International Journal of Surgery Case Reports最新文献

{"title":"Trauma a major contributing factor of retronychia: Case series.","authors":"Abdullah Dukhan, Yamama Tawashi, Mohammad Almoustafa, Thaer Douri","doi":"10.1016/j.ijscr.2024.110478","DOIUrl":"10.1016/j.ijscr.2024.110478","url":null,"abstract":"<p><strong>Introduction: </strong>Retronychia is defined as a condition where the proximal nail plate grows into the proximal nail fold with the formation of multiple layers of nail plates. It relates to frequent microtrauma that affects the toenails, especially the big toe and it is less common on the fingernails.</p><p><strong>Case presentation: </strong>Case 1: A 14-year-old female presented with nail growth stopped and painful swelling in her left hallux that did not respond to antibiotics. The patient had been traumatized at the same toenail. Retronychia was diagnosed, and nail avulsion was performed. Case 2: An 18-year-old man came with painful swelling and stopped growth in his right great toenail that did not improve with antibiotics. The patient had previously trauma the same toenail. Retronychia was diagnosed clinically, and nail avulsion was performed. Case 3: A 30-years-old woman presented with Inflammation and pain in her right toenail. She mentioned a previous trauma to her foot. Retronychia was diagnosed clinically and she underwent onychectomy.</p><p><strong>Discussion: </strong>Retronychia is a chronic nail abnormity based on unresolved chronic proximal paronychia caused by disintegrated nail growth and several generations of nail plate localization underneath the damaged nail. The most common reason for retronychia is trauma which also happens after repetitive micro-trauma. Clinical diagnosis is the basis of retronychia. Retronychia treatment varies between surgical treatment and conservative treatment.</p><p><strong>Conclusion: </strong>This paper highlights the importance of considering retronychia as a potential differential diagnosis in cases of chronic paronychia, and stresses the significance of early detection to prevent complications.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510529","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":"Case report: Novel approach to distal radius non-union treatment with free fibula flap reconstruction.","authors":"Maria Albuquerque, Luís Mata Ribeiro, Miguel Botton","doi":"10.1016/j.ijscr.2024.110447","DOIUrl":"10.1016/j.ijscr.2024.110447","url":null,"abstract":"<p><strong>Introduction: </strong>Distal radius fractures are common among adults. Despite being a rare complication, occurring in only 0.2 % of the cases, non-union poses significant treatment challenges.</p><p><strong>Presentation of case: </strong>In this article, we report the case of a 43-year-old male with a history of distal radius fracture resulting from a motorcycle accident. His initial treatment consisted of external fixation followed by a distraction plate and internal fixation with volar plate and screws. Due to plate breakage, he underwent refixation with a volar plate and autologous bone graft six months after the accident. However, five months after surgery, CT-scans showed a radius non-union. This led to a multidisciplinary approach involving orthopaedic and plastic surgery teams, where the patient underwent distal radius reconstruction using a free fibula flap. Postoperative recovery led to favourable outcomes with evidence of bony consolidation at six-month follow-up.</p><p><strong>Discussion: </strong>Conventional techniques for distal radius non-union treatment may fall short in achieving bony continuity in a non-suitable soft tissue environment. Free vascularised fibular flap has emerged as a primary option for long bone reconstruction, offering advantages such as anatomical compatibility and immediate structural support.</p><p><strong>Conclusion: </strong>This case highlights the efficacy of free fibular flap in addressing complex distal radius non-unions, providing an effective solution when simpler techniques have failed.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477870","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":"Case report: Retrogenicular popliteal artery pseudoaneurysm following trivial knee hyperextension.","authors":"Sriskantharajah Varothayan, Satchithanantham Vinojan, Rajahram Dhadchayini, Sivakumaran Gobinath, Paramanathan Shathana","doi":"10.1016/j.ijscr.2024.110439","DOIUrl":"10.1016/j.ijscr.2024.110439","url":null,"abstract":"<p><strong>Introduction: </strong>Popliteal artery pseudoaneurysm is rare after blunt trauma without associated bone fracture, usually presenting in a delayed fashion. We present a case of early presentation following minor civilian trauma.