International Journal of Surgery Case Reports最新文献

{"title":"Orbital invasion by an antrochoanal polyp in a factor V-deficient patient: A case report of diagnostic and surgical challenges","authors":"Ahmad Alkheder ,&nbsp;Adel Azar ,&nbsp;Yasser Al-Ghabra ,&nbsp;Khaled Almooh ,&nbsp;Aliaa Alaitouni ,&nbsp;Ahmad Mustafa","doi":"10.1016/j.ijscr.2025.111904","DOIUrl":"10.1016/j.ijscr.2025.111904","url":null,"abstract":"<div><h3>Introduction</h3><div>Antrochoanal polyps (ACPs) typically extend posteriorly into the choana and nasopharynx; orbital invasion is exceptionally rare. This report details an atypical ACP with orbital extension in a coagulopathic patient, highlighting diagnostic and surgical complexities.</div></div><div><h3>Case presentation</h3><div>A 46-year-old woman with severe Factor V deficiency (0.8 %) presented with 2 years of progressive left nasal obstruction, rhinorrhea, headaches, and snoring. Examination revealed a left nasal polyp extending to the vestibule and bilateral turbinate hypertrophy. Coagulation profiles showed marked prolongation (PTT 126.8 s, INR 3.45). CT imaging identified a hypodense polyp originating from the left maxillary sinus, expanding through the infundibulum into the choana. Crucially, MRI confirmed orbital fossa invasion through bony dehiscence, with T2 hyperintensity and no gadolinium enhancement excluding malignancy. Histopathology post-functional endoscopic sinus surgery (FESS) demonstrated an inflammatory, angiomatous polyp featuring telangiectatic vasculature and stromal hemorrhage.</div></div><div><h3>Discussion</h3><div>Orbital extension likely resulted from chronic erosion of the lamina papyracea, exacerbated by mass effect. Angiomatous histology—uncommon in adults—and profound coagulopathy amplified bleeding risks. Multidisciplinary management (hematology/ENT) guided preoperative factor replacement and hypotensive anesthesia. Angled endoscopes facilitated precise dissection at the orbital interface, avoiding combined approaches (e.g., Caldwell-Luc) due to coagulopathy. This case underscores MRI's indispensability in delineating atypical extensions and the need for tailored techniques to ensure complete resection amid coagulopathies.</div></div><div><h3>Conclusion</h3><div>This first reported orbital invasion by an ACP in a Factor V-deficient patient illustrates that benign polyps may erode critical boundaries under chronic pressure. Vigilance for aberrant extensions via advanced imaging, coupled with individualized surgical planning for coagulopathic patients, is essential to mitigate recurrence and complications.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111904"},"PeriodicalIF":0.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management on late diagnosed Fournier's gangrene in elderly patient and it's complication: A case reports","authors":"Nadya Rahmatika ,&nbsp;Soetojo Wirjopranoto ,&nbsp;Bagus Wibowo Soetojo ,&nbsp;Yufi Aulia Azmi ,&nbsp;Antonius Galih Pranesdha Putra ,&nbsp;Kevin Muliawan Soetanto","doi":"10.1016/j.ijscr.2025.111888","DOIUrl":"10.1016/j.ijscr.2025.111888","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>One of the risk factors linked to mortality in Fournier Gangrene (FG) is the elderly. When this risk is present and diagnosed too late, patient care may become difficult. This case report discusses the treatment of an older patient with late-diagnosed Fournier's gangrene and its consequences in this background.</div></div><div><h3>Case presentation</h3><div>An emergency department (ER) referral was made for a 65-year-old male. For one week, the patient's main complaint was a sporadic high fever that got worse along with sporadic scrotal soreness. An X-ray of the kidney, ureter, and bladder (KUB) revealed gas accumulation and soft tissue oedema in the pelvic region. Fast-acting insulin was used to control blood sugar levels, and empirical antibiotic injections were used for initial care. A tunnel was discovered in the left inguinal area, and debridement was carried out right away, beginning with an incision in the necrotic area. Daily wound care was done routinely. Overall, the patient was doing well.