International Journal of Surgery Case Reports最新文献

{"title":"TAVI complication: Prosthetic valve leaflet dislodgment after post-dilatation.","authors":"Haitham Abu Khadija, Mohammad Alnees, Gera Gandelman, Jacob George, Alex Blatt","doi":"10.1016/j.ijscr.2024.110441","DOIUrl":"10.1016/j.ijscr.2024.110441","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Transcatheter aortic valve implantation (TAVI) is a minimally invasive procedure used to treat severe aortic stenosis. While TAVI is generally safe and effective, it can be complicated by rare adverse events such as prosthetic leaflet dislodgment leading to acute free aortic regurgitation.</p><p><strong>Case presentation: </strong>We report the case of a female patient who experienced acute free aortic regurgitation following elective TAVI. This complication arose due to prosthetic leaflet dislodgment after post-dilatation of the implanted valve. The timely identification and management of this rare complication are essential to prevent potentially fatal outcomes.</p><p><strong>Clinical discussion: </strong>The moderate paravalvular regurgitation (PVR) observed in this case was likely caused by the unsealing of heavily calcified aortic valve leaflets. While post-dilatation is a routine practice to optimize valve function, it poses the risk of serious complications, including leaflet dislodgment. Transoesophageal echocardiography (TEE) confirmed the loss of function of the prosthetic leaflet, which was likely exacerbated by aggressive post-dilatation techniques. The use of intravascular lithotripsy could be considered to mitigate the risk of significant PVR by effectively modifying the calcified valve structure.</p><p><strong>Conclusions: </strong>Acute prosthetic leaflet dislodgment leading to free aortic regurgitation is a very rare but serious complication of TAVI. Early recognition and immediate intervention are crucial to manage this life-threatening event and optimize patient outcomes.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110441"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477867","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":"Diagnosis of congenital oblique vaginal septum syndrome: A case report and literature review.","authors":"Guangquan Guo, Mengling Li, Xin Hang, Yina Jiang","doi":"10.1016/j.ijscr.2024.110451","DOIUrl":"10.1016/j.ijscr.2024.110451","url":null,"abstract":"<p><strong>Introduction: </strong>This report details a case of Type I oblique vaginal septum syndrome (OVSS), highlighting its complexity as a congenital uterine malformation.</p><p><strong>Case presentation: </strong>A 12-year-old girl presented with severe lower abdominal pain coinciding with her first menstrual period. Ultrasound revealed a septate uterus and an oblique vaginal septum, prompting an emergency hysteroscopic procedure that confirmed the diagnosis of Type I OVSS.</p><p><strong>Discussion: </strong>OVSS is a rare urogenital anomaly often diagnosed during adolescence. Common symptoms include abdominal pain, abdominal masses, and irregular vaginal bleeding. Due to its atypical presentation, OVSS is frequently misdiagnosed. Early surgical intervention is crucial to relieve pain and restore normal uterine morphology.</p><p><strong>Conclusion: </strong>Diagnosing OVSS can be challenging, but early detection is vital to prevent complications such as retrograde menstruation and long-term issues.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110451"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477874","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":"Differential diagnoses and therapeutic features of giant cell tumor of the bone in an elderly patient: A case report.","authors":"Makram Zrig, Youssef Othman, Firas Chaouech, Mezri Maatouk, Ahmed Zrig, Abderrazek Abid","doi":"10.1016/j.ijscr.2024.110467","DOIUrl":"10.1016/j.ijscr.2024.110467","url":null,"abstract":"<p><strong>Introduction: </strong>Giant cells tumor (GCT) of the bone is usually seen in young adults between the ages of 20 and 40. When occurring in older patients, diagnosis and therapeutic specific feature are to be considered. We underline those aspects through this case report.</p><p><strong>Case presentation: </strong>We report the case of a 73-year-old man presenting with a painful swelling knee. The diagnosis of GCT of proximal tibia was retained and the patient underwent extensive curettage, subchondral bone grafting and cementation of the residual cavity. The long-term results show a good functional outcome and no recurrence.</p><p><strong>Discussion: </strong>In this age group, other lesions have similar clinical and radiological presentations as GCT of bone. The diagnosis of a metastatic carcinoma is to be carefully ruled-out in this situation. While the option of large resection with joint arthroplasty is better accepted in ageing patients as a treatment of GCT of bone, this case suggests that jointpreserving methods should also be considered especially when there are no signs of osteoarthritis. While polymethylmethacrylate cementation is an efficient adjuvant in order to reduce recurrences, it may cause secondary osteoarthritis. Subchondral grafting seems to be a good alternative to prevent this complication.</p><p><strong>Conclusion: </strong>Malignancies should be ruled-out before retaining the diagnosis of GCT of the bone after the age of 50. Conservative surgical treatment is always an option in this age group.