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

Beyond the ordinary: laparoscopic management of a rare inguinal hernia with bladder involvement. 罕见腹股沟疝累及膀胱的腹腔镜治疗。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-07 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf284

Rubén Daniel Pérez López, Juan Sánchez Lora, Ángel Ávila Rosales, Emmanuel Garcia Romero, Luis Rubén Sosa Flores

{"title":"Beyond the ordinary: laparoscopic management of a rare inguinal hernia with bladder involvement.","authors":"Rubén Daniel Pérez López, Juan Sánchez Lora, Ángel Ávila Rosales, Emmanuel Garcia Romero, Luis Rubén Sosa Flores","doi":"10.1093/jscr/rjaf284","DOIUrl":"https://doi.org/10.1093/jscr/rjaf284","url":null,"abstract":"Inguinal hernias are common in surgical practice, with a small percentage involving bladder herniation. These inguinoscrotal bladder hernias, though rare, present significant diagnostic and treatment challenges. This case report details the diagnosis, treatment, and postoperative management of a 63-year-old male with benign prostatic hyperplasia, presenting with an inguinal hernia involving the bladder. Diagnosis was confirmed with physical examination and computed tomography scans, showing bladder herniation into the inguinal canal. Surgery involved laparoscopic inguinal hernia repair using a transabdominal preperitoneal approach. The surgery was successful with no complications and the patient was discharged 48 hours later. A three-month follow-up showed no recurrence or urinary complications. This case emphasizes the importance of considering inguinoscrotal bladder hernias in patients with inguinal bulges and urinary symptoms. Early diagnosis, supported by imaging and awareness, followed by laparoscopic repair, is essential for favorable outcomes in these rare cases.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf284"},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015759","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

Posterior tibial artery pseudoaneurysm: a rare complication following orthopedic surgery-a case report. 胫骨后动脉假性动脉瘤：骨科手术后罕见并发症一例报告。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-07 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf288

Estelle Bodart

{"title":"Posterior tibial artery pseudoaneurysm: a rare complication following orthopedic surgery-a case report.","authors":"Estelle Bodart","doi":"10.1093/jscr/rjaf288","DOIUrl":"https://doi.org/10.1093/jscr/rjaf288","url":null,"abstract":"Orthopedic procedures, although commonly associated with complications such as joint infections, deep venous thrombosis, or wound infections, rarely result in vascular complications. We present a case of a posterior tibial artery (PTA) pseudoaneurysm following blunt trauma during an elective orthopedic procedure involving the removal of osteosynthesis material. The patient developed leg swelling and intermittent hemorrhage between 1 and 3 weeks postoperatively. Doppler ultrasonography and contrast-enhanced computed tomography (CT) angiography confirmed the presence of a PTA pseudoaneurysm. The patient subsequently underwent open surgical repair in our secondary center, which involved exclusion of the pseudoaneurysm at the proximal PTA and patch angioplasty using an autologous venous graft. This case highlights the critical role of non-invasive diagnostic modalities, such as Doppler ultrasonography and contrast-enhanced CT with 3D reconstruction, in diagnosing vascular complications following orthopedic procedures. The patient remained asymptomatic during both the 3-week and 3-month follow-up periods.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf288"},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040602","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

Extraction of guide wire breakage from pedicle channel during percutaneous endoscopic posterior lumbar interbody fusion: a case report. 经皮内镜下腰椎后椎体间融合术中椎弓根通道导丝断裂拔出1例。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-07 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf278

Cheng Li, Yangyang Guo

引用次数: 0

Biceps breakdown: a case of spontaneous necrotizing myositis. 二头肌破裂：自发性坏死性肌炎1例。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-07 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf287

Jai Pantling, Theodore Howard, Fionnuala O'Leary

引用次数: 0

Type IV appendiceal intussusception with mucocele and acute appendicitis: a rare case and diagnostic challenge. IV型阑尾肠套叠伴黏液囊肿及急性阑尾炎：罕见病例及诊断挑战。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-07 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf282

