International Journal of Surgery Case Reports最新文献

{"title":"Isolated splenic tuberculosis mimicking a solid splenic neoplasm in an immunocompetent patient: A surgical case report.","authors":"Joyce Chege, Daniel O Otieno, Nicholas Nyamai, Lucy W Muchiri, Andrew Ndonga","doi":"10.1016/j.ijscr.2025.111917","DOIUrl":"10.1016/j.ijscr.2025.111917","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Tuberculosis is the leading cause of death by an infectious agent globally, especially among immunocompromised patients. Extrapulmonary tuberculosis (EPTB) can occur as a sequela of pulmonary tuberculosis through lympho-hematogenous or miliary spread, or can occur in isolation. EPTB rarely occurs in isolation in a single organ, especially in immunocompetent patients. Limited data exist on the incidence of isolated splenic tuberculosis in immunocompetent patients.</p><p><strong>Case presentation: </strong>This report highlights a case of a 45-year-old immunocompetent female with a one-month history of dull left upper quadrant pain. A contrast-enhanced abdominal CT scan revealed a solitary hypodense, heterogeneous, solid splenic mass occupying most of the splenic parenchyma, with an initial preoperative diagnosis of a splenic hemangioma. A near-total splenectomy was done, with histopathology revealing chronic granulomatous infection, suggesting tuberculous infection. In our scenario, the patient had a favourable outcome, receiving a six-month course of anti-tuberculous therapy and no surgical complications postoperatively.</p><p><strong>Clinical discussion: </strong>Splenic tuberculosis, although rare, can be classified as either micro-nodular, macro-nodular, miliary, or mixed types. The other subtypes commonly occur. However, macro-nodular splenic tuberculosis is rare and mimics benign and malignant splenic neoplasms radiologically, providing diagnostic challenges.</p><p><strong>Conclusion: </strong>Isolated splenic tuberculosis should be considered in the differential diagnosis of solitary splenic lesions, even in immunocompetent patients in TB-endemic areas. While timely diagnosis and anti-tubercular therapy may preserve splenic tissue in selected cases, surgery remains inevitable when diagnosis is uncertain, complications arise, or medical therapy fails. The case further highlights the importance of multidisciplinary team management.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111917"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058849","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":"From trichophagia to trichobezoar: Rapunzel syndrome in a child - A case report and literature review.","authors":"Umer Iqbal, Sara Jawaid, Sarah Sohail, Syed Ali Arsal, Rehman Asif, Inibehe Ime Okon","doi":"10.1016/j.ijscr.2025.111940","DOIUrl":"10.1016/j.ijscr.2025.111940","url":null,"abstract":"<p><strong>Background: </strong>Gastric trichobezoars are suggestive of Rapunzel Syndrome, a rare condition typically affecting young women with underlying psychosis. Patients show trichotillomania and trichophagia, which, over time, produce a stomach trichobezoar. This mass may develop a characteristic tail-like protrusion in the small intestine.</p><p><strong>Relevance: </strong>Rapunzel Syndrome should be considered in the differential diagnosis, given its rarity and variations in symptoms among individuals. Early identification helps to avoid misdiagnosis, aggravation of the illness, and inadequate therapy plans.</p><p><strong>Case presentation: </strong>A 7-year-old female patient presented with a severe stomachache, weight loss, and trichophagia. A physical examination revealed a lump in the epigastric area, an intragastric mass, and mild hepatomegaly. Jejunojejunal intussusception with mesenteric lymphadenopathy was verified with a contrast-enhanced abdominal CT scan, which is a key unique presentation of this case. A successful laparotomy was performed, and a wound infection with E.coli and Candida species after surgery was treated with Amikacin and dressing.</p><p><strong>Discussion: </strong>From being asymptomatic to generating major difficulties, Rapunzel Syndrome shows a wide spectrum of symptoms. This disorder causes bacterial or fungal infections in many people; hence, recurrence is often seen in those who neglect mental consultations. Treatment plans differ; endoscopy is appropriate for some situations, but more severe cases call for surgical intervention.</p><p><strong>Conclusion: </strong>Trichobezoar is an unusual illness that, if not identified on time, can result in serious medical complications. An accurate diagnosis depends on a complete examination, appropriate history-taking, and early investigations. To prevent relapse, psychiatric follow-up is crucial, and laparotomy is still the gold standard technique.