International Journal of Surgery Case Reports最新文献

{"title":"Endoscope-assisted Transoral resection of an elongated fractured styloid process in Eagle syndrome: A case report","authors":"Fares Abdullrahman ,&nbsp;Majed Al-Ajami ,&nbsp;Firas Abdullrahman ,&nbsp;Jafar Hamdy ,&nbsp;Maher Al-Ajami","doi":"10.1016/j.ijscr.2025.111270","DOIUrl":"10.1016/j.ijscr.2025.111270","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Eagle's syndrome is a rare condition associated with the elongation of the styloid process or calcification of the stylohyoid ligament; it is clinically characterized by unexplained referred pain that radiates into the mandible, ear, and throat, often misdiagnosed as various cervicocraniofacial disorders.</div></div><div><h3>Case presentation</h3><div>A 38-year-old male presented with severe, unexplained neuralgic pain that persisted for about two months. The pain worsened with patient neck movements, and some relief was achieved only through lidocaine injections in the tonsillar bed. After multiple consultations with various specialists, investigations focused on a left elongated, non-displaced fracture of the styloid process, accompanied by calcification of the stylohyoid ligament, suggesting Eagle syndrome. The patient's symptoms significantly improved after surgery, with no recurrence of pain during the subsequent follow-up period.</div></div><div><h3>Clinical discussion</h3><div>Eagle syndrome is a rare condition that has no clear cause or specific treatment method and includes a group of nonspecific clinical symptoms.</div></div><div><h3>Conclusion</h3><div>It is important that this condition be diagnosed well and managed professionally, as it includes and encompasses important anatomical structures.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111270"},"PeriodicalIF":0.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817530","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":"Commentary on “Incidental diagnosis of a urachal stone in an asymptomatic patient: A rare case report” by Mirzaei et al., 2025","authors":"Salehoddin Bouya ,&nbsp;Vahideh Poyesh ,&nbsp;Elahe Akvan","doi":"10.1016/j.ijscr.2025.111282","DOIUrl":"10.1016/j.ijscr.2025.111282","url":null,"abstract":"","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111282"},"PeriodicalIF":0.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816912","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":"Laparoscopic cholecystectomy for a gallstone within an intrahepatic gallbladder: A case report in Abidjan","authors":"Auguste Alexandre Adon ,&nbsp;Marius Kouidé Goho ,&nbsp;Kouassi Henry Noel Ahue ,&nbsp;Gustave Aboua ,&nbsp;Ngolo Adama Coulibaly ,&nbsp;Kunka Jocelyne Kpan","doi":"10.1016/j.ijscr.2025.111274","DOIUrl":"10.1016/j.ijscr.2025.111274","url":null,"abstract":"<div><h3>Introduction</h3><div>The intrahepatic location of the gallbladder is one of the most common ectopic locations of the gallbladder. An intrahepatic gallbladder often exhibits impaired function, which may lead to stasis and gallstone formation. Given the surgical complexities associated with this ectopic location, the traditional open approach is usually employed.</div></div><div><h3>Case report</h3><div>The authors report the case of a 52-year-old female patient who consulted for pain in the right hypochondrium. Physical examination revealed only right upper quadrant pain on palpation. Abdominal ultrasound revealed gallbladder lithiasis without indicating the presence of an anatomical anomaly. A laparoscopic cholecystectomy was performed in the “French position” with 4 trocars. During surgery, we discovered an intrahepatic gallbladder. Subserosal dissection of the gallbladder was done without having to perform a hepatotomy. The patient was discharged on postoperative day 2 without any complications.</div></div><div><h3>Discussion</h3><div>Intra hepatic location of gallbladder is rare and can be detected by ultrasound or CT scan but in our study, it has not been detected by ultrasound before operation. Laparoscopic approach for a gallstone within ectopic gallbladder is rarely described in literature because cholecystectomy by conventional route is preferred when this anomaly is known and mostly when gallbladder is completely embedded within the liver.</div></div><div><h3>Conclusion</h3><div>Laparoscopic cholecystectomy remains the gold standard for a partial intrahepatic gallbladder.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111274"},"PeriodicalIF":0.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821169","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":"Embolization of bilateral cavernous sinus dural arteriovenous fistulas via the ascending pharyngeal artery using the “pressure cooker” technique: A case report","authors":"Jinlu Yu","doi":"10.1016/j.ijscr.2025.111272","DOIUrl":"10.1016/j.ijscr.2025.111272","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Bilateral cavernous sinus (CS) dural arteriovenous fistulas (DAVFs) are uncommon, and transarterial embolization (TAE) via the pharyngeal trunk of the ascending pharyngeal artery (AphA) has rarely been reported.