Hamza Abdulkarim Nasif, Omar H Salloum, Sundus Imran Al-Atrash, Taha Z Makhlouf, Orwa Al-Fallah, Rafiq Salhab

{"title":"Type IV appendiceal intussusception with mucocele and acute appendicitis: a rare case and diagnostic challenge.","authors":"Hamza Abdulkarim Nasif, Omar H Salloum, Sundus Imran Al-Atrash, Taha Z Makhlouf, Orwa Al-Fallah, Rafiq Salhab","doi":"10.1093/jscr/rjaf282","DOIUrl":"https://doi.org/10.1093/jscr/rjaf282","url":null,"abstract":"Appendiceal intussusception is an exceedingly rare condition where a segment of the appendix invaginates into itself or the cecum. We present a case of a 22-year-old female without significant medical history who presented to the emergency room with acute abdominal pain, nausea, vomiting, and fever for 7 hours. Clinical examination revealed diffuse abdominal tenderness and guarding, with stable vitals. Laboratory results showed leukocytosis and elevated C-reactive protein. Abdominal ultrasound and a limited non-contrast computed tomography scan, suggested ileocecal intussusception, but the appendix was not visualized, indicating it as the leading point. Intraoperatively, an inflamed appendix with mucocele and a Type IV intussusception, where the appendix telescoped into itself and the cecum, was found. Manual reduction, appendectomy, and partial cecectomy were performed. Histopathology confirmed severe appendiceal inflammation but no malignancy. This case highlights the diagnostic challenges and rarity of Type IV appendiceal intussusception, emphasizing the importance of surgical exploration in complex presentations.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf282"},"PeriodicalIF":0.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030451","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

Posterior C1-C2 fixation for atlantoaxial instability due to a dysplastic C1 arch, complicated by an accidental vertebral artery injury managed with intravascular intervention and salvage contralateral unilateral fusion. 后路C1- c2固定治疗因C1弓发育不良导致的寰枢椎不稳定，并发意外椎动脉损伤，采用血管内介入治疗和对侧单侧抢救融合。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-05 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf267

Armand Dominik Škapin, Peter Brumat, Juš Kšela, Miha Vodičar

{"title":"Posterior C1-C2 fixation for atlantoaxial instability due to a dysplastic C1 arch, complicated by an accidental vertebral artery injury managed with intravascular intervention and salvage contralateral unilateral fusion.","authors":"Armand Dominik Škapin, Peter Brumat, Juš Kšela, Miha Vodičar","doi":"10.1093/jscr/rjaf267","DOIUrl":"https://doi.org/10.1093/jscr/rjaf267","url":null,"abstract":"Posterior fixation with fusion is recommended in symptomatic congenital anomalies of the upper cervical spine. Altered vertebral anatomy in such cases increases the likelihood of intraoperative complications, where injury to the vertebral artery (VA) may result in cerebellar and dorsolateral medulla oblongata ischemia. Prompt and appropriate intervention is paramount if complications arise. We present a patient with a dysplastic C1 arch, leading to atlantodental arthrosis and anterior C1 subluxation with resultant compressive myelopathy of the spinal cord. During elective surgery, a VA injury occurred, which was managed with intravascular intervention and salvage contralateral posterior unilateral C1-C2 fusion. Postoperatively, the patient developed partial Wallenberg syndrome. Imaging revealed two ischemic changes in the cerebellar hemisphere. One year after surgery, the patient showed substantial improvement following comprehensive rehabilitation, able to ambulate without support and maintain a significant level of independence in everyday activities.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf267"},"PeriodicalIF":0.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051069","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

Atypical presentation of renal cell carcinoma with lactic acidosis: case report and literature review. 肾细胞癌合并乳酸酸中毒的不典型表现：1例报告及文献复习。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-05 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf290

Henry Alocha, Islam Rajab, Noman Khalid, Ibraheem Sabah, Abdelfattah M Dahmas, Rawda Mahajna