</div></div><div><h3>Clinical discussion</h3><div>This case highlights how crucial it is to diagnose Fournier's gangrene based on the radiological evaluation of a KUB X-ray. In this case, the KUB helped confirm gas gangrene because the patient had experienced acute scrotal swelling for 5 days, which was diagnosed late as FG. The initial physical examination revealed no crepitus or necrotic areas. FG is a clinical diagnosis, and imaging should not delay source control. Debridement necrotomy is the final step, and pharmacological and non-pharmacological measures must be taken promptly and concurrently. If type 2 diabetes mellitus is present, pharmacological measures include blood sugar control and the administration of double empirical antibiotics.</div></div><div><h3>Conclusion</h3><div>An extensive physical examination, including investigations, is advised if an aged patient reports scrotal and testicular pain. Aggressive pharmaceutical and non-pharmacological treatment will be administered concurrently if the problem is discovered too late.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111888"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996532","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":"Sporadic lymphangioleiomyomatosis in young female patient: A case report and review of the literature","authors":"Addisu Assfaw Ayen ,&nbsp;Dereje Desta Mihretu ,&nbsp;Amsalu Molla Getahun ,&nbsp;Belayneh Dessie Kassa ,&nbsp;Fetene Bezabih ,&nbsp;Abebe Shumet","doi":"10.1016/j.ijscr.2025.111913","DOIUrl":"10.1016/j.ijscr.2025.111913","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Lymphangioleiomyomatosis (LAM) is a rare disorder of unknown cause which mostly affects young females and involving multi organ system with primarily involving lung.</div></div><div><h3>Presentation of case</h3><div>A 35 year's old female Ethiopian known hypertension patient from Debre Tabor, Ethiopia, Africa; presented with progressively increasing cough with blood tingled sputum of 1–2 Arabic coffee cup per day, progressively increasing exertional shortness of breath and easy fatigability seven years back. Hypertensive and desaturate to level of 88 % at atmospheric air. There was diffuse crackle over posterior 2/3 chest with decrease air entry over lower 1/3 chest bilaterally. There is obstructive airway pattern on Spirometry. Multiple bilateral diffuse uniformly distributed cystic lesions on chest CT scan and angiomyolipoma in the kidneys on abdominal ultrasound. She is on supportive treatment, Budesonide/ Formoterol and amlodipine for the diagnosis of sporadic LAM.</div></div><div><h3>Clinical discussion</h3><div>Sporadic LAM is a rare autosomal dominant disease affecting an estimated 3.4–7.8 per million individuals. While the pathophysiology remains unclear, LAM is thought to involve abnormal proliferation of smooth muscle-like cells, leading to cystic structures in axial lymphatics, lung cysts, and renal angiomyolipomas. Diagnosis is based on European Respiratory Society criteria, and management ranges from supportive care to definitive treatment depending on the patient's condition.</div></div><div><h3>Conclusion</h3><div>Sporadic LAM is a disorder affecting multiple organ systems, primarily the lungs, and presents with diverse clinical manifestations. Even though it is difficult to diagnosis without lung biopsy; sporadic LAM can be diagnosed with imaging with compatible history in resource limiting setup.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111913"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996651","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":"Bronchial stenosis in an 8-year-old with Moebius syndrome: A case report","authors":"Carlos Felipe Aristizábal-López ,&nbsp;Jose Alejandro Posso-Nuñez ,&nbsp;Astrid Carolina Álvarez-Ortega ,&nbsp;Carlos Alejandro García-González ,&nbsp;Álvaro Ignacio Sánchez-Ortiz ,&nbsp;Mauricio Velásquez-Galvis","doi":"10.1016/j.ijscr.2025.111915","DOIUrl":"10.1016/j.ijscr.2025.111915","url":null,"abstract":"<div><h3>Introduction</h3><div>Moebius syndrome is a rare congenital condition involving underdevelopment of cranial nerves VI and VII, often causing facial palsy. Also rare, bronchial stenosis may cause recurrent respiratory infections. There is scarce evidence on the outcomes of pediatric patients undergoing open surgical repair for congenital bronchial stenosis.