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111940"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082114","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":"Cardiac myxoma surgery in Sub-Saharan Africa: A retrospective six-case series from Benin.","authors":"Abdel Kémal Bori Bata, Freddy Gnangnon, Ahmad Ibrahim, Désiré Nékoua, Arnaud Sonou, Pierre Demondion","doi":"10.1016/j.ijscr.2025.111945","DOIUrl":"10.1016/j.ijscr.2025.111945","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiac myxomas are rare benign tumors with potentially severe consequences if left untreated. Surgical excision remains challenging in resource-limited settings. This study aims to describe the short- and mid-term postoperative outcomes of patients undergoing cardiac myxoma resection in Benin.</p><p><strong>Methods: </strong>This was a retrospective study including all patients who underwent surgical resection of a cardiac myxoma at our hospital in Benin between 2021 and 2025. Clinical, echocardiographic, intraoperative, and follow-up data were collected and analyzed descriptively.</p><p><strong>Results: </strong>Six patients (four women and two men; mean age: 54.2 ± 8.8 years) underwent surgery. All presented with dyspnea; tumors were exclusively located in the left atrium. Three patients required concomitant mitral valve repair. Mean cardiopulmonary bypass and aortic cross-clamp times were 39 ± 13.5 min and 26.8 ± 10.2 min, respectively. There were no operative deaths. Early complications were one transient ischaemic stroke and one pneumonia. Median follow-up was 19 months (IQR 9-41). No recurrence or late death occurred. All patients remained symptom-free.</p><p><strong>Conclusions: </strong>Timely surgical excision of cardiac myxoma therefore appears feasible in a resource-limited Sub-Saharan African centre and offers favourable short- and mid-term outcomes, although the small sample size remains a limitation.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111945"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12475571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082126","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":"Metachronous breast and rectal cancer: A clinical case report and review","authors":"Henok Seife,&nbsp;Yohannes Birhanu,&nbsp;Wondemagegnhu Tigeneh,&nbsp;Bethelhem Zerfu","doi":"10.1016/j.ijscr.2025.112005","DOIUrl":"10.1016/j.ijscr.2025.112005","url":null,"abstract":"<div><h3>Introduction</h3><div>Multiple primary cancers in one person are uncommon, yet their incidence is rising due to advancements in cancer treatment, enhanced screening, and increased life expectancy. This case report details the presentation, diagnosis, and management of a 56-year-old female patient diagnosed with metachronous right breast ductal carcinoma and adenocarcinoma of the rectum.</div></div><div><h3>Case presentation</h3><div>We present the case of a 56-year-old nulliparous, postmenopausal Ethiopian woman initially diagnosed with right breast ductal carcinoma (cT2 N3c M1, ER/PR positive, Her-2 negative). She received palliative chemotherapy and bisphosphonate therapy, followed by hormonal therapy. Approximately two years after her initial breast cancer diagnosis and while on follow-up, she developed rectal bleeding and tenesmus of 1–2 months' duration. Subsequent MRI revealed a rectal mass, and biopsy confirmed adenocarcinoma of the rectum. Given the locally advanced nature of the rectal disease, neoadjuvant chemotherapy was advised. The patient's subsequent course was complicated by chemotherapy-induced toxicity, highlighting the challenges in managing such complex cases.</div></div><div><h3>Discussion</h3><div>The co-occurrence of metachronous breast and rectal cancers is rare and poses significant diagnostic and therapeutic challenges. This case underscores the critical role of vigilant surveillance and a highly personalized, multidisciplinary treatment approach for patients with a history of malignancy. Immunohistochemistry, combined with a detailed medical history, is essential for definitive diagnosis and differentiating primary tumor origins. The development of metachronous cancers raises concerns about shared genetic, environmental, and therapeutic factors, necessitating a holistic view of patient care.</div></div><div><h3>Conclusion</h3><div>The diagnosis and treatment of metachronous malignancies, particularly involving the breast and rectum, are inherently complex. Optimal patient outcomes necessitate a comprehensive, coordinated, and individualized approach, emphasizing the importance of long-term surveillance and adaptable management strategies.