International Journal of Surgery Case Reports最新文献

{"title":"A rare case of female urinary retention caused by urethral leiomyoma: A case report","authors":"Muhammad Garidya Bestari,&nbsp;Tjahjodjati,&nbsp;Zola Wijayanti","doi":"10.1016/j.ijscr.2025.110849","DOIUrl":"10.1016/j.ijscr.2025.110849","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Female urethral leiomyoma is a rare benign tumor that originates from the smooth muscle cells in the urethra's wall. Surgical resection is often the primary treatment option. However, the tumor's location and size can present challenges for complete removal while preserving urethral function. Here, we report a case of female urethral leiomyoma causing chronic urinary retention and bladder diverticulum and provide a review of the existing literature on this rare condition.</div></div><div><h3>Presentation of case</h3><div>Following a hysterectomy, a 49-year-old Asian woman was referred to our department due to postoperative urinary retention, initially suspected to be iatrogenic urethral trauma. Cystography revealed bladder prolapse indicative of a cystocele and diverticula on the bladder wall. Pelvic MRI demonstrated a vaginal mass, along with multiple cervical cysts, bladder diverticulum, and urethral stricture.</div></div><div><h3>Clinical discussion</h3><div>Complete surgical excision of the mass and diverticulectomy were performed, with histopathological examination confirming the presence of urethral leiomyoma and bullous diverticulum. The surgical intervention successfully resolved the urinary retention and bladder diverticulum associated with the urethral leiomyoma. The patient experienced significant improvement in urinary symptoms and was discharged home with instructions for follow-up care.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of considering urethral leiomyoma as a potential cause of urinary retention in women. The successful surgical intervention emphasizes the importance of prompt and accurate diagnosis of urethral leiomyoma to prevent complications such as bladder diverticulum. Further research of similar cases is essential to better understand this rare condition's pathogenesis and optimal management strategies.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110849"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967077","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":"Spinal impostor: Metastatic cervical paraganglioma presenting with paraparesis, a case report","authors":"Musa Machibya ,&nbsp;Abduel Kitua ,&nbsp;Jackline Gabone ,&nbsp;Nuru Saleh ,&nbsp;Caroline Ngimba ,&nbsp;Mugisha Clement","doi":"10.1016/j.ijscr.2025.110821","DOIUrl":"10.1016/j.ijscr.2025.110821","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Paragangliomas are rare neuroendocrine tumors, typically arising from extra-adrenal chromaffin cells. Primary intra-spinal paragangliomas are uncommon, and metastatic spinal paragangliomas without paraneoplastic symptoms are even rarer. This case highlights the diagnostic challenges posed by such rare tumors.</div></div><div><h3>Case presentation</h3><div>A 28-year-old male soldier from the Comoros Islands presented with a neck mass, initially suspected to be Hodgkin's lymphoma based on imaging. Biopsy of two cervical nodes revealed reactive lymphadenopathy. Later, he developed progressive lower limb weakness and numbness, prompting further investigation. Imaging showed an extradural spinal tumor at T6 with cord compression. Laminectomy and tumor excision relieved compression, revealing a highly vascularized tumor. Histopathology and immunohistochemistry confirmed a paraganglioma, which was consistent with the metastatic nature confirmed by a repeat biopsy of the neck mass.</div></div><div><h3>Clinical discussion</h3><div>Metastatic spinal paragangliomas are rare and challenging to diagnose, especially without paraneoplastic symptoms. This case underscores the importance of thorough histopathological evaluation when spinal lesions and neck masses present with unusual features and highlights the need for a multidisciplinary approach.</div></div><div><h3>Conclusion</h3><div>This case emphasizes the diagnostic difficulty of metastatic spinal paragangliomas, particularly when they mimic more common conditions like Hodgkin's lymphoma. It stresses the importance of considering rare differential diagnoses and a collaborative approach to managing such cases.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110821"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967082","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":"Small intestinal obstruction caused by the gastric bezoars in elderly diabetic patients: A case report","authors":"Yifan Huang ,&nbsp;Jie Meng ,&nbsp;Shuo Zhang","doi":"10.1016/j.ijscr.2024.110761","DOIUrl":"10.1016/j.ijscr.2024.110761","url":null,"abstract":"<div><h3>Introduction</h3><div>Bezoar is an unusual cause of small bowel obstruction accounting for 0.4–4 % of all mechanical bowel obstruction. With the rising incidence of diabetes and the associated risk of gastrointestinal issues.</div></div><div><h3>Case presentation</h3><div>A 59-year-old female diabetic patient with no prior surgical history presented with severe nausea, vomiting, and abdominal pain. CT scan revealed dilated small bowel loops, and endoscopy showed gastric retention with an impacted fecalith in the descending duodenum. At exploratory laparotomy, a bezoar was found impacted in jejunum 5–6 in. away from the Treitz ligament and was removed through an enterotomy.