</div></div><div><h3>Patient presentation</h3><div>A 59-year-old female presented with a 1-month history of mild headache. On physical examination, no positive signs were found. Digital subtraction angiography revealed bilateral CS DAVFs. TAE via the pharyngeal trunk of the AphA using the “pressure cooker” technique was performed. After the distal pharyngeal trunk was catheterized with a Marathon microcatheter, the pharyngeal trunk was coiled, and the “pressure cooker” effect was established. The Onyx-18 liquid embolic system was administered, effectively obliterating most of the bilateral CS DAVFs. A small residual left fistula was embolized via the middle meningeal artery (MMA) and accessory meningeal artery (AMA). Postoperatively, the patient suffered an asymptomatic infarction of the head of the caudate nucleus due to Onyx migration into the intracranial artery and minor paralysis of the left side of the face due to injury to the cranial nerve branches of the MMA and AMA. One month later, the patient appeared to have recovered well.</div></div><div><h3>Clinical discussion</h3><div>For bilateral CS DAVFs, TAE via the pharyngeal trunk of the AphA may be selected when the transvenous route is occluded and when the AphA route is easily accessible. The “pressure cooker” technique was helpful.</div></div><div><h3>Conclusion</h3><div>In select cases, bilateral CS DAVFs can be embolized via the pharyngeal branch of the AphA. However, possible stroke from dangerous anastomoses must be considered.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111272"},"PeriodicalIF":0.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808161","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":"Management of an omphalocele with ileal perforation: A case report","authors":"Surya Raj Nishad,&nbsp;Aashutosh Jha,&nbsp;Sushil Mishra,&nbsp;Sujan Shrestha,&nbsp;Binod Bade Shrestha,&nbsp;Pradeep Ghimire","doi":"10.1016/j.ijscr.2025.111267","DOIUrl":"10.1016/j.ijscr.2025.111267","url":null,"abstract":"<div><h3>Introduction</h3><div>Omphalocele is a congenital midline abdominal defect characterized by the herniation of abdominal organs through the umbilical ring, enclosed within a membranous sac. It is associated with significant morbidity and rare complications such as bowel perforation, which pose unique management challenges.</div></div><div><h3>Presentation of the case</h3><div>A male baby was delivered vaginally at 33 + 5 weeks of gestation to a healthy mother with unremarkable initial findings. At 13 h of life, the mother noticed discharge from the umbilical region, prompting referral to our center. Examination and investigations revealed an omphalocele with ileal perforation. The sac was then excised, ileal perforation repaired and the abdominal defect was closed. Postoperatively the neonate was managed in NICU. The baby was discharged on POD 8 in stable conditions.</div></div><div><h3>Discussion</h3><div>Bowel perforation is a rare but life-threatening complication of omphalocele. Delayed diagnosis or improper handling, such as clamping over the sac, may lead to vascular compromise and even bowel perforation.</div></div><div><h3>Conclusion</h3><div>Omphalocele-associated ileal perforation is a rare condition requiring immediate surgical management and postoperative care. Early intervention and meticulous monitoring are pivotal in ensuring survival and recovery.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111267"},"PeriodicalIF":0.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799365","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":"A case report of successful treatment of giant internal Iiliac artery aneurysm with endovascular stent graft placement","authors":"Javad Salimi,&nbsp;Amir Mangouri,&nbsp;Saeed Soltani,&nbsp;Amir Shokri","doi":"10.1016/j.ijscr.2025.111269","DOIUrl":"10.1016/j.ijscr.2025.111269","url":null,"abstract":"<div><h3>Introduction</h3><div>Isolated Internal Iliac artery aneurysms are rare and asymptomatic condition that most of them are diagnosed incidentally. Due to the nonspecific symptoms of IIAAs, their deep anatomical location, and the probability of rupture, they can be fatal. Open surgery is the traditional treatment for IAAs, but open surgery can be technically challenging and Endovascular treatment of aneurysmal arteries may be a useful alternative to open surgery, as it can reduce post-operative mortality and morbidity.</div></div><div><h3>Case presentation and method</h3><div>A 63 years old heavy smoker male presented with an accidentally findings in imaging, such as iliac aneurysm in abdominopelvic U٫S with no symptoms. CTА, showed bilateral CIA aneurysms (L:29 mm, R: 38 mm) and right side internal iliac artery aneurysm (8 cm) with healthy aorta. Due to absence of proper proximal landing zone for aneurysm in common iliac arteries, we decided to coil embolization of internal iliac with EVAR to treat patient. The procedure performed successfully with no Endo leak in completion angiography. Patient discharged 2 days after procedure with no complication. This case was reported in line with the SCARE criteria.