{"title":"Atypical presentation of renal cell carcinoma with lactic acidosis: case report and literature review.","authors":"Henry Alocha, Islam Rajab, Noman Khalid, Ibraheem Sabah, Abdelfattah M Dahmas, Rawda Mahajna","doi":"10.1093/jscr/rjaf290","DOIUrl":"https://doi.org/10.1093/jscr/rjaf290","url":null,"abstract":"Renal cell carcinoma is often difficult to diagnose early due to its nonspecific clinical presentation, which extends beyond the classic triad of flank pain, hematuria, and a flank mass. Recognizing alternative indicators, such as microscopic hematuria and lactic acidosis, can aid in early detection. A 77-year-old male with diabetes, varicose veins, and tobacco use presented with weakness, nausea, dyspnea, and poor appetite. He exhibited somnolence, confusion, transaminitis, elevated alkaline phosphatase, and severe lactic acidosis. Urinalysis revealed microscopic hematuria. Imaging showed bilateral pleural effusions and a right hepatic lesion. A computed tomography scan identified a large renal mass invading the renal vein, inferior vena cava, and right atrium. The patient developed deep vein thromboses and underwent radical nephrectomy, but succumbed postoperatively. This case highlights renal cell carcinoma's potential for atypical presentations, emphasizing the importance of early recognition and comprehensive diagnostic approaches to improve outcomes.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf290"},"PeriodicalIF":0.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054063","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

Missed uterine rupture after vaginal delivery: a rare case of delayed diagnosis leading to sepsis and intra-abdominal abscess. 阴道分娩后子宫破裂漏诊：一个罕见的病例延误诊断导致败血症和腹腔脓肿。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-05 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf291

Mutasem Iqnaibi, Lana Sweity, Yomna Hroub, Bayan Saya'ra, Alaa R Al-Ihribat

引用次数: 0

Achieving opioid-free anaesthesia for laparoscopic cholecystectomy using the external oblique intercostal block-a case series of three cases. 应用外斜肋间阻滞在腹腔镜胆囊切除术中实现无阿片类药物麻醉-三例病例系列。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-04 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjaf271

Chi Ho Chan, Jia Yin Lim, Baldwin Po Man Yeung, Chi Wai Chan

{"title":"Achieving opioid-free anaesthesia for laparoscopic cholecystectomy using the external oblique intercostal block-a case series of three cases.","authors":"Chi Ho Chan, Jia Yin Lim, Baldwin Po Man Yeung, Chi Wai Chan","doi":"10.1093/jscr/rjaf271","DOIUrl":"https://doi.org/10.1093/jscr/rjaf271","url":null,"abstract":"Laparoscopic cholecystectomy is associated with significant postoperative pain. The external oblique intercostal (EOI) block is a recently described superficial block that can be performed in the supine position and provides effective pain relief for upper abdominal surgeries. This case series aim to describe the use of the EOI block in providing analgesia following laparoscopic cholecystectomy. We reported three female patients, aged 62 to 71 years, who underwent laparoscopic cholecystectomy under general anaesthesia with an EOI block. None of the patients required opioids for intraoperative analgesia beyond induction. Postoperatively, all three patients reported only mild-to-moderate pain localized to the umbilical port site. Postoperative opioid consumption was minimal. No adverse effects or block-related complications were observed. The EOI block demonstrated promising efficacy in providing analgesia for laparoscopic cholecystectomy. Further studies are warranted to determine the effectiveness of the EOI block for a wider range of laparoscopic upper abdominal surgeries.","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2025 5","pages":"rjaf271"},"PeriodicalIF":0.4,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051036","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

An unexpected cause of abdominal pain: a case report of a toothpick in the liver successfully treated with gastroendoscopy. 腹部疼痛的意外原因：一个病例报告在肝脏牙签成功治疗胃镜检查。

IF 0.4

Journal of Surgical Case Reports Pub Date : 2025-05-04 eCollection Date: 2025-05-01 DOI: 10.1093/jscr/rjae851

Bakr F Alawna, Ahmad Nouri, Bahaa Arafat, Islam Rajab, Qusay Abdoh

引用次数: 0