{"title":"Inflammatory fibrous hyperplasia between surgery and tissue conditioning: A case report","authors":"Mohamed El Arbi Tahiri Alaoui , Hasnaa Rokhssi , Oussama Bentahar","doi":"10.1016/j.ijscr.2025.111261","DOIUrl":"10.1016/j.ijscr.2025.111261","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Inflammatory fibrous hyperplasia also called epulis fissuratum, often caused by an ill-fitting prosthesis and typically treated surgically, can be managed entirely conservatively with proper prosthetic adjustments.</div></div><div><h3>Case presentation</h3><div>A female edentulous patient with an epulis fissuratum brought on by a too lengthy and ill-fitting removable full denture is described in this case study. Soft-conditioner material was used to treat the oral lesion, with the modified existing prosthesis serving as support.</div></div><div><h3>Clinical discussion</h3><div>Early conditioning tissue care of the epulis fissuratum, in conjunction with proper prosthesis rehabilitation and appropriate oral hygiene, produces positive clinical outcomes and prevents the need for surgery.</div></div><div><h3>Conclusion</h3><div>The effectiveness of this conservative therapy highlights how different surgical and prosthetic specialties can complement each other, advocating for a systematic tissue conditioning step before proceeding with a surgical approach.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111261"},"PeriodicalIF":0.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845029","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}
Ahmed Ibrahimi, Salim Ouskri, Hamza El Abidi, Imad Boualaoui, Hachem El Sayegh, Yassine Nouini
{"title":"Psoas metastasis of urothelial carcinoma: A rare case","authors":"Ahmed Ibrahimi, Salim Ouskri, Hamza El Abidi, Imad Boualaoui, Hachem El Sayegh, Yassine Nouini","doi":"10.1016/j.ijscr.2025.111250","DOIUrl":"10.1016/j.ijscr.2025.111250","url":null,"abstract":"<div><h3>Introduction</h3><div>Urothelial carcinoma (UC) is a common malignancy with a high propensity for metastasis, typically to the lungs, liver, bones, and lymph nodes. Metastasis to the psoas muscle is exceedingly rare and poorly documented.</div></div><div><h3>Case presentation</h3><div>We report a 46-year-old chronic smoker with a history of muscle-invasive bladder UC treated with cystectomy and urinary diversion. After two years of lost follow-up, he presented with hematuria, lumbar pain, and a large left psoas tumor confirmed as recurrent UC. Surgical resection of the psoas and excretory tract tumor was performed, coupled with nutritional and rehabilitative support.</div></div><div><h3>Discussion</h3><div>Psoas metastasis in UC represents a diagnostic and therapeutic challenge. A multimodal approach, including surgery, systemic therapy, and supportive care, can improve outcomes. Literature emphasizes poor prognosis in multifocal or visceral metastases, underscoring the aggressive nature of advanced UC.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of comprehensive imaging and multidisciplinary care in managing rare UC metastases. Further research is needed to refine treatment strategies and improve outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111250"},"PeriodicalIF":0.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825454","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":"Endoscope-assisted Transoral resection of an elongated fractured styloid process in Eagle syndrome: A case report","authors":"Fares Abdullrahman , Majed Al-Ajami , Firas Abdullrahman , Jafar Hamdy , Maher Al-Ajami","doi":"10.1016/j.ijscr.2025.111270","DOIUrl":"10.1016/j.ijscr.2025.111270","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Eagle's syndrome is a rare condition associated with the elongation of the styloid process or calcification of the stylohyoid ligament; it is clinically characterized by unexplained referred pain that radiates into the mandible, ear, and throat, often misdiagnosed as various cervicocraniofacial disorders.</div></div><div><h3>Case presentation</h3><div>A 38-year-old male presented with severe, unexplained neuralgic pain that persisted for about two months. The pain worsened with patient neck movements, and some relief was achieved only through lidocaine injections in the tonsillar bed. After multiple consultations with various specialists, investigations focused on a left elongated, non-displaced fracture of the styloid process, accompanied by calcification of the stylohyoid ligament, suggesting Eagle syndrome. The patient's symptoms significantly improved after surgery, with no recurrence of pain during the subsequent follow-up period.