International Journal of Surgery Case Reports最新文献

{"title":"Radical nephrectomy for retroperitoneal fibrosis: Case report","authors":"","doi":"10.1016/j.ijscr.2024.110560","DOIUrl":"10.1016/j.ijscr.2024.110560","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Retroperitoneal fibrosis is a proliferative disease of fibroblasts with a still unclear appearance and low incidence. The clinical manifestations are nonspecific and appear late, pain is the most common symptom present. Elevated serum IgG4 levels are observed in up to 60 % of the patients and the main goal of treating this condition is to preserve kidney function.</div></div><div><h3>Case presentation</h3><div>We present a case of an asymptomatic 34-year-old man. A poorly defined mass in the pre-aortic, pre-caval and right rim regions with possible malignancy was observed. After 3 biopsies, it was treated as low-grade follicular lymphoma with chemotherapy. With new growth after 1 year, right radical nephrectomy was performed to resect the lesion. Pathology showed that it was advanced retroperitoneal fibrosis with negative IgG4.</div></div><div><h3>Clinical discussion</h3><div>RPF usually presents as an irregular mass of periaortic tissue that frequently has malignancy as a risk factor and may be associated with high levels of IgG4. Most of the time, the disease is asymptomatic. When the patient presents symptoms, pain is the most common, although late. Its diagnosis is made by imaging and histopathological exams. Treatment varies according to the progression of the disease, but aims to try to preserve renal function.</div></div><div><h3>Conclusion</h3><div>RPF is a disease characterized by the accumulation of fibroblasts in the abdominal region with an etiology that has not yet been fully discovered, which can present in several ways, generally identified by imaging exams and can be treated individually depending on the invasiveness of the disease.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592692","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":"Recurrence of multiple localizations of false tuberculous aneurysms after aortic surgery: A case report","authors":"","doi":"10.1016/j.ijscr.2024.110558","DOIUrl":"10.1016/j.ijscr.2024.110558","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Tuberculous aortic aneurysms require rigorous medical and surgical management due to the various complications that pose a significant life risk, with recurrence being one of the most formidable postoperative complications. This recurrence is linked to significant hemorrhage and infection, subsequently increasing the risk of mortality. Aneurysmal involvement due to tuberculosis is documented and can affect all arteries, but localization in the common iliac artery is rare and serious, necessitating immediate management.</div></div><div><h3>Case presentation</h3><div>We present the case of a 47-year-old man who had previously been treated for urogenital tuberculosis and underwent an aorto-aortic bypass three years ago for a juxtarenal abdominal aneurysm. The patient presented to the emergency room with abdominal pain. An emergency CT angiogram revealed a pseudoaneurysm at the site of the distal anastomosis of the bypass and a new pseudoaneurysm of the left common iliac artery. The patient underwent surgery, which involved the removal of the old aortic graft and a new aorto-bilateral iliac bypass using a Dacron graft. Histological analysis of the arterial samples collected during the operation confirmed the tuberculous origin of the aneurysm, and antituberculous treatment was extended for six months. After six months, the patient was in good general condition, and the bypass was patent.</div></div><div><h3>Clinical discussion</h3><div>For optimal results, medical treatment should precede surgical intervention. The choice between conventional and endovascular surgery is individualized for each case. However, endovascular treatment does not allow for debridement of the infected periaortic tissues, which is associated with a high risk of progression and recurrence of the infection, potentially leading to a fatal outcome.</div></div><div><h3>Conclusion</h3><div>Effective management requires antituberculous treatment and antibiotic therapy prior to surgical intervention to eliminate the aneurysm, control postoperative outcomes, and minimize complications related to tuberculosis.</div><div>The work has been reported in line with the SCARE criteria (Sohrabi et al., 2023 [17]).</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592018","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":"Cure of urethro-rectal fistula secondary to a road traffic accident by perineal approach with gracilis flap interposition: A case report","authors":"","doi":"10.1016/j.ijscr.2024.110564","DOIUrl":"10.1016/j.ijscr.2024.110564","url":null,"abstract":"<div><h3>Introduction</h3><div>A urethro-rectal fistula is an abnormal communication between the urethra and the rectum. It is a rare entity. It is most often an iatrogenic lesion during prostate surgery. We present here the case of a post-traumatic urethro-rectal fistula secondary to a road accident. Surgical cure was via a perineal approach with gracilis flap interposition.