International Journal of Surgery Case Reports最新文献

Gallbladder volvulus in an elderly patient presenting as acute calculous cholecystitis: a case report. 以急性结石性胆囊炎为表现的老年患者胆囊扭转1例。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-24 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000108

Paul Anthony R Gorgonia, Anthony R Perez, Paul Vincent B Labajosa, Orlino C Bisquera, Mary Ellen C Perez

{"title":"Gallbladder volvulus in an elderly patient presenting as acute calculous cholecystitis: a case report.","authors":"Paul Anthony R Gorgonia, Anthony R Perez, Paul Vincent B Labajosa, Orlino C Bisquera, Mary Ellen C Perez","doi":"10.1097/RC9.0000000000000108","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000108","url":null,"abstract":"Introduction and importance: Gallbladder volvulus is a rare, life-threatening emergency resulting from torsion of the gallbladder on its vascular pedicle. Its rarity and clinical similarity to acute cholecystitis make diagnosis difficult. This is the first documented case in the Philippines, highlighting its significance for local surgical practice.Presentation of case: A 74-year-old woman presented with acute right upper quadrant pain, nausea, vomiting, and bloating. Laboratory workup revealed leukocytosis with neutrophilia, and imaging suggested acute calculous cholecystitis. At surgery, complete 360° torsion of the gallbladder was confirmed. Cholecystectomy revealed a necrotic gallbladder with intraluminal stones. The patient recovered uneventfully and was discharged on postoperative day 3.Clinical discussion: Gallbladder volvulus is frequently misdiagnosed because of its nonspecific clinical, laboratory, and imaging features. Preoperative diagnosis is rarely achieved, with most cases confirmed intraoperatively. Prompt recognition and surgical intervention are crucial to prevent complications such as gangrene, perforation, and peritonitis. This report emphasizes the importance of considering gallbladder volvulus in elderly women with biliary symptoms not fully explained by imaging.Conclusion: Early suspicion, timely diagnosis, and urgent cholecystectomy are essential for favorable outcomes. This case highlights the need to increase clinical awareness of gallbladder volvulus in the Philippines to improve patient outcomes.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1140-1143"},"PeriodicalIF":0.7,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624443","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 anterior lens dislocation: case report and surgical management. 自发性前晶状体脱位1例报告及手术处理。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-23 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000336

Konrad Schargel, Yazen Bajaeifer, Mofi Alwalemani, Saeed Alamoudi

{"title":"Spontaneous anterior lens dislocation: case report and surgical management.","authors":"Konrad Schargel, Yazen Bajaeifer, Mofi Alwalemani, Saeed Alamoudi","doi":"10.1097/RC9.0000000000000336","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000336","url":null,"abstract":"Background: Spontaneous anterior lens dislocation causes significant vision loss without prompt management. It is commonly associated with trauma or congenital connective tissue disorders. Moreover, ocular conditions like microspherophakia and hypermature cataracts can also predispose patients to lens dislocation. We present a case of spontaneous anterior lens dislocation and its surgical management.Case presentation: We report the case of an 84-year-old female with a history of hypertension and diabetes mellitus who presented with sudden visual decline in her left eye. She had no prior trauma or hereditary ocular disease. Examination revealed a corrected visual acuity of 20/40 in the right eye and hand motion in the left with normal Intraocular pressures (IOP) in both eyes. Slit-lamp examination demonstrated inferonasal dislocation of a microspherophakic lens into the anterior chamber. Imaging confirmed lens dislocation without additional posterior segment pathology. The patient underwent successful manual small-incision cataract surgery with removal of the dislocated lens. Postoperative management included antiglaucoma medications to control elevated IOP, which stabilized her condition.Disucssion: Spontaneous anterior lens dislocation is commonly associated with trauma or systemic connective tissue disorders, and reports without these factors are rare. Here, microspherophakia likely contributed to zonular weakness and predisposed the lens to dislocation, consistent with reports linking this condition to lens instability. Early diagnosis and management are essential to prevent complications like glaucoma and corneal decompensation.Conclusion: Spontaneous anterior lens dislocation requires early diagnosis and individualized surgical management to ensure safe outcomes and reduce the risk of vision-threatening complications.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1317-1321"},"PeriodicalIF":0.7,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624252","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

