International Journal of Surgery Case Reports最新文献

{"title":"A case of a resected mediastinal thymoma with spontaneous regression","authors":"Takahiko Hazemoto,&nbsp;Ryusei Yamada,&nbsp;Mayu Inomata,&nbsp;Ryo Maeda","doi":"10.1016/j.ijscr.2025.112000","DOIUrl":"10.1016/j.ijscr.2025.112000","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>We report a case of a resected thymoma with preoperative spontaneous regression in a 76-year-old woman. Only 13 cases of spontaneous regression of thymomas have been reported in the English literature, including this one.</div></div><div><h3>Case presentation</h3><div>During a regular checkup, chest radiography revealed an abnormal shadow in the right hilum of an asymptomatic 76-year-old woman. Chest computed tomography (CT) revealed a 41 × 32 mm anterior mediastinal tumor. Six months later, she presented with sudden anterior chest pain. Chest CT revealed that the tumor had grown slightly to 43 × 42 mm. Chest CT performed one day preoperatively revealed that the tumor had rapidly shrunk in one month (to 26 × 23 mm) and contained areas of necrosis. Surgical resection was performed to obtain a definitive diagnosis. The postoperative diagnosis was a type AB thymoma, classified as pathological stage I (Masaoka's classification) with intratumoral necrosis.</div></div><div><h3>Clinical discussion</h3><div>The spontaneous regression in the present case might have been related to the necrosis observed in the tumor. We postulate that vascular occlusion due to minute thromboembolism resulted in tumor necrosis. This might have caused inflammation around the tumor, thereby causing the patient's chest pain.</div></div><div><h3>Conclusion</h3><div>Thymomas should be included in the differential diagnosis of mediastinal tumors with necrosis that spontaneously regress, and surgical resection is required despite such regression.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 112000"},"PeriodicalIF":0.7,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unusual presentation of primary hyperparathyroidism in a young adult: Multimodal diagnosis and surgical resolution","authors":"Iyzzul Milady ,&nbsp;Jongky Hendro Prajitno ,&nbsp;Lukita Pradhevi ,&nbsp;Muhammad Ryan Agani ,&nbsp;Taufik Burhan ,&nbsp;Gede Bangun Sudrajad","doi":"10.1016/j.ijscr.2025.112001","DOIUrl":"10.1016/j.ijscr.2025.112001","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary hyperparathyroidism (PHPT) is an uncommon endocrine disorder in young adults and is frequently underdiagnosed in resource-limited settings due to the lack of routine biochemical screening. This report highlights the diagnostic and therapeutic complexities associated with PHPT presenting with advanced skeletal manifestations.</div></div><div><h3>Case presentations</h3><div>A 23-year-old male presented with an atraumatic humeral fracture, significant weight loss, and diffuse musculoskeletal pain. Laboratory investigations revealed markedly elevated serum intact parathyroid hormone (iPTH) levels (740 pg/mL). Multimodal imaging—including cervical ultrasonography, technetium-99 m sestamibi scintigraphy, and whole-body bone scintigraphy—identified a parathyroid adenoma and extensive skeletal involvement. Histopathological analysis confirmed the presence of a parathyroid adenoma and associated brown tumor. The patient underwent successful parathyroidectomy and orthopedic stabilization, followed by structured postoperative monitoring. Clinical symptoms resolved rapidly, and biochemical remission was achieved, with iPTH levels normalizing to 14.2 pg/mL.</div></div><div><h3>Discussion</h3><div>This case underscores the importance of considering PHPT in the differential diagnosis of unexplained skeletal symptoms in young adults. Despite the constraints of a resource-limited healthcare environment, a multidisciplinary approach facilitated accurate diagnosis and effective management. The presence of brown tumors and pathological fractures reflects the severity of delayed recognition and highlights the need for improved diagnostic infrastructure.</div></div><div><h3>Conclusion</h3><div>Timely identification and coordinated care are critical to optimizing outcomes in PHPT, particularly in low-resource settings. Enhanced clinical awareness and context-sensitive diagnostic strategies are essential to reduce morbidity and facilitate recovery.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 112001"},"PeriodicalIF":0.7,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A unique pediatric thoracic fibrosarcoma: Case report and successful therapeutic strategy","authors":"Khaled Alomar ,&nbsp;Kamar Shaker ,&nbsp;Nidal Alkhani","doi":"10.1016/j.ijscr.2025.111999","DOIUrl":"10.1016/j.ijscr.2025.111999","url":null,"abstract":"<div><h3>Introduction and significance</h3><div>Congenital Infantile Fibrosarcoma (CIFS) is an exceptionally rare pediatric malignancy, representing approximately 10 % of all soft tissue cancers in young children. Its clinical manifestations vary according to tumor location. When tumors occur in unusual anatomical sites, symptoms may be misleading and delay proper diagnosis and treatment.