</div></div><div><h3>Case presentation</h3><div>This is a 15-year-old patient who consulted for a urethro-cutaneous fistula. Retrograde urethrography (RUG) with voiding cystourethrography (VCUG) showed a urethro-rectal fistula, with contrast leakage and opacification of the rectum. The fistula was cured using an anterior perineal approach with interposition of a gracilis flap. The post-operative course was uneventful.</div></div><div><h3>Discussion</h3><div>Urethro-rectal fistula is a rare entity and most often iatrogenic. Due to the rarity of this entity, the literature concerning its description, and its treatment is poor. Tailored approach should be considered for each patient. The use of gracilis flap interposition is describe as a good technique for managing urethro-rectal fistulas.</div></div><div><h3>Conclusion</h3><div>Urethro-rectal fistula is a rare pathology, especially when it occurs following a road accident. Perineal cure with gracilis flap interposition appears to be a reliable technique.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142587238","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":"Necrotizing fasciitis in a pediatric patient: Successful management in the inguinal area - A case report","authors":"","doi":"10.1016/j.ijscr.2024.110550","DOIUrl":"10.1016/j.ijscr.2024.110550","url":null,"abstract":"<div><h3>Introduction</h3><div>Necrotizing fasciitis (NF) is a rare life-threatening medical and surgical emergency. We present a case of a pediatric patient diagnosed with necrotizing fasciitis in the inguinal area which required debridement and post-operative management of the residual wound using a combination of wound closure techniques.</div></div><div><h3>Case presentation</h3><div>A 10-months-old girl with a history of Food-protein induced enterocolitis syndrome (FPIES) presented with septic shock and ulcerative lesions of the inguinal area. She was admitted to the Intensive Care Unit (ICU) of our hospital, antibiotic treatment was administered and a diverting colostomy was performed. Serial surgical debridement of the affected tissues resulted in an extensive tissue deficit. Management of the residual skin and soft tissues deficit included application of Negative Pressure Wound Therapy (NPWT) with Vacuum-Assisted Closure (VAC) and was followed by Oasis® extracellular matrix (ECM) graft placement. After 65 days of hospitalization, the wound surface was completely epithelialized.</div></div><div><h3>Discussion</h3><div>A challenging aspect of NF management is the closure of the residual skin and soft tissue deficit after surgical debridement. Considering the patient's characteristics, a less invasive reconstructive technique was sought. Application of NPWT followed by ECM graft placement are two effective options that can be combined in different stages of wound healing.</div></div><div><h3>Conclusions</h3><div>The management of the residual wound after surgical debridement of the affected tissue in NF requires a patient – specific approach and constant reevaluation of the management plan. NPWT and ECM graft placement can significantly contribute to wound closure and epithelization of the residual deficit in children.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592694","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":"Gastric collision tumor of adenocarcinoma and MALT lymphoma: A rare case report and literature review","authors":"","doi":"10.1016/j.ijscr.2024.110556","DOIUrl":"10.1016/j.ijscr.2024.110556","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Gastric collision tumors, characterized by the coexistence of two distinct malignancies within the same organ, are exceptionally rare. We report a case involving a gastric collision tumor composed of adenocarcinoma (ADK) and marginal zone lymphoma, diagnosed postoperatively. To date, only six cases of MALT lymphoma as part of gastric collision tumors have been published, highlighting the rarity of this association.</div></div><div><h3>Clinical presentation</h3><div>A 58-year-old male with type 2 diabetes and a family history of breast cancer presented with six months of anemia and epigastric pain. Endoscopy showed a 5 cm ulcerated, friable gastric mass, and biopsies indicated a low-grade tubular adenocarcinoma. Imaging revealed gastric wall thickening and lymphadenopathy. He received FLOT chemotherapy followed by total gastrectomy with Roux-en-Y reconstruction. Histopathology confirmed a gastric collision tumor with a minimal adenocarcinoma remnant and extensive MALT lymphoma.</div></div><div><h3>Discussion</h3><div>Collision tumors are rare and present unique diagnostic and therapeutic challenges due to the coexistence of distinct malignancies. This case highlights the complexity of managing such tumors, as accurate diagnosis requires comprehensive histopathological analysis. The dual presence of adenocarcinoma and MALT lymphoma necessitated a tailored approach with FLOT chemotherapy and total gastrectomy. The patient's ongoing adjuvant chemotherapy emphasizes the need for vigilant, long-term follow-up to monitor for recurrence and potential metachronous malignancies.</div></div><div><h3>Conclusion</h3><div>Gastric collision tumors involving ADK and MALT lymphoma are rare and challenging. This case contributes to the limited literature on collision tumors, highlighting the necessity for comprehensive diagnostic and therapeutic strategies.