International Journal of Surgery Case Reports最新文献

{"title":"Superior mesenteric artery syndrome: A rare cause of proximal bowel obstruction— Case report and literature review","authors":"Zamaryalai Hakimi ,&nbsp;Mujeeb-ur-rahman Oria Khil ,&nbsp;Abdul Shakor Shirpoor ,&nbsp;Fazel Rahman Rahmani ,&nbsp;Omran Omar Amarkhil ,&nbsp;Turyalai Hakimi","doi":"10.1016/j.ijscr.2025.110864","DOIUrl":"10.1016/j.ijscr.2025.110864","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Superior mesenteric artery syndrome, or mesenteric root syndrome, is a rare cause of small bowel obstruction. Delay in diagnosis may lead to significant morbidity and mortality in pediatric patients across several age groups.</div></div><div><h3>Case presentation</h3><div>We present a 10-year-old female child who has experienced numerous acute abdominal episodes since she was six years old. Before it was determined that the patient had superior mesenteric artery syndrome, she had a number of medical treatments, including an anti-<em>Helicobacter pylori</em> regimen, antibiotic medications, and anemia treatment. The patient received dietary support and medical counsel, and she is currently receiving follow-up care.</div></div><div><h3>Clinical discussion</h3><div>In some cases, the disease may exhibit a subclinical course, and most patients will not receive appropriate treatment but rather be treated symptomatically. In cases where the condition course is severe, nutritional buildup of the patient for gaining weight and sometimes surgical intervention will suffice for definite treatment.</div></div><div><h3>Conclusion</h3><div>Superior mesenteric artery syndrome is a clinical entity causing acute abdominal pain and requiring prompt attention. The differential diagnosis of abdominal pain is crucial for the diagnosis of superior mesenteric artery syndrome, particularly in children who have experienced weight loss in the past.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110864"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042585","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":"Prosthetic rehabilitation of a hemimaxillectomy patient using a zygomatic - Corticobasal® implant- supported reconstructive prosthesis: A case report","authors":"Syed Akifuddin ,&nbsp;Fadia Awadalkreem","doi":"10.1016/j.ijscr.2025.110815","DOIUrl":"10.1016/j.ijscr.2025.110815","url":null,"abstract":"<div><h3>Introduction</h3><div>Rehabilitation of patients with hemimaxillectomy presents a challenge. This case report describes the successful use of zygomatic Corticobasal® implant- supported reconstructed prosthesis.</div></div><div><h3>Clinical case presentation</h3><div>A 20-year-old female patient presented to the clinic following hemimaxillectomy with soft tissue approximation one year ago. The patient was very depressed and reported high aesthetic concern and masticatory inefficiency and required a fixed prosthesis. A multidisciplinary team was formed. A panorama and cone beam CT were acquired. The treatment plan included the construction of an immediately loaded, fixed implant-supported reconstructive prosthesis using 6 Corticobasal® implant (BCS® and ZDI® implant designs, Dr. Ihde Dental AG, Switzerland) and a follow up program. After 3 years in function, the patient presented with 100 % implant survival rate, no complaints, and reported great improvement in esthetics, speech, mastication, and quality of life.</div></div><div><h3>Discussion</h3><div>The use of zygomatic Corticobasal® implants in this case provides the significant advantages of improving the prosthesis support and the utilization of the strongest zygomatic bone for implant anchorage. Moreover, the use of a metal framework for implant splinting and the monoblock design of the implant reduce the risk of implant/prosthesis overloading, and eliminate the biomechanical complication. Furthermore, the provided fixed prosthesis matched the patient's desire and significantly optimized the patient satisfaction and quality of life.</div></div><div><h3>Conclusion</h3><div>Within the limitation of the study, Corticobasal® implants can be used for rehabilitating hemimaxillectomy patients with optimum peri-implant soft tissue results, reducing risk of infection, achieving high survival rate and significantly improving the patient's aesthetic, functional, and satisfaction.