International Journal of Surgery Case Reports最新文献

{"title":"Ozone therapy-associated pneumoperitoneum in a patient with low back pain: A case report","authors":"Mohammadsadra Shamohammadi ,&nbsp;Maryam Mazraeh ,&nbsp;Ali Tayebi ,&nbsp;Faranak Olamaeian ,&nbsp;Hirbod Hadizadeh Moallem","doi":"10.1016/j.ijscr.2025.111289","DOIUrl":"10.1016/j.ijscr.2025.111289","url":null,"abstract":"<div><h3>Introduction</h3><div>Ozone therapy has been used for patients with low back pain due to disc herniation. Owing to its analgesic and anti-inflammatory properties, this method alleviates low back pain and often improves physical function through lumbar injection. Despite its therapeutic potential, the complications associated with ozone therapy are not yet fully understood.</div></div><div><h3>Case report</h3><div>A 57-year-old woman with a history of diabetes mellitus was admitted to the emergency department with acute abdominal pain and distension and chest pain, which occurred following her last session of ozone therapy. At first, the patient had been diagnosed with peritonitis based on initial symptoms. However, blood tests did not reveal any notable abnormalities. After identifying the presence of free air on the abdominal X-ray and the IV contrast-enhanced computed tomography scan of the abdomen revealed retroperitoneal and intraperitoneal air indicative of pneumoperitoneum and pneumoretroperitoneum. The patient was discharged in stable condition after five days of non-surgical and symptomatic treatment.</div></div><div><h3>Discussion</h3><div>This is a rare case of pneumoperitoneum and pneumoretroperitoneum, which also highlights a new complication of ozone therapy. Despite the exact pathophysiological mechanisms being unclear, the high pressure of ozone administration or technique may be the causative factors. Conservative management demonstrated favorable prognostic outcomes and an effective treatment response.</div></div><div><h3>Conclusion</h3><div>Spontaneous pneumoperitoneum presents with severe abdominal pain and the presence of free air in the abdominal cavity. Typically, it does not require surgical intervention. However, Conservative treatment resulted in a dramatic improvement in the initial clinical condition and decreased the amount of free air within the abdominal cavity.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111289"},"PeriodicalIF":0.6,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Owner-inflicted ocular injuries: A novel study of dog bite trauma caused by familiar pets: A case series","authors":"Alireza Attar ,&nbsp;Alireza Askari ,&nbsp;Amirmohammad Fathian","doi":"10.1016/j.ijscr.2025.111288","DOIUrl":"10.1016/j.ijscr.2025.111288","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>This novel study aims to investigate ocular injuries caused by dog bites inflicted by the victims' own pets. The study examines the types of injuries, the breeds of dogs involved, the demographics of the victims, and the clinical management strategies used. It also seeks to highlight the need for preventive measures and the importance of responsible dog ownership in minimizing these injuries.</div></div><div><h3>Case presentation</h3><div>A retrospective review of medical records from Shiraz Eye Center, Khalili Hospital, between 2022 and 2024 was conducted for patients who suffered ocular trauma from bites by their domestic dogs. Only patients with identifiable dog breeds were included. Data collected included patient age, gender, injury type, surgical intervention, medical management, outcomes, and complications. All patients underwent surgery within 2 days of injury and were followed up for at least 3 months. The majority of patients (71 %) were between 12 and 28 years old. Rottweilers and German Shepherds were the most commonly involved breeds. The most frequent injury was lower canaliculi lacerations (57 %), with some cases presenting both lower and upper lid margin lacerations. Surgical interventions primarily involved canalicular repair with Crawford stents and lateral tarsal strip procedures. Complications included ectropion and telecanthus in two cases, but no visual impairments were noted.</div></div><div><h3>Discussion</h3><div>This study underscores the significant risk of ocular injuries inflicted by owners' own dogs, with young individuals being the most affected group. Rottweilers and German Shepherds were the most frequently involved breeds, but smaller breeds like Pomeranians also caused serious injuries. Lower canalicular lacerations were the most common injury, reflecting the anatomical vulnerability of the central facial region. Timely surgical intervention, primarily canalicular repair with Crawford stents and lid margin repairs, yielded positive outcomes with minimal complications. These findings emphasize the importance of responsible pet ownership, public education, and preventive strategies to reduce such injuries. Additionally, the psychological impact of these injuries, particularly in children, remains an area requiring further research.