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578590","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":"Hemolytic reaction after major and minor compatible blood transfusion for a cesarean section patient in a resource-limited area: A case report.","authors":"Sintayehu Samuel, Hunde Amsalu, Deginet Tesfaye, Yisehak Wolde","doi":"10.1016/j.ijscr.2024.110426","DOIUrl":"10.1016/j.ijscr.2024.110426","url":null,"abstract":"<p><strong>Introduction: </strong>A hemolytic transfusion reaction is the destruction of red blood cells caused by immunological incompatibility between the donor and the recipient, not only incompatibility but also, rarely, compatible blood transfusion, which may cause a hemolytic transfusion reaction. A hemolytic transfusion reaction occurs when the transfusion causes symptoms as well as clinical or laboratory indicators of increased red cell death.</p><p><strong>Patient presentation: </strong>We present the case of a 27-year-old Gravida II Para I mother who was blood group AB positive with anaemia, hypotension secondary to antepartum hemorrhage, and a mentally conscious mother who was transferred to our obstetric emergency operation theatre. As she experienced bleeding on arrival, we assessed the patient's history and performed anaesthesia-related physical examinations, such as cardiovascular examination, respiratory examination, central nerve system examination, and airway examination. We followed the patient postoperatively until discharge from the hospital, and 12.9 g/dl hemoglobin, 36.3 % haematocrit, 402 × 10³ platelet count, and 0.9 mg/dl creatinine were detected. After satisfactory postoperative vital signs and laboratory results were obtained, the patient was discharged from the hospital after 3 days.</p><p><strong>Clinical discussion: </strong>Acute hemolytic transfusion is a medical emergency with an estimated frequency of one per 70,000 blood product transfusions and an estimated fatality rate of five per 10 million RBC unit transfusions. Importantly, the traditional triad of fever, flank pain, and red or dark urine is uncommon. However, these symptoms may not be immediately visible if the patient is under anaesthesia; in such circumstances, seeping from venipuncture and dark urine caused by DIC and hemoglobinuria, respectively, may be the only observations.</p><p><strong>Conclusion: </strong>Blood transfusion is performed in 0.5-3 % of women with obstetric hemorrhage and accounts for 1 % of all transfused blood products in high-income countries. Anesthesiologists face a significant issue in identifying the necessity for transfusion in patients with obstetric hemorrhage. Hemolytic reactions after blood transfusion are common during emergency patient management. For this reason, the World Health Organization has developed guidelines for early detection and management.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477879","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":"Lipoma in uncommon site: A case report of finger lipoma from Nepal.","authors":"Suchit Thapa Chhetri, Sumit Kumar Sah, Bishal Kunwor, Madhu Sudan Aryal, Pradeep Pudasaini, Samir Marasini","doi":"10.1016/j.ijscr.2024.110449","DOIUrl":"10.1016/j.ijscr.2024.110449","url":null,"abstract":"<p><strong>Introduction: </strong>Lipomas are the most common benign mesenchymal tumors, making up 50 % of soft tissue tumors. However, while they frequently occur in areas like the head, neck, shoulders, and back, lipomas in the hands and wrists are rare, particularly in the fingers where they are exceptionally uncommon.</p><p><strong>Case presentation: </strong>We present a case of 62-year-old female presented with a six-year history of a gradually enlarging, painful swelling on the palmar aspect at the base of her left index finger. Examination revealed a soft, fluctuating, 3 cm × 2 cm swelling. USG and MRI suspected it to be a lipoma. The lesion was excised, and histopathology confirmed a benign lipoma.</p><p><strong>Discussion: </strong>Lipomas, derived from mesenchymal preadipocytes, often have genetic and metabolic links, including in individuals with obesity, hyperlipidemia, and diabetes. While typically asymptomatic, lipomas in the hands and fingers can cause pain and impairment, necessitating surgical resection. Accurate diagnosis may require imaging, and treatment yields favourable outcomes with low recurrence rates.</p><p><strong>Conclusion: </strong>Despite their rarity, lipomas in the hands and fingers should be considered when evaluating non-discharging swellings. Surgical resection is the primary treatment.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477893","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":"Primary cardiac myxofibrosarcoma in a patient with Ebstein's anomaly: First reported case","authors":"","doi":"10.1016/j.ijscr.2024.110551","DOIUrl":"10.1016/j.ijscr.2024.110551","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary Cardiac Myxofibrosarcoma (PCM) is a rare and aggressive cardiac malignancy, accounting for less than 1 % of primary cardiac tumors. It can occur infrequently with congenital heart defects like Ebstein's anomaly (EA), characterized by a malformed tricuspid valve. PCM often presents as a painless cardiac mass, leading to potential delays in diagnosis and treatment.