</div></div><div><h3>Case presentation</h3><div>We report an 11-month-old male with a month-long persistent dry cough and high fever unresponsive to antibiotics. Chest CT revealed a pleural mass with mild effusion. Thoracotomy achieved complete excision (R0). Histopathology showed low-grade fibrosarcoma; immunohistochemistry was positive for Vimentin and SMA, focally CD34, and negative for S100, Desmin, and Myogenin, with low Ki-67 (&lt;3 %). ETV6-NTRK3 fusion testing was unavailable. The patient received six cycles of adjuvant VAC chemotherapy and tolerated treatment well, with only mild transient neutropenia.</div></div><div><h3>Clinical discussion</h3><div>Diagnosis depends on histopathological and immunohistochemical analysis, as CIFS mimics several other soft tissue sarcomas. Our review of medical literature found no prior cases of CIFS originating in the pleura, underlining the uniqueness of this case. Management followed a standard multidisciplinary approach consisting of complete surgical excision and adjuvant chemotherapy (VAC protocol). At 12-month follow-up, the patient remained recurrence-free.</div></div><div><h3>Conclusion</h3><div>Persistent pneumonia-like symptoms unresponsive to standard treatment in infants should prompt consideration of underlying malignancy. Early recognition and prompt management are essential for improving outcomes in such rare presentations.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111999"},"PeriodicalIF":0.7,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occult MALT lymphoma masquerading as benign cysts in Sjögren's syndrome: A case report of diagnostic dilemma.","authors":"Ahmad Alkheder, Adel Azar, Ahmad Mustafa","doi":"10.1016/j.ijscr.2025.111939","DOIUrl":"10.1016/j.ijscr.2025.111939","url":null,"abstract":"<p><strong>Introduction: </strong>Sjögren's syndrome (SS) significantly elevates the risk of salivary gland lymphoma, primarily mucosa-associated lymphoid tissue (MALT) type, arising within chronic lymphoepithelial sialadenitis (LESA). Benign lymphoepithelial cysts (BLECs), common in SS, can radiologically mimic malignancy, posing diagnostic challenges when occult lymphoma develops.</p><p><strong>Case presentation: </strong>A 53-year-old woman with established SS developed progressive bilateral parotid enlargement over years. Initial ultrasonography and CT imaging revealed bilateral septated cysts, ductal calculi, and heterogeneous gland architecture, interpreted as benign inflammatory disease or sialolithiasis. Subtotal parotidectomy performed for cosmetic concerns on the larger side yielded histopathology confirming MALT lymphoma arising within LESA and BLECs.</p><p><strong>Discussion: </strong>This case underscores the diagnostic dilemma of cystic parotid lesions in SS, where benign-appearing BLECs can harbor or be adjacent to occult MALT lymphoma. The malignant transformation highlights the inherent risk within chronic LESA. Imaging features of BLECs and cystic lymphoma often overlap; key discriminators like restricted diffusion on MRI warrant attention. Fine-needle aspiration has limitations, necessitating histopathological evaluation of tissue for definitive diagnosis, especially with persistent gland enlargement.</p><p><strong>Conclusion: </strong>Persistent or progressive parotid enlargement in SS, even with cystic features suggestive of benign disease, necessitates a high index of suspicion for occult lymphoma. Histopathological verification remains paramount for accurate diagnosis and timely intervention, emphasizing the critical need for integrated clinical, radiological, and pathological assessment in these high-risk patients.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111939"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081842","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":"Recurrent intussusception caused by giant ileal gastric heterotopia in a patient with ileocecectomy: A rare case report and literature review","authors":"Foolad Eghbali ,&nbsp;Mohammadsadra Shamohammadi ,&nbsp;Asghar Arabhosseini ,&nbsp;Parisa Pooyan ,&nbsp;Nassir Mohseni jam ,&nbsp;Mohammadreza Javaherian","doi":"10.1016/j.ijscr.2025.112006","DOIUrl":"10.1016/j.ijscr.2025.112006","url":null,"abstract":"<div><h3>Introduction</h3><div>Adult intussusception is rare, accounting for approximately 5 % of all intussusceptions and 1–5 % of bowel obstructions in adults. Gastric heterotopia of the small intestine is an uncommon lead point. This case underscores the need to consider gastric heterotopia in recurrent presentations. Recognizing this entity can facilitate prompt diagnosis, guide selection between selective reduction and en bloc resection, and expedite definitive management.</div></div><div><h3>Presentation of case</h3><div>A 31-year-old woman with prior ileocecectomy for intussusception presented with worsening colicky right lower-quadrant pain. CT and colonoscopy showed ileo-ileal intussusception. Controlled pneumatic reduction revealed a polypoid ileal mass; biopsies indicated gastric heterotopia. She underwent laparoscopic segmental ileal resection (10 cm) with side-to-side extracorporeal anastomosis. Histology confirmed polypoid gastric heterotopia with clear margins. Recovery was uneventful with complete symptom resolution.