International Journal of Surgery Case Reports最新文献

{"title":"Short-term outcomes of the right ventricle to pulmonary artery conduit “NeoCor” in Syria: A case series","authors":"Rahaf Massoud ,&nbsp;Sarah Massoud ,&nbsp;Yaman Al-Mkaky ,&nbsp;Yaman Wazir ,&nbsp;Yahya Ibrahim ,&nbsp;Alwaleed Al-Dairy","doi":"10.1016/j.ijscr.2025.111980","DOIUrl":"10.1016/j.ijscr.2025.111980","url":null,"abstract":"<div><h3>Background</h3><div>Right ventricle–to–pulmonary artery (RV–PA) reconstruction often requires a valved conduit; however, no single option is ideal across ages and anatomical variations. We report early outcomes of a bovine pericardial xenograft conduit (NeoCor) as a practical solution in a resource-limited setting.</div></div><div><h3>Methods</h3><div>In this single-center retrospective series, eight pediatric patients (1–14 years) underwent RV–PA reconstruction (2019–2024) using a bovine pericardial xenograft conduit sized by nomogram (10–21 mm). A single surgical team performed all procedures under standardized perioperative protocols with intraoperative echocardiography. Complications were graded using standardized criteria. The primary outcome was clean follow-up (no mortality, no reintervention on the conduit/RVOT, no ≥moderate conduit regurgitation, peak Doppler gradient ≤30 mmHg, and no echogenic calcification).</div></div><div><h3>Results</h3><div>Indications included TGA/VSD/PS (<em>n</em> = 4), tetralogy of Fallot with absent pulmonary valve (<em>n</em> = 2), VSD–PA with confluent PAs/PDA (<em>n</em> = 1), and truncus arteriosus redo (n = 1). Follow-up ranged 6 months–5 years (mean 2 years). All patients met the clean follow-up definition. Conduit Doppler gradients were 5–8 mmHg perioperatively and 8–12 mmHg at follow-up; no calcification or ≥ moderate regurgitation was observed.</div></div><div><h3>Conclusions</h3><div>A bovine pericardial xenograft conduit is a feasible, accessible option for RV–PA reconstruction with promising short-term hemodynamics in this context. Larger prospective studies and/or registry participation are warranted to evaluate durability, reintervention rates, and cost-effectiveness.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111980"},"PeriodicalIF":0.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159380","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":"Reverse aqua pump vacuum-assisted closure alternative and affordable solution for emerging cost in wound therapy: A case series","authors":"Meirizal ,&nbsp;Rahadyan Magetsari ,&nbsp;Mohammad Rizal Chaidir ,&nbsp;Sumadi Lukman Anwar ,&nbsp;Agung Susilo Lo ,&nbsp;I. Made Dolly","doi":"10.1016/j.ijscr.2025.111981","DOIUrl":"10.1016/j.ijscr.2025.111981","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Soft tissue defects managed with conventional wound therapies are often inadequate. Vacuum-Assisted Closure (VAC) has proven to be an effective method for discharge removal, edema reduction, perfusion enhancement, and granulation tissue stimulation. This study assesses the novel Reverse Aqua Pump Vacuum-Assisted Closure (RAP-VAC), a low-cost innovation option in a developing country, designed to facilitate successful wound healing while mitigating financial limitations.</div></div><div><h3>Case presentation</h3><div>This <strong>case series</strong> was reported at a tertiary referral hospital in Indonesia, involving 13 patients with soft tissue defects utilizing RAP-VAC. The average wound size diminished by 9.8 %, from 50.19 ± 36.96 cm² on day 0 to 45.25 ± 36.43 cm² at the endpoint measurement. The mean granulation rate was 92.13 %, and the average wound bed preparation duration was 20.92 ± 2.69 days. The whole expenditure for care expenses to IDR 2,376,923 per patient. The linear mixed model analysis significantly associated with intercept estimate of 50.19 (<em>p</em> = 0.001) with 0.32 reduction per day in the outcome (<em>p</em> = 0.010).</div></div><div><h3>Clinical discussion</h3><div>NPWT accelerates wound shrinkage, resulting from the consistent negative pressure. The mechanical motion facilitates cell migration, hence expediting wound closure. The cost-effectiveness of NPWT has been established, diminishing the necessity for expensive therapies. A study reported using an aqua pump-based VAC, but without detailing the mechanism. In contrast, our device reverses the fan direction for improved suction. We employed the <em>IMITO</em> app measurement for objective evaluation. The RAP-VAC system, characterized by low costs, may provide substantial financial benefits while maintaining therapeutic outcomes in developing countries, as a viable choice for wound management in both hospital and community care environments.</div></div><div><h3>Conclusion</h3><div>The findings indicate that RAP-VAC is efficacious in facilitating wound healing and serves as a cost-effective alternative to expensive VAC systems.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111981"},"PeriodicalIF":0.