Case report of anomalous vertebral artery from common carotid artery with C4 entry and aberrant right subclavian artery. 颈总动脉异常椎动脉伴C4入路及右锁骨下动脉异常1例。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-20 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000383

Ying Zhang, Shengsheng Shi, Bing Zhong, Jin Fang, Yiyi Huang, Zhi-Xin Huang

{"title":"Case report of anomalous vertebral artery from common carotid artery with C4 entry and aberrant right subclavian artery.","authors":"Ying Zhang, Shengsheng Shi, Bing Zhong, Jin Fang, Yiyi Huang, Zhi-Xin Huang","doi":"10.1097/RC9.0000000000000383","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000383","url":null,"abstract":"Introduction and importance: Anomalous origin of the vertebral artery from the common carotid artery (VA-CCA), particularly when combined with an aberrant right subclavian artery (ARSA) and a high (C4) transverse foramen entry, represents an exceptionally rare congenital vascular variant. This complex anatomy poses significant risks of iatrogenic injury during endovascular interventions and anterior cervical spine surgery.Case presentation: A 62-year-old male presented with persistent dizziness. Comprehensive computed tomography angiography (CTA) and digital subtraction angiography (DSA) revealed a unique combination of anomalies: the right vertebral artery originating from the right common carotid artery, entering the transverse foramen at the C4 level, and a retroesophageal ARSA. The patient was managed conservatively with symptomatic resolution and received extensive counseling regarding his anatomy.Clinical discussion: The incidence of VA-CCA is approximately 0.18%. Its association with ARSA and a high cervical entry point creates an elongated, mobile cervical segment with an acute origin angle. This increases the risk of vascular injury during catheterization and anterior surgical approaches to the C4-C6 levels. Pre-procedural recognition via advanced vascular imaging, such as CTA with 3D reconstruction, is crucial for preventing catastrophic complications.Conclusion: This case underscores the critical importance of recognizing this rare vertebral artery anomaly complex. Accurate pre-operative imaging diagnosis and thorough patient counseling are essential for procedural safety planning in patients undergoing neck interventions.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1560-1563"},"PeriodicalIF":0.7,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624349","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

A case of robot-assisted sacrocolpopexy for atypical internal iliac vein inflow: a case report. 机器人辅助骶髋固定术治疗非典型髂内静脉流入1例。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-20 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000386

Kota Aoki, Fumitake Ito, Mari Kawamata, Kanae Ogawa, Tetsuya Kokabu, Taisuke Mori

{"title":"A case of robot-assisted sacrocolpopexy for atypical internal iliac vein inflow: a case report.","authors":"Kota Aoki, Fumitake Ito, Mari Kawamata, Kanae Ogawa, Tetsuya Kokabu, Taisuke Mori","doi":"10.1097/RC9.0000000000000386","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000386","url":null,"abstract":"Introduction: In sacrocolpopexy, a mesh is fixed to the anterior longitudinal ligament of the sacrum, near the bifurcation of the iliac vessels, but variations in the iliac venous system may increase the risk of massive bleeding during dissection. We report a successful robot-assisted sacrocolpopexy (RASC) in a patient with a left internal iliac vein anomaly and present the findings and review the literature.Presentation of case: A 71-year-old, gravida 3, para 3 woman was scheduled for RASC due to bladder and uterine prolapse. Preoperative magnetic resonance imaging (MRI) revealed that the left internal iliac vein coursed anterior to the sacral promontory. The bifurcation of the common iliac vein could not be identified intraoperatively. Upon dissection of the inferior vena cava, the left external and internal iliac veins were found to drain directly into the inferior vena cava, with the left internal iliac vein coursing anteriorly to the sacral promontory. After confirming that the sacrum was caudal to the anomalous vessels, the mesh was fixed to the anterior longitudinal ligament without any complications.Discussion: Preoperative recognition of venous anomalies is crucial to avoid catastrophic bleeding during sacrocolpopexy. Preoperative imaging, such as MRI, plays an essential role in delineating the vascular anatomy, and meticulous intraoperative dissection is indispensable. Although RASC lacks tactile feedback, its superior visualization and precise instrument control facilitate safe management of complex vascular variations.Conclusion: RASC is extremely useful in venous anomalies, provided that thorough preoperative imaging evaluation and meticulous intraoperative dissection are ensured.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1570-1574"},"PeriodicalIF":0.7,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624311","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