</div></div><div><h3>Discussion</h3><div>Adult intussusception is uncommon and typically arises from a pathologic lead point. Ileal gastric heterotopia is a rare benign cause with potential for recurrence. Cross-sectional imaging, often complemented by endoscopy, helps characterize the lesion and assess for ischemia. When findings indicate a benign intraluminal process without ischemia or suspected malignancy, selective reduction can aid localization and facilitate a limited, minimally invasive resection; when malignancy is suspected, en bloc resection without reduction is preferred. Definitive management is segmental resection with histopathologic confirmation.</div></div><div><h3>Conclusion</h3><div>Ileal gastric heterotopia is an exceptionally rare cause of recurrent adult intussusception, including after prior bowel resection. Surgical resection remains definitive and yields favorable outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 112006"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distal tibial nail for complex nonunion of open distal tibial fracture with diabetes and prior pin-site infection: A case report.","authors":"Wei Wu, Hai Yang, Junqiu Wang, Wei Wang, Lu Yin, Lei Zhang","doi":"10.1016/j.ijscr.2025.111916","DOIUrl":"10.1016/j.ijscr.2025.111916","url":null,"abstract":"<p><strong>Introduction: </strong>This study reports the successful application of distal tibial nail (DTN) for managing complex nonunions in open distal tibial fractures in patients with diabetes and a history of pin-site infection.</p><p><strong>Presentation of case: </strong>A 55-year-old diabetic female presented with an open left tibia-fibula fracture (Gustilo-Anderson Type IIIA) sustained in a car accident. She initially underwent debridement, suturing, and external fixation at a referring hospital. Postoperatively, the external fixation pin sites showed erythema, swelling, and discharge. Radiographs and CT scans revealed a tibial nonunion. Ten months post-injury, the tibial nonunion was successfully treated using the DTN, a novel technique. The distal tibia fracture achieved complete union postoperatively, allowing the patient to resume full weight-bearing and recreational activities such as running and jumping.</p><p><strong>Discussion: </strong>To our knowledge, this is the first case report presenting the successful application of the DTN to treat nonunion following a Gustilo type IIIA open distal tibial fracture with prior pin-site infection and diabetes mellitus CONCLUSION: In this case, the DTN was effective in treating distal tibial nonunion, achieving satisfactory radiographic and functional outcomes. These findings suggest that DTN offers distinct advantages for the management of distal tibial nonunion, providing a valuable reference for clinical practice.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111916"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral neglected facial invasive squamous cell carcinoma in an 89-year-old man, complete excision and primary reconstruction by cervicofacial flap, case report and review of current reconstruction approaches.","authors":"Amin Rezazadeh, Ali Samady Khanghah, Sonia Sharifi Namin","doi":"10.1016/j.ijscr.2025.111873","DOIUrl":"10.1016/j.ijscr.2025.111873","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Non-melanoma skin neoplasms generally account for more than 80 % of occur in people in their 7th decade of life or higher, and increasing prevalence has made them a global concern. Squamous cell carcinoma (SCC) is the first step of the group of neoplasms mentioned above. An appearance of typical cutaneous squamous cell carcinoma (CSCC) is a non-healing, usually progressively enlarging erythematous papule, plaque, or ulcer. For cosmetic reasons, the surgeon should excise such lesions and then schedule second or third operations for flap-mediated reconstructions.</p><p><strong>Case presentation: </strong>After reporting a novel case of bilateral neglected facial invasive SCC affecting the parotid region in an 89-year-old man whose treatment with a semi-therapeutic palliative approach, we have conducted a review of facial CSCC from the aspects of epidemiology, staging, and therapeutic management.</p><p><strong>Clinical discussion: </strong>Despite mucosal SCC, cutaneous ones rarely metastasized, varying from 0.5 to 10 %. Subdividing primary cutaneous SCC into low and high-risk types has been of interest over the last decade since they behave differently regarding regional metastasis, resulting in prognosis differences. Most cutaneous SCC includes previously untreated small (less than 2 cm), thin (less than 2 mm), and well-differentiated cases.</p><p><strong>Conclusions: </strong>The surgeons should weigh against the outcome of their approach. For instance, in the case of older people and the risk of multiple general anesthesia, a palliative approach can be considered.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111873"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Auto-abdominoplasty: A unique case of self-surgery and its implications.","authors":"Hazem M Ali, Ahmad N Mohammad, Mohammed H Mohammed, Radwan Al-Kattan, Tarek Houssien, Doha Hajjah","doi":"10.1016/j.ijscr.2025.111932","DOIUrl":"10.1016/j.ijscr.2025.111932","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Self-surgery is an extreme deviation from standard medical practice. The motivations, technical challenges, and psychological implications of such an act present a unique medical and ethical dilemma.