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110467"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11513688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477875","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":"Double cyst duct in a young woman with a history of systemic lupus: A case report.","authors":"Salvador Carlos Jiménez, Miriam Natividad Jiménez Velázquez, Juan Carlos Rivera Nava, Raúl Alejandro Núñez Torres, Edgard Efrén Lozada Hernández, Jose Alaniz Ruiz","doi":"10.1016/j.ijscr.2024.110459","DOIUrl":"10.1016/j.ijscr.2024.110459","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Cholecystectomy is the most common general surgery procedure, necessitating thorough knowledge of bile duct anatomy. Despite the bile duct's anatomical diversity, reports of double cystic ducts are rare. This case presentation aims to emphasize the importance of recognizing this unusual anatomical variant during surgical procedures to prevent complications and ensure patient safety.</p><p><strong>Case presentation: </strong>This is a 22-year-old woman with a history of lupus. Initial clinical and ultrasound evaluations concluded she had cholangitis, choledocholithiasis, and cholecystitis. A cholecystectomy was performed, during which a double cystic duct was identified and confirmed with intraoperative cholangiography. Five days after surgery, the patient exhibited increased bilirubin levels, and a follow-up cholangiography showed dilation of the common bile duct with no passage of contrast medium into the duodenum. She underwent ERCP with endoprosthesis placement and is currently under follow-up with adequate progress.</p><p><strong>Clinical discussion: </strong>Double cystic ducts are extremely rare anatomical variants. These variations pose significant challenges for surgeons during surgery, emphasizing the need for a universal culture of safety during cholecystectomy. Although this anatomical variant is rare, surgeons must be aware of it. Given the uncertainty of anatomy, it is advisable to perform intraoperative imaging, such as cholangiography, before sectioning any duct.</p><p><strong>Conclusion: </strong>Double cystic duct variations are rare, but when bile duct anatomy is unclear, intraoperative cholangiography is essential. This technique improves visualization of biliary structures, aiding informed decisions before duct ligation and reducing the risk of bile duct disruption.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110459"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477876","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 \"one in a million\" case of colorectal carcinoma - A case report from a tertiary care centre in Mumbai, India.","authors":"Chirantan Suhrid, Sundaresh Prabhakar, Sagar Ramesh Ambre, Jayashri Sanjay Pandya","doi":"10.1016/j.ijscr.2024.110417","DOIUrl":"10.1016/j.ijscr.2024.110417","url":null,"abstract":"<p><strong>Introduction: </strong>Colorectal Carcinoma (CRC) has recently been on the rise among children, bearing a prevalence of 1-2 children/adolescents per million people. Here, we present a rare case of CRC in a 14-year-old male, emphasizing the need for development of better screening techniques to diagnose CRC earlier and with adequate time for intervention.</p><p><strong>Case presentation: </strong>A 14-year-old male visited our hospital with constipation, intermittent per rectal bleed and dull-aching pain abdomen for 2 months. On per rectal examination, a hard mass was identified, approximately 3 cm above the anal verge. Contrast-enhanced CT (Chest and Abdomen) and MRI Pelvis identified a circumferential thickening in the rectum predominantly involving the anterior rectal wall with effacement of fat planes with the Urinary Bladder without infiltrating it. Colonoscopic biopsy identified Signet Ring Adenocarcinoma. A multi-disciplinary decision was taken to treat him with neoadjuvant chemotherapy and radiotherapy (NACT-RT). MRI Pelvis, post-NACT-RT, showed that the previously- effaced fat plane was now clear and an Abdominoperineal Resection (APR) with permanent end- descending-colostomy was done. Histopathology report of the specimen identified a poorly undifferentiated mucin-secreting adenocarcinoma.</p><p><strong>Discussion: </strong>At presentation, the patient could have been either planned for extensive surgery or NACT-RT. The choice of NACT-RT was justified in our patient and was advantageous as extensive surgery was prevented.</p><p><strong>Conclusion: </strong>We implore vigilance in cases of rectal masses due to the rising incidence of CRC among children. We also advocate that there must be no hesitation in subjecting adolescents to Chemotherapy and/or radiotherapy, as the benefits significantly outweigh the risks of with-holding.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110417"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477853","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":"Emphysematous cystitis, a serious urinary tract infection: A surgery case report.","authors":"Salim Ouskri, Ahmed Ibrahimi, Youssef Zaoui, Imad Boualaoui, Hachem El Sayegh, Yassine Nouini","doi":"10.1016/j.ijscr.2024.110442","DOIUrl":"10.1016/j.ijscr.2024.110442","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Emphysematous cystitis is a rare and serious urinary tract infection with gas in the bladder, commonly affecting elderly diabetic women. Prompt evaluation and management are vital due to its potential life-threatening nature, associated with risk factors like diabetes, neurogenic bladders, and urinary stasis.