International Journal of Surgery Case Reports最新文献

{"title":"Langerhans cell histiocytosis presenting as a cecal mass in an adolescent: a rare surgical case report.","authors":"Harith Salman Hasaani, Yaarub J Khattab","doi":"10.1097/RC9.0000000000001006","DOIUrl":"https://doi.org/10.1097/RC9.0000000000001006","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Langerhans cell histiocytosis (LCH) is a rare, idiopathic, multifocal disease that commonly occurs in the skin and skeletal system, although involvement of the gastrointestinal tract is exceptional. Only a limited number of cases have been reported in the literature, particularly at the intestinal level, often with incidental diagnosis after colonoscopic polypectomy, and presentation as a cecal mass is extremely uncommon.</p><p><strong>Case presentation: </strong>A 15-year-old boy presented with abdominal pain and a non-tender right iliac fossa mass. Hematological and biochemical tests were within normal limits. Initial imaging studies, including ultrasound and contrast-enhanced computed tomography, revealed a cecal mass associated with mesenteric lymphadenopathy, with radiological features suggestive of lymphoma. Because of intolerance to bowel preparation, colonoscopy could not be performed. In addition to a history of treated intermittent distension with vomiting, which raised concern for recurrent sub-acute intestinal obstruction, a laparoscopy-assisted surgical approach was therefore chosen. Intraoperatively, a cecal mass with multiple focal swellings of the mesocolon was identified. A right hemicolectomy with ileo-transverse anastomosis was performed according to oncological principles. Post-operative PET imaging showed no evidence of residual disease, and the patient was subsequently enrolled in a follow-up program. This case highlights the rarity of intestinal LCH and the importance of considering it in the differential diagnosis of abdominal masses in pediatric patients. Radiological imaging studies have shown neither residual disease nor recurrence during 9 months of regular follow-up.</p><p><strong>Clinical discussion: </strong>The World Health Organization classifies LCH within the hematopoietic and lymphoid tumors placing it on a spectrum between benign and malignant behavior depending on other factors, with unifocal or multifocal lesions and single- or multisystem involvement, which likely predict prognosis and guide post-surgical treatment.</p><p><strong>Conclusion: </strong>The rarity of intestinal LCH presenting as a cecal mass highlights the importance of considering it in the differential diagnosis of abdominal masses in pediatric patients.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4451-4455"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165463","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 role of tensor fascia lata (TFL) graft in wound treatment: a case report.","authors":"Amin M Yassin, Momen Mohamed, Mohamed Dirar, Abdelrhman Hamadnaalla","doi":"10.1097/RC9.0000000000000992","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000992","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Combat-related injuries to the upper limb pose significant reconstructive challenges, particularly in resource-limited, conflict-zone settings. Innovative strategies are essential to preserve hand function, and the choice of an optimal reconstruction remains complex. Temporary wound dressings must foster healing and protect vital structures during the interval before definitive closure. This report evaluates the effectiveness of a tensor fascia lata (TFL) graft combined with negative-pressure wound therapy (NPWT) as a temporary dressing for complex wounds in austere environments.</p><p><strong>Case presentation: </strong>A 32-year-old right-hand-dominant soldier suffered shrapnel trauma to his left distal forearm, causing transection of the flexor tendons to the middle, ring, and little fingers, as well as the ulnar nerve and artery. Surgical exploration and repair were performed, after which a full-thickness TFL graft was applied as a dermal matrix substitute, in conjunction with intermittent NPWT at -100 mmHg. By the third week, robust granulation tissue was evident, allowing for successful skin grafting instead of flap reconstruction. At 7 weeks, the patient achieved more than 90 degrees of finger flexion with a QuickDASH score of 15.9%, indicating mild disability.</p><p><strong>Clinical discussion: </strong>The TFL graft's collagen-rich extracellular matrix provides mechanical integrity and supports tissue hydration, angiogenesis, and tendon gliding. Combined with NPWT, the graft offers a vascularized scaffold, while NPWT evacuates fluids and promotes tissue approximation. This combination may substitute for commercial acellular dermal matrices at a substantially lower cost.