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110815"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11763205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956934","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":"Pott's disease complicated by a large retroperitoneal tuberculous mass: A case report","authors":"Salim Ouskri,&nbsp;Youssef Zaoui,&nbsp;Imad Boualaoui,&nbsp;Ahmed Ibrahimi,&nbsp;Hachem El Sayegh,&nbsp;Yassine Nouini","doi":"10.1016/j.ijscr.2024.110763","DOIUrl":"10.1016/j.ijscr.2024.110763","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Tuberculosis (TB) remains a significant public health issue, especially in developing countries where its incidence is rising due to factors like overcrowding and immunosuppression. Among extrapulmonary TB forms, abdominal TB is common, while retroperitoneal TB is rare and often challenging to diagnose due to its similarity to other retroperitoneal tumors. Diagnosis typically requires invasive procedures such as laparoscopy or laparotomy.</div></div><div><h3>Case presentation</h3><div>We report the case of a 45-year-old woman with Pott's disease leading to a large retroperitoneal tuberculous abscess. She presented with a right flank mass, chronic low back pain, weight loss, and fever. Imaging revealed spondylodiscitis at the L1-L2 vertebrae and a retroperitoneal collection. PCR confirmed <em>Mycobacterium tuberculosis</em>. Treatment involved abscess drainage and a 9-month anti-TB regimen.</div></div><div><h3>Clinical discussion</h3><div>Retroperitoneal TB presents with non-specific symptoms, often delaying diagnosis. Imaging plays a crucial role in identifying abscesses, with CT and MRI being key tools. The treatment of retroperitoneal tuberculous abscesses includes surgical drainage and prolonged anti-tuberculosis therapy. Early diagnosis and a multidisciplinary approach are essential to managing this severe form of extrapulmonary TB.</div></div><div><h3>Conclusion</h3><div>Retroperitoneal tuberculous abscesses, though rare, represent a severe form of extrapulmonary tuberculosis that requires increased clinical vigilance.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110763"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972826","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":"Retroperitoneal malignant peripheral nerve sheath tumor treated with laparotomy approach: A case report","authors":"Intan Andaru ,&nbsp;Wahjoe Djatisoesanto ,&nbsp;Karinda Triharyu Caesari Putri","doi":"10.1016/j.ijscr.2025.110998","DOIUrl":"10.1016/j.ijscr.2025.110998","url":null,"abstract":"<div><h3>Introduction</h3><div>Malignant peripheral nerve sheath tumors (MPNST) are sporadic neoplasms that present significant diagnostic challenges, particularly in retroperitoneal locations. While these aggressive tumors most commonly occur in the head, neck, and upper extremities, retroperitoneal cases represent a mere 1 % of all instances. This case study examines a specific instance of retroperitoneal MPNST diagnosed and treated through laparotomy, with the primary objective of enhancing medical professionals' understanding of this uncommon tumor's diagnostic complexities, treatment approaches, and potential prognostic implications. By highlighting such a rare clinical scenario, the research seeks to raise awareness among clinicians about the nuanced considerations required when encountering these challenging and infrequent malignancies in unusual anatomical regions.</div></div><div><h3>Case presentation</h3><div>During a medical investigation of abdominal pain in a 44-year-old female patient, advanced imaging revealed a complex mass located in the left adrenal gland. Computed tomography scans demonstrated significant anatomical involvement, with the tumor compressing adjacent structures, including the pancreas and spleen superiorly, the left kidney and renal vasculature inferiorly, and positioned adjacent to the abdominal aorta. Surgical intervention was undertaken with the objective of complete tumor removal, successfully achieving unambiguous surgical margins. Subsequent immunohistochemical analysis confirmed the diagnosis of an MPNST, providing critical insights into the nature of the patient's complex medical condition.</div></div><div><h3>Discussion</h3><div>MPNST represents a complex and challenging neoplasm characterized by its highly invasive and rapidly progressing nature, originating from neural tissue. The diagnostic process for MPNST is intricate, primarily due to the absence of definitive histological criteria and a distinctive immune profile. Critical diagnostic challenges emerge from the significant morphological similarities between MPNST and other tumors, such as fibrosarcomas and leiomyosarcomas. In this specific case, pathological anatomy initially suggested a liposarcoma lesion; however, immunohistochemistry testing revealed a negative Desmin result, effectively eliminating the liposarcoma diagnosis and underscoring the nuanced complexity of accurate tumor classification.