</p><p><strong>Case presentation: </strong>A 66-year-old man presented with left leg pain and swelling after a trivial knee hyperextension injury. Ultrasound revealed a popliteal artery pseudoaneurysm, confirmed by CT angiogram. Open surgical repair with interposition graft was successful. Intraoperatively, a 3 cm linear laceration in the retrogenicular popliteal artery and ipsilateral hamstring tear were noted.</p><p><strong>Discussion: </strong>Delayed presentation is typical, making early detection challenging. Our case emphasizes maintaining suspicion for popliteal artery pseudoaneurysm, especially after trivial knee injuries. Prompt imaging and intervention are crucial to mitigate potential complications.</p><p><strong>Conclusion: </strong>Popliteal artery pseudoaneurysm from minor knee trauma is rare but should be considered in patients with leg pain and swelling. Early detection and surgical intervention are vital to prevent complications.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477871","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":"Intraoperative diagnosis of Amyand's hernia, a case report.","authors":"Kenana Tawashi, Eva Khalouf, Muhannad Debes Wzet, Olga Bittar","doi":"10.1016/j.ijscr.2024.110465","DOIUrl":"10.1016/j.ijscr.2024.110465","url":null,"abstract":"<p><strong>Introduction: </strong>Hernia forms when an organ or its fascia protrudes through the continuing cavity's wall. Amyand's hernia describes an inguinal hernia containing an appendix, regardless of inflammation.</p><p><strong>Presentation of case: </strong>Our patient was complaining of an increasing lump in the inguinal area. It started 5 years ago as a small mass that gradually increased, manifesting distressing symptoms. The initial diagnosis was an indirect right inguinal hernia. During the surgery, the presence of an indirect inguinal hernia was observed, and the appendix was revealed within the sac, with the observation of adhesion of the appendix tip to the sac.</p><p><strong>Discussion: </strong>Amyand's hernia describes an inguinal hernia, containing the appendix inside it. It is classified according to Losanoff and Basson depending on the presence and spread of inflammation. The diagnosis of Amyand's hernia is often made during the surgery because of its rarity and unspecific symptoms. When symptoms and signs occur, they masquerade as strangulated hernia rather than appendicitis.</p><p><strong>Conclusion: </strong>Even Amyand's hernia is a rare condition; it should be a differential diagnosis in patients who come with strangulated hernia or appendicitis. More studies are needed to understand the physiology of this type of hernia. In addition, more cases should be reported to help establish guidelines for diagnosing and treating this hernia.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477892","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":"Tuberculous ventriculitis as a devastating neurological manifestation of immune reconstitution inflammatory syndrome: A case report in immunocompetent patient.","authors":"Andre Marolop Pangihutan Siahaan, Bahagia Willibrordus Maria Nainggolan, Ahmad Brata Rosa, Marsal Risfandi, Andika Pradana, David M R Silalahi","doi":"10.1016/j.ijscr.2024.110493","DOIUrl":"10.1016/j.ijscr.2024.110493","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Tubercular Immune Reconstitution Inflammatory syndrome (TB-IRIS) is defined as the worsening of existing disease or new tuberculosis lesions during anti-tuberculosis therapy after excluding drug resistance, adherence issues, secondary infection, and malignancy. Ventriculitis is a rare and detrimental complication of cerebral tuberculosis. Here, we report a case of ventriculitis as a manifestation of TB-IRIS.</p><p><strong>Case presentation: </strong>A 46-year-old male presented to the emergency department with a decline in consciousness for four days prior to admission. He experienced a progressive headache accompanied by intermittent high-grade fever over the past week. He was diagnosed with rifampicin-sensitive pulmonary tuberculosis three months prior and was treated with a fixed-dose combination of anti-tuberculosis (ATT) regimen. His HIV test result was negative. A non-contrast computed tomography (CT) scan revealed ventriculitis and hydrocephalus. The patient subsequently received ATT and corticosteroids, along with external ventricular drainage (EVD) to alleviate intracranial pressure and address the intraventricular infection. Regrettably, the patient's condition progressively declined, resulting in his demise on the seventh day post-admission.