</p><p><strong>Conclusion: </strong>TFL grafts, especially when integrated with NPWT, represent a robust, versatile, and practical solution for temporary wound coverage in complex injuries, particularly in resource-constrained settings.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4370-4375"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168522","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":"Superficial squamous cell carcinoma arising in Laimer's diverticulum: a rare case highlighting the importance of anatomical differentiation.","authors":"Kenichi Ishizu, Masaaki Saito, Yasuaki KImura, Iku Abe, Hisashi Oshiro, Toshiki Rikiyama","doi":"10.1097/RC9.0000000000000961","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000961","url":null,"abstract":"<p><strong>Introduction: </strong>Laimer's diverticulum (LD) is a rare pharyngoesophageal diverticulum that originates from the posterior wall of the cervical esophagus and beneath the cricopharyngeal muscle (CPM). Carcinoma arising in pharyngoesophageal diverticula occurs predominantly in association with Zenker's diverticulum (ZD), whereas its occurrence in LD is exceptionally rare. We report a rare case of superficial squamous cell carcinoma that originated in LD.</p><p><strong>Case presentation: </strong>A 78-year-old man with a known esophageal diverticulum presented with a 9-year history of progressive dysphagia and regurgitation of food. Esophagography and contrast-enhanced computed tomography demonstrated a large posterior diverticulum originating from the cervical esophagus below the cricoid cartilage. Diverticulectomy was performed through a left cervical approach. Intraoperative findings confirmed that the diverticulum originated from the posterior wall of the cervical esophagus, inferior to the CPM, consistent with LD. Histopathological examination revealed an intra-diverticular 15 mm × 10 mm squamous cell carcinoma <i>in situ</i> (pT1a-EP). Surgical margins were negative, and the postoperative course was uneventful.</p><p><strong>Discussion: </strong>Accurate anatomical differentiation among types of cervical esophageal diverticula is essential because treatment strategies may differ substantially among LD, ZD, and Killian-Jamieson diverticulum. Endoscopic identification may be difficult because retained food debris, chronic inflammatory changes, and the narrow diverticular lumen can conceal superficial lesions; meticulous cleaning and enhanced endoscopic observation, including narrow-band imaging or Lugol chromoendoscopy, may improve detection in similar cases. Misdiagnosis of LD as ZD may result in inappropriate treatment selection, particularly when endoscopic septotomy is considered.</p><p><strong>Conclusion: </strong>We report a rare case of superficial squamous cell carcinoma originating in LD. Careful anatomical assessment is essential for accurate diagnosis and appropriate surgical management of cervical esophageal diverticula. This case underscores the importance of early surgical excision or regular surveillance when cervical esophageal diverticula are managed nonoperatively.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4441-4445"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168786","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":"Pancreatic metastasis from gastric adenocarcinoma: a rare clinical entity and therapeutic challenges.","authors":"Maryem Ben Brahim, Ahmed Ben Mahmoud, Aida Khadhar, Amine Sebai, Youssef Chaker, Montasser Kacem","doi":"10.1097/RC9.0000000000001001","DOIUrl":"https://doi.org/10.1097/RC9.0000000000001001","url":null,"abstract":"<p><strong>Introduction: </strong>Pancreatic metastases from gastric adenocarcinoma are exceptionally rare and often present diagnostic and therapeutic challenges. Their nonspecific clinical and radiological features make differentiation from primary pancreatic tumors particularly difficult, underscoring the need for a multidisciplinary approach.</p><p><strong>Case presentation: </strong>We report the case of a 54-year-old man who was initially treated in 2023 for gastric antral adenocarcinoma with independent cells. He underwent perioperative EOX chemotherapy followed by subtotal gastrectomy with Finsterer reconstruction and D2 lymphadenectomy (pT3N1). After 18 months, he developed a lesion of the pancreatobiliary junction with elevated CA 19-9 (192 U/mL). Biopsies were inconclusive, and a pancreaticoduodenectomy was performed in July 2025, preserving the gastrojejunostomy and creating a pancreaticojejunostomy on a Roux-en-Y loop. The postoperative course was complicated by a Grade B pancreatic fistula, bleeding requiring embolization of the gastroduodenal artery stump, and a superinfected hematoma requiring drainage, irrigation, and aspiration. On day 53, the patient was clinically stable with regression of the collections. Final pathology confirmed pancreatic and duodenal infiltration by independent-cell adenocarcinoma consistent with a gastric origin, with 8/12 positive lymph nodes and negative margins. Adjuvant chemotherapy was recommended after multidisciplinary discussion.