</div></div><div><h3>Conclusion</h3><div>This study highlights the risks of ocular injuries from dog bites inflicted by familiar pets. It emphasizes the importance of responsible dog ownership, public education, and preventive measures, particularly for vulnerable groups. Further research into the psychological impact of these injuries and larger studies are needed to develop effective prevention strategies.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111288"},"PeriodicalIF":0.6,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed presentation of mature teratoma with umbilical perforation in a 9-years old female without congenital abdominal wall defects: A rare case report of atypical teratoma location","authors":"Mathayo Shadrack ,&nbsp;Salma Juma Ali ,&nbsp;Richard Seleman Andrea ,&nbsp;Zaituni Bokhary ,&nbsp;Victor Ngotta ,&nbsp;Petronila Ngiloi","doi":"10.1016/j.ijscr.2025.111285","DOIUrl":"10.1016/j.ijscr.2025.111285","url":null,"abstract":"<div><h3>Background</h3><div>Mature teratomas are benign germ cell tumors that predominantly occur in gonadal regions. Extra-gonadal teratomas, especially in the umbilical region, are rare and often present significant diagnostic challenges. A delayed presentation with umbilical perforation in absence of congenital abdominal wall defects is uncommon.</div></div><div><h3>Case presentation</h3><div>A 9-year-old female presented with a four-year history of progressively enlarging umbilical mass with occasional discomfort. Examination revealed a firm, pedunculated mass protruding through a perforated umbilicus. A contrasted CT scan, revealed a well-encapsulated heterogeneous mass containing calcifications, with no evidence of deep intra-abdominal involvement. Complete surgical excision of the tumor was performed. Histopathological analysis confirmed a mature teratoma. Recovery was uneventful, and follow-up showed no recurrence.</div></div><div><h3>Discussion</h3><div>Umbilical teratomas are rare entities, particularly in children without congenital abnormalities. This case illustrates delayed presentation of umbilical perforation and diagnostic challenges in unusual located teratoma, emphasizing the need for high suspicious index when evaluating persistent umbilical masses. Radiology plays a critical role in differentiating these tumors from other conditions like granulomas, infections, or congenital anomalies. Complete surgical excision is the treatment of choice.</div></div><div><h3>Conclusion</h3><div>This report highlights the rarity and diagnostic complexity of mature teratomas in atypical locations. Early recognition of this rare differential diagnosis in cases of persistent umbilical symptoms is essential to prevent complications such as infection and perforation. Awareness and early intervention are critical to achieving favorable outcomes in such cases. This case contributes to the limited literature on extragonadal teratomas with umbilical perforation and the need for timely diagnosis and management.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111285"},"PeriodicalIF":0.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case report of mandibular aggressive fibromatosis in a pediatric patient: diagnostic challenges and surgical management","authors":"Jiangying Yang,&nbsp;Xudong Tian,&nbsp;Ke Zhou,&nbsp;Yadong Wu","doi":"10.1016/j.ijscr.2025.111286","DOIUrl":"10.1016/j.ijscr.2025.111286","url":null,"abstract":"<div><h3>Introduction</h3><div>Aggressive fibromatosis (AF) of the mandible is a rare, locally invasive tumor with significant diagnostic and therapeutic challenges. The incidence of AF in the head and neck region is estimated at 2–4 cases per 10 million people annually, with mandibular involvement being even less common. Its infiltrative nature and high recurrence risk necessitate meticulous surgical planning and prolonged follow-up.