</div></div><div><h3>Conclusion</h3><div>This case report highlights the diagnostic difficulty in identifying divergent differentiation in sarcomas, using MPNST and liposarcoma as examples.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 110998"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135168","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":"Tip intussusception of unmatured end ileostomy causing bowel obstruction: A case report for a novel subtype of stoma outlet obstruction?","authors":"Radin Hardika Kamal, Kamal Musthofa, Faldha R Ramadhan, Edwin Danardono, Fadia Hasna Thohari","doi":"10.1016/j.ijscr.2025.110854","DOIUrl":"10.1016/j.ijscr.2025.110854","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Stoma has become a common surgical act and is commonly performed. One of type of stoma creation is unmatured end ileostomy. Our case showed a rare tip intussusception of unmatured end ileostomy causing bowel obstruction.</p><p><strong>Case presentation: </strong>A 51-year-old Madurese male underwent a left hemicolectomy with end ileostomy Hartmann's procedure for total bowel obstruction due to caecal well differentiated adenocarcinoma (pT4aN0M0). One month post operative, the patient came to outpatient clinic for bowel obstruction for the last 3 days. Examination for the end ileostomy tip was reddish, swollen, irreducible, unretracted but shortened. A triple contrast abdominal Computed Tomography was ordered, and no narrowing proximal from the stoma outlet was found. Early stomal closure with exploratory laparotomy was performed.</p><p><strong>Clinical discussion: </strong>Any post unmatured end ileostomy bowel obstruction with unretracted shortened ileostomy limb, lumen narrowing around the full thickness annular curling of the ileum, and edematous mucosa of the distal tip with no cause of obstruction found on contrast abdominal CT, tip intussusception of unmatured end ileostomy as the cause of stoma outlet obstruction should be suspected.</p><p><strong>Conclusion: </strong>Tip intussusception of unmatured ileostomy is rare clinical entity should be known to surgeon and should be considered as a new subtype of stoma outlet obstruction.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110854"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075940","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":"Recurrent ulcerative tubular apocrine adenoma of the eyelid mimicking eyelid malignancy: A case report and literature review.","authors":"Ashwaq Y Asiri, Hamad Alsulaiman, Hind M Alkatan, Rawan N Althaqib","doi":"10.1016/j.ijscr.2025.110929","DOIUrl":"10.1016/j.ijscr.2025.110929","url":null,"abstract":"<p><strong>Introduction: </strong>The eyelid is a common site for cutaneous tumors; however, tubular apocrine adenoma is a rare presentation. The clinical presentation is variable and surgical excision is effective with low risk for recurrence.</p><p><strong>Presentation of case: </strong>We report a 40-year-old female with recurrent tubular apocrine adenoma of eyelid mimicking eyelid malignancy. Diagnostic incisional biopsy demonstrated dermal benign tubular-like proliferations lined by bilayer of apocrine epithelium within a background of hyalinized stroma.</p><p><strong>Discussion: </strong>Isolated tubular apocrine adenoma of the eyelid is rare with individual cases being found in the literature. Previously reported recurring apocrine eyelid tumors were involving older patients than our case and the recurrence occurred within 2-3 years.</p><p><strong>Conclusion: </strong>Our case is unique as the patient was younger and the recurrence occurred after a longer period. Our report provides insight into the clinical features, histopathologic characteristics and treatment of tubular apocrine adenoma of the eyelid.