</div></div><div><h3>Presentation of case</h3><div>An eight-year-old male with Moebius syndrome and tracheostomy-dependent since infancy, presented with fever, severe respiratory compromise and left lung atelectasis. Bronchoscopy revealed severe stenosis of the left main bronchus and the right upper lobe bronchus. Despite two bronchoscopic balloon dilations, the obstruction recurred. The patient successfully underwent bronchoplasty under extracorporeal membrane oxygenation (ECMO) with resection of the stenotic segment and end-to-end anastomosis. After 97 inpatient days, he was discharged home with usual nocturnal ventilation support.</div></div><div><h3>Discussion</h3><div>The diagnosis of congenital bronchial stenosis (CBS) is difficult because of its rarity and nonspecific presentation. Severe cases may warrant definitive surgical repair and ECMO provides critical support to ensue oxygenation and hemodynamic stability while the airway procedure takes place. Open bronchoplasty offers a safe and effective option when bronchoscopic management fails.</div></div><div><h3>Conclusion</h3><div>Early recognition of CBS in children with complex comorbidities such as Moebius syndrome is key for prompt management. Multidisciplinary efforts are crucial for optimal patient outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111915"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092561","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":"Isolated retroperitoneal duodenal perforation after blunt abdominal trauma, an often-missed injury: A case report","authors":"Halid Melkamu ,&nbsp;Kirubel Abebe ,&nbsp;Fikadu Negash ,&nbsp;Binyam yohannes ,&nbsp;Hilmneh Yirdaw ,&nbsp;Mekdes Meseret","doi":"10.1016/j.ijscr.2025.111889","DOIUrl":"10.1016/j.ijscr.2025.111889","url":null,"abstract":"<div><h3>Introduction</h3><div>Duodenal injuries occur in significant number of patients after abdominal trauma. Though most, 75 %, occur after penetrating mechanism of injury the remaining occur after blunt trauma and these are the commonly missed cases unless high index of suspicion is maintained. Here we presented a case of isolated retroperitoneal duodenal perforation after blunt abdominal trauma with a delayed diagnosis and management.</div></div><div><h3>Case presentation</h3><div>A 38-year-old male patient presented to our trauma center with a blunt hit to the abdomen, which was described to be tribal, by the patient. He underwent exploration after 7 days of the trauma due to a persistent right upper quadrant pain and tenderness, and duodenal repair, abscess drainage, pyloric exclusion with gastrojejunostomy was done for duodenal perforation. Post operatively he was discharged improved after several days of stay in the hospital.</div></div><div><h3>Clinical discussion</h3><div>The duodenum is rarely injured in isolation due to its retroperitoneal location and closeness to multiple organs and structures, including the liver, right kidney, common bile duct, and colon. Consequently, an isolated duodenal laceration is a noteworthy outlier, particularly in cases where blunt mechanism is incriminated. Duodenal injury after blunt abdominal traumas may be underestimated in severity or altogether overlooked because there are no significant signs of the injury on the outside. There is a wide array of management options based on the clinical scenario.</div></div><div><h3>Conclusion</h3><div>Maintaining high index of suspicion and early diagnosis are critical to decrease morbidity and mortality and for better outcome in patients with duodenal injury.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111889"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010643","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":"Giant splenic hemangioma during pregnancy: a case report","authors":"Han Chen ,&nbsp;Yiyao Xu ,&nbsp;Xin Lu ,&nbsp;Bao Jin","doi":"10.1016/j.ijscr.2025.111900","DOIUrl":"10.1016/j.ijscr.2025.111900","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Giant splenic hemangiomas are rare and pose diagnostic and management challenges, particularly during pregnancy. This case highlights the need for multidisciplinary approach to manage such a massive splenic lesion in the second trimester.</div></div><div><h3>Case presentation</h3><div>A 34-year-old woman with pre-pregnancy splenic cysts developed left upper quadrant distension at 19 weeks of gestation. Physical examination and preoperative ultrasound confirmed splenic enlargement. Due to concerns for splenic rupture from uterine compression, open splenectomy was performed at 19 weeks + 5 days. Histopathology analysis confirmed splenic hemangioma.