</p><p><strong>Presentation of case: </strong>We present the case of a 40-year-old plastic surgeon who suffered from abdominal sagging and previous heart problems. Due to his previous medical history, several of his colleagues refused to perform an abdominoplasty on him, despite the anesthesiologists agreeing to safety perform the surgery under epidural anesthesia, which prompted him to perform the surgery himself.</p><p><strong>Clinical discussion: </strong>This surgery differs from other self-surgeries reported in the medical literature in terms of the purposes of which it was performed. It represented the surgeon's desire to perform this cosmetic surgery safely on a specific category of patients.</p><p><strong>Conclusion: </strong>Patients with a significant medical history shouldn't be deprived of the opportunity to undergo cosmetic surgery, as this can be performed in accordance with an anesthetic consultation.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111932"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gallstone ileus presenting as intestinal obstruction in the elderly: Two case reports and literature review.","authors":"Hazem Alouani, Mohamed Mahdi Trabelsi, Salsabil Nasri, Amine Ben Safta, Hichem Jerraya, Ramzi Nouira","doi":"10.1016/j.ijscr.2025.111924","DOIUrl":"10.1016/j.ijscr.2025.111924","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Gallstone ileus is a rare and potentially life-threatening complication of chronic cholecystitis in the elderly. It results from the passage of a large gallstone through a bilio-digestive fistula into the gastrointestinal tract, causing mechanical obstruction. Early diagnosis and surgical intervention are crucial to reducing associated morbidity and mortality.</p><p><strong>Case presentation: </strong>We report two cases of gallstone ileus. Case 1: A 76-year-old man presented with vomiting, abdominal pain, and bowel obstruction. CT scan revealed pneumobilia and an obstructing gallstone in the distal ileum. A 3 cm stone was extracted via enterotomy, and a loop ileostomy was performed due to poor bowel viability. Case 2: A 65-year-old hypertensive woman presented with acute intestinal obstruction and hypovolemic shock. CT imaging showed a gallstone in the distal ileum. Enterolithotomy was performed initially, and a second surgery three months later included cholecystectomy and fistula repair.</p><p><strong>Clinical discussion: </strong>Gallstone ileus accounts for 1-4 % of intestinal obstructions, more common in the elderly. Rigler's triad is diagnostic but only seen in one-third of patients. CT imaging is the gold standard. Treatment typically involves enterolithotomy, with cholecystectomy and fistula repair deferred in high-risk patients.</p><p><strong>Conclusion: </strong>Gallstone ileus should be suspected in elderly patients with signs of obstruction and pneumobilia. CT imaging is essential for diagnosis. Individualized surgical strategies optimize outcomes.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111924"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081856","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":"Full-endoscopic anterior odontoid screw fixation: A case report and literature review in Viet Nam.","authors":"Du Gia Hoang, Trung Van Nguyen, Hoang Duc Nguyen, Phuoc Xuan Vu, Tan Dang Le, Duc Minh Trinh","doi":"10.1016/j.ijscr.2025.111882","DOIUrl":"10.1016/j.ijscr.2025.111882","url":null,"abstract":"<p><strong>Introduction: </strong>Type II odontoid fractures of C2 have a high risk of nonunion if treated conservatively. Direct screwing of the odontoid helps preserve the motor function of the C1-C2 joint, but traditional open surgery presents challenges in observing the entry point and carries significant risks. In this context, a novel approach of endoscopic surgery emerges as a potentially optimal choice. Notably, in Vietnam, there have been no prior reports of endoscopic direct odontoid screw fixation for type II odontoid fractures, which makes this case report particularly relevant to the medical community.</p><p><strong>Case presentation: </strong>We report the case of a 25-year-old man admitted to our hospital following a motorbike accident. The patient was admitted in a conscious state, presenting with neck pain, but no specific focal neurological deficits. Computed tomography revealed a type II odontoid fracture. The patient subsequently underwent endoscopic direct odontoid screw fixation. The patient recovered well post-surgery, with no complications observed.</p><p><strong>Clinical discussion: </strong>This case report demonstrates the feasibility and advantages of endoscopic direct odontoid screw fixation for acute type II odontoid fractures. This technique offers excellent visualization and reduces soft tissue damage.</p><p><strong>Conclusion: </strong>The results of this report contribute to affirming the potential of endoscopic surgery as a valuable approach to improving the quality of cervical spine trauma treatment in Vietnam.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111882"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082173","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}