Osteotomy-assisted surgical crown lengthening combined with edgewise orthodontics for deep bite and gummy smile correction: a case report. 截骨术辅助手术冠延长联合边缘正畸治疗深咬合粘笑矫正1例。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-20 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000342

Rifqi Atul Inayah, Tegar Arviga, Dik Megaputri Handayani, Ananto Ali Alhasyimi, Sri Suparwitri, Aulia Ayub

{"title":"Osteotomy-assisted surgical crown lengthening combined with edgewise orthodontics for deep bite and gummy smile correction: a case report.","authors":"Rifqi Atul Inayah, Tegar Arviga, Dik Megaputri Handayani, Ananto Ali Alhasyimi, Sri Suparwitri, Aulia Ayub","doi":"10.1097/RC9.0000000000000342","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000342","url":null,"abstract":"Introduction: Deep bite is a vertical occlusal discrepancy characterized by excessive anterior overlap, which may compromise dental esthetics, function, and structural integrity. An interdisciplinary approach integrating orthodontic therapy with periodontal crown lengthening can enhance tooth proportion and improve smile harmony.Case presentation: A 24-year-old woman presented to the Oral and Dental Hospital of Universitas Gadjah Mada (RSGM UGM Prof. Soedomo), Yogyakarta, with complaints of anterior crowding, protrusion, deep bite, and a gummy smile. Clinical examination revealed a normal facial profile, a 3.63-mm overjet, a 6.7-mm overbite, and a Class I molar and canine relationship. Cephalometric analysis (SNA 83.17°, SNB 80.55°, ANB 2.63°) confirmed a Class I dentoskeletal pattern with bidental retrusion and mandibular anterior crowding.Discussion: Orthodontic treatment using a Standard Multiloop appliance effectively corrected the deep bite and aligned both arches, achieving a final overjet of 2.4 mm and an overbite of 2.0 mm. Subsequent crown-lengthening performed by a periodontics resident at the RSGM UGM Prof. Soedomo further refined gingival contours and enhanced smile esthetics.Conclusion: The integration of multiloop orthodontic mechanics and periodontal crown lengthening represents a predictable and comprehensive interdisciplinary strategy for managing deep bite with a gummy smile, resulting in significant improvements in occlusion, tooth proportions, and facial esthetics.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1358-1365"},"PeriodicalIF":0.7,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624295","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

Locally advanced adrenal tumor invading the stomach revealed by upper gastrointestinal hemorrhage: a case report. 上消化道出血显示局部晚期肾上腺肿瘤侵犯胃1例。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-20 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000361

Aida Zaiem, Ahmed Ben Mahmoud, Amine Sebai, Souhai Atri, Amine Daghfous, Mohamed Jouini