</p><p><strong>Conclusion: </strong>This case illustrates the rarity of pancreatic metastasis from gastric adenocarcinoma and highlights the importance of multidisciplinary discussion in the management of such uncommon presentations.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4492-4495"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171262","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":"Liver mucinous cystic neoplasm: a challenging diagnosis case report.","authors":"Sana Landolsi, Aymen Saidi, Aziz Atallah, Maroua Yengui, Mohamed Nafaa Arfa, Faouzi Chebbi","doi":"10.1097/RC9.0000000000000858","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000858","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Liver mucinous cystic neoplasm is a rare tumor with a challenging pre-operative diagnosis, as for our patient.</p><p><strong>Presentation of case: </strong>A 43-year-old woman complained of dull, aching pain in the left hypochondrial region. Abdominal ultrasound demonstrated a solitary hypoechoic cyst within the left hepatic lobe. The initial suspected diagnosis was a hepatic hydatid cyst due to the country's endemicity. Magnetic resonance imaging (MRI) was consistent with a hepatic mucinous cystic neoplasm. A left hepatectomy was performed. Histopathological examination of the surgical specimen confirmed the diagnosis. No recurrence was observed during postoperative follow-up.</p><p><strong>Clinical discussion: </strong>Our case illustrated a rare entity with a challenging diagnosis. Liver mucinous cystic neoplasm could easily be misdiagnosed, especially in endemic areas. Appropriate exploration, such as MRI, had to be performed.</p><p><strong>Conclusion: </strong>Liver mucinous cystic neoplasms are rare tumors, with diagnosis delayed due to insufficient recognition; hence, radiological workup plays a crucial role. Complete surgical excision remains the treatment of choice.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4032-4036"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166387","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":"Revision total hip arthroplasty for osteolysis and metallosis 17 years post-THA: a case report and literature review.","authors":"Pham Trung Hieu, Luu Huu Phuc, Ta Tuan Anh, Le Duc Huy, Vo Sy Quyen Nang, Tran Trung Dung","doi":"10.1097/RC9.0000000000000571","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000571","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Pseudotumor formation and adverse reactions to metal debris are typically associated with metal-on-metal (MoM) total hip arthroplasty (THA) but are uncommon in metal-on-polyethylene (MoP) constructs. Catastrophic polyethylene liner wear leading to metallosis is rare and may present late. This case highlights severe wear-related failure occurring 17 years after primary THA.</p><p><strong>Case presentation: </strong>A 70-year-old man presented with progressive left hip pain and impaired mobility. Physical examination showed markedly restricted motion, and the Harris Hip Score was 35; he required crutches for ambulation. Radiographs revealed extensive osteolysis around the acetabular component and proximal femur, extending to the pubic ramus and femoral calcar. Cross-sectional imaging demonstrated a large pseudotumor with metal infiltration. Biopsy confirmed metallosis. Intraoperatively, complete polyethylene liner wear-through was identified, with direct MoM articulation between the femoral head and acetabular shell. The patient underwent revision THA using ceramic-on-ceramic bearing surfaces and cement augmentation.</p><p><strong>Clinical discussion: </strong>Although pseudotumor and metallosis are strongly linked to MoM bearings, advanced polyethylene wear can produce similar adverse local tissue reactions. Because symptoms may arise only after substantial structural compromise, late presentations remain a clinical risk. Long-term follow-up - particularly beyond 10-15 years - is crucial for detecting progressive wear, osteolysis, and soft-tissue changes before severe destruction occurs. This case illustrates the potential for catastrophic liner failure even in non-MoM constructs.