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110929"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069105","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":"Intradural extramedullary epidermoid cyst at cauda equina level in 2-years female child: A rare case report.","authors":"Aristianti Aristianti, Sinta Wiranata, Dewa Putu Wisnu Wardhana","doi":"10.1016/j.ijscr.2025.110986","DOIUrl":"10.1016/j.ijscr.2025.110986","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal epidermoid cysts are noncancerous growths that comprise fewer than 1 % of the abnormalities found in the spine. An epidermoid cyst in the intradural extramedullary region, without any associated dysraphism, trauma, or syndromic conditions, and its subsequent successful identification and surgical removal without any adverse effects on the patient, is a highly uncommon event.</p><p><strong>Case presentation: </strong>A 2-year-old female visited the outpatient clinic with a skin fold on the back that has been present since birth, without any abnormalities in the spinal cord or any injuries. The patient had no impairments and was in good condition, displaying satisfactory feeding and playing behavior. An intradural extramedullary lesion indicating the presence of several epidermoid cysts at the L3-L4 level of the cauda equina was identified in the lumbosacral MRI. The patient underwent a surgical procedure called laminectomy and durotomy to remove a tumor. The histological examination confirmed the diagnosis of an epidermoid cyst.</p><p><strong>Discussion: </strong>Epidermoid cysts are infrequently found in the intradural extramedullary region of the spinal canal. A laminectomy procedure was conducted to excise a tumor in this patient. The patient experienced neurogenic bladder dysfunction following surgery, necessitating a consultation with the urologist. The patient has returned to baseline with no signs of deterioration.</p><p><strong>Conclusion: </strong>Surgery by total removal is the treatment of choice for spinal ECs, providing a disease-free outcome and preventing further neurological deficits.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110986"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075919","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":"Organ-preserving surgery for male distal primary urethral carcinoma: A case report from a tertiary hospital in Ethiopia.","authors":"Alemu Bedeado Hirpo, Sena Sefara Akasa, Mensur Mohammed Ahmed, Masresha Solomon Dino, Wondweson Alemu Molla, Mintesnot Yitagesu Kidane","doi":"10.1016/j.ijscr.2025.110983","DOIUrl":"10.1016/j.ijscr.2025.110983","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Primary urethral carcinoma (PUC) is a rare cancer, comprising less than 1 % of all genitourinary malignancies, with a male predominance (3:1 ratio), and typically affects those over 75 years of age. PUC shows varied histological subtypes based on their location and sex. The prognosis depends on age, tumor grade, TNM stage, histology, and site. Organ-preserving surgery is for distal disease becoming a preferred option.</p><p><strong>Case presentation: </strong>We report the surgical management of a male patient presenting with a history of urethral meatal ulcer, bloody urethral discharge, dysuria, and urine spraying, initially misdiagnosed as a persistent herpes ulcer. Examination revealed a 1 × 2 cm erythematous plaque over the urethral meatus. Pelvic magnetic resonance imaging (MRI) showed a 1.7 × 1.7 cm lesion in the distal penile urethra invading the corpus spongiosum, and a biopsy confirmed squamous carcinoma in situ. The patient underwent partial glansectomy and anterior urethrectomy, but pathology showed well-differentiated squamous cell carcinoma with positive margins. The patient was successfully treated with a total anterior urethrectomy, partial glansectomy, and augmented perineal urethrostomy.</p><p><strong>Clinical discussion: </strong>PUC (primary urethral carcinoma) presents nonspecifically, requiring high suspicion for diagnosis. Historically, treatment included total penectomy with cystoprostatectomy for proximal tumors and partial or radical penectomy for distal tumors. Distal tumors often have better outcomes, and organ preservation surgery is possible for selected patients, with no local recurrence in those treated with additional surgery or adjuvant radiation for positive margins.</p><p><strong>Conclusions: </strong>PUC is a rare urological malignancy that is challenging to diagnose and treat. Clinical stage and tumor location are critical prognostic factors for urethral carcinoma in men. Organ-preserving surgery is the preferred treatment for distal disease, with a 5-year overall survival rate of approximately 50 %.