International Journal of Surgery Case Reports最新文献

{"title":"Unicentric hyaline-vascular Castleman disease of the jejunal mesentery mimicking a gastrointestinal stromal tumor or neuroendocrine tumor: a case report.","authors":"Ahlam M Alfaraj, Abdullah S Al-Darwish, Rooha Hammad, Fadi Alakeel, Ammad Farooq, Hammad Akram","doi":"10.1097/RC9.0000000000000919","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000919","url":null,"abstract":"<p><strong>Background: </strong>Castleman disease (CD) is a rare lymphoproliferative disorder classified as unicentric (UCD) or multicentric (MCD). The hyaline vascular variant of UCD most commonly arises in the mediastinum, whereas mesenteric involvement is exceedingly rare. As it can mimic hypervascular mesenteric tumors like neuroendocrine tumors (NETs) and gastrointestinal stromal tumors (GISTs), preoperative diagnosis remains challenging.</p><p><strong>Case presentation: </strong>A 36-year-old woman presented with a 3-month history of vague abdominal discomfort, early satiety, and an unintentional 9-kg weight loss. Contrast-enhanced CT revealed a hypervascular jejunal mesenteric mass of size 2.0 × 1.7 cm, suspicious for a NET or GIST. Owing to the diagnostic uncertainty, exploratory laparoscopy converted to a mini-laparotomy with <i>en bloc</i> resection of the mesenteric mass and an adjacent 10-cm segment of jejunum was performed. Histopathological and immunohistochemical examination confirmed hyaline vascular unicentric CD. The postoperative course was uneventful, and the patient remained asymptomatic with complete weight recovery and no evidence of recurrence at 12-month follow-up.</p><p><strong>Conclusion: </strong>Mesenteric unicentric CD is a rare but important differential diagnosis of solitary hypervascular intra-abdominal masses. As imaging findings often mimic mesenchymal and NETs, definitive diagnosis relies on histopathological and immunohistochemical evaluation. Complete surgical resection is both diagnostic and curative for localized disease.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4179-4184"},"PeriodicalIF":0.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167739","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":"Giant hydronephrosis due to neglected congenital pelvi-ureteric junction obstruction: a case report and literature review.","authors":"Kekeli Kodjo Adanu, Enoch Agyare, Eunice Kuseh, Frank Obeng, Sylvanus Nicholas Dadzie","doi":"10.1097/RC9.0000000000000923","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000923","url":null,"abstract":"<p><strong>Introduction: </strong>Giant hydronephrosis is defined as having 1.5 L or 1.6% of body weight of fluid in the renal pelvis. In the exception of a few, the preponderance of giant hydronephrosis is attributable to congenital anomalies, mostly pelvi-ureteric junction obstruction (PUJO). However, giant hydronephrosis could also be attributed to ureteric calculi, ureteral tumors or trauma. We report the case of a giant hydronephrosis in a 14-year-old African female, with a review of the etiology and peculiarities of management in an African context.</p><p><strong>Case presentation: </strong>A 14-year-old female presented with a year's history of a left flank swelling with progressive distension, pain and heaviness of the abdomen. The patient denied any history of early morning facial puffiness, pedal oedema, nausea, vomiting, constipation, fever, chills or hematuria. Physical examination was significant for a young female whose general condition was stable. The abdomen was distended, extending from the left flank to the right lumbar and iliac fossa regions. An abdominopelvic CT scan showed a huge left-sided intra-abdominal cystic lesion with pelvicalyceal dilatation, severe cortical thinning and features suggesting a chronic left PUJO and minimally dilated right renal pelvis. A left simple nephrectomy was performed. Findings were a grossly dilated left renal pelvis, cortical thinning, and 10.4 L of urine.</p><p><strong>Conclusion: </strong>Giant hydronephrosis is mostly a consequence of neglected congenital renal anomalies in Africa. Nephrectomies may be considered in selected advanced cases. The nephrectomized patient must avoid unprescribed medications, including herbal concoctions as excretion is now dependent on a solitary kidney.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4211-4216"},"PeriodicalIF":0.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168625","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":"Proliferating trichilemmal tumor mimicking squamous cell carcinoma: a case report of occipital reconstruction using a trapezius flap.","authors":"Alia Methnani, Ameni Amri, Amira Gallas, Maroua Razzag, Skander Kedous, Sawssen Dhambri","doi":"10.1097/RC9.0000000000000876","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000876","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Proliferating trichilemmal tumors (PTTs) are rare cutaneous neoplasms that can mimic squamous cell carcinoma (SCC) clinically and histologically, posing a significant diagnostic challenge. We present a giant PTT of the nape initially misdiagnosed as SCC, highlighting diagnostic pitfalls and reconstructive management.