</div></div><div><h3>Case presentation</h3><div>A 15-year-old male presented with progressive left mandibular swelling and pain initially misdiagnosed as acute pulpitis. Imaging revealed a large soft tissue mass (64 mm × 68 mm) surrounding the left mandible with local bone destruction. Histopathological examination confirmed the diagnosis of aggressive fibromatosis. The patient underwent en bloc resection of the affected mandibular body and partial ramus, with preservation of vital structures. Despite conservative resection with 1–1.5 cm surgical margins, the patient experienced recurrence at 14 months post-surgery and underwent subsequent expanded tumor excision with mandibular segmental resection and fibular reconstruction at another institution.</div></div><div><h3>Discussion</h3><div>This case highlights the importance of accurate diagnosis and appropriate surgical management of mandibular AF. While our initial conservative approach was driven by economic constraints, the eventual recurrence necessitated more extensive surgery, emphasizing the importance of adequate surgical margins for this aggressive lesion.</div></div><div><h3>Conclusion</h3><div>Mandibular AF requires a comprehensive diagnostic approach and careful surgical planning. Clear surgical margins are essential to minimize recurrence risk, even if reconstruction must be delayed due to economic constraints. Long-term multidisciplinary follow-up is critical in pediatric cases both for tumor surveillance and to address developmental needs.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111286"},"PeriodicalIF":0.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Common hepatic duct necrosis following transarterial chemoembolization for hepatocellular carcinoma: A case report and literature review","authors":"Duc Tien Dao ,&nbsp;Van Quynh Nguyen ,&nbsp;Manh Thang Tran ,&nbsp;Van Manh Nguyen ,&nbsp;Duc Trung Le","doi":"10.1016/j.ijscr.2025.111283","DOIUrl":"10.1016/j.ijscr.2025.111283","url":null,"abstract":"<div><h3>Introduction</h3><div>Transarterial chemoembolization (TACE) is an effective hepatocellular carcinoma (HCC) treatment. However, it can lead to complications such as bile duct necrosis, which may cause severe morbidity and require complex management.</div></div><div><h3>Case presentation</h3><div>A 58-year-old male with hepatitis B-associated HCC developed progressive jaundice and cachexia following TACE. Imaging revealed bile duct necrosis at the biliary bifurcation with intrahepatic duct dilation. Endoscopic and percutaneous interventions were considered but deemed inadequate due to the extent of bile duct injury, prompting surgical management with segment 4b segmentectomy and hepaticojejunostomy. This approach restored biliary continuity and alleviated symptoms effectively.</div></div><div><h3>Clinical discussion</h3><div>Bile duct necrosis following TACE lacks standardized treatment protocols, posing therapeutic challenges. Surgery, though invasive, offers a definitive solution for extensive injury, especially when balanced against oncologic needs and patient comorbidities like cirrhosis. This case highlights the value of individualized, multidisciplinary strategies.</div></div><div><h3>Conclusion</h3><div>Surgical intervention can be a viable option for bile duct necrosis following TACE when conservative measures fail. Early recognition and tailored management at specialized centers are critical for optimizing outcomes in this rare but severe complication.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111283"},"PeriodicalIF":0.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive management of chronic venous insufficiency: A case report on combined radiofrequency ablation and sclerotherapy in an obese patient","authors":"M.A. La Marca ,&nbsp;S. Bruno ,&nbsp;E. Dinoto ,&nbsp;R. Federico ,&nbsp;F. Pecoraro ,&nbsp;D. Mirabella","doi":"10.1016/j.ijscr.2025.111290","DOIUrl":"10.1016/j.ijscr.2025.111290","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic venous insufficiency (CVI) affects a significant portion of the population, particularly impacting those with obesity. This condition leads to various symptoms, including leg discomfort and edema, contributing to work absenteeism. Traditional surgical procedures, like saphenous vein stripping and phebectomy, are increasingly supplanted by minimally invasive techniques, such as radiofrequency ablation (RFA) and sclerotherapy, which reduce invasiveness and associated complications, particularly beneficial for high-risk patients, including those with obesity.</div></div><div><h3>Case presentation</h3><div>A 22-year-old male patient with a BMI of 41, suffering from severe varicose veins, hypertension, diabetes, and obstructive sleep apnea. The patient underwent simultaneous RFA and sclerotherapy after imaging confirmed significant venous incompetence but ruled out deep vein thrombosis. The procedure, performed under spinal anesthesia, resulted in successful obliteration of the great saphenous vein, with no postoperative complications.