</p><p><strong>Clinical discussion: </strong>TB-IRIS is primarily characterized in individuals with HIV/tuberculosis coinfection; however, it does not exclude that TB-IRIS may occur in immunocompetent conditions. Tuberculous ventriculitis is a manifestation of CNS TB-IRIS, characterized by significant morbidity and mortality. The fundamental principle in managing ventriculitis is to control both the inflammation and the infection and reducing intracranial pressure.</p><p><strong>Conclusion: </strong>This particular case does not significantly enhance the management of CNS-TB-IRIS; however, it does bring attention to the potential occurrence of this condition in immunocompetent patients.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477880","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":"En bloc resection of intraosseous arteriovenous malformation (AVM) in the maxilla and deformed bone following embolization and sclerotherapy.","authors":"Misato Ueda, Shunsuke Sakakibara, Hiroto Terashi, Tadashi Nomura","doi":"10.1016/j.ijscr.2024.110450","DOIUrl":"10.1016/j.ijscr.2024.110450","url":null,"abstract":"<p><strong>Introduction: </strong>Arteriovenous malformations (AVMs) of facial bones are rare conditions. These lesions can cause aesthetic challenges, pain, impact on gums and teeth, facial asymmetry, and life-threatening bleeding.</p><p><strong>Presentation of the case: </strong>This report described a case involving the resection of AVMs within the maxilla following preoperative embolization and sclerotherapy by using an ultrasonic bone aspirator (Sonopet®, Stryker, Kalamazoo, MI, USA) and a radiofrequency bipolar sealer (Aquamantys™, Medtronic, Minneapolis, MN, USA). The AVMs and deformed bone were resected en bloc through repeated cutting and hemostasis, preserving the maxillary crown and maintaining the maxillary structure by treating only the affected bone.</p><p><strong>Discussion: </strong>Reducing inflow during surgery and controlling intraoperative bleeding requires thorough planning. Preoperative embolization and sclerotherapy can reduce inflow to the tumor, and appropriate surgical devices enable the resection of arteriovenous malformations within the maxilla.</p><p><strong>Conclusion: </strong>The method presented in this report is a viable treatment option because it allows for selective bone removal, thus leading to the preservation of crowns and maxillary contour.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary adrenal teratoma in an infant: A case report and literature review.","authors":"Abdelrahman S Elnour, Elsadig A Corina, Mohamed A Elnima, Abdelhafeez H Abdelhafeez, Faisal Nugud","doi":"10.1016/j.ijscr.2024.110473","DOIUrl":"10.1016/j.ijscr.2024.110473","url":null,"abstract":"<p><strong>Introduction: </strong>Teratomas are germ cell neoplasms arising from the totipotent stem cells. Retroperitoneal teratomas are very rare, accounting for about 5 % of all teratomas of those, primary adrenal ones are exceedingly rare, with few cases reported in the English literature in pediatric age group.</p><p><strong>Case presentation: </strong>A nine-month-old female presented with a two-month history of gradually increasing abdominal distention, her physical examination revealed a palpable large abdominal mass. Abdominal CT imaging showed a right suprarenal heterogeneous mass. Oncological resection was performed, and histopathology confirmed a primary mature adrenal teratoma.</p><p><strong>Discussion: </strong>The diagnosis of primary adrenal teratoma is usually challenging and relies predominantly on imaging studies, and histopathological finding.</p><p><strong>Conclusion: </strong>Primary adrenal teratoma is extremely rare in pediatric age group, and present a significant diagnostic challenge, as a result it should be considered in the differential diagnosis of pediatric patients with adrenal masses.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510519","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 rare pediatric case: Mesenteric cystic hygroma in a 5-year-old child.","authors":"Shkri Jaweesh, Marwa Jaweesh, Wais Khalil, Shahed Obaid, Hasan Alokla, Khaled Alhomsi","doi":"10.1016/j.ijscr.2024.110435","DOIUrl":"10.1016/j.ijscr.2024.110435","url":null,"abstract":"<p><strong>Introduction and significance: </strong>Lymphangiomas are benign vascular malformations commonly found in the head and neck region, although they can occur elsewhere. Clinical manifestations vary based on location and size. Surgical resection remains the primary treatment modality.</p><p><strong>Case presentation: </strong>A male child presented with progressive abdominal distension without associated symptoms. Emergency department evaluation revealed a palpable abdominal mass. Abdominal ultrasound and computed tomography (CT) scans confirmed a large abdominal cyst. The cyst was surgically removed, and pathological examination diagnosed mesenteric lymphangioma.