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110983"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075923","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 pregnancy and delivery after post burn abdominal wall reconstruction using tensor fascia lata fasciocutaneous flap and split-thickness skin graft: A case report.","authors":"Bethlehem Aliye Asfaw, Anteneh Gebru Gebremedhen, Asratu Getnet Amare, Solomon Berhe Wubneh, Mequanint Melese Bicha, Gebrehiwot Aderaw Workneh","doi":"10.1016/j.ijscr.2025.110980","DOIUrl":"10.1016/j.ijscr.2025.110980","url":null,"abstract":"<p><strong>Introduction: </strong>Abdominal wall contractures following burn injuries can cause both maternal and fetal complications during pregnancy like maternal disfigurement, breathing difficulties, scar site pain, fetal distress, premature labor, scar breakdown, and keloid formation.</p><p><strong>Case presentation: </strong>A 26-year-old female presented with second-degree flame burns to her anterior abdomen, perineum, and bilateral proximal thighs, resulting in 18 % TBSA involvement from a cooking accident. She received debridement, wound care, and supportive treatment, and was discharged in improved condition. Four years later, she developed significant abdominal wall scarring with umbilical retraction and thigh contractures, limiting thigh abduction. Contracture release and abdominal wall reconstruction with bilateral fascia lata faciocutaneos flaps and split-thickness skin grafts were performed. The patient later had a successful pregnancy with normal delivery, experiencing no complications except mild stretching sensations at the surgical site.</p><p><strong>Discussion: </strong>Burn in the perineum is rare due to its protected location, making perineal contracture uncommon. While one case documented severe contractures affecting both the trunk and perineum, leading to fetal distress and emergency cesarean, our patient experienced similar contractures but had successful surgical release and autologous abdominal wall reconstruction prior to pregnancy, avoiding complications. Various surgical options, including expansion abdominoplasty, modified abdominoplasty, and anterolateral thigh flaps, have proven effective in improving outcomes for pregnant women with post-burn abdominal contractures.</p><p><strong>Conclusion: </strong>An individualized approach is crucial, as evidenced by our use of tensor fascia lata faciocutaneous flap and split-thickness skin grafts, improving both maternal and fetal health.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110980"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075933","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":"Low grade myxofibrosarcoma of the abdominal wall: A rare case report from Tanzania.","authors":"William Nkenguye, Jamil Suleiman, Shaneabbas Jaffer, Orujul Hassan, Jay Lodhia","doi":"10.1016/j.ijscr.2025.111001","DOIUrl":"10.1016/j.ijscr.2025.111001","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Myxofibrosarcoma (MFS) is a rare malignant soft tissue sarcoma, typically affecting older adults and commonly arising in the extremities. Its occurrence in younger individuals and in atypical locations, such as the abdominal wall, is uncommon.</p><p><strong>Case presentation: </strong>A 27-year-old female presented with a three-year history of a progressively enlarging, painless mass on the left lateral aspect of her abdomen. Initial imaging suggested a benign lesion; however, histopathological examination of the excised mass revealed a spindle cell neoplasm with myxoid changes. Immunohistochemistry confirmed a diagnosis of low-grade MFS. The patient underwent surgical excision with clear margins and remains under regular follow-up with no signs of recurrence to date.</p><p><strong>Clinical discussion: </strong>This case underscores the diagnostic challenges of MFS, particularly in younger patients and atypical anatomical locations. The nonspecific imaging features highlight the necessity of histopathological examination for accurate diagnosis. Surgical excision with clear margins remains the cornerstone of MFS treatment, and the absence of adverse features in this case negated the need for adjuvant therapy. Regular follow-up is essential due to the high propensity for local recurrence.</p><p><strong>Conclusion: </strong>This case contributes to the limited data on MFS in sub-Saharan Africa, emphasizing the need for increased awareness and reporting to better understand its epidemiology and inform management strategies in this region.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"111001"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081027","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}