</div></div><div><h3>Clinical discussion</h3><div>Eagle syndrome is a rare condition that has no clear cause or specific treatment method and includes a group of nonspecific clinical symptoms.</div></div><div><h3>Conclusion</h3><div>It is important that this condition be diagnosed well and managed professionally, as it includes and encompasses important anatomical structures.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111270"},"PeriodicalIF":0.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817530","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":"Commentary on “Incidental diagnosis of a urachal stone in an asymptomatic patient: A rare case report” by Mirzaei et al., 2025","authors":"Salehoddin Bouya , Vahideh Poyesh , Elahe Akvan","doi":"10.1016/j.ijscr.2025.111282","DOIUrl":"10.1016/j.ijscr.2025.111282","url":null,"abstract":"","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111282"},"PeriodicalIF":0.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143816912","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}
Auguste Alexandre Adon , Marius Kouidé Goho , Kouassi Henry Noel Ahue , Gustave Aboua , Ngolo Adama Coulibaly , Kunka Jocelyne Kpan
{"title":"Laparoscopic cholecystectomy for a gallstone within an intrahepatic gallbladder: A case report in Abidjan","authors":"Auguste Alexandre Adon , Marius Kouidé Goho , Kouassi Henry Noel Ahue , Gustave Aboua , Ngolo Adama Coulibaly , Kunka Jocelyne Kpan","doi":"10.1016/j.ijscr.2025.111274","DOIUrl":"10.1016/j.ijscr.2025.111274","url":null,"abstract":"<div><h3>Introduction</h3><div>The intrahepatic location of the gallbladder is one of the most common ectopic locations of the gallbladder. An intrahepatic gallbladder often exhibits impaired function, which may lead to stasis and gallstone formation. Given the surgical complexities associated with this ectopic location, the traditional open approach is usually employed.</div></div><div><h3>Case report</h3><div>The authors report the case of a 52-year-old female patient who consulted for pain in the right hypochondrium. Physical examination revealed only right upper quadrant pain on palpation. Abdominal ultrasound revealed gallbladder lithiasis without indicating the presence of an anatomical anomaly. A laparoscopic cholecystectomy was performed in the “French position” with 4 trocars. During surgery, we discovered an intrahepatic gallbladder. Subserosal dissection of the gallbladder was done without having to perform a hepatotomy. The patient was discharged on postoperative day 2 without any complications.</div></div><div><h3>Discussion</h3><div>Intra hepatic location of gallbladder is rare and can be detected by ultrasound or CT scan but in our study, it has not been detected by ultrasound before operation. Laparoscopic approach for a gallstone within ectopic gallbladder is rarely described in literature because cholecystectomy by conventional route is preferred when this anomaly is known and mostly when gallbladder is completely embedded within the liver.</div></div><div><h3>Conclusion</h3><div>Laparoscopic cholecystectomy remains the gold standard for a partial intrahepatic gallbladder.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111274"},"PeriodicalIF":0.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143821169","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}
Kundan Kumar Yadav , Milan Pokhrel , Dinesh Od , Sonam Dhenga , Srijana Kumari Yadav , Krishna Yadav
{"title":"Median arcuate ligament syndrome in a 51-year-old-male: A rare case report","authors":"Kundan Kumar Yadav , Milan Pokhrel , Dinesh Od , Sonam Dhenga , Srijana Kumari Yadav , Krishna Yadav","doi":"10.1016/j.ijscr.2025.111268","DOIUrl":"10.1016/j.ijscr.2025.111268","url":null,"abstract":"<div><h3>Introduction</h3><div>Median arcuate ligament syndrome is an uncommon vascular compression syndrome caused by the diaphragmatic crura and the median arcuate ligament compressing the celiac artery. It has an incidence of 2 cases per 100,000 population.</div></div><div><h3>Case presentation</h3><div>A 51-year-old male presented with postprandial abdomen pain for the previous ten years. Computer tomography (CT) angiogram of the abdomen with CT abdomen and pelvis was performed which clearly shows focal narrowing at the origin of the celiac artery with distal collateral reformations consistent with MALS. The patient was diagnosed with MALS and scheduled for laparoscopic division of the median arcuate ligament. The division of median arcuate ligament was performed carefully after visualizing the compression made by the median arcuate ligament on the celiac trunk.