International Journal of Surgery Case Reports最新文献

{"title":"Esophago-wrap fistula as a delayed complication of laparoscopic Nissen fundoplication: A case report and surgical management strategy","authors":"Hamzeh M. Halawani,&nbsp;Farah M. Khalifeh,&nbsp;Fadi Alaidi,&nbsp;Lana Khatib,&nbsp;Samara Samara","doi":"10.1016/j.ijscr.2025.111975","DOIUrl":"10.1016/j.ijscr.2025.111975","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Laparoscopic anti-reflux surgery (ARS), particularly Nissen fundoplication, is an established and effective treatment for gastroesophageal reflux disease (GERD). Although generally safe, rare complications can arise, including esophago-wrap fistula a seldom-reported but serious postoperative sequela.</div></div><div><h3>Case presentation</h3><div>We report the case of a 51-year-old male with a history of laparoscopic Nissen fundoplication performed 20 years prior, presenting with halitosis, excessive burping, and chronic diarrhea. Diagnostic evaluation with endoscopy and contrast esophagography revealed a fistulous tract between the esophagus and the gastric fundus within the wrap. Surgical exploration confirmed esophago-wrap fistula along with a recurrent hiatal hernia, wrap slippage and dense adhesions. The fistula was resected using sequential black-load stapler cartridges due to thickened tissue, and a Toupet fundoplication was performed. The patient had an uneventful postoperative recovery with complete resolution of symptoms at six-month follow-up.</div></div><div><h3>Clinical discussion</h3><div>Esophago-wrap fistula is an exceptionally rare complication of ARS that may present with nonspecific gastrointestinal symptoms. Accurate diagnosis relies on a combination of endoscopic and radiologic modalities. Surgical intervention is the definitive treatment, often necessitating complex dissection, fistula resection, and redo fundoplication. This case underscores the importance of intraoperative vigilance and flexibility in surgical technique to manage rare but challenging complications. This case report has been reported in line with the SCARE checklist.</div></div><div><h3>Conclusion</h3><div>Esophago-wrap fistula is a rare but serious complication of anti-reflux surgery that requires a high index of suspicion and thorough diagnostic evaluation. Successful management depends on meticulous surgical planning, technical adaptability, and careful intraoperative execution.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111975"},"PeriodicalIF":0.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151379","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 calcifying pseudoneoplasm of the neuraxis in the lumbosacral canal: Two case reports and review of the literature","authors":"Shuo Han ,&nbsp;Guang-Ming Wang ,&nbsp;Da-Wei Dai ,&nbsp;Dan-Feng Zhang","doi":"10.1016/j.ijscr.2025.111966","DOIUrl":"10.1016/j.ijscr.2025.111966","url":null,"abstract":"<div><h3>Background</h3><div>Calcifying pseudoneoplasms of the neuraxis (CAPNON) are benign and slowly growing fibro-osseous lesions of the nervous system.</div></div><div><h3>Methods</h3><div>We report two rare cases of spinal CAPNON and provide a literature review.</div></div><div><h3>Results</h3><div>A 33-year-old woman with back pain underwent lumbar magnetic resonance imaging (MRI), revealing a large intradural mass (1.5 × 0.9 × 10.6cm³) at L2-S1. Postoperative MRI scan performed 3 years after surgery confirmed no recurrence. A 64-year-old woman with lower limb numbness and gait instability underwent lumbar MRI, revealing an L3 intradural mass (1.1 × 0.3 × 1.6cm³). Lower limb numbness were resolved after surgery during 1 year follow-up.</div></div><div><h3>Conclusion</h3><div>Accurate recognition of CAPNON is essential to guide appropriate surgical intervention due to its favorable prognosis. In these situations, complete resection and radiological follow-up are highly recommended.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111966"},"PeriodicalIF":0.7,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119860","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":"Prognostic value of lymph node staging systems in gastric cancer patients undergoing laparoscopic surgery: A case-series in Vietnam","authors":"Kien Quach Van ,&nbsp;Tam Nguyen Thi Thanh","doi":"10.1016/j.ijscr.2025.111970","DOIUrl":"10.1016/j.ijscr.2025.111970","url":null,"abstract":"<div><h3>Introduction</h3><div>Lymph node metastasis is the most important prognostic factor for gastric cancer (GC). While the pN staging system is widely used, it does not account for the total number of dissected lymph nodes, potentially leading to stage migration in patients with suboptimal lymphadenectomy. Alternative systems such as the lymph node ratio (LNR) and log odds of positive nodes (LODDS) may provide superior prognostic accuracy. Our aim is to compare the prognostic significance of the lymph node ratio (LNR), log odds of positive nodes (LODDS), and number of positive lymph nodes (pN).</div></div><div><h3>Methods</h3><div>Eighty-six GC patients treated with curative laparoscopic surgery were retrospectively analyzed. Survival outcomes were assessed using Kaplan-Meier analysis and the log-rank test. Prognostic accuracy was evaluated using receiver operating characteristic (ROC) curves and the area under the curve (AUC) values.