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 112005"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221975","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":"Salvage coiling after the inadvertent proximal migration of a neuroform atlas stent into middle cerebral artery aneurysms: A report of two cases.","authors":"Jinlu Yu","doi":"10.1016/j.ijscr.2025.111919","DOIUrl":"10.1016/j.ijscr.2025.111919","url":null,"abstract":"<p><strong>Introduction and importance: </strong>During endovascular treatment (EVT) of middle cerebral artery (MCA) aneurysms using a Neuroform Atlas stent (NAS), inadvertent proximal migration of the NAS into the aneurysm may occur.</p><p><strong>Case presentations: </strong>Patient 1 was a 49-year-old female with an unruptured MCA bifurcation aneurysm. During deployment of a 4 × 24-mm NAS from the upper trunk to the main trunk of the MCA, the proximal NAS inadvertently migrated into the aneurysm. Afterward, salvage coiling was continued. The aneurysm was coiled satisfactorily. After EVT, the patient recovered well. Patient 2 was a 58-year-old male who experienced a subarachnoid hemorrhage. Aneurysmal dilatation of the right MCA bifurcation with a ruptured bleb was found. Coiling with the assistance of an NAS was performed. During deployment of a 4 × 24-mm NAS, the proximal NAS inadvertently migrated into the aneurysm. Afterward, salvage coiling was continued. The aneurysm was coiled satisfactorily. After EVT, the patient recovered well. Follow-up magnetic resonance angiography showed no recurrence.</p><p><strong>Clinical discussion: </strong>During EVT, proximal NAS migration into an MCA aneurysm may occur secondary to stent undersizing or inadvertent proximal advancement, necessitating bailout strategies. ‌Although salvage coiling is technically feasible in these cases, its off-label use remains contraindicated.</p><p><strong>Conclusion: </strong>When proximal NAS migration into an MCA aneurysm occurs, salvage coiling remains feasible, as the displaced stent can serve as an intraneurysmal scaffold, allowing completion of EVT through subsequent coiling.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111919"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058794","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":"\"An unusual cause of small bowel obstruction: Gallstone ileus, a rare presentation of chronic gallstone disease\".","authors":"Agrawal Srikant, Paudel Pratiksha, Khatiwada Bidur, Manandhar Kishor","doi":"10.1016/j.ijscr.2025.111894","DOIUrl":"10.1016/j.ijscr.2025.111894","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Gallstone ileus is a rare cause of mechanical small bowel obstruction, accounting for 1-4 % of cases and is most common in elderly females. It arises from the passage of a large gallstone through a cholecysto-enteric fistula into the intestinal lumen, where it lodges-typically in the terminal ileum-causing obstruction.</p><p><strong>Presentation of case: </strong>A 52-year-old male presented with four days of abdominal pain, vomiting, distension, and constipation. He had a 22-year history of gallstones but no prior biliary symptoms. Imaging revealed small bowel obstruction with a cholecysto-duodenal fistula and a 3.5 cm gallstone impacted in the ileum. He underwent successful open enterolithotomy with an uneventful recovery.</p><p><strong>Clinical discussion: </strong>Gallstone ileus commonly affects elderly females due to higher prevalence of gallstones and chronic cholecystitis. Risk factors for gallstones include obesity, diabetes, and smoking, none of which were present in this patient. Delayed presentation may be attributed to low awareness, limited access to care, and absence of prior symptoms. CT abdomen is the gold standard for diagnosing gallstone ileus, surpassing X-ray and ultrasound, revealing Rigler's triad-pneumobilia, ectopic stone, and obstruction. Surgical options include enterolithotomy alone or combined with cholecystectomy and fistula repair. In stable patients, enterolithotomy alone is preferred due to lower morbidity.</p><p><strong>Conclusion: </strong>Gallstone ileus should be suspected in bowel obstruction even in atypical populations. Prompt diagnosis and minimally invasive surgical management can ensure good outcomes.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111894"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058843","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":"Buccal plate fracture during dental implant insertion after mandibular alveolar ridge splitting and expansion managed with bone grafting alone: A case report.","authors":"Ahmad Albassal, Nuraldeen Maher Al-Khanati, Mazen Zenati","doi":"10.1016/j.ijscr.2025.111933","DOIUrl":"10.1016/j.ijscr.2025.111933","url":null,"abstract":"<p><strong>Introduction and importance: </strong>After tooth extraction, horizontal bone loss and a reduction in the bucco-lingual ridge dimension may occur. This often necessitates bone augmentation to enable implant placement. For this reason, techniques such as ridge splitting and expansion have been developed; however, they present challenges in single-tooth sites and in the mandible. Complications such as buccal plate fractures remain a concern.