</p><p><strong>Case presentation: </strong>A 61-year-old male presented with a 60 mm ulcerated, exophytic mass on the posterior neck. Initial superficial biopsy suggested a well-differentiated SCC. The patient underwent wide local excision. To cover the resulting 95 × 65 mm occipito-cervical defect, a pedicled lower trapezius musculocutaneous island flap was harvested. Definitive pathology revealed abrupt trichilemmal keratinization without a granular layer, correcting the diagnosis to a PTT with clear surgical margins.</p><p><strong>Clinical discussion: </strong>Superficial biopsies of PTTs often capture atypical squamous cell proliferation while missing deeper diagnostic features. Complete excision is necessary for accurate diagnosis. For massive posterior neck defects exposing underlying musculature, the lower trapezius flap provides reliable vascularity, adequate bulk, and minimal donor-site morbidity compared to free flaps or skin grafts.</p><p><strong>Conclusion: </strong>Surgeons and pathologists must be aware of PTTs mimicking SCCs to avoid overly aggressive oncological treatments. The lower trapezius island flap is an elegant and highly effective reconstructive option for large occipito-cervical defects.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4121-4125"},"PeriodicalIF":0.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170018","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":"Latissimus dorsi muscle transfer for reconstruction of traumatic deltoid deficiency: a report of two cases.","authors":"Qusai Razzouk, Abdalrzaq Talib, Mohammed Khair Saibaa, Alia Dibo, Tamim Albahhah, Hani Alloush","doi":"10.1097/RC9.0000000000000916","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000916","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Traumatic deltoid muscle deficiency results in significant impairment of shoulder function despite preserved distal upper-limb mobility. The pedicled latissimus dorsi muscle transfer (LDT) is a promising reconstructive option; however, its application in traumatic deltoid loss remains underreported, particularly in resource-limited and conflict-affected settings.</p><p><strong>Case presentation: </strong>We report two cases of traumatic deltoid deficiency managed with pedicled LDT. Case 1 involved a 23-year-old male with deltoid and supraspinatus avulsion following a projectile injury. Reconstruction with pedicled LDT resulted in restoration of active shoulder abduction up to 100° at 5-year follow-up. Case 2 involved a 14-year-old male with extensive musculocutaneous loss following a crush injury. Reconstruction with pedicled LDT and split-thickness skin grafting resulted in substantial functional recovery at 1-year follow-up.</p><p><strong>Clinical discussion: </strong>Both cases demonstrated meaningful functional improvement following pedicled LDT. Preservation of the thoracodorsal neurovascular bundle was critical for successful reconstruction. Functional recovery was facilitated through postoperative rehabilitation and neuromuscular adaptation. This technique remains particularly valuable in settings where microsurgical reconstruction is limited.</p><p><strong>Conclusion: </strong>Pedicled LDT offers a reliable reconstructive solution for traumatic deltoid deficiency, restoring functional mobility and improving shoulder contour, especially in young patients with preserved neurovascular integrity.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4150-4155"},"PeriodicalIF":0.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170689","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":"Disseminated relapse of ovarian mature cystic teratoma with squamous cell carcinoma transformation following intraoperative spillage: a case report.","authors":"Antonio Maccio, Manuela Neri, Valerio Vallerino, Gabriele Sole, Elisabetta Pusceddu, Paolo Albino Ferrari","doi":"10.1097/RC9.0000000000000893","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000893","url":null,"abstract":"<p><strong>Introduction: </strong>Malignant transformation of ovarian mature cystic teratoma is rare, usually presenting as squamous cell carcinoma (SCC). Rupture or spillage may complicate management, although a causal relationship with recurrence cannot be inferred from individual cases.</p><p><strong>Presentation of case: </strong>A 59-year-old woman developed disseminated relapse after excision of an ovarian dermoid cyst with SCC transformation, complicated by intraoperative rupture and pelvic spillage. She presented with an abdominal-wall mass and multifocal pelvic/peritoneal disease, consistent with at least FIGO stage IIIC-equivalent recurrence. She underwent diagnostic laparoscopy, then a complete open cytoreduction, including abdominal-wall resection/reconstruction, omentectomy, multivisceral bowel resections, type C2 radical hysterectomy, rectal resection, and pelvic/para-aortic lymphadenectomy. Histology confirmed a poorly differentiated SCC in a dermoid cyst, with negative margins and 87 negative lymph nodes. Adjuvant carboplatin-paclitaxel was administered without any CTCAE grade ≥1 toxicity. At 4 years, she remains disease-free.