</div></div><div><h3>Clinical discussion</h3><div>The discussion highlights the rarity of bezoar-induced small bowel obstruction and the diagnostic challenges it presents. Despite its low incidence, it is essential to consider phytobezoars in the differential diagnosis of small bowel obstruction, especially in middle-aged to older adult diabetic patients. The case underscores the importance of a detailed patient history and the use of imaging modalities such as computed tomography (CT) for accurate diagnosis. Early intervention is critical to prevent serious complications like bowel ischemia or perforation. When conservative treatments are ineffective, surgical intervention becomes necessary.</div></div><div><h3>Conclusion</h3><div>Bezoar-induced small bowel obstruction remains an uncommon diagnosis. A detailed patient history and appropriate imaging are vital for timely diagnosis. It should be suspected in patients with an increased risk of bezoar formation, such as in middle-aged to older adult diabetic patients or a history suggestive of increased fiber intake. CT scan is helpful for preoperative diagnosis. and highlights the need for increased awareness among clinicians regarding the management of bezoars.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110761"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014152","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 preventable medical error: Successful management of iatrogenic Zenker's diverticulum perforation","authors":"Ali Alrahil,&nbsp;Essam Moumena,&nbsp;Mazen Aljanadi,&nbsp;Mhd Saeed Nassar,&nbsp;Tammam Hasan","doi":"10.1016/j.ijscr.2025.110859","DOIUrl":"10.1016/j.ijscr.2025.110859","url":null,"abstract":"<div><h3>Introduction and significance</h3><div>Zenker's diverticulum is a rare condition characterized by a false diverticulum, as a true diverticulum involves herniation of all wall layers outward. Dysphagia, difficulty in swallowing, is the most common symptom. Diagnosis is primarily made through X-ray studies using contrast material during swallowing. Treatment options include open surgery or endoscopy.</div></div><div><h3>Case presentation</h3><div>We present the case of an adult male who experienced progressive dysphagia for approximately two years. A diagnosis of Zenker's diverticulum was confirmed by radiography following unsuccessful endoscopic treatment and a subsequent perforation of the diverticulum. The patient underwent successful open surgery after adequate preoperative preparation.</div></div><div><h3>Clinical discussion</h3><div>Zenker's diverticulum is an uncommon cause of pharyngeal dysphagia, but it should be considered in the differential diagnosis due to the importance of early intervention and prevention of malignancy. The endoscopic approach carries a significant risk of perforation, necessitating careful treatment and close monitoring during and after the procedure.</div></div><div><h3>Conclusion</h3><div>The endoscopic approach is considered the best treatment method for Zenker's diverticulum and should be used with caution to avoid complications, especially perforation, which makes open surgery the most appropriate treatment in this case.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110859"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014199","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":"Focal mandibular osteonecrosis following intraosseous anesthesia: A case report","authors":"J. Geusens ,&nbsp;T. Bauwens ,&nbsp;J. Fransen ,&nbsp;G. Van de Vyvere","doi":"10.1016/j.ijscr.2025.110910","DOIUrl":"10.1016/j.ijscr.2025.110910","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Intraosseous anesthesia (IOA), an important technique in dental anesthesia, delivers anesthetic directly into the bone, enhancing patient comfort and minimizing side effects. Despite advantages, several disadvantages are known such as injection discomfort, root damage, mechanical obstructions and needle fractures. This report highlights a rare yet significant complication of focal mandibular osteonecrosis following IOA.</div></div><div><h3>Case presentation</h3><div>A 35-year-old male was referred with interdental septum necrosis between teeth 46 and 47, four months post-IOA. CBCT scan confirmed the septum sequestration and periapical osteolysis extending into the mandibular canal. The patient underwent sequestrectomy and tooth extraction under local anesthesia, successfully relieving him of pain.</div></div><div><h3>Clinical discussion</h3><div>Focal osteonecrosis of the jawbone is possibly caused by factors such as frictional heat, improper pressure during perforation, absence of water cooling, and the use of vasoconstrictor-containing anesthetics, impairing blood flow in the low vascularized bone of the interdental septum. Most osteonecrosis cases so far reported are linked to medication, immunocompromised status or irradiation.</div></div><div><h3>Conclusion</h3><div>Focal mandibular osteonecrosis is a rare complication of intraosseous anesthesia. To our knowledge, this is the first reported case of focal osteonecrosis in the mandible in a healthy patient. There are no previous reports in the literature to show this complication in an otherwise healthy individual.