</p><p><strong>Case presentation: </strong>A 49-year-old female, seeking fixed replacement of a missing mandibular molar, presented with a narrow alveolar ridge at the extraction site. Alveolar ridge splitting and expansion were performed to facilitate simultaneous implant placement. During the procedure, a buccal plate fracture occurred. Management did not involve plate fixation; instead, the resulting gap was filled with bone graft. Four months after the procedure, a significant net horizontal bone gain of 3.6 mm was observed. A follow-up at 10 months post-surgery showed successful clinical and radiographic results for both the implant and the prosthetic restoration.</p><p><strong>Clinical discussion: </strong>A buccal bone fracture occurred during implant placement following ridge splitting. Such fractures can result from mechanical stress exceeding the bone's structural integrity, particularly after splitting and expansion procedures. The mandibular buccal cortical plate is more susceptible to fracture. Management typically involves rigid fixation of the fractured plate with screws, especially in cases of complete fractures. In this report, bone grafting alone was sufficient. The fracture was incomplete, so no fixation was needed. The wound was securely sutured, which allowed for predictable graft containment and healing.</p><p><strong>Conclusion: </strong>Alveolar ridge splitting is an effective technique for managing narrow ridges and facilitating implant placement. However, complications such as buccal plate fractures may occur. Non-fixation can be considered a viable management strategy in cases where the fracture is incomplete, stable, and soft tissue closure is secure and free of tension. Despite potential challenges, alveolar split can be performed in mandibular single-tooth sites. Careful follow-up is crucial to ensure predictable healing.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111933"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070933","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":"Preoperative diagnosis and laparoscopic management of Amyand's hernia with isolated factor VII deficiency: A case report.","authors":"Abdulkaream Bajafar, Rawan Mohamed, Malaz Elaagib, Mohamed Ali","doi":"10.1016/j.ijscr.2025.111934","DOIUrl":"10.1016/j.ijscr.2025.111934","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Amyand's hernia is a rare condition in which the vermiform appendix herniates through the inguinal canal, with an estimated prevalence of 1 %. Isolated factor VII deficiency is part of a rare group of coagulopathies, with an incidence of 1 in 50,000. To our knowledge, this is the first documented report of Amyand's hernia with isolated factor VII deficiency.</p><p><strong>Case presentation: </strong>We present a 59-year-old male with a 4-month history of progressive right scrotal swelling. Computed tomography revealed herniation of the appendix into the inguinal canal, confirming Amyand's hernia. Routine preoperative laboratory evaluation showed factor VII deficiency. Transabdominal preperitoneal hernia (TAPP) repair was done successfully without appendectomy, as the appendix was not inflamed.</p><p><strong>Clinical discussion: </strong>Amyand's hernia is often diagnosed intraoperatively, though CT and ultrasonography enable preoperative recognition. Management is typically guided by the Losanoff and Basson classification. The role of prophylactic appendectomy in uninflamed appendices remains debated; in this case it was avoided to preserve a clean surgical field. The factor VII deficiency required perioperative recombinant factor VII replacement, which was successful.</p><p><strong>Conclusion: </strong>Amyand's hernia with isolated factor VII deficiency is rare and has no standard treatment protocol, but we were able to perform surgery safely with appropriate precautions.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"111934"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076430","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 use of platelet-rich fibrin prepared with titanium tubes (T-PRF) in external maxillary sinus lift combined with simultaneous implant placement (case series)","authors":"Zakaria Ismael Awad ,&nbsp;Zafin Zahrab Kara Beit","doi":"10.1016/j.ijscr.2025.111994","DOIUrl":"10.1016/j.ijscr.2025.111994","url":null,"abstract":"<div><h3>Background</h3><div>Conventional implantation in the posterior maxillary region is often difficult due to the lack of sufficient bone between the alveolar crest and the floor of the maxillary sinus. However, the lack of bone height can be overcome by grafting the floor of the maxillary sinus with a sinus lift procedure, which is performed using various types of bone grafts.