</p><p><strong>Discussion: </strong>Reports describe implantation/carcinomatosis after rupture/spillage. Complete cytoreduction, adherence to no-spillage principles, and early expert referral are essential.</p><p><strong>Conclusion: </strong>Strict no-spillage principles and early referral to high-expertise centers are essential when malignancy is suspected.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4126-4132"},"PeriodicalIF":0.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170847","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":"Contained transverse colonic perforation caused by an ingested fish bone presenting as chronic abdominal pain: a case report.","authors":"Gnanakanesh Rajeeth, Kulasegaran Srijeyaharish, Kanthasamy Umasankar","doi":"10.1097/RC9.0000000000000835","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000835","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Foreign body ingestion is common; however, gastrointestinal perforation is rare and often poses a diagnostic challenge, particularly when symptoms are chronic and nonspecific. Colonic perforation due to ingested foreign bodies is uncommon, with the transverse colon being an especially rare site due to its mobility and wide lumen.</p><p><strong>Case presentation: </strong>We report the case of a 19-year-old male who presented with central abdominal pain and intermittent diarrhea for 1 month, followed by acute worsening of abdominal pain, fever, nausea, and vomiting over the proceeding 3 days. Clinical examination revealed features of peritonitis. Laboratory investigations demonstrated leukocytosis and markedly elevated inflammatory markers. Ultrasonography and contrast-enhanced computed tomography revealed a localized intra-abdominal abscess containing a linear hyperdense structure suggestive of a foreign body. Emergency exploratory laparotomy identified a large concealed abscess cavity containing a 3-cm fish bone, associated with a sealed perforation of the transverse colon. Segmental transverse colectomy with <i>en bloc</i> abscess excision and side-to-side stapled anastomosis was performed. The patient recovered uneventfully and was discharged on postoperative day 5.</p><p><strong>Clinical discussion: </strong>Foreign body-induced colonic perforation may present insidiously due to localized containment of contamination, resulting in delayed diagnosis. The absence of pneumoperitoneum and lack of a clear ingestion history further contribute to diagnostic difficulty. Cross-sectional imaging plays a crucial role, and timely surgical intervention is essential to prevent morbidity.</p><p><strong>Conclusion: </strong>Ingested foreign bodies should be considered in young patients presenting with chronic abdominal pain and localized intra-abdominal abscesses, even in the absence of a clear history of ingestion, as delayed recognition may result in concealed gastrointestinal perforation.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4091-4094"},"PeriodicalIF":0.6,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168776","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":"Cholesterolosis mimicking gallbladder adenomyomatosis on imaging in an asymptomatic patient with concurrent cholelithiasis: a case report.","authors":"Hayfa A Al-Olayan","doi":"10.1097/RC9.0000000000000908","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000908","url":null,"abstract":"<p><strong>Background: </strong>Gallbladder cholesterolosis and adenomyomatosis (GA) share overlapping cross-sectional imaging features on CT enterography and MRCP, creating a significant diagnostic pitfall. Histopathology remains the only definitive means of distinction.</p><p><strong>Case presentation: </strong>A 44-year-old asymptomatic female was incidentally found to have gallbladder wall thickening and cholelithiasis on CT enterography. MRI/MRCP demonstrated focal fundal wall thickening with intramural high-signal foci, which was interpreted as fundal-type GA with a coexisting gallstone. Elective laparoscopic cholecystectomy was performed. Histopathology revealed chronic cholecystitis with focal cholesterolosis - no adenomyomatosis or Rokitansky-Aschoff sinuses were identified.</p><p><strong>Conclusion: </strong>Cholesterolosis can produce imaging features indistinguishable from fundal-type GA. Elective laparoscopic cholecystectomy provides definitive treatment of concurrent cholelithiasis and the histopathological confirmation needed to resolve diagnostic uncertainty.