International Journal of Surgery Case Reports最新文献

{"title":"Oral rehabilitation approach in skeletal class III malocclusion with orthognathic surgery, an interdisciplinary case report.","authors":"Aulia Ayub, Niswati Fathmah Rosyida, Yosaphat Bayu Rosanto, Francisco José Vázquez-Santos, Ananto Ali Alhasyimi","doi":"10.1016/j.ijscr.2025.111451","DOIUrl":"10.1016/j.ijscr.2025.111451","url":null,"abstract":"<p><strong>Introduction: </strong>The limitations of growth modification often advise adult patients to undergo orthognathic surgery to achieve optimal oral rehabilitation. This report aims to provide an in-depth description of the well-coordinated orthodontic and orthognatic surgery treatment of an adult with skeletal Class III malocclusion.</p><p><strong>Case presentation: </strong>A 37-year-old male patient presented with a complaint of chronic pain in the temporomandibular joint associated with mandibular protrusion. Clinical and radiological examinations revealed Class III skeletal relationships related to mandibular prognathia (ANB angle of -6.85°), Class III molar and canine relationships, a decrease in the lower one-third of face height, a protruded lower lip, and dark buccal corridors in the smile.</p><p><strong>Discussion: </strong>Preoperative orthodontic decompensation determines the discrepancy and maximizes mandible repositioning. The technique improves surgical planning and therapy outcomes. This case report describes the \"Hunsuck modification fracture pattern,\" which is a type of fracture that has a horizontal cut behind the lingula and a vertical line on the lower edge of the jaw that connects to the outer cut of the jaw. Because the fracture line does not damage the neurovascular bundle or the posterior edge of the ramus, this setup provides the best stability and promotes osteotomized segment recovery.</p><p><strong>Conclusion: </strong>The interdisciplinary management of severe skeletal Class III malocclusion with ortho-surgical intervention effectively corrects anteroposterior jaw discrepancies. Orthognathic surgery was the most effective option for achieving acceptable occlusion and an aesthetically pleasing result in this patient.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"131 ","pages":"111451"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112441","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":"Corrigendum to \"Ruptured arteriovenous malformation of Conus medullaris in infancy: A case report of an extremely rare emergency\" [Int. J. Surg. Case Rep. 130 (May 2025) 111303].","authors":"Tuan Anh Le, Huy Ngoc Pham, Manh Huy Bui, Nguyen Cong Tien Anh","doi":"10.1016/j.ijscr.2025.111400","DOIUrl":"10.1016/j.ijscr.2025.111400","url":null,"abstract":"","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":" ","pages":"111400"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054589","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":"Inverted colonic diverticulum mimicking a polyp: A case report on diagnostic challenges and clinical implications.","authors":"Suha Sholi, Walla Dawood, Mohammed M H Hajhamad","doi":"10.1016/j.ijscr.2025.111389","DOIUrl":"10.1016/j.ijscr.2025.111389","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Inverted colonic diverticulum (ICD) is a rare intraluminal lesion that typically presents with a polypoid appearance, which can make it challenging to differentiate from colonic polyps. ICDs occur in about 0.7 % to 1.7 % of individuals, with a mean age of 59 years, and a slightly higher prevalence in males.</p><p><strong>Case presentation: </strong>This case report presents a 40-year-old male with ICD that was misdiagnosed as polyp after a colonoscopy showed polypoid lesions in the context of diverticulosis and underwent polypectomy, colonoscopy completed. A few hours after the procedure, the patient developed symptoms consistent with complicated diverticulitis and required antibiotic treatment and CT-guided aspiration.</p><p><strong>Clinical discussion: </strong>This case highlights the difficulty in differentiating ICD from colonic polyps during colonoscopy. Although ICDs are benign, they can closely resemble polyps, and misidentifying them may result in unnecessary and potentially harmful interventions. Endoscopists should be aware of the distinctive features of ICDs and employ techniques like probing and air insufflation to avoid unnecessary procedures.</p><p><strong>Conclusion: </strong>Prompt recognition of ICDs can help prevent complications such as colonic perforation and unnecessary surgery, ultimately leading to improved patient outcomes.