</div></div><div><h3>Discussion</h3><div>EVAR techniques usually involve stent graft placement, embolization, or revascularization of the IIA, which may include IIA stent graft implantation, the sandwich technique, and iliac branch devices (IBDs), and the IIA is preserved whenever possible. Because of unilateral coverage of internal iliac and minimal risk of pelvic ischemia, IBD was not required. We treated our case via coil embolization of internal iliac with EVAR.</div></div><div><h3>Conclusion</h3><div>Elective treatment of isolated Internal Iliac artery aneurysms (IIAAs) with EVAR has been shown to be safe and effective.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111269"},"PeriodicalIF":0.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790216","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":"Hyperbaric oxygen therapy in managing fingertip injury after the thenar and VY flap procedure: A case series","authors":"Mendy Hatibie Oley ,&nbsp;Maximillian Christian Oley ,&nbsp;Albertus Djarot Noersasongko ,&nbsp;Yudhaputra Setiadhi ,&nbsp;Vania Sukarno ,&nbsp;Muhammad Faruk","doi":"10.1016/j.ijscr.2025.111265","DOIUrl":"10.1016/j.ijscr.2025.111265","url":null,"abstract":"<div><h3>Introduction</h3><div>Injuries to fingertips are common due to their critical role in tactile sensation and hand function. Management options depend on injury severity and include conservative care, skin grafts, or flaps. The Ishikawa classification system helps guide treatment by categorizing injuries from soft tissue damage (Type I) to more severe bone and tissue loss (Type IV). Hyperbaric oxygen therapy (HBOT) has emerged as a valuable adjunct in enhancing wound healing and graft survival.</div></div><div><h3>Case presentation</h3><div>This report discusses five patients with fingertip injuries (FTI) of varying degrees, ranging from mechanical traumas to accidents involving parasailing and firecrackers. Their injuries were classified as Type II (<em>n</em> = 1), III (<em>n</em> = 2), and Type IV (<em>n</em> = 2) according to the Ishikawa system. Surgical interventions included thenar flaps for radial digit injuries in two patients and V<img>Y advancement flaps with full-thickness skin grafts in the other three. The grafts were harvested from the plantar foot. Following surgery, each patient underwent five HBOT sessions to support healing.</div></div><div><h3>Clinical discussion</h3><div>The study observed that all five patients who underwent HBOT after surgical procedures experienced optimal graft healing. There were no signs of dehiscence, indicating that the grafts were well-integrated and functioning effectively. This outcome is attributed to the positive effects of HBOT on wound healing.</div></div><div><h3>Conclusion</h3><div>HBOT accelerates wound healing, improves graft survival, and helps preserve function and aesthetics, making it an effective addition to surgical treatment. This case series supports further exploring HBOT in treating complex FTI to optimize patient outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111265"},"PeriodicalIF":0.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817531","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 case report of asymptomatic tuberculous pyonephrosis of the left kidney that presented as a polycystic kidney with piece meal nephrectomy","authors":"Suthir Balan Nadar ,&nbsp;A. Farook ,&nbsp;A. Balaji ,&nbsp;R. Karunanithi","doi":"10.1016/j.ijscr.2025.111278","DOIUrl":"10.1016/j.ijscr.2025.111278","url":null,"abstract":"<div><h3>Introduction</h3><div>Tuberculous pyonephrosis accounts for about 15–20 % of extrapulmonary TB. Often small foci that travel to the renal parenchyma get arrested due to cell mediated immunity, but reactive disease may develop later. Caseous lesions may develop in the kidney leading to necrosis in renal parenchyma affecting the functioning of the kidney leading to chronic renal failure.</div></div><div><h3>Importance</h3><div>The study shows a rare case of a polycystic presentation of the kidney in which the patient was asymptomatic with a non-functioning left kidney identified by DTPA Renogram scan and was proceeded with nephrectomy which was done in piece meal manner owing to the severe inflammatory changes in the kidney and renal hilum.</div></div><div><h3>Case presentation</h3><div>A 31-year-old female patient presented with complaints of swelling in the umbilical region for last 2 months with no other genitourinary complaints or fever or contact with any TB cases. On inspection the abdomen was lax with a 2*2 umbilical swelling non tender and reducible, no renal angle fullness.