</p><p><strong>Conclusion: </strong>Severe polyethylene wear in MoP THA can lead to metallosis and pseudotumor formation many years after implantation. Vigilant long-term surveillance is essential to ensure early recognition and timely revision to prevent extensive osteolysis and tissue damage.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4025-4031"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167759","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":"Frozen autograft-prosthesis composite reconstruction with total hip arthroplasty for proximal femoral osteosarcoma: a case report.","authors":"Viet Nhuan Ngo, Phuoc Hung Do, Quang Vinh Pham, Hoang Phu Nguyen, Ba Vu Dong Phan","doi":"10.1097/RC9.0000000000000996","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000996","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Reconstruction after proximal femoral resection requires restoration of both a large osseous defect and stable hip joint function. Frozen autograft-prosthesis composite (FAPC) reconstruction using liquid nitrogen-treated autograft represents a viable biological option for this indication. We present a case of proximal femoral osteosarcoma managed with this technique.</p><p><strong>Case presentation: </strong>A 25-year-old man presented with a 3-month history of atraumatic right hip pain. Imaging and biopsy confirmed Enneking stage IIB high-grade osteosarcoma of the proximal femur. Wide resection resulted in an 18-cm defect, reconstructed using a free, liquid nitrogen-treated autograft combined with total hip arthroplasty (THA) and plate fixation. Nonunion at the distal junction was identified at 8 months and managed with supplementary iliac crest bone grafting at 10 months, achieving complete union at 26 months. At 43 months, there was no evidence of recurrence or metastasis, and the Musculoskeletal Tumor Society (MSTS) score was 90%.</p><p><strong>Clinical discussion: </strong>This case suggests that THA can be incorporated into the FAPC construct in a young, active patient. A trochanteric hook plate with cerclage cables was used to stabilize the construct, avoiding cortical screw fixation into the brittle, recycled bone while enabling reattachment of the abductor mechanism. Distal junction nonunion, a recognized complication of liquid nitrogen freezing, was successfully managed with secondary bone grafting.</p><p><strong>Conclusion: </strong>Combining liquid nitrogen-treated autograft with THA may be a feasible limb-salvage strategy for proximal femoral osteosarcoma, achieving satisfactory oncological and functional outcomes at medium-term follow-up. This approach may be particularly relevant in resource-limited settings.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4394-4398"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167797","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":"Gestational gigantomastia in the early postpartum period presenting with severe refractory pain: a case report.","authors":"Eskinder Amare Assefa, Tesfaye Aga Dinagde, Lukman Yusuf, Yonas Girma Shumiye, Eskindir Molla Nuru","doi":"10.1097/RC9.0000000000000977","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000977","url":null,"abstract":"<p><strong>Introduction: </strong>Gestational gigantomastia (GG) is a rare, benign breast disorder characterized by rapid, excessive, and disproportionate breast enlargement during pregnancy. Affected patients may develop severe breast pain, skin breakdown, secondary infection, and musculoskeletal complications, resulting in significant functional impairment and psychosocial distress.</p><p><strong>Case presentation: </strong>We report the case of a 24-year-old woman (G2P1A1) who presented on the second postpartum day with a 5-month history of rapidly progressive bilateral breast enlargement and severe, disabling breast pain of 2 days' duration. Despite treatment with bromocriptine and multimodal analgesia, her pain remained refractory, necessitating emergent bilateral simple mastectomy. Histopathological examination confirmed GG, and the patient had an uneventful postoperative recovery.</p><p><strong>Discussion: </strong>GG is an uncommon clinical entity, with an estimated incidence ranging from 1 in 28 000 to 1 in 100 000 pregnancies. Although hormonal hypersensitivity is presumed to play a role, its etiology remains poorly understood. Medical management is generally recommended as first-line therapy; however, complete regression is uncommon, and the clinical response is often limited. Consequently, surgical management remains the definitive treatment option in many cases, particularly when complications arise or conservative therapy fails.