</div></div><div><h3>Clinical discussion</h3><div>Management of splenic hemangioma or other types of massive splenic mass lacks standardized guideline. And imaging alone cannot reliably differentiate type of splenic lesions. In pregnant patients, management should be individualized based on lesion size, symptoms, gestational age, and complication risk of conservative approaches. Treatment options necessitate multidisciplinary collaboration to balance maternal-fetal safety.</div></div><div><h3>Conclusion</h3><div>This case of giant splenic hemangioma during pregnancy demonstrates that splenectomy in the second trimester is feasible after balancing balance maternal-fetal risks. It emphasizes the necessity of multidisciplinary decision-making to optimize maternal and fetal outcomes in management of complex abdominal masses during pregnancy.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111900"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010644","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":"Transverse mesocolic hernia successfully treated by emergent laparoscopic reduction in a geriatric patient: A case report","authors":"Noriya Takayama,&nbsp;Osamu Takata,&nbsp;Daisuke Ishioka,&nbsp;Ichiro Imai,&nbsp;Yoko Yoshida,&nbsp;Sakae Sekiya","doi":"10.1016/j.ijscr.2025.111902","DOIUrl":"10.1016/j.ijscr.2025.111902","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Transverse mesocolic hernia is an extremely rare type of internal hernia, with only a limited number of cases reported to date. In this case report, we present a geriatric patient with a transverse mesocolic hernia who was successfully treated with emergent laparoscopic surgery.</div></div><div><h3>Case presentation</h3><div>An 89-year-old male patient presented with abdominal pain and distension that had begun the previous day. He had multiple comorbidities, such as diabetes mellitus, hypertension, and prostate cancer. Additionally, he had been prescribed an antiplatelet agent for a history of cerebral infarction. He had no previous abdominal surgery except for an appendectomy at a young age. Computed tomography revealed a closed-loop obstruction of the ileum on the right side of the superior mesenteric vein. Emergent laparoscopy revealed incarceration of the small intestine through a defect in the transverse mesocolon, which was successfully reduced. The postoperative course was uneventful, and the patient was discharged without any decline in activities of daily living.</div></div><div><h3>Clinical discussion</h3><div>First, this was an extremely rare case of internal hernia that required emergent surgical intervention. Second, minimally invasive surgery was successfully performed, contributing to a rapid postoperative recovery, despite the patient being geriatric and having multiple surgical risk factors.</div></div><div><h3>Conclusion</h3><div>We managed a case of transverse mesocolic hernia. This case report provides valuable insights into the clinical course of the disease and the effectiveness of emergent laparoscopic reduction in geriatric patients.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111902"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145019557","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":"Exceptional etiology of a huge pedunculated chest wall tumor with over 40 years of evolution: A case report","authors":"Zied Chaari,&nbsp;Aymen Ben Ayed,&nbsp;Hanen Bouattour,&nbsp;Ahmed Ben Ayed,&nbsp;Abdessalem Hentati","doi":"10.1016/j.ijscr.2025.111898","DOIUrl":"10.1016/j.ijscr.2025.111898","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Chest wall tumors are common and predominantly benign. Exceptionally, long-standing evolution over decades can lead to the development of giant tumors, posing substantial technical and strategic challenges in determining the optimal surgical approach.</div></div><div><h3>Presentation of case</h3><div>We report a rare case of a giant pedunculated chest wall lipoma that had been growing for over 40 years in a 73-year-old man. CT scan revealed a mass with a 5 cm-suprascapular-implantation base, hanging posteriorly and mimicking a pseudo-limb, measuring 17 × 7 cm in diameter and 34 cm in length. Complete surgical resection was performed, and histopathology confirmed a benign lipoma with no signs of malignancy.