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"131 ","pages":"111389"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112437","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":"Surgical repair of partial atrioventricular septal defect (pAVSD) in adulthood: A rare case report.","authors":"Agustian Sofian, Rusdiana Rusdiana, Ashil M A Rasyid, Auzan Hakim Agustian","doi":"10.1016/j.ijscr.2025.111378","DOIUrl":"10.1016/j.ijscr.2025.111378","url":null,"abstract":"<p><strong>Introduction: </strong>Partial Atrioventricular septal defect (pAVSD) is a rare congenital heart defect that typically presents in childhood period. It accounts to 1-2 % of all congenital heart malformations with a wide range of presentations from asymptomatic, subtle symptoms to congestive heart failure. While surgical repair is the definitive treatment best achieved at the age of 3-5 years, some patients are diagnosed over this age.</p><p><strong>Case presentation: </strong>We report a 28-year-old female P1A0 with unremarkable past medical history presented with persistent headache and palpitation for 5 years leading to sleep disturbances. She was initially evaluated by neurologist, but no abnormalities were found. Later she was referred to a pediatric cardiologist and diagnosed as pAVSD because of the existence of primum atrial septal defect (ASD) with mitral valve cleft and mitral regurgitation. The patient was treated with surgical approach. The mitral cleft was repaired with simple interrupted suture, afterwards the primum ASD were closed using pericardial patch. The patient recovered well with subsided symptoms after 6 months of follow-up.</p><p><strong>Discussion: </strong>The diagnosis of pAVSD may be complex and could constitute a major diagnostic mistake due to the vast range of presentation that may arise. These symptoms are prevalent medical observations noted by clinicians and are mostly benign, commonly alleviated by over-the-counter medications. Delayed diagnosis of pAVSD may postpone final treatment. Untreated pAVSD may progress to pulmonary arterial hypertension, full atrioventricular block, and atrial arrhythmias.</p><p><strong>Conclusion: </strong>The case presented in this article are one of the many presentations that may appear in adult pAVSD patients. The symptoms were subtle and often harmless medical findings. However, if the symptoms persist, it is recommended to get cardiology consultation and echocardiography, in case suspicion of untreated pAVSD in adulthood arise as one possible differential diagnosis. Albeit she was not at the optimal age for repair, post-operative outcome showed favorable result.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"131 ","pages":"111378"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112451","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":"Postoperative lung herniation following minimally invasive septal myectomy: A rare case report with successful surgical repair.","authors":"Mohammed Saleh, Islam Jadallah, Qais Alhroub, Maaweya Jabareen, Wasef Alhroub, Ammar Hassouneh","doi":"10.1016/j.ijscr.2025.111313","DOIUrl":"10.1016/j.ijscr.2025.111313","url":null,"abstract":"<p><strong>Background: </strong>Lung herniation is a rare condition where lung tissue protrudes through the thoracic wall, often due to surgery, trauma, or pressure changes. The intercostal type is most common, especially after minimally invasive cardiac surgery (MICS) like septal myectomy for HOCM. Early diagnosis and treatment are crucial to prevent complications like respiratory distress and lung strangulation.</p><p><strong>Case presentation: </strong>A 57-year-old male with cardiac disease underwent minimally invasive septal myectomy for HOCM. Ten days later, he developed shortness of breath, dry cough, and a right chest mass. Imaging studies, including a chest X-ray revealed a triangular lucency lateral to the right 4th and 5th ribs and non-contrast CT confirmed lung herniation due to an intercostal muscle tear. He underwent surgical repair with rib plating and mesh, leading to significant improvement. He was discharged after seven days and remained asymptomatic at 8-month follow-up.</p><p><strong>Discussion: </strong>Lung herniation after MICS is rare but serious, caused by intercostal muscle injury. Risk factors include lung conditions, pressure changes, and surgery. Small cases may resolve, but larger ones need surgery. Timely imaging and rib plating with mesh prevented complications and ensured recovery.</p><p><strong>Conclusion: </strong>Lung herniation should be considered in post-MICS patients with respiratory distress and chest abnormalities. Early diagnosis and surgery are crucial to prevent complications. This case emphasizes the importance of prompt recognition and proper surgical management.