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214004","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 pancreatic retention cyst mimicking neoplastic lesions: A case report","authors":"Adriana Ferreira ,&nbsp;Filipe Reis Neves ,&nbsp;João Correia ,&nbsp;Rui C. Oliveira ,&nbsp;Rui Miguel Martins","doi":"10.1016/j.ijscr.2025.111967","DOIUrl":"10.1016/j.ijscr.2025.111967","url":null,"abstract":"<div><h3>Introduction</h3><div>Pancreatic cysts are increasingly detected due to the widespread use of high-resolution imaging. These cysts range from benign to malignant and often require careful evaluation to guide management. Differentiating between neoplastic and non-neoplastic cysts remains a diagnostic challenge. Among the non-neoplastic types, pancreatic retention cysts are rare and often under-recognized.</div></div><div><h3>Case presentation</h3><div>We present the case of an asymptomatic woman in her 50s referred to our oncology center for further investigation of a pancreatic cystic lesion initially discovered incidentally. Imaging follow-up revealed a growth of 2.5 mm in one year. MRI, CT, and endoscopic ultrasound findings, combined with fine-needle aspiration cytology, suggested a mucinous neoplasm—most likely an intraductal papillary mucinous neoplasm (IPMN). The patient underwent distal pancreatectomy with splenectomy. Histopathological analysis revealed a pancreatic retention cyst with no evidence of malignancy.</div></div><div><h3>Clinical discussion</h3><div>Retention cysts, though benign, may mimic the radiological and cytological features of IPMNs, leading to overtreatment. This case highlights the importance of integrating clinical, imaging, and histopathological data to reach an accurate diagnosis. The limitations of cytology in cystic lesions and the potential value of molecular testing should be considered in equivocal cases.</div></div><div><h3>Conclusion</h3><div>This case underscores the diagnostic complexity of pancreatic cystic lesions. It emphasizes the need for cautious interpretation of fine-needle biopsy findings and highlights the potential diagnostic bias introduced by fragmented care.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111967"},"PeriodicalIF":0.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151404","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":"Bilateral mental nerve block in lower lip laceration repair: A case report","authors":"Osbert Arihaihi ,&nbsp;Filimin Niyongabo ,&nbsp;Lars Ingmar Veldhuis ,&nbsp;Isabella Epiu","doi":"10.1016/j.ijscr.2025.111978","DOIUrl":"10.1016/j.ijscr.2025.111978","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Peripheral nerve blocks have been proven to provide effective and safe analgesia in emergency settings and can prevent general anesthesia.</div></div><div><h3>Case presentation</h3><div>This report describes the successful use of a bilateral mental nerve block employing a 1:1 mixture of 2 % lidocaine and 0.5 % isobaric bupivacaine in a 28-year-old male presenting with lower lip lacerations at a Regional Referral Hospital in southwestern Uganda.</div></div><div><h3>Clinical discussion</h3><div>The extraoral technique achieved complete anesthesia, allowed precise wound repair, and enhanced patient comfort without complications.</div></div><div><h3>Conclusion</h3><div>This case highlights the utility of regional anesthesia in emergency wound care for traumatic lip lacerations, minimizing the need for systemic analgesics and enhancing patient comfort.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111978"},"PeriodicalIF":0.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214035","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 diagnosis of femoral neck fracture: A case report and literature review","authors":"Ratish Singh,&nbsp;Hem Shankar Yadav,&nbsp;Amit Ranjan Mishra,&nbsp;Sonu Gupta","doi":"10.1016/j.ijscr.2025.111979","DOIUrl":"10.1016/j.ijscr.2025.111979","url":null,"abstract":"<div><h3>Introduction</h3><div>Femoral neck fractures are common in elderly resulting from minor trauma. In resource limited settings, these fractures are sometimes missed in radiographic interpretation which delays the treatment and risk of morbidity and mortality increases.</div></div><div><h3>Case presentation</h3><div>We report the case of a 72-year-old male who presented to a primary healthcare facility with complaints of pain in the left hip and lower back following a fall. He was misdiagnosed with a soft tissue injury and managed conservatively with pelvic traction. Due to persistent symptoms and inability to bear weight, he sought a second opinion six days later. Repeat radiography at our center revealed a displaced femoral neck fracture (Garden Type IV). Considering the patient's age, delayed presentation, and poor socioeconomic condition, uncemented hemiarthroplasty using an Austin Moore prosthesis was performed via the Hardinge (direct lateral) approach. Postoperative recovery was uneventful, and the patient was mobilized early with a walker and discharged on postoperative day seven.</div></div><div><h3>Clinical discussion</h3><div>Femoral neck fractures, especially non-displaced or minimally displaced types, can be easily missed in elderly patients without a high index of clinical suspicion. Early and accurate diagnosis is essential to prevent complications like avascular necrosis and nonunion. Socioeconomic limitations can delay advanced imaging and definitive care.