</div></div><div><h3>Presentation of case</h3><div>We present the case of a 38-year-old female with a history of EA who presented with dyspnea. Echocardiography revealed severe tricuspid regurgitation and a mobile mass in the left atrium, which prolapsed through the mitral valve with each heartbeat. Intraoperative findings confirmed a lobulated mass. Histological analysis showed a multinodular spindle cell tumor within a myxoid stroma, featuring long, curvilinear blood vessels, few hypocellular myxomatous areas, and focal necrosis. Immunohistochemical staining revealed positivity for TLE1 and SMA, while the tumor was negative for AE1/AE3, S100, desmin, CD34, HMB45, and CD117, leading to a diagnosis of PCM.</div></div><div><h3>Discussion</h3><div>Initially suspected to be a myxoma, histopathological findings confirmed PCM, notably characterized by prominent thin-walled blood vessels. This highlights the importance of thorough pathological evaluation. This case is the first reported instance of PCM associated with EA, contributing to the limited literature on this rare combination.</div></div><div><h3>Conclusion</h3><div>Malignant tumors should be included in the differential diagnosis of cardiac masses. Prompt diagnosis and complete surgical resection are essential for improving patient outcomes and reducing the risk of recurrence.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142587239","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":"Abdominal mouse: Floating intra-abdominal cystic lymphatic malformation - An exceedingly rare case report.","authors":"Hamza A Abdul-Hafez, Fathi Milhem, Mohammed Hajhamad","doi":"10.1016/j.ijscr.2024.110472","DOIUrl":"10.1016/j.ijscr.2024.110472","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Lymphangiomas are rare benign lymphatic malformations, typically affecting the head, neck, or axillary regions, with abdominal cystic lymphatic malformations (CLM) being particularly uncommon in adults. Abdominal CLM account for less than 5 % of all lymphangiomas and 7 % of all abdominal cystic lesions in adults with a prevalence of approximately 1 in 250,000. These lesions are commonly found by accident during imaging investigations and are asymptomatic. Being free of any attachment, floating in the peritoneal cavity make it unique in its presentation.</p><p><strong>Case presentation: </strong>We report a case of 25-year-old female who complaining of right upper abdominal pain. Initial laboratory and imaging studies by abdominal computed tomography (CT) scan showed multiple complex cysts with undetermined origin. Exploration laparoscopy was performed, revealing over 50 variable-sized cysts, some of them were floating freely within the abdominal cavity. Complete resection of all cysts was performed. Postoperative recovery was uneventful, and histopathological examination confirmed the diagnosis of cystic lymphangiomas.</p><p><strong>Clinical discussion: </strong>This case demonstrates the unusual presentation of multiple, floating, and variably sized intra-abdominal cystic lymphangiomas, a rare finding that presents significant diagnostic and management challenges. The absence of attachment to common intra-abdominal structures, such as the mesentery or omentum, further complicates the clinical picture.</p><p><strong>Conclusion: </strong>Abdominal CLM must be considered as possible diagnosis especially if the cysts are multiple and complex. Freely floating abdominal CLM may cause the symptoms of a moving lump described by the patient, which must be taken in consideration.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477857","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":"Traumatic anterior fracture dislocation of the humeral head. A rare case report.","authors":"Tumwesige R Kondo, Michael Mapunda, Tangai Mwanga, Peter Magembe Mrimba, Rogers J Temu, Godlisten S Kawiche","doi":"10.1016/j.ijscr.2024.110469","DOIUrl":"10.1016/j.ijscr.2024.110469","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior fracture dislocation of the humerus with an anatomical neck fracture is an uncommon injury. These injuries pose a significant risk of devastating complications, such as avascular necrosis of the humeral head, due to the poor vascularization of the area, and stiffness resulting from prolonged immobilization.</p><p><strong>Clinical presentation: </strong>We report a case of a 20-year-old female who was involved in a motor vehicle crash and sustained an anterior fracture dislocation of the humerus with an anatomical neck fracture. The injury was successfully managed with open reduction and internal fixation using a plate and screws. Given the rarity of this type of injury, this case provides valuable insights into its management and prognosis.</p><p><strong>Discussion: </strong>Proximal humeral fractures are common injuries, although fractures at the level of the anatomical neck are less common in orthopedic traumatology. The management of these injuries is guided by factors such as fracture morphology, displacement, potential disruption to blood supply, bone quality, patient's age, and functional demands. Various surgical management strategies have been proposed, emphasizing early intervention to minimize the risk of complications.</p><p><strong>Conclusion: </strong>This case aims to highlight the importance of the value of early operative intervention, good anatomic reduction with stable fixation, and the importance of early mobilization of the shoulder to achieve favorable outcomes and minimize complications such as stiffness in patients with this type of injury.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477869","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}