</p><p><strong>Case presentation: </strong>A 55-year-old woman with type 1 diabetes presented confusion, lumbar pain, and urinary symptoms. Elevated CRP, white blood cells and imaging revealed extensive emphysema. Urinary drainage and empirical antibiotics (Ceftriaxone, metronidazole, amikacin) targeting Klebsiella pneumoniae led to clinical improvement. A 14-day treatment was followed by referral to an endocrinologist for diabetes management.</p><p><strong>Discussion: </strong>Emphysematous cystitis, often linked to poorly controlled diabetes, presents diverse symptoms. Diagnosis relies on imaging, with computed tomography being the gold standard. Symptoms range from asymptomatic to severe, necessitating prompt intervention and tailored antibiotic therapy. Successful treatment involves addressing risk factors, emphasizing glycemic control.</p><p><strong>Conclusion: </strong>Emphysematous cystitis demands prompt attention, considering its rarity and potential severity. Timely diagnosis and comprehensive management are crucial for a favorable prognosis, highlighting the need for swift physician intervention.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110442"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510514","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":"Management of cloacal exstrophy: Experience from tertiary hospital, Tanzania. Case series.","authors":"Geofrey P Chiloleti, Gabriel Mtaturu, Sirili Harya, Herry G Kibona, Boniface Kilangi, Fransia A Mushi","doi":"10.1016/j.ijscr.2024.110387","DOIUrl":"10.1016/j.ijscr.2024.110387","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction and importance: &lt;/strong&gt;Cloacal exstrophy (CE) is defined as a complex anomaly that affects the urogenital and intestinal tracts. It is the most serious form of anomaly that is described within the so-called exstrophy-epispadias complex. These malformations usually present a challenge in the management of particular conditions, as most of these forms require multiple surgeries, resulting in the use of multidisciplinary approaches, including reconstructive urologists, pediatric surgeons, orthopedic surgeons, endocrinologists, pediatricians, psychologists and nutritionists. Additionally, these patients present with ambiguous genitalia, which is another aspect that needs to be taken into consideration during the management of this condition.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Case presentation: &lt;/strong&gt;The first patient, a baby who was 8 days of life and referred from a peripheral hospital, presented with classic features of cloaca exstrophy. He underwent first-stage cloacal exstrophy repair. The intraoperative findings included a bi-halved bladder and phallus, and the ureters were not appreciated, but there was continuous urine leakage from the bi-halved bladder and no uterus or ovaries. Poorly formed cecum, cecal-cutaneous fistula with an everted part of the terminal ileum protruding outside (mucosa-out), no transverse, no descending colon, collapsing small bowel, left undescended testis in the inguinal region, and right abdominal undescended testis. He first underwent surgery, which involved ileostomy, omphalocele closure and proper bladder exstrophy construction. The second patient, a 6-day-old female, had a similar presentation and physical findings as the first patient did, except that she had elephantoid trunk deformity with a cecal fistula, bifid clitoris, two cervical orifices, and two uteri completely separated with ovaries. Mobilization of the hindgut, closure of the cecal fistula, and proper bladder exstrophy after repair of the posterior wall were performed. The third patient was a 10-day-old female, similar to the second patient, but this patient presented with a left leg deformity with wide diastasis. In this case, the urinary bladder was not bivalved, and the cecal fistula had perforated just below the posterior wall of the urinary bladder. A mild omphalocele, bifid clitoris and vagina, one cervical orifice, and two uteri completely separated, with ovaries observed. Mobilization of the hindgut, closure of the cecal fistula, and proper bladder exstrophy after repair of the posterior wall were performed. The postoperative period was uneventful.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical discussion: &lt;/strong&gt;Surgical management of cloacal exstrophy is typically undertaken in the newborn period (48-72 h) as a combined effort between pediatric surgery and urology. In the setting of associated spinal dysraphism, neurosurgical consultation and closure should be undertaken as soon as the infant becomes medically stable. Early operation minimizes bacterial ","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110387"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367013","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":"High grade renal cell carcinoma in a simultaneous pancreas and kidney transplant recipient.","authors":"Sarah Marie Norton, Clare Norton, Donnacha Hogan, Ponnusamy Mohan","doi":"10.1016/j.ijscr.2024.110420","DOIUrl":"10.1016/j.ijscr.2024.110420","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Renal transplant recipients have a higher risk for developing cancers compared to the general population due to high-dose immunosuppression. The risk of renal cell carcinoma (RCC) in native kidneys is 7-fold greater than the general population and development of RCC in an allograft kidney is extremely rare. We report the diagnosis and management of a large RCC in an allograft renal transplant and metastatic disease in a regional lymph node.