</div></div><div><h3>Discussion</h3><div>Diagnosis of MALS may be difficult due to nonspecific clinical presentation. Imaging helps to visualize celiac trunk compression and is essential in verifying the diagnosis of MALS. Surgical decompression of the celiac artery is the definite treatment.</div></div><div><h3>Conclusion</h3><div>Median arcuate ligament syndrome is a rare entity with ambiguous clinical presentation with surgery as the mainstay of treatment.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111268"},"PeriodicalIF":0.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823864","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 abdominal (lesser sac) myxoid liposarcoma: A case report","authors":"Seifu Alemu , Bilisuma Mulatu , Abdo Kedir , Milkias Minka , Workneh Tesfaye Deme , Wondu Reta Demissie","doi":"10.1016/j.ijscr.2025.111275","DOIUrl":"10.1016/j.ijscr.2025.111275","url":null,"abstract":"<div><h3>Background and importance</h3><div>Myxoid liposarcomas (MLS) are genetically defined by DDIT3 gene fusions and most commonly arise in the extremities. They can also occur in the retroperitoneum as a primary site. However, there are controversies in its occurrence. It peaks in the fourth and fifth decades of life, affecting both gender equally.</div></div><div><h3>Case presentation</h3><div>A 38-year-old male patient presented with painless abdominal swelling, indigestion, and loss of appetite of 08 months duration. The abdominal examination showed a regular non-tender mass filling the left upper quadrant mimicking huge splenomegaly. An abdominopelvic ultrasound shows a huge echo complex mass filling the left upper abdomen. A contrast CT scan revealed a well-defined mass filling the lesser sac with a moderate mass effect on nearby abdominal organs with a clear fat plane and hence with no sign of invasion. Laboratory tests were found to be in the normal range except moderate anemia. Laparotomy was decided after case analysis and correction of anemia. A huge mass excised from the lesser sac and sent for histology. The patient went home on the third day after laparotomy. Histopathologic results reported retroperitoneal MLS with the classic microscopic findings.</div></div><div><h3>Clinical discussion</h3><div>MLS is the second most common type of liposarcoma, and tends to occur in the lower extremities. It rarely occurs in the retroperitoneum, with most cases being classified as atypical lipomatous tumors with prominent myxoid change.</div></div><div><h3>Conclusion</h3><div>It is crucial to differentiate a metastatic MLS originating from the lower extremities. The principle of treatment is complete surgical resection.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111275"},"PeriodicalIF":0.6,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839611","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":"Embolization of bilateral cavernous sinus dural arteriovenous fistulas via the ascending pharyngeal artery using the “pressure cooker” technique: A case report","authors":"Jinlu Yu","doi":"10.1016/j.ijscr.2025.111272","DOIUrl":"10.1016/j.ijscr.2025.111272","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Bilateral cavernous sinus (CS) dural arteriovenous fistulas (DAVFs) are uncommon, and transarterial embolization (TAE) via the pharyngeal trunk of the ascending pharyngeal artery (AphA) has rarely been reported.</div></div><div><h3>Patient presentation</h3><div>A 59-year-old female presented with a 1-month history of mild headache. On physical examination, no positive signs were found. Digital subtraction angiography revealed bilateral CS DAVFs. TAE via the pharyngeal trunk of the AphA using the “pressure cooker” technique was performed. After the distal pharyngeal trunk was catheterized with a Marathon microcatheter, the pharyngeal trunk was coiled, and the “pressure cooker” effect was established. The Onyx-18 liquid embolic system was administered, effectively obliterating most of the bilateral CS DAVFs. A small residual left fistula was embolized via the middle meningeal artery (MMA) and accessory meningeal artery (AMA). Postoperatively, the patient suffered an asymptomatic infarction of the head of the caudate nucleus due to Onyx migration into the intracranial artery and minor paralysis of the left side of the face due to injury to the cranial nerve branches of the MMA and AMA. One month later, the patient appeared to have recovered well.</div></div><div><h3>Clinical discussion</h3><div>For bilateral CS DAVFs, TAE via the pharyngeal trunk of the AphA may be selected when the transvenous route is occluded and when the AphA route is easily accessible. The “pressure cooker” technique was helpful.</div></div><div><h3>Conclusion</h3><div>In select cases, bilateral CS DAVFs can be embolized via the pharyngeal branch of the AphA. However, possible stroke from dangerous anastomoses must be considered.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111272"},"PeriodicalIF":0.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143808161","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}