</div></div><div><h3>Clinical discussion</h3><div>The literature highlights the advantages of endovascular techniques over traditional open surgery, particularly for patients with comorbidities that elevate surgical risks. Studies support the efficacy of combining RFA with sclerotherapy, showing improved outcomes and reduced recurrence rates. This combined approach minimizes complications and provides a quicker recovery, making it a suitable option for high-risk patients.</div></div><div><h3>Conclusion</h3><div>Our experience and the findings of literature suggest that radiofrequency ablation paired with sclerotherapy is an effective treatment modality for managing CVI, particularly in patients with obesity.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111290"},"PeriodicalIF":0.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of desmoplastic medulloblastoma in a 65-year-old male: A case report on achieving stability post-grade IV surgical resection","authors":"Mohammad Obada Alsadi ,&nbsp;Massa Saker ,&nbsp;Sara Elias ,&nbsp;Tareq Kaelooh ,&nbsp;Asmaa Alrefai ,&nbsp;Mohammad Sattouf","doi":"10.1016/j.ijscr.2025.111294","DOIUrl":"10.1016/j.ijscr.2025.111294","url":null,"abstract":"<div><h3>Introduction</h3><div>Medulloblastoma (MB) is an aggressive cerebellar tumor. In adults, it mainly occurs in the cerebellar hemispheres with desmoplastic traits, constituting 0.4 %–1 % of central nervous system tumors, primarily affecting individuals under 40. Cases above 60 are rare. Recent treatments have improved prognosis, with a 75 %–80 % five-year survival rate.</div></div><div><h3>Case presentation</h3><div>A 65-year-old man with no medical history presented with intermittent vertigo, progressive headaches, and morning nausea. MRI showed an enhancing desmoplastic medulloblastoma (WHO Grade IV) in the right cerebellar hemisphere. Successful total excision was performed without neurological deficits. Pathology confirmed the diagnosis, followed by chemotherapy and radiotherapy. Postoperative MRI showed complete resection with no spinal metastases. Over four years, the patient remained asymptomatic and stable.</div></div><div><h3>Discussion</h3><div>Medulloblastoma is rare in adults, presenting with cerebellar dysfunction and elevated intracranial pressure. Imaging and multimodal treatment, including surgery and adjuvant therapy, ensure improved outcomes, as seen in our patient's long-term remission.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of considering medulloblastoma in differential diagnoses for older patients with cerebellar symptoms and the success of multimodality treatment.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111294"},"PeriodicalIF":0.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Golden time of odontoma removal related to tooth movement disturbance in orthodontic patients: A series of five cases","authors":"Ratna Faniati ,&nbsp;Bramasto Purbo Sejati ,&nbsp;Pingky Krisna Arindra","doi":"10.1016/j.ijscr.2025.111287","DOIUrl":"10.1016/j.ijscr.2025.111287","url":null,"abstract":"<div><h3>Introduction</h3><div>Odontomas are the most common odontogenic tumors. They can significantly impact dental development, potentially causing tooth impaction or delaying tooth eruption and disturbances in tooth movement, presenting unique challenges in orthodontic treatment. This case series report discusses the complexity and golden time of surgery as management strategies of compound odontomas affecting orthodontic treatment in five cases.</div></div><div><h3>Case series</h3><div>We retrospectively reviewed five patients diagnosed with compound odontomas. Patients complained of their missing canines, mainly on the upper, and in some cases, on the lower jaw. There was no subjective pain, and only one patient complained of gingival swelling on his left maxilla with no changes in size.</div></div><div><h3>Discussion</h3><div>Radiograph revealed all of the tumors before orthodontic treatment. CBCT is appropriate to use for surgical approach, and it minimizes complication. An OPG is less costly compared to CBCT. Odontomas were treated by surgical removal because the tumor blocked the pathway of tooth eruption and medialized or distalized teeth. Removal of an odontoma before orthodontic insertion is highly recommended, and the need for surgical removal during the orthodontic treatment may depend on its location. Orthodontic treatment post-surgery achieved functional and aesthetic outcomes.