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4145-4149"},"PeriodicalIF":0.6,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171090","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":"Synchronous Metastatic Malignancy of the Prostate and Stomach: a Case Report.","authors":"","doi":"10.1097/RC9.0000000000000957","DOIUrl":"10.1097/RC9.0000000000000957","url":null,"abstract":"","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 9","pages":"3976"},"PeriodicalIF":0.6,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13549564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907766","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":"Maxillary sinus myoepithelioma: a case report.","authors":"Manal M El Mahdy, Mohammad G Raslan, Mohammed Alqaddi, Besada S Fanous, Khaled Nasr","doi":"10.1097/RC9.0000000000000880","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000880","url":null,"abstract":"<p><strong>Introduction: </strong>Pleomorphic adenoma (PA) in the sinonasal tract is very rare, with few cases documented in the literature. Myoepithelioma is a recognized variant of PA characterized by predominant myoepithelial differentiation and the absence of ductal structures.</p><p><strong>Case presentation: </strong>A 67-year-old man presented with a right-sided sinonasal mass. Cross-sectional imaging revealed a lesion originating from the right maxillary sinus and extending into the ipsilateral nasal cavity and nasopharynx. An initial biopsy favored a diagnosis of inverted papilloma, and the patient subsequently underwent endoscopic medial maxillectomy. Postoperative histopathological analysis revealed predominant myoepithelial proliferation, and immunohistochemistry showed strong cytoplasmic positivity for smooth muscle actin, glial fibrillary acidic protein, and cytokeratin; focal positivity for S100 and SOX10; and negative staining for EMA and CD34. The findings were consistent with myoepithelioma. The patient had an uneventful postoperative course, and no recurrence was encountered during 12 months of clinical and endoscopic follow-up.</p><p><strong>Conclusion: </strong>Given its nonspecific clinical presentation and radiological findings, the precise diagnosis of sinonasal myoepithelioma rests on histopathological assessment supported by an extensive immunohistochemical panel. The treatment of choice is complete surgical removal with tumor-free margins to minimize the risk of recurrence. Long-term follow-up data are needed to better define the outcomes.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4104-4109"},"PeriodicalIF":0.6,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167011","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 Mirizzi syndrome type II in a patient with situs inversus totalis treated with laparoscopic cholecystectomy.","authors":"Amy Lo, Trista Reid, Daryhl Johnson, Steven Satterly","doi":"10.1097/RC9.0000000000000807","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000807","url":null,"abstract":"<p><strong>Introduction: </strong>Situs inversus totalis (SIT) is a rare congenital condition characterized by complete mirror-image transposition of the thoracic and abdominal organs. Mirizzi syndrome is an uncommon complication of cholelithiasis that can substantially increase the technical difficulty of cholecystectomy.</p><p><strong>Importance: </strong>The coexistence of SIT and Mirizzi syndrome is exceedingly rare and presents unique challenges related to altered anatomy, operative orientation, and surgical ergonomics.</p><p><strong>Case presentation: </strong>A 30-year-old man with SIT, Kartagener syndrome, Hirschsprung disease, chronic obstructive pulmonary disease, pre-hypertension, and primary biliary dyskinesia presented with worsening abdominal pain despite prior biliary stent placement. Magnetic resonance cholangiopancreatography demonstrated cholelithiasis with an impacted gallstone at the gallbladder neck, consistent with Mirizzi syndrome, gallbladder distention, biliary ductal dilation, and a low medial insertion of the cystic duct. Laparoscopic cholecystectomy was performed using mirrored port placement, with the surgeon positioned on the right side of the patient. Intraoperatively, an aberrant left hepatic artery was found in close association with the cystic duct and gallbladder, preventing safe attainment of the critical view of safety. A dome-down approach was therefore used to complete the operation safely. The patient recovered without complications.</p><p><strong>Clinical discussion: </strong>Published reports and a meta-analysis of laparoscopic cholecystectomy in patients with SIT demonstrate that minimally invasive management is feasible and safe despite the challenges posed by mirrored anatomy, altered ergonomics, and anatomic variation.</p><p><strong>Conclusion: </strong>Preoperative imaging, mirrored port placement, and alternative dissection strategies, such as the dome-down approach, may facilitate safe laparoscopic management of Mirizzi syndrome in patients with SIT.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4071-4076"},"PeriodicalIF":0.6,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167753","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}