MA. Sobhi, M. Tetou, MA. Harchaoui, L. Hamedoun, M. Alami, A. Ameur
{"title":"Spontaneous rupture of the urinary bladder with acute hepatic and renal failure: a case report","authors":"MA. Sobhi, M. Tetou, MA. Harchaoui, L. Hamedoun, M. Alami, A. Ameur","doi":"10.1016/j.ijscr.2025.111279","DOIUrl":"10.1016/j.ijscr.2025.111279","url":null,"abstract":"<div><h3>Background</h3><div>Spontaneous rupture of the urinary bladder (SRUB) is a rare but life-threatening emergency that often presents with nonspecific symptoms, leading to delayed diagnosis and severe complications such as peritonitis, sepsis, and multi-organ failure. In rare cases, SRUB may present with multiorgan dysfunction including acute liver and kidney failure, complicating management and recovery. It is commonly associated with underlying bladder dysfunction, including chronic urinary retention and bladder outlet obstruction.</div></div><div><h3>Case presentation</h3><div>We report a 58-year-old male with a history of benign prostatic hyperplasia (BPH) who presented with acute abdominal pain, fever, jaundice, and hemodynamic instability. Laboratory tests revealed leukocytosis, renal impairment, metabolic acidosis, and hyperkalemia, as well as elevated bilirubin and liver enzyme levels. Abdominopelvic CT with cystography confirmed SRUB, showing contrast extravasation. The patient underwent an urgent exploratory laparotomy, which revealed two bladder tears that were successfully repaired. Postoperative care included broad-spectrum antibiotics, hemodialysis, and intensive monitoring, leading to a full recovery.</div></div><div><h3>Discussion</h3><div>SRUB is often misdiagnosed due to its resemblance to gastrointestinal and renal pathologies. This case highlights the importance of a high index of suspicion in patients with risk factors such as bladder outlet obstruction. CT cystography is crucial for early diagnosis, while surgical repair remains the gold standard for treatment. Supportive care, including hemodialysis and infection control, is vital for optimizing outcomes.</div></div><div><h3>Conclusion</h3><div>Early recognition and prompt surgical intervention are critical in managing SRUB. Clinicians should consider this rare condition in patients with acute abdomen and known bladder dysfunction to reduce morbidity and improve prognosis.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111279"},"PeriodicalIF":0.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823868","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 an omphalocele with ileal perforation: A case report","authors":"Surya Raj Nishad, Aashutosh Jha, Sushil Mishra, Sujan Shrestha, Binod Bade Shrestha, Pradeep Ghimire","doi":"10.1016/j.ijscr.2025.111267","DOIUrl":"10.1016/j.ijscr.2025.111267","url":null,"abstract":"<div><h3>Introduction</h3><div>Omphalocele is a congenital midline abdominal defect characterized by the herniation of abdominal organs through the umbilical ring, enclosed within a membranous sac. It is associated with significant morbidity and rare complications such as bowel perforation, which pose unique management challenges.</div></div><div><h3>Presentation of the case</h3><div>A male baby was delivered vaginally at 33 + 5 weeks of gestation to a healthy mother with unremarkable initial findings. At 13 h of life, the mother noticed discharge from the umbilical region, prompting referral to our center. Examination and investigations revealed an omphalocele with ileal perforation. The sac was then excised, ileal perforation repaired and the abdominal defect was closed. Postoperatively the neonate was managed in NICU. The baby was discharged on POD 8 in stable conditions.</div></div><div><h3>Discussion</h3><div>Bowel perforation is a rare but life-threatening complication of omphalocele. Delayed diagnosis or improper handling, such as clamping over the sac, may lead to vascular compromise and even bowel perforation.</div></div><div><h3>Conclusion</h3><div>Omphalocele-associated ileal perforation is a rare condition requiring immediate surgical management and postoperative care. Early intervention and meticulous monitoring are pivotal in ensuring survival and recovery.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"130 ","pages":"Article 111267"},"PeriodicalIF":0.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799365","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}