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of thorough clinical evaluation, repeat imaging in persistent cases, and early referral to specialized centers. Delayed diagnosis of femoral neck fracture in the elderly can result in displacement and poorer outcomes if not appropriately managed.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111979"},"PeriodicalIF":0.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160027","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":"Adenoid cystic carcinoma with cystic change of the parotid gland posing a diagnostic challenge: A rare case report","authors":"Seblewengel Maru Wubalem ,&nbsp;Tamiru Kawucha Gelebo ,&nbsp;Birhanu Kassie Reta ,&nbsp;Mihret Adane Woldemichael ,&nbsp;Sara Alemnew Wedaj ,&nbsp;Shemsu Abraham Hussien","doi":"10.1016/j.ijscr.2025.111974","DOIUrl":"10.1016/j.ijscr.2025.111974","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Salivary gland neoplasms, comprising 2-6.5% of head and neck tumors, primarily arise in the parotid and submandibular glands. Salivary gland cystic lesions can be either neoplastic or non-neoplastic.</div></div><div><h3>Presentation of case</h3><div>This is a 50-year-old male with a cystic adenoid cystic carcinoma (ACC) in the parotid gland, presenting with a right infraauricular swelling that had progressively enlarged over three years. Fine needle aspiration cytology (FNAC) indicated a benign cystic neoplasm. Histological examination, however, confirmed ACC with cystic changes.</div></div><div><h3>Clinical discussion</h3><div>A cyst in salivary gland neoplasms can result from degeneration, necrosis, or hemorrhage within the tumor, or when the tumor arises within a non-neoplastic cyst. Differentiating between benign and malignant cystic salivary gland lesions is challenging preoperatively. Accurate preoperative diagnosis is essential to prevent unnecessary surgeries, and techniques such as ultrasound and FNAC are critical in assessing these lesions.</div></div><div><h3>Conclusion</h3><div>Cystic changes in malignant tumors, particularly ACC, are not frequently reported, underlining the need for increased awareness among clinicians and pathologists. This case highlights the importance of including ACC in the differential diagnosis of cystic salivary gland tumors.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111974"},"PeriodicalIF":0.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109974","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":"Unmasking myopathy: A case of postoperative worsening of sagittal imbalance in adolescent idiopathic scoliosis","authors":"Mohammadreza Golbakhsh ,&nbsp;Sina Esmaeili ,&nbsp;Mohammad Soleimani ,&nbsp;Abbas Rahimian ,&nbsp;Parham Talebiyan","doi":"10.1016/j.ijscr.2025.111977","DOIUrl":"10.1016/j.ijscr.2025.111977","url":null,"abstract":"<div><h3>Introduction</h3><div>Scoliosis is a complex spinal deformity with diverse etiologies, requiring tailored management strategies based on its classification as congenital, neuromuscular, or idiopathic.</div></div><div><h3>Presentation of case</h3><div>We present the case of a 14-year-old girl with severe sagittal imbalance and gait impairment following spinal fusion surgery for adolescent idiopathic scoliosis (AIS). Postoperative investigations revealed an undiagnosed core myopathy characterized by cervical flexor weakness, confirmed through electromyography and muscle biopsy, which contributed to her sagittal imbalance by necessitating compensatory cervical hyperextension and thoracic flexion.</div></div><div><h3>Discussion</h3><div>This misdiagnosis of her scoliosis as idiopathic rather than neuromuscular underscores the importance of comprehensive preoperative evaluations, including neuromuscular assessments, in patients with atypical presentations. Avoiding further surgical intervention, the patient was managed conservatively with occupational therapy, resulting in partial functional improvement.</div></div><div><h3>Conclusion</h3><div>This case emphasizes the need for multidisciplinary approaches and vigilance in recognizing underlying conditions that may complicate scoliosis treatment.</div></div><div><h3>Level of evidence</h3><div>Level IV (Case Report).</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111977"},"PeriodicalIF":0.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151427","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":"Acquired cystic disease-associated renal cell carcinoma: A case report","authors":"Imen Helal ,&nbsp;Farah Loued ,&nbsp;Ehsen Ben Brahim ,&nbsp;Mohamed Amine Oueslati ,&nbsp;Raja Jouini ,&nbsp;Aschraf Chadli-Debbiche","doi":"10.1016/j.ijscr.2025.111973","DOIUrl":"10.1016/j.ijscr.2025.111973","url":null,"abstract":"<div><h3>Introduction</h3><div>Acquired cystic kidney disease (ACKD) affects almost half of patients with chronic hemodialysis. ACKD is recognized as a predisposing condition for renal carcinoma, particularly in patients undergoing long-term dialysis. Acquired cystic disease-associated renal cell carcinoma (ACD-RCC) is a subtype of renal cell carcinoma (RCC) occurring solely in patients with ACKD. ACD-RCC was first introduced as a distinct entity in the 2016 World Health Organization (WHO) classification of renal tumors and retained in the 2022 update. However, it remains underdiagnosed due to histologic overlap with other subtypes. We aimed to study the clinicopathological features of the entity.