{"title":"Locally advanced adrenal tumor invading the stomach revealed by upper gastrointestinal hemorrhage: a case report.","authors":"Aida Zaiem, Ahmed Ben Mahmoud, Amine Sebai, Souhai Atri, Amine Daghfous, Mohamed Jouini","doi":"10.1097/RC9.0000000000000361","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000361","url":null,"abstract":"Introduction and importance: Adrenocortical carcinoma (ACC) is a rare and highly aggressive malignancy, often diagnosed at an advanced stage. Direct invasion into adjacent organs is possible, but gastric involvement is exceedingly uncommon. We report a rare case of a locally advanced adrenal tumor invading the stomach and presenting with upper gastrointestinal bleeding.Case presentation: A 42-year-old man presented with hematemesis and melena evolving over 24 h. Physical examination revealed pallor, hypotension, and a palpable left upper quadrant mass. CT imaging showed a large left adrenal mass (15 × 14 × 10 cm) invading the posterior gastric wall and compressing adjacent structures, with thrombi in the inferior vena cava and portal vein. Hormonal studies excluded a functional tumor. Percutaneous biopsy confirmed ACC. The patient underwent en bloc resection including total gastrectomy, left nephrectomy, and partial vena cava resection with reconstruction. Histopathology confirmed high-grade ACC with negative margins.Clinical discussion: ACC rarely presents with gastrointestinal bleeding. Gastric invasion is exceptional and poses diagnostic and therapeutic challenges. Complete surgical excision remains the cornerstone of treatment and offers the best chance for prolonged survival.Conclusion: This case highlights an unusual presentation of ACC revealed by upper gastrointestinal hemorrhage, emphasizing the importance of early recognition and multidisciplinary management.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1535-1538"},"PeriodicalIF":0.7,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624178","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

Isolated fallopian tube torsion in a premenarchal girl: a case report of a rare diagnostic challenge. 青春期前女孩孤立性输卵管扭转一例罕见的诊断挑战。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-18 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000275

Saida Hidouri, Nada Sghairoun, Sabrine Ben Ammar, Yosra El Mansoury, Mohamed Ali Chaouch, Fethi Jebali

{"title":"Isolated fallopian tube torsion in a premenarchal girl: a case report of a rare diagnostic challenge.","authors":"Saida Hidouri, Nada Sghairoun, Sabrine Ben Ammar, Yosra El Mansoury, Mohamed Ali Chaouch, Fethi Jebali","doi":"10.1097/RC9.0000000000000275","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000275","url":null,"abstract":"Introduction: Isolated fallopian tube torsion (IFTT) is a rare gynecological emergency. Defined as the twisting of the fallopian tube without ovarian involvement, its incidence is estimated at one in 1.5 million women. Clinical diagnosis is challenging. This case is distinctive because it involves an IFTT in an 11-year-old premenarchal girl with no risk factors. The report underscores the diagnostic pitfall of adnexal imaging showing preserved ovarian blood flow and highlights the need for timely surgical exploration.Case presentation: We describe an 11-year-old premenarchal girl presenting with 2 days of abdominal pain and fever. Clinical examination revealed diffuse tenderness and a firm mass on rectal exam. Ultrasound showed a tubular adnexal mass with preserved ovarian blood flow. Despite analgesia, symptoms worsened, and emergent laparoscopy followed by laparotomy revealed isolated left fallopian tube torsion with necrosis. A salpingectomy was performed, and pathology confirmed tubal necrosis. The postoperative course was uneventful.Discussion: IFTT is difficult to distinguish clinically from other causes of acute abdomen during the premenarchal age, particularly in the absence of risk factors. Imaging often shows a tubular mass with preserved ovarian flow. Definitive diagnosis is usually made intraoperatively despite imaging. Conservative management may be considered in selected cases. The rarity of the condition and its nonspecific presentation require a high index of suspicion for timely intervention.Conclusion: IFTT, though rare, should be considered in pediatric patients with abdominal pain and adnexal masses. Timely surgical intervention is critical to avoid necrosis and preserve fertility.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1372-1375"},"PeriodicalIF":0.7,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624162","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

Management of meconium ileus with perforation and formation of a huge pseudocyst: a neonatal case report. 胎粪肠梗阻伴穿孔及巨大假性囊肿的处理：1例新生儿病例报告。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-18 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000398