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"131 ","pages":"111313"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112445","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":"Corrigendum to \"Penetrating cardiac injury with non-coronary cusp aortic valve rupture and ventricular septal injury: A case report\" [Int. J. Surg. Case Rep. 129 (2025) 111214 10.1016/j.ijscr.2025.111214 (April 2025, 1-5, IJSCASEREPORTS-D-25-00511R1)].","authors":"Desalegn Fekadu Wadaja, Shibikom Tamirat, Fikreyohanis Shewa, Natinael Muluneh, Abraham Ariaya, Wondu Reta Demissie","doi":"10.1016/j.ijscr.2025.111252","DOIUrl":"10.1016/j.ijscr.2025.111252","url":null,"abstract":"","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":" ","pages":"111252"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062837","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":"Idiopathic primary spontaneous enterolith with intestinal obstruction: A case report with a review of the literature.","authors":"Vidit Dholakia, Suvendu Sekhar Jena, Amitabh Yadav, Samiran Nundy","doi":"10.1016/j.ijscr.2025.111315","DOIUrl":"10.1016/j.ijscr.2025.111315","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Enterolithiasis, the presence of stones within the gastrointestinal tract, is a rare condition with an incidence of 0.3 to 10 %. The incidence has increased due to advances in imaging techniques and longer life span of patients. Enteroliths are formed within areas of stasis due to various conditions. These can be primary or secondary, true or false, and can cause obstruction, perforation, or may be asymptomatic. We present an elderly female who had a history of obstruction and who, at operation, had a large stone in her intestine which was causing obstruction but had no distal stricture.</p><p><strong>Case presentation: </strong>A 58-year-old woman who had diabetes and hypertension was admitted complaining of severe abdominal discomfort, vomiting, bloating, and constipation for 15 days. Diagnostic imaging showed gallstones and dilated small intestines. A large enterolith was discovered in the distal jejunum during surgery and was successfully removed. The patient had a smooth recovery and was discharged on the seventh day post-surgery.</p><p><strong>Clinical discussion: </strong>Enterolithiasis, first reported by Chomelin, involves stone formation within the intestine due to stasis or altered motility. Clinical presentation varies from asymptomatic to obstruction. Diagnosis relies on imaging, though definitive identification requires stone analysis. Management includes expectant, endoscopic, or surgical approaches, depending on size and associated pathology, ensuring prevention of recurrence.</p><p><strong>Conclusion: </strong>Enterolithiasis, although rare, has been more frequently diagnosed recently. Large stones can cause obstruction. Identifying their cause can prevent recurrences. Surgery is the primary treatment, but endoscopic techniques could offer less invasive options.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"131 ","pages":"111315"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112366","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":"Short-term outcomes of modified Lapidus procedure using the InCore® Lapidus System for hallux valgus: Case series of four cases.","authors":"Jun Abe, Junya Higuchi, Daiki Wakayama, Yuji Miki, Yukari Matsuzaki, Tetsuro Yasui","doi":"10.1016/j.ijscr.2025.111442","DOIUrl":"10.1016/j.ijscr.2025.111442","url":null,"abstract":"<p><strong>Introduction: </strong>Hallux valgus is a common foot deformity often associated with first tarsometatarsal (TMT) joint instability. The Lapidus procedure, involving first TMT joint arthrodesis, is a well-established surgical procedure for severe cases, but the issue lies in the method of fixation. The InCore® Lapidus System is a novel intramedullary fixation system for modified Lapidus procedure. We here report the clinical experience of this system.</p><p><strong>Case presentation: </strong>We retrospectively reviewed four cases who underwent a modified Lapidus procedure using the InCore® Lapidus System and followed up at least 6 months. Surgical outcomes were evaluated by the hallux valgus (HV) and intermetatarsal (M1M2) angles on radiographs, bone union status on computed tomography (CT), postoperative pain levels, and the occurrence of complications. The HV angle improved in all four cases, ranging from 51° to 59° preoperatively and decreasing to 4° to 25° at the final follow-up. Similarly, the M1M2 angle improved in all four cases, with values decreasing from a preoperative range of 23° to 26° to a final range of 4° to 13°. All patients achieved bone union within three months, and postoperative pain was minimal (Numerical Rating Scale: 0-1) at six weeks postoperatively. No complications were observed.</p><p><strong>Clinical discussion: </strong>Theoretical advantages of the InCore® Lapidus System include the ability to achieve joint compression using the device and the intramedullary fixation design, which may provide robust stability and a high rate of bone union. The system's design potentially reduces the risk of skin irritation, a common issue with plate fixation. Our clinical experiences supported these theoretical advantages.