</div></div><div><h3>Aim</h3><div>The aim of this study was to evaluate the bone gain, success and stability of implants associated with a single-stage lateral window external sinus lift using platelet- rich fibrin prepared with titanium tube (T-PRF) alone as a filler instead of bone grafts.</div></div><div><h3>Materials and methods</h3><div>The study sample consisted of 7 case series of maxillary sinus lift via the lateral window in 6 patients with unilateral or bilateral posterior maxillary loss, aged 30–60 years. 14 implants were placed in one stage simultaneously with sinus lift using platelet-rich fibrin prepared with titanium tubes (T-PRF). The residual bone height (RBH) between the alveolar bone crest and the sinus floor was 4–5 mm.</div><div>All patients underwent CBCT imaging preoperatively, immediately postoperatively, and 6 months later to assess the amount of bone gain and density, Implant Stability Quotient (ISQ) was evaluated immediately and after 3 and 6 months.</div></div><div><h3>Results</h3><div>The mean of ISQ values immediately after implantation was 67.50, after 3 months was 72.14, and after 6 months was 76.14, with a statistically significant difference between the monitoring periods. The mean of residual bone height (RBH) before the sinus lift was 4.53 mm, the mean of bone height 6 months after the sinus lift and implantation was 12.07 mm, and the mean of bone gain height was 7.54 mm. The mean bone density of gained bone 6 months after surgery was +479.29 Hu.</div></div><div><h3>Conclusion</h3><div>Within the limitations of this study, the use of platelet-rich fibrin prepared with titanium tubes (T-PRF) alone as a solo filler is effective in performing external sinus lift and implant placement in one stage.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111994"},"PeriodicalIF":0.7,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201814","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":"Successful resection of an extensive type C1 glomus jugulare tumor involving the jugular foramen and petrous bone: A case report and literature review","authors":"Bilal Hasan ,&nbsp;Zulfiqar Hamdan","doi":"10.1016/j.ijscr.2025.111989","DOIUrl":"10.1016/j.ijscr.2025.111989","url":null,"abstract":"<div><h3>Introduction</h3><div>Glomus jugulare tumors are rare, highly vascular paragangliomas arising within the jugular foramen. They are typically slow-growing but can cause significant morbidity due to involvement of surrounding neurovascular structures. Optimal management requires a tailored approach based on the extent of the tumor, symptoms, and patient-specific factors.</div></div><div><h3>Case presentation</h3><div>A 60-year-old woman presented with a seven-year history of progressive left-sided hearing loss, pulsatile tinnitus, and a sensation of fullness. She had undergone a previous cortical mastoidectomy with no symptomatic improvement. Otoscopic examination revealed a pulsatile, reddish mass in the external auditory canal. Imaging confirmed a large, hypervascular mass occupying the left jugular foramen with extension into the middle ear, petrous bone, parapharyngeal space, and partial erosion of the carotid canal. Diagnostic angiography revealed dominant arterial supply from branches of the external carotid artery.</div></div><div><h3>Clinical discussion</h3><div>Given the lesion's size, anatomical extension, prior surgical failure, economic situation, and ongoing symptom progression, observation or radiotherapy alone were deemed insufficient. The patient underwent preoperative embolization followed by complete tumor excision via a canal wall down mastoidectomy. Intraoperative facial nerve monitoring was employed. Postoperatively, the patient experienced no neurological deficits or recurrence during 2.5 years of follow-up.</div></div><div><h3>Conclusion</h3><div>This case illustrates the effectiveness of surgical resection in managing advanced glomus jugulare tumors when supported by detailed imaging, vascular mapping, and perioperative planning. In selected patients with expanding symptomatic lesions, surgery remains a viable curative option, particularly when combined with embolization and nerve preservation strategies.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111989"},"PeriodicalIF":0.7,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187227","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}