</p><p><strong>Case presentation: </strong>A 46 year old male patient with a history of simultaneous pancreas and kidney transplant presented with visible haematuria. His pancreas allograft continued to function well however following severe BK nephritis his renal transplant failed. A CT urogram demonstrated a 6 cm contrast enhancing mass in the failed renal transplant and an enlarged pelvic lymph node. He underwent a transplant nephrectomy with excision of the metastatic lymph node deposit.</p><p><strong>Clinical discussion: </strong>We report the diagnosis and management of a large RCC in an allograft renal transplant and metastatic disease in a regional lymph node. There is currently no guidelines on the management of allograft RCC.</p><p><strong>Conclusion: </strong>Our case report shows that surgical excision of a large RCC in an allograft renal transplant is possible.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110420"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11513684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477890","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":"Rod migration to the occiput after C3-7 instrumentation: A rare case report and literature review.","authors":"Reza Jabbari, Ibrahim Mohammadzadeh, Behnaz Niroomand, Ahmad Jabbari, Mehdi Darekordi, Seyed Ali Mousavinejad","doi":"10.1016/j.ijscr.2024.110425","DOIUrl":"10.1016/j.ijscr.2024.110425","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Cervical canal stenosis often requires posterior laminectomy with lateral mass (LM) screw/rod fixation for sagittal stability. Although rare, rod migration can pose serious risks, such as penetration into cranial structures, emphasizing the need for vigilant postoperative monitoring and prompt intervention.</p><p><strong>Case presentation: </strong>A 65-year-old male with no significant prior medical history underwent C3-7 laminectomy with LM screw/rod fixation for cervical canal stenosis. Two months postoperatively, the patient experienced persistent neck pain. Imaging revealed right-sided rod migration into the occipital bone, confirmed by CT scan. Urgent revision surgery was performed to remove the migrated rod, resulting in a successful recovery without further complications during follow-up evaluations.</p><p><strong>Clinical discussion: </strong>Rod migration is a rare but serious complication of LM screw/rod fixation, influenced by technical factors such as screw placement, angulation, and rod length. Accurate preoperative planning, meticulous surgical technique, and detailed postoperative surveillance are crucial in preventing such occurrences. This case highlights the significance of recognizing potential hardware complications early, facilitated by imaging modalities like CT, to avoid severe neurological outcomes.</p><p><strong>Conclusion: </strong>This case underscores the necessity of thorough preoperative assessment, precise surgical execution, and rigorous postoperative monitoring in managing cervical spine stabilization surgeries. Improved diagnostic imaging and prompt surgical intervention are key to mitigating risks associated with rod migration, ultimately enhancing patient outcomes.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110425"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477862","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":"The diagnosis of pulmonary carcinoid using intraoperative fine-needle aspiration cytology: A case report.","authors":"Yuuki Matsui, Koji Takami, Kiyoshi Mori, Yumiko Hirose","doi":"10.1016/j.ijscr.2024.110428","DOIUrl":"10.1016/j.ijscr.2024.110428","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Surgeons often need to make intraoperative decisions regarding resection of lung tumors without a preoperative pathological diagnosis. Although intraoperative fine-needle aspiration cytology (FNAC) often provides useful diagnostic information, literatures on its usefulness in pulmonary carcinoids is limited.</p><p><strong>Case presentation: </strong>A medical chest radiograph revealed an abnormal shadow in the right upper lung field of a 45-year-old Japanese man. Chest computed tomography (CT) revealed a solid 2.5-cm nodule in the right upper lobe. Follow-up CT for one year showed that the tumor size had increased. In case of lung cancer, it was clinically detected to be resectable at stage IA3 with clinical T1cN0M0. Intraoperative FNAC confirmed a specific appearance, and a diagnosis of carcinoid was made. Right upper lobectomy and mediastinal lymph node dissection were performed via video-assisted thoracic surgery. The final histopathological diagnosis was a typical carcinoid with positive chromogranin A, synaptophysin, and CD56, a Ki-67 labeling index of 5 %, and pathological stage IA3 with T1cN0M0, which was consistent with the intraoperative diagnosis.</p><p><strong>Clinical discussion: </strong>This is the first report describing the diagnosis of pulmonary carcinoid by intraoperative FNAC with the publication of characteristic pathological images, demonstrating the usefulness of intraoperative FNAC.</p><p><strong>Conclusion: </strong>Intraoperative FNAC may be a low-risk and short-duration procedure for diagnosing pulmonary carcinoids.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"124 ","pages":"110428"},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477868","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}