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110910"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042453","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":"FDG PET-CT missed tibial metastasis in head and neck cancer, case report and systematic review","authors":"Vanden Haute Noémie ,&nbsp;Vervaet Catherine ,&nbsp;Maindiaux Laure ,&nbsp;Taylor Stephen ,&nbsp;Durieux Valerie ,&nbsp;Holbrechts Stephane","doi":"10.1016/j.ijscr.2024.110677","DOIUrl":"10.1016/j.ijscr.2024.110677","url":null,"abstract":"<div><h3>Introduction</h3><div>Head and neck squamous cell carcinoma (HNSCC) is the seventh most common type of cancer in the world. Metastases occur in up to 40 % of cases and bones are the second most frequent site. Metastases in extremities are uncommon with very few publications covering distal lower-limb bone metastasis.</div></div><div><h3>Case presentation</h3><div>Here we report the case of a patient with HNSCC managed by induction chemotherapy, surgery and adjuvant chemo-radiotherapy. During the adjuvant treatment, the patient presented pain in the right tibia, with additional workup revealing a distal lower-limb bone metastasis which had remained undetected during the recommended standard workup for HNSCC.</div></div><div><h3>Discussion</h3><div>Current guidelines request that FDG PET-CT is performed down to the popliteal fossae. The undetected metastasis led to overtreatment of the patient. Systematic review of the literature showed only six cases of head and neck cancer's distal lower-limb metastasis which are eligible for discussion.</div></div><div><h3>Conclusion</h3><div>Although rare, physicians should keep in mind that as recommended FDG PET-CT does not extend below the popliteal fossae, metastases could be missed and therefore lead to inappropriate treatment.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110677"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053735","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":"Precise diagnosis and effective management of highly vascular anterior mediastinal paragangliomas: A case report","authors":"Jamal Ataya ,&nbsp;Mahmoud Osama Mostafa ,&nbsp;Komai Alisame ,&nbsp;Younes Ibrahim Souleiman","doi":"10.1016/j.ijscr.2025.110828","DOIUrl":"10.1016/j.ijscr.2025.110828","url":null,"abstract":"<div><h3>Introduction</h3><div>Mediastinal paragangliomas are rare neoplasms arising from extra-adrenal neural crest cells, presenting as either functional or nonfunctional tumors. Clinical manifestations range from catecholamine-related symptoms to physical compression effects. Accurate recognition of these tumors is crucial for diagnosis and management due to their rarity and association with vital mediastinal structures.</div></div><div><h3>Presentation of case</h3><div>We report the case of a 53-year-old Syrian male presenting with progressive dyspnea, fatigue, and weakness. Imaging revealed a highly vascular anterior mediastinal mass compressing the superior vena cava, diagnosed as a nonfunctional paraganglioma. Preoperative evaluations included endocrine consultation and blood transfusion preparations. The tumor was surgically excised via lateral thoracotomy without complications. Postoperative imaging confirmed the absence of residual mass, and two years of regular follow-ups revealed no recurrence or metastasis.</div></div><div><h3>Discussion</h3><div>Mediastinal paragangliomas pose diagnostic and management challenges due to their rarity and potential for extensive vascular involvement. Nonfunctional paragangliomas, in particular, may remain asymptomatic until they exert significant mass effects. Surgical resection is the definitive treatment, often requiring a multidisciplinary approach. Tumor size and patient age influence malignancy risk and recurrence, highlighting the need for thorough perioperative planning and long-term follow-up.</div></div><div><h3>Conclusion</h3><div>This case underscores the importance of precise diagnosis, meticulous perioperative management, and surgical intervention in managing mediastinal paragangliomas. Lifelong monitoring is essential, especially for larger tumors, to ensure early detection of recurrence. Comprehensive understanding and documentation of such cases contribute to improved patient outcomes and enhanced clinical management strategies.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110828"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956932","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":"Superior mesenteric artery syndrome: A rare cause of proximal bowel obstruction— Case report and literature review","authors":"Zamaryalai Hakimi ,&nbsp;Mujeeb-ur-rahman Oria Khil ,&nbsp;Abdul Shakor Shirpoor ,&nbsp;Fazel Rahman Rahmani ,&nbsp;Omran Omar Amarkhil ,&nbsp;Turyalai Hakimi","doi":"10.1016/j.ijscr.2025.110864","DOIUrl":"10.1016/j.ijscr.2025.110864","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Superior mesenteric artery syndrome, or mesenteric root syndrome, is a rare cause of small bowel obstruction. Delay in diagnosis may lead to significant morbidity and mortality in pediatric patients across several age groups.</div></div><div><h3>Case presentation</h3><div>We present a 10-year-old female child who has experienced numerous acute abdominal episodes since she was six years old. Before it was determined that the patient had superior mesenteric artery syndrome, she had a number of medical treatments, including an anti-<em>Helicobacter pylori</em> regimen, antibiotic medications, and anemia treatment. The patient received dietary support and medical counsel, and she is currently receiving follow-up care.