Omair Bseiso, Anas Zahdeh, Amany Daabes, Ihssan Ghazzawi, Haneen Siam, Ahmad Abushark

{"title":"Management of meconium ileus with perforation and formation of a huge pseudocyst: a neonatal case report.","authors":"Omair Bseiso, Anas Zahdeh, Amany Daabes, Ihssan Ghazzawi, Haneen Siam, Ahmad Abushark","doi":"10.1097/RC9.0000000000000398","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000398","url":null,"abstract":"Background: Meconium ileus complicated by prenatal perforation and pseudocyst formation is a severe variant requiring prompt surgical management.Case presentation: A female newborn presented with severe abdominal distention, with a prenatal ultrasound showing ascites. Postnatal imaging suggested complex meconium ileus with meconium peritonitis. Laparotomy on day 2 revealed a large pseudocyst and a single perforation. The cyst was drained, adhesions released, inspissated meconium evacuated via appendiceal catheterization, and the perforation repaired. The infant recovered well, tolerated feeds, and was discharged in stable condition. Given family history, evaluation for cystic fibrosis was initiated, and enzyme/vitamin therapy started.Conclusion: Early recognition, timely surgery, and coordinated postoperative care can achieve favorable outcomes even in complex meconium ileus with prenatal perforation and pseudocyst formation. Prenatal identification of abdominal abnormalities should prompt delivery in a center with neonatal surgical capability.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1581-1584"},"PeriodicalIF":0.7,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13046013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624304","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

A rare case of three gossypibomas in one patient following an emergency cesarean section: case report. 急诊剖宫产术后1例罕见3例棉纱瘤病例报告。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-18 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000401

Nadir A Hilal, Ahmed Rafei

{"title":"A rare case of three gossypibomas in one patient following an emergency cesarean section: case report.","authors":"Nadir A Hilal, Ahmed Rafei","doi":"10.1097/RC9.0000000000000401","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000401","url":null,"abstract":"Introduction: Gossypiboma refers to a retained surgical gauze or sponge, a rare but serious complication following surgery. Although typically involving a single retained item, we report an unprecedented case of three transmural gossypibomas in a single patient following an emergency cesarean section.Presentation of case: A 28-year-old female presented with 4 months of abdominal pain, distension, and alternating constipation and diarrhea, along with weight loss and persistent vomiting. Examination revealed ascites and palpable masses. CT imaging showed a sigmoid mass with a small bowel-colonic fistula. Colonoscopy revealed a foreign body protruding through the sigmoid colon wall, and small gauze was extracted. Subsequent exploratory laparotomy identified a complex entero-colic fistula. Two additional gauzes - one small and one large - were retrieved from within the bowel lumen. The involved bowel segments were resected, and the patient recovered uneventfully.Clinical discussion: This case illustrates a rare presentation of multiple retained surgical gauzes causing transmural migration and fistula formation. The use of non-standard, non-radio-opaque gauze delayed diagnosis and increased risk. The patient's symptoms were non-specific, and endoscopic findings were misleading due to intact mucosa. The case underscores the severe consequences of inadequate surgical protocols and highlights the need for standardized surgical materials and checklist adherence.Conclusion: This is the first documented case of three retained gossypibomas in a single patient. It emphasizes the critical importance of surgical safety measures, including complete sponge counts, use of radio-opaque materials, and strict adherence to the World Health Organization Surgical Safety Checklist, especially in low-resource settings.","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 4","pages":"1553-1556"},"PeriodicalIF":0.7,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624263","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

Left ventricular outflow tract obstruction after Ebstein tricuspid valve surgery: a case report. Ebstein三尖瓣手术后左心室流出道梗阻1例。

IF 0.7

International Journal of Surgery Case Reports Pub Date : 2026-03-18 eCollection Date: 2026-04-01 DOI: 10.1097/RC9.0000000000000384

Cong Ye, Xue Peng, Kui Wu, Xuanyi Hu, Xuejun Li

引用次数: 0