</div></div><div><h3>Clinical discussion</h3><div>Patient presented with above mention complaints and was planned for CT Abdomen in which patient found to have a polycystic kidney of unknown etiology, patient the proceeded with DTPA Renogram scan found to have 7.95 % perfusion in the left kidney. Subsequently planned for nephrectomy which intraoperatively presented as a tuberculous kidney. And proceeded with piece meal nephrectomy.</div></div><div><h3>Conclusion</h3><div>A rare presentation in Tuberculous pyonephrosis that presents as an asymptomatic polycystic kidney is possible.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111278"},"PeriodicalIF":0.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821168","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":"Rare intraparotid gland localization of Kimura's disease: A case report","authors":"Trigui Majdi ,&nbsp;Werda Majd ,&nbsp;Sellami Moncef ,&nbsp;Kharrat Rania ,&nbsp;Charfeddine Ilheme ,&nbsp;Majd Werda","doi":"10.1016/j.ijscr.2025.111280","DOIUrl":"10.1016/j.ijscr.2025.111280","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Kimura's disease, a rare chronic inflammatory disorder of uncertain etiology, predominantly affects Asian males. Its occurrence in non-Asian individuals is uncommon, often leading to diagnostic delays. We present a North African case to underscore its global relevance.</div></div><div><h3>Case presentation</h3><div>A 31-year-old male presented with a 6-year history of a firm, mobile parotid mass. MRI identified a nodular lesion in the superficial parotid lobe. Histopathology confirmed Kimura's disease. The patient underwent exofacial parotidectomy with no recurrence.</div></div><div><h3>Clinical discussion</h3><div>Kimura's disease must be distinguished from malignant or infectious parotid masses. Surgical excision is curative for localized disease; corticosteroids address systemic involvement. Renal complications (seen in 50 % of cases) require monitoring. Radiotherapy/immunosuppressants remain adjunctive.</div></div><div><h3>Conclusion</h3><div>This case emphasizes including Kimura's disease in differential diagnoses of parotid masses, regardless of ethnicity. Its diagnosis is based on histopathologic findings, and treatment should be individualized.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111280"},"PeriodicalIF":0.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790210","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":"Bilateral mandibular osteomyelitis following chemo-radiotherapy: Critical rare case report and review of literature","authors":"Oday Bisher,&nbsp;Ali Khalil","doi":"10.1016/j.ijscr.2025.111277","DOIUrl":"10.1016/j.ijscr.2025.111277","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Osteomyelitis, an inflammatory condition of the bone, poses significant challenges in clinical management due to its multifactorial etiology and variable presentation. Understanding the underlying mechanisms, risk factors, and biological processes is essential for improving treatment outcomes. Through this paper, we present an exceptionally rare case of “bilateral” aggressive osteomyelitis affecting the mandible, resulting in significant bone loss on both sides. Additionally, we review the literature to explore the causes of this disease and the factors contributing to its occurrence, aiming to understand its pathogenesis and improve prevention and treatment methods.</div></div><div><h3>Case presentation</h3><div>A 58-year-old male presented to our oral and maxillofacial department with a chief complaint of intense pain on both sides of the mandible, persisting for over 12 days. According to the patient, several months ago, the pain varied from mild to moderate, but recently it has increased dramatically. His medical history revealed enlarged lymphatic nodes on both sides of the neck. Consequently, the patient underwent a surgical procedure under general anesthesia to remove the enlarged nodes, followed by chemotherapy, and then 24 sessions of radiotherapy. After a while, the patient began to experience pain of varying intensity, and ulcers appeared, which increased in size over time.</div></div><div><h3>Discussion</h3><div>After confirming the diagnosis of osteomyelitis, we identified the radiation and chemotherapy to which the patient was exposed as the primary reason for the worsening of the condition. in addition, the injury to both sides of the mandible indicates two possibilities: the first is that the patient has a predisposition to develop osteomyelitis (due to genetic factors, possible ischemia, etc.), and the second is that radiological doses he received was excessive, combined with the immunodeficiency resulting from chemotherapy, contributed to the condition.</div></div><div><h3>Conclusion</h3><div>Research on jaw osteomyelitis highlights a complex interplay of factors that contribute to the development of this condition. Overall, effective prevention and management strategies should address these diverse causes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111277"},"PeriodicalIF":0.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143790748","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}