged on post-operative Day 11. This case highlights that successful management of perforated jejunal diverticulitis and post-operative haemorrhage is feasible in Jehovah's Witness patient through prompt surgical intervention, meticulous haemostasis, and bloodless postoperative anaemia treatment. To our knowledge, this is the first reported case of perforated jejunal diverticulitis in a Jehovah's Witness patient.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag822"},"PeriodicalIF":0.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065000","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

Spontaneous rupture of the urinary bladder and hereditary haemorrhagic telangiectasia (Osler-Weber-Rendu syndrome): a case report. 自发性膀胱破裂和遗传性出血性毛细血管扩张（Osler-Weber-Rendu综合征）：1例报告。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-25 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag817

Stefano Gussago, Valerio Massimo, Jonathan Douissard, Joao Tiago Costa Dos Santos, Emilie Liot

{"title":"Spontaneous rupture of the urinary bladder and hereditary haemorrhagic telangiectasia (Osler-Weber-Rendu syndrome): a case report.","authors":"Stefano Gussago, Valerio Massimo, Jonathan Douissard, Joao Tiago Costa Dos Santos, Emilie Liot","doi":"10.1093/jscr/rjag817","DOIUrl":"https://doi.org/10.1093/jscr/rjag817","url":null,"abstract":"Spontaneous rupture of urinary bladder (SRUB) is a rare condition with no standard of care and significant related morbidity and mortality. Several predisposing factors have been reported, including malignancy, cystitis, binge drinking, bladder outlet obstruction, and connective tissue disorders. We describe the successful minimally invasive surgical management of a SRUB in a 60-years-old woman with known Osler-Weber-Rendu disease. After exclusion of all other recognized causes of spontaneous rupture of urinary bladder, perforation was considered most likely related to chronic inflammatory involvement of the urinary bladder, possibly associated to hereditary haemorrhagic telangiectasia. Although urinary bladder involvement in Osler-Weber-Rendu disease has been documented, typically presenting as hematuria secondary to telangiectatic lesions, to our knowledge this is the first reported case of a spontaneous rupture of urinary bladder associated with hereditary hemorrhagic telangiectasia.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag817"},"PeriodicalIF":0.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065025","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

Giant lipomatous tumor of the left back favoring atypical lipomatous tumor/well-differentiated liposarcoma: a case report. 左背部巨大脂肪瘤，偏向非典型脂肪瘤/高分化脂肪肉瘤1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-25 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag707

Ziling Zhang, Teng Fan, Xiaobo Yu, Qian Wang, Zhijie Zhang, Bin Wu

{"title":"Giant lipomatous tumor of the left back favoring atypical lipomatous tumor/well-differentiated liposarcoma: a case report.","authors":"Ziling Zhang, Teng Fan, Xiaobo Yu, Qian Wang, Zhijie Zhang, Bin Wu","doi":"10.1093/jscr/rjag707","DOIUrl":"https://doi.org/10.1093/jscr/rjag707","url":null,"abstract":"Giant lipomatous tumors of the trunk are rare and can pose diagnostic and reconstructive challenges. A 71-year-old man presented with a left back mass that had enlarged over 30 years, especially during the previous 2 years. The mass measured 56 × 54 × 28 cm clinically; computed tomography and magnetic resonance imaging showed a predominantly fat-containing thoracodorsal lesion measuring 27.1 × 18.6 cm on axial images, with septa and solid nodules but no definite muscle invasion. The tumor was excised under general anesthesia with flap reconstruction and weighed 10 kg. Histology showed mature adipocytes of variable size with scattered atypical stromal cells and lipoblasts. MDM2 immunostaining was negative, and molecular confirmation was unavailable; the findings favored an atypical lipomatous tumor/well-differentiated liposarcoma after clinicopathological correlation. Recovery was uneventful, with no recurrence at 9 months. Careful imaging, complete excision when feasible, and long-term surveillance are essential.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag707"},"PeriodicalIF":0.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064900","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

Laparoscopic repair of iatrogenic diaphragmatic hernia following pedicled omentoplasty using a modified Sugarbaker technique with round ligament reinforcement. 带蒂网膜成形术后的腹腔镜下医源性膈疝的改良Sugarbaker技术及圆形韧带加固修复。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-25 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag278

Yuto Kawate, Akinari Miyazaki, Ryoma Sakamoto, Hiroshi Kusanagi

引用次数: 0

Periadrenal mature cystic teratoma mimicking adrenal myelolipoma: a case report and review of the literature. 模拟肾上腺髓鞘脂肪瘤的肾上腺周围成熟囊性畸胎瘤1例报告及文献复习。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-25 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag803

Ran Hong

引用次数: 0

Adrenal myelolipoma with severe hemorrhage: a case report. 肾上腺骨髓瘤合并大出血1例。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-22 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag807

Taylor Messick-Ngo, Jasmine Kazemi Gwizdala, Manika Paul, Ahmed Mahmoud, Gustavo Lara

引用次数: 0

Sigmoid pneumatosis cystoides intestinalis secondary to chronic digestive hyperpressure on post-ulcer duodenal bulb stenosis, decompensated following recent endoscopic insufflation. 溃疡后十二指肠球囊狭窄继发于慢性消化高压的乙状结肠型肠囊性肺肿，近期内镜下充血后失代偿。

IF 0.5

Journal of Surgical Case Reports Pub Date : 2026-09-22 eCollection Date: 2026-09-01 DOI: 10.1093/jscr/rjag847

Yassir Hammouti, Tarik Deflaoui, Mouataz Aabalou, Ahmed Jidou Vadel, Anas Derkaoui, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane

{"title":"Sigmoid pneumatosis cystoides intestinalis secondary to chronic digestive hyperpressure on post-ulcer duodenal bulb stenosis, decompensated following recent endoscopic insufflation.","authors":"Yassir Hammouti, Tarik Deflaoui, Mouataz Aabalou, Ahmed Jidou Vadel, Anas Derkaoui, Abdelali Guellil, Rachid Jabi, Mohammed Bouziane","doi":"10.1093/jscr/rjag847","DOIUrl":"10.1093/jscr/rjag847","url":null,"abstract":"Pneumatosis cystoides intestinalis (PCI) is a rare condition characterised by gas-filled cysts within the intestinal wall. Distal colonic PCI secondary to proximal duodenal stenosis is exceptionally uncommon. We report a 65-year-old chronic smoker with prior surgery for perforated duodenal ulcer presenting with acute abdominal pain and minimal rectal bleeding. Computed tomography (CT) showed massive pneumoperitoneum suggestive of gastrointestinal perforation, but clinical and laboratory findings were reassuring. Exploratory laparotomy revealed no perforation but identified an unrecognized post-ulcer duodenal bulb stenosis associated with extensive sigmoid PCI. The condition was linked to air insufflation during sigmoidoscopy. Intraoperative insufflation demonstrated gas passage from stomach to sigmoid colon without leakage, supporting a pressure-mediated mechanism. Segmental sigmoid resection was performed, and histopathology confirmed benign secondary PCI. This case highlights a rare aetiology and iatrogenic trigger. The discordance between imaging severity and clinical findings should suggest PCI and may avoid unnecessary surgery. CO₂ insufflation is recommended in obstructive settings.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 9","pages":"rjag847"},"PeriodicalIF":0.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026292","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