</div></div><div><h3>Case presentation</h3><div>We reported the case of a 44-year-old patient who presented a hemorrhagic shock of suspected renal origin. A scan showed no renal tumor. The patient experienced a second episode of hemorrhagic shock. A hemostatic nephrectomy was necessary. Microscopic examination confirmed the diagnosis of ACD-RCC. The patient died three days post-operatively.</div></div><div><h3>Clinical discussion</h3><div>ACD-RCC is a common but under recognized entity with specific clinical, histopathological, and evolutionary features.</div></div><div><h3>Conclusion</h3><div>Enhanced recognition of ACD-RCC and its features by pathologists is mandatory to ensure accurate histopathological diagnosis and appropriate clinical management.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111973"},"PeriodicalIF":0.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109422","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":"Bleb morphology following mitomycin-C sponge versus subconjunctival injection in deep sclerectomy for pediatric congenital glaucoma: A case report","authors":"Dania A. Bamefleh ,&nbsp;Mohammed A. Halawani ,&nbsp;Saad Alosaimi ,&nbsp;Raghad Alonazi","doi":"10.1016/j.ijscr.2025.111976","DOIUrl":"10.1016/j.ijscr.2025.111976","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Congenital glaucoma poses a complex surgical challenge. Mitomycin-C (MMC) is frequently used to enhance surgical success, though the optimal method of application remains debated.</div></div><div><h3>Case presentation</h3><div>We present a pediatric case of bilateral congenital glaucoma where two different MMC application methods were used: subconjunctival injection in one eye and sponge application in the other.</div></div><div><h3>Clinical discussion</h3><div>Despite initial IOP reduction in both eyes, the eye treated with sponge application showed progressive bleb thinning and compromise. The subconjunctival injection resulted in a stable, diffuse bleb with better long-term outcomes.</div></div><div><h3>Conclusion</h3><div>This case provides comparative intra-patient evidence favoring subconjunctival injection for improved bleb morphology and stability in pediatric glaucoma.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111976"},"PeriodicalIF":0.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160011","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":"Surgical repair of Laubry–Pezzi syndrome with aortic root dilatation in two adult patients: Case reports from Benin","authors":"Abdel Kémal Bori Bata ,&nbsp;Biaou Gaël ,&nbsp;Ahmad Ibrahim ,&nbsp;Désiré Nékoua ,&nbsp;Arnaud Sonou ,&nbsp;Pierre Demondion","doi":"10.1016/j.ijscr.2025.111963","DOIUrl":"10.1016/j.ijscr.2025.111963","url":null,"abstract":"<div><h3>Introduction</h3><div>Laubry–Pezzi syndrome is a rare congenital heart disease characterized by the association of a ventricular septal defect (VSD) and aortic regurgitation (AR) due to valvular prolapse. The natural course of this condition may lead to severe valvular damage and aortic root dilatation, particularly in cases of delayed diagnosis.</div></div><div><h3>Presentation of case</h3><div>We report two adult cases of Laubry–Pezzi syndrome managed surgically in Benin. The first patient, a 49-year-old man, presented with severe AR, a large subaortic VSD, and an ascending aortic aneurysm. He underwent VSD closure and a mechanical Bentall procedure. Postoperatively, he developed complete atrioventricular block requiring pacemaker implantation, with no further complications over 24 months. The second patient, a 19-year-old man, had severe AR, a 16 mm VSD, and dilated sinus of Valsalva. He underwent VSD closure, mechanical aortic valve replacement, and tricuspid annuloplasty. Recovery was uneventful, with favorable outcomes at the four-month follow-up, and ongoing surveillance is planned.</div></div><div><h3>Discussion</h3><div>These two cases demonstrate the clinical progression of untreated Laubry–Pezzi syndrome in adults, highlighting challenges related to delayed diagnosis. Despite complex anatomical findings, surgical repair including Bentall and valve replacement was successfully performed in a resource-limited setting. Findings align with global literature in terms of pathology and outcomes, supporting the feasibility of advanced cardiac surgery in sub-Saharan Africa.</div></div><div><h3>Conclusion</h3><div>Early detection and intervention are critical to prevent severe valve and aortic complications in Laubry–Pezzi syndrome. This case report illustrates that, even in low-resource contexts, successful surgical outcomes are achievable through adapted techniques and interdisciplinary collaboration.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111963"},"PeriodicalIF":0.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109424","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}