</p><p><strong>Clinical discussion: </strong>Despite their infrequent occurrence, mesenteric cysts should be included in the differential diagnosis of pediatric abdominal masses.</p><p><strong>Conclusion: </strong>Complete surgical resection is essential for the definitive management of mesenteric lymphangioma. Partial resection or aspiration should be avoided due to the risk of complications and potential recurrence.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11525122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477856","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":"Rare case of primary adenoid cystic carcinoma of cervix: A case report.","authors":"Abraham Kassahun Tadele, Fekade Yerakly Lucas, Teketel Tadesse Geremew","doi":"10.1016/j.ijscr.2024.110495","DOIUrl":"10.1016/j.ijscr.2024.110495","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Adenoid cystic carcinoma (ACC) is an uncommon malignant tumor with histological features commonly associated with salivary glands. Although it is thought that human papillomavirus infection is a required cause of most cases of cervical cancer, little is known about its function in the pathophysiology of ACC. Patients with ACC usually present with vaginal bleeding, and physical examination may reveal a firm, palpable mass that may be friable or ulcerated. Cervical ACC is thought to be a radiosensitive tumor, and early-stage patients treated with adjuvant radiation have shown improved outcomes than those seen in cases where surgery has been performed alone. This case is important because there are few case reports in the world, and it is the first case to be reported from Ethiopia.</p><p><strong>Case presentation: </strong>Here we present a 65-year-old female patient presented with vaginal bleeding, and histomorphologic examination confirms the diagnosis of adenoid cystic carcinoma of the cervix.</p><p><strong>Clinical discussion: </strong>Histologically, these tumors are composed of fairly uniform, small basaloid cells with scanty cytoplasm and rounded or angulated hyperchromatic nuclei. The cells are arranged in a cribriform pattern with central hyaline or mucinous material. Less frequent patterns including trabecular, tubular, solid, or undifferentiated patterns may be observed. Lymph vascular invasion is frequent. This case was confirmed to be primary adenoid cystic carcinoma of the cervix with all features.</p><p><strong>Conclusion: </strong>ACC of the cervix is a rare, particularly aggressive neoplasm. It requires enhancement of postoperative treatment regimens and careful follow-up and thus needs to be distinguished from other tumors with similar histologic aspects. So histopathologic examination with IHC correlation is strongly advised to diagnose this aggressive tumor.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11533679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477861","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 and clinical presentation of iliac graft-enteric fistula: A case report.","authors":"Fereshte Maghsoudlou, Reza Zahedpasha, Parisa Nikkhoo, Pezhman Kharazm, Mohammad Hadi Gharib, Maryam Shahali Ramsheh","doi":"10.1016/j.ijscr.2024.110460","DOIUrl":"10.1016/j.ijscr.2024.110460","url":null,"abstract":"<p><strong>Introduction: </strong>Aorto-enteric fistula (AEF) is a life-threatening complication arising from abnormal connections between the gastrointestinal tract and major arteries. One uncommon type, iliac artery-enteric fistula (IEF), can occur following vascular interventions such as arterial stent-graft placement.</p><p><strong>Case presentation: </strong>We report the case of a 47-year-old male presenting with hematemesis and abdominal pain, who was diagnosed with an iliac graft-enteric fistula. Timely recognition and management were crucial for a favorable outcome.</p><p><strong>Clinical discussion: </strong>Diagnosing AEFs remains challenging, requiring a multidisciplinary approach and high clinical suspicion. While computed tomography angiography (CTA) is commonly used for diagnosis, its sensitivity may be limited, emphasizing the importance of integrating clinical history and findings. Management strategies vary based on etiology and patient status, with surgery being pivotal.</p><p><strong>Conclusion: </strong>Aorto-enteric fistula, which can arise from a thrombosed graft, presents diagnostic challenges due to its rare formation. In patients with a history of vascular interventions and gastrointestinal bleeding, AEF should be considered. This case underscores the need for heightened awareness among healthcare professionals regarding AEF diagnosis and management to reduce severe morbidity, mortality, and prolonged hospital stays.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510513","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}