</p><p><strong>Conclusion: </strong>Early postpartum GG with severe refractory pain requiring emergent bilateral mastectomy is exceedingly rare. Bilateral mastectomy with planned reconstruction may be an appropriate definitive treatment option when conservative measures fail, particularly for patients wishing to reduce the risk of recurrence during future pregnancies. Furthermore, this approach avoids the potential risk of life-threatening hemorrhage associated with the alternative surgical option of reduction mammoplasty.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4477-4482"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166217","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":"Laparoscopic management of an intramurally migrated intrauterine contraceptive device (IUCD) without serosal perforation: a case report.","authors":"Mekyus E Sanga, Daisy A Mhando, Justin N Ilunga, Daniel Michael, Peter Majinge","doi":"10.1097/RC9.0000000000000970","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000970","url":null,"abstract":"<p><strong>Introduction and importance: </strong>An intrauterine contraceptive device (IUCD) is a highly effective, long-term, and safe contraceptive method. However, serious complications, such as uterine perforation, can occur, particularly in high-risk women, thereby necessitating close follow-up.</p><p><strong>Case presentation: </strong>A 35-year-old woman, para 3 + 3, with 3 living children, all delivered by cesarean section, presented with persistent lower abdominal pain and vaginal bleeding 5 months postdelivery and IUCD insertion. The IUCD string was not visualized on either clinical examination or hysteroscopy. Ultrasonography suggested a migrated IUCD. Laparoscopy revealed an intramurally migrated IUCD, which was successfully removed, and she recovered well.</p><p><strong>Clinical discussion: </strong>Postpartum insertion of an IUCD increases the risk of displacement. When the IUCD string is not visualized, thorough evaluation is recommended for early diagnosis and management of this potentially serious complication.</p><p><strong>Conclusion: </strong>Routine follow-up after IUCD insertion is crucial, especially for high-risk women, to detect and manage migration early, with laparoscopy as the preferred treatment when feasible. However, laparotomy is still an optimal option in more complex cases.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4360-4364"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166925","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":"First case report of atrial myxoma in interauricular occlusive device in Colombia.","authors":"Isabella Montealegre, Camilo Moreno, Camilo Montes, María F Mazo, Alex Pava, Andrés Ramos","doi":"10.1097/RC9.0000000000000867","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000867","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Primary cardiac tumors are extremely rare; myxomas are the most common benign type in adults. Although percutaneous closure of ostium secundum atrial septal defects (osASD) using occluder devices is a standard and safe procedure, the development of a cardiac mass on these devices is a rare event that requires careful differential diagnosis among thrombi, endocarditis, and neoplasms.</p><p><strong>Case presentation: </strong>A 58-year-old woman with a history of an osASD corrected percutaneously with an occluder device in 2021 presented 3 years later for routine follow-up. Transesophageal echocardiography revealed a mobile, heterogeneous, lobulated mass attached to the left atrial disk of the device. Due to the high risk of systemic embolization, surgical intervention was scheduled. A median sternotomy and atriotomy confirmed a gelatinous mass adhering to the device. The mass and the occluder were completely resected, followed by reconstruction of the interatrial septum using a bovine pericardial patch. Histopathological analysis confirmed a cardiac myxoma. The postoperative course was favorable, with complete functional recovery.</p><p><strong>Clinical discussion: </strong>This represents the first reported case in Colombia of an atrial myxoma arising from an ASD occluder device. Although rare, this complication highlights the importance of long-term echocardiographic surveillance after percutaneous cardiac interventions. Surgical resection remains the gold standard treatment to prevent embolic events and obtain a definitive histological diagnosis.</p><p><strong>Conclusion: </strong>This case describes the first Colombian report of a cardiac myxoma associated with a percutaneous interatrial closure device, emphasizing the need for a comprehensive differential diagnosis of late intracardiac masses.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4099-4103"},"PeriodicalIF":0.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170859","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}