</div></div><div><h3>Clinical discussion</h3><div>To our knowledge, this is the first reported case of a huge lipoma with more than 40 years of evolution and an unusual pedunculated presentation resembling a third upper limb.</div></div><div><h3>Conclusion</h3><div>This case is exceptional due to its pedunculated appearance resembling an additional limb, and a slow evolution over more than 40 years. Complete surgical resection ensures a favorable prognosis.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111898"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004415","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":"Hamate body fracture treated with headless compression screws: A case report","authors":"Richard D. Lander ,&nbsp;Marc J. O'Donnell","doi":"10.1016/j.ijscr.2025.111890","DOIUrl":"10.1016/j.ijscr.2025.111890","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Hamate fractures are a very rare and commonly missed injury. These fractures can occur with 4th or 5th metacarpal fracture dislocations and the typical mechanism is a direct blow over the hypothenar eminence. Depending on the fracture pattern and displacement, hamate fractures can be treated nonoperatively or operatively with percutaneous wires, plates, or headless compression screws.</div></div><div><h3>Case presentation</h3><div>We present a case of a patient with a coronal hamate body fracture with 4 mm of diastases with subluxation of the 5th CMC articulation treated with two headless compression screws into the hook of the Hamate.</div></div><div><h3>Clinical discussion</h3><div>Our study shows there is room for two headless compression screws within the hook of the hamate that will prevent rotation and allow compression that we believe is superior to one headless compression screw.</div></div><div><h3>Conclusion</h3><div>If there is a suspicion for a hamate fracture, a CT should be obtained. Additionally, Two headless compression screws through a single dorsal incision are an effective treatment option for a coronal hamate body fracture.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111890"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092641","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":"Split-thickness skin graft using scalp as a donor site for third-degree burn treatment in a newborn (case report)","authors":"Paula Andrea Pérez Franco ,&nbsp;Sebastian Murcia Espino ,&nbsp;Mauricio Alfonso Uribe Rodríguez ,&nbsp;Juan Felipe Vera Rodríguez ,&nbsp;Jorge Elias Ochoa Martinez","doi":"10.1016/j.ijscr.2025.111897","DOIUrl":"10.1016/j.ijscr.2025.111897","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Neonatal burns are uncommon but represent a critical medical challenge due to the physiological vulnerability of newborns, including fragile skin, immature immune response, and limited physiological reserves. Most burns in this population are iatrogenic, often preventable with proper care and equipment handling. The absence of standardized protocols complicates management, making each case an opportunity to refine treatment strategies and highlight prevention.</div></div><div><h3>Case presentation</h3><div>We present a case of a 16-hour-old male newborn with a third-degree thermal contact burn to the right forearm caused by overheated saline bags. Initial treatment included autolytic debridement and temporary coverage with a cadaveric skin allograft. Definitive closure was achieved using a split-thickness autologous skin graft harvested from the scalp.</div></div><div><h3>Clinical discussion</h3><div>The use of a cadaveric skin allograft improved wound bed conditions, facilitating successful autologous grafting. The scalp donor site provided rapid healing, minimal scarring, and early hair regrowth. This case reinforces the importance of careful thermal control in clinical environments and demonstrates the efficacy of a staged surgical approach in neonatal patients.</div></div><div><h3>Conclusion</h3><div>Scalp skin grafting is a reliable option in neonates, offering favorable healing and cosmetic outcomes. A two-stage grafting strategy can enhance graft success and minimize donor site morbidity.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111897"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049009","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}