</p><p><strong>Conclusion: </strong>The modified Lapidus procedure using the InCore® Lapidus System provided favorable short-term outcomes for hallux valgus without complications.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"131 ","pages":"111442"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112448","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":"Complicated Meckel's diverticulum concealed by massive mucinous ovarian carcinoma – A case report of the cautionary tale of surgical tunnel vision","authors":"Samith Minu Alwis ,&nbsp;Georgi Atanasov ,&nbsp;Marcos Vinicius Perini","doi":"10.1016/j.ijscr.2025.111467","DOIUrl":"10.1016/j.ijscr.2025.111467","url":null,"abstract":"<div><h3>Introduction</h3><div>Cognitive bias, especially tunnel vision, in the clinical setting can predispose to catastrophic outcomes termed “never events”.</div></div><div><h3>Case presentation</h3><div>A 58-year-old woman presented with abdominal pain on the background of chronic abdominal distension. Imaging indicated a massive ovarian lesion with presumed small bowel obstruction (SBO) secondary to mass effect. She underwent resection and staging workup. In addition to the 26.5 kg mucinous ovarian adenocarcinoma (MOC), she was intraoperatively found to have a Meckel's diverticulum (MD) with a band adhesion to proximal bowel (as the true precipitant of her SBO) and a contained enteric perforation, necessitating bowel resection and re-anastomosis. She made an excellent postoperative recovery and remains recurrence-free.</div></div><div><h3>Clinical discussion</h3><div>In contrast to Meckel's diverticula which pose a preoperative diagnostic challenge, the massive MOC represented a distracting synchronous pathology which predisposed to tunnel vision. Surgical tunnel vision increases the risk of never events. A variety of systematic debiasing strategies have been proposed to raise awareness of cognitive bias but further research is still necessary to investigate the long-term clinical benefit of these strategies.</div></div><div><h3>Conclusion</h3><div>Clinicians can readily incorporate debiasing techniques to raise awareness of unconscious biases, particularly the natural tendency to tunnel vision with glaring clinical findings. However, further study is required to explore the benefits of implementing debiasing techniques in the perioperative setting.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"132 ","pages":"Article 111467"},"PeriodicalIF":0.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144154562","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":"Congenital nasal meningoencephalocele in an adolescent: A case report","authors":"Moad El Mekkaoui ,&nbsp;Hafsa Elouazzani ,&nbsp;Razika Bencheikh ,&nbsp;Anas Benbouzid ,&nbsp;Abdelilah Oujilal ,&nbsp;Leila Essakalli","doi":"10.1016/j.ijscr.2025.111466","DOIUrl":"10.1016/j.ijscr.2025.111466","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Intranasal meningoencephalocele is a rare condition in which the meninges and brain parenchyma protrude into the nose through a discontinuity in the base of the skull. Although it is generally a congenital anomaly, it can also occur as a result of trauma or chronic intracranial hypertension. The study of this pathology is important because it is rare, under-diagnosed and may be responsible for life-threatening neurological complications.</div></div><div><h3>Case presentation</h3><div>In this report, we present the case of a 13-year-old adolescent with a congenital transethmoidal meningoencephalocele, that went unnoticed for years, who underwent endonasal endoscopic surgery in our department, using a multilayer repair technique. We also review literature, describing the diagnostic procedures and surgical techniques used.</div></div><div><h3>Clinical discussion</h3><div>Nasal meningoencephalocele's pathogenesis remains poorly understood, with the most widely accepted theory being abnormal closure of the anterior neuropore. Many cases of nasal meningoencephalocele are discovered incidentally. However, it can be present in various ways. Apart from its crucial role in the diagnosis of this condition and in eliminating differential diagnoses, neuroimaging provides an essential roadmap for endoscopic surgery, which is currently the gold standard treatment. The standard treatment for meningoencephalocele is surgical excision.</div></div><div><h3>Conclusion</h3><div>A diagnosis of congenital meningoencephalocele should always be made, even in adolescence, as the symptoms may be overlooked by the patient or his or her family in the absence of complications.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"132 ","pages":"Article 111466"},"PeriodicalIF":0.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178544","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}