</div></div><div><h3>Clinical discussion</h3><div>In some cases, the disease may exhibit a subclinical course, and most patients will not receive appropriate treatment but rather be treated symptomatically. In cases where the condition course is severe, nutritional buildup of the patient for gaining weight and sometimes surgical intervention will suffice for definite treatment.</div></div><div><h3>Conclusion</h3><div>Superior mesenteric artery syndrome is a clinical entity causing acute abdominal pain and requiring prompt attention. The differential diagnosis of abdominal pain is crucial for the diagnosis of superior mesenteric artery syndrome, particularly in children who have experienced weight loss in the past.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110864"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042585","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":"Prosthetic rehabilitation of a hemimaxillectomy patient using a zygomatic - Corticobasal® implant- supported reconstructive prosthesis: A case report","authors":"Syed Akifuddin ,&nbsp;Fadia Awadalkreem","doi":"10.1016/j.ijscr.2025.110815","DOIUrl":"10.1016/j.ijscr.2025.110815","url":null,"abstract":"<div><h3>Introduction</h3><div>Rehabilitation of patients with hemimaxillectomy presents a challenge. This case report describes the successful use of zygomatic Corticobasal® implant- supported reconstructed prosthesis.</div></div><div><h3>Clinical case presentation</h3><div>A 20-year-old female patient presented to the clinic following hemimaxillectomy with soft tissue approximation one year ago. The patient was very depressed and reported high aesthetic concern and masticatory inefficiency and required a fixed prosthesis. A multidisciplinary team was formed. A panorama and cone beam CT were acquired. The treatment plan included the construction of an immediately loaded, fixed implant-supported reconstructive prosthesis using 6 Corticobasal® implant (BCS® and ZDI® implant designs, Dr. Ihde Dental AG, Switzerland) and a follow up program. After 3 years in function, the patient presented with 100 % implant survival rate, no complaints, and reported great improvement in esthetics, speech, mastication, and quality of life.</div></div><div><h3>Discussion</h3><div>The use of zygomatic Corticobasal® implants in this case provides the significant advantages of improving the prosthesis support and the utilization of the strongest zygomatic bone for implant anchorage. Moreover, the use of a metal framework for implant splinting and the monoblock design of the implant reduce the risk of implant/prosthesis overloading, and eliminate the biomechanical complication. Furthermore, the provided fixed prosthesis matched the patient's desire and significantly optimized the patient satisfaction and quality of life.</div></div><div><h3>Conclusion</h3><div>Within the limitation of the study, Corticobasal® implants can be used for rehabilitating hemimaxillectomy patients with optimum peri-implant soft tissue results, reducing risk of infection, achieving high survival rate and significantly improving the patient's aesthetic, functional, and satisfaction.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110815"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11763205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956934","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":"Pott's disease complicated by a large retroperitoneal tuberculous mass: A case report","authors":"Salim Ouskri,&nbsp;Youssef Zaoui,&nbsp;Imad Boualaoui,&nbsp;Ahmed Ibrahimi,&nbsp;Hachem El Sayegh,&nbsp;Yassine Nouini","doi":"10.1016/j.ijscr.2024.110763","DOIUrl":"10.1016/j.ijscr.2024.110763","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Tuberculosis (TB) remains a significant public health issue, especially in developing countries where its incidence is rising due to factors like overcrowding and immunosuppression. Among extrapulmonary TB forms, abdominal TB is common, while retroperitoneal TB is rare and often challenging to diagnose due to its similarity to other retroperitoneal tumors. Diagnosis typically requires invasive procedures such as laparoscopy or laparotomy.</div></div><div><h3>Case presentation</h3><div>We report the case of a 45-year-old woman with Pott's disease leading to a large retroperitoneal tuberculous abscess. She presented with a right flank mass, chronic low back pain, weight loss, and fever. Imaging revealed spondylodiscitis at the L1-L2 vertebrae and a retroperitoneal collection. PCR confirmed <em>Mycobacterium tuberculosis</em>. Treatment involved abscess drainage and a 9-month anti-TB regimen.</div></div><div><h3>Clinical discussion</h3><div>Retroperitoneal TB presents with non-specific symptoms, often delaying diagnosis. Imaging plays a crucial role in identifying abscesses, with CT and MRI being key tools. The treatment of retroperitoneal tuberculous abscesses includes surgical drainage and prolonged anti-tuberculosis therapy. Early diagnosis and a multidisciplinary approach are essential to managing this severe form of extrapulmonary TB.</div></div><div><h3>Conclusion</h3><div>Retroperitoneal tuberculous abscesses, though rare, represent a severe form of extrapulmonary tuberculosis that requires increased clinical vigilance.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110763"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972826","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}