</div></div><div><h3>Conclusion</h3><div>The multidisciplinary approach involving surgical and orthodontic interventions is critical in managing compound odontomas, emphasizing the necessity for individualized treatment strategies. The golden time of surgical removal of an odontoma is key to the successful treatment of tooth movement to be aligned.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111287"},"PeriodicalIF":0.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143833797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of adnexal torsion at 23 weeks of pregnancy a case report","authors":"Youssef Essebbagh,&nbsp;Khadija Errmili,&nbsp;Nisrine Benaouicha,&nbsp;Othmane Elharmouchi,&nbsp;Najia Zeraidi,&nbsp;Aziz Baidada","doi":"10.1016/j.ijscr.2025.111292","DOIUrl":"10.1016/j.ijscr.2025.111292","url":null,"abstract":"<div><h3>Introduction</h3><div>Adnexal torsion is a rare gynecological emergency, even more exceptional during pregnancy, which can lead to diagnostic delays. Its diagnosis is challenging due to the upward displacement of the ovary in advanced pregnancy, which can mimic other surgical emergencies like appendicitis or pyelonephritis.</div></div><div><h3>Case report</h3><div>A 27-year-old woman, G1P0 at 23 weeks of gestation, presented with acute pelvic associated with vomiting. Clinical and ultrasound findings revealed a right ovarian torsion on a 60 × 40 mm dermoid cyst. A laparotomy was performed, showing two twists of the ovarian pedicle without ischemia, and a cystectomy was completed, the pregnancy continued to term without complications.</div></div><div><h3>Discussion</h3><div>Adnexal torsion is a rare emergency in pregnancy), often linked to ovarian pathology like dermoid cysts, as in our cases. Diagnosis is challenging due to nonspecific symptoms and anatomical changes during pregnancy, with ultrasound as the primary tool and MRI for additional precision.</div><div>Management depends on gestational age and adnexal viability, with laparoscopy favored before 17 weeks and laparotomy for advanced pregnancies.</div></div><div><h3>Conclusion</h3><div>Adnexal torsion is difficult to diagnose in pregnancy due to nonspecific symptoms. Prompt diagnostic laparoscopy, following safety guidelines, is crucial for persistent pain unresponsive to treatment to avoid delays.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111292"},"PeriodicalIF":0.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total resection of sacral giant cell tumor with en bloc resection, sacral nerve reconstruction, and custom 3D-printed implant: a case report with long-term follow-up","authors":"Dong Hu,&nbsp;Fei Song,&nbsp;Songhua Xiao","doi":"10.1016/j.ijscr.2025.111293","DOIUrl":"10.1016/j.ijscr.2025.111293","url":null,"abstract":"<div><h3>Introduction</h3><div>Giant cell tumor (GCT) of the sacrum is a rare, locally aggressive bone tumor. Surgical resection is the primary treatment, but preserving sacral nerve function remains challenging. We present a case of sacral GCT treated with a novel nerve-preserving en bloc resection technique, resulting in long-term tumor control and functional recovery.</div></div><div><h3>Case presentation</h3><div>A 33-year-old male presented with progressive sacral pain and neurological symptoms. Imaging revealed a sacral GCT involving the S1 vertebral body and nerve root canal. The patient underwent en bloc resection with sacral nerve preservation and reconstruction, along with custom 3D-printed prosthesis implantation. Postoperative recovery was uncomplicated, with preserved bowel, bladder, and lower limb function. There was no evidence of recurrence during the 8-year follow-up period.</div></div><div><h3>Clinical discussion</h3><div>Sacral GCTs present substantial surgical challenges due to their proximity to critical neurovascular structures. While en bloc resection effectively reduces recurrence rates, it often compromises sacral nerve function. Our technique successfully preserved key sacral nerve roots, leading to superior postoperative functional outcomes compared to conventional approaches. A review of relevant literature supports the advantages of nerve-sparing strategies in sacral tumor surgery.</div></div><div><h3>Conclusion</h3><div>This case highlights the feasibility and benefits of sacral nerve-preserving en bloc resection for GCT. The long-term follow-up confirms durable tumor control and robust functional recovery, suggesting its potential as a preferred surgical approach for carefully select cases.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111293"},"PeriodicalIF":0.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}