</div></div><div><h3>Results</h3><div>All three lymph node classification systems, pN, LNR, and LODDS, were significant prognostic factors for survival in gastric cancer, (<em>p</em> = 0.007, 0.002, and 0.036, respectively) based on the log-rank test. Notably, in cases with fewer than 15 lymph nodes dissected, only the LNR system retained prognostic significance (<em>p</em> = 0.037), whereas both LNR and LODDS were effective in the ≥15 lymph node subgroup.</div></div><div><h3>Conclusions</h3><div>LNR and LODDS can be recommended for evaluating lymph node metastasis in gastric cancer, particularly in patients with inadequate lymph node dissection. This is the first study in Vietnam to evaluate and support the integration of LNR and LODDS as complementary prognostic tools in gastric cancer staging.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111970"},"PeriodicalIF":0.7,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145222645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of colon cancer with secondary pancreatic head metastasis treated via radioactive iodine-125 seed implantation","authors":"Cheng-Wei Ma ,&nbsp;Jian Zheng ,&nbsp;Jing-Zheng Zhuang ,&nbsp;Lei Ruan ,&nbsp;Xin Xiang ,&nbsp;Qing-Chun Li","doi":"10.1016/j.ijscr.2025.111968","DOIUrl":"10.1016/j.ijscr.2025.111968","url":null,"abstract":"<div><h3>Introduction</h3><div>Metastatic pancreatic tumors are rare, accounting for only 2 % of pancreatic malignancies, with colon cancer representing just 1.3 % of these cases. Currently, there is no consensus on the therapeutic approach for secondary pancreatic metastasis from colon cancer. Presentation of case: This report details the treatment of an 81-year-old female patient with secondary pancreatic head metastasis from colon cancer. In December 2023, the patient underwent ultrasound-guided percutaneous puncture radioactive Iodine-125 seed implantation radiotherapy. The procedure was successful, with no significant complications. Follow-up at seven months post-procedure showed complete regression of the pancreatic lesion, and the patient remained in good health at nine months.</div></div><div><h3>Discussion</h3><div>Colon cancer commonly metastasizes to lymph nodes, liver, lungs, and bones, with pancreatic metastasis being rare. Treatment for pancreatic metastases is complex, but Iodine-125 seed implantation has shown good efficacy for colorectal cancer-related pancreatic metastases. This minimally invasive method offers effective tumor control and recovery.</div></div><div><h3>Conclusion</h3><div>These findings suggest that Iodine-125 seed implantation is a promising, minimally invasive approach for managing pancreatic metastasis secondary to colorectal cancer, providing effective local control and favorable recovery outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111968"},"PeriodicalIF":0.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109969","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":"Kidney-sparing management of a giant distal ureteric stone: A case report","authors":"Mahmoud Mustafa ,&nbsp;Amir Aghbar ,&nbsp;Ibraheem Alami ,&nbsp;Razi Sulaiman ,&nbsp;Mohammad Khader","doi":"10.1016/j.ijscr.2025.111964","DOIUrl":"10.1016/j.ijscr.2025.111964","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Giant distal ureteric stones are rare and pose significant treatment challenges due to their size and associated risk of renal impairment. While nephrectomy is often considered, kidney-sparing strategies may offer functional preservation, especially when aligned with patient preferences.</div></div><div><h3>Presentation of case</h3><div>A 75-year-old male with comorbid hypertension and gout was found to have a 5.6 × 2.8 cm distal ureteric stone causing severe hydronephrosis and cortical thinning. Despite initial consideration for nephrectomy, the patient opted for a kidney-preserving approach. He underwent staged interventions, including ureteroscopy with laser lithotripsy, nephrostomy insertion, balloon ureteroplasty, and antegrade DJ stent placement. Complete stone clearance and resolution of obstruction were ultimately achieved.</div></div><div><h3>Clinical discussion</h3><div>This case highlights the complexity of managing large ureteric stones and the value of a multimodal endourological approach in challenging anatomy. The use of balloon ureteroplasty and antegrade stenting was critical in overcoming obstruction after failed wire passage. The case also reflects the importance of respecting patient autonomy while adhering to guideline-based management.</div></div><div><h3>Conclusion</h3><div>A personalized, minimally invasive, kidney-sparing strategy can achieve successful outcomes in cases of giant distal ureteric stones, even when initial imaging suggests poor renal prognosis.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111964"},"PeriodicalIF":0.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109421","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":"Multiple squamous cell carcinoma of the upper limb originating from long-standing burn scars: A case report","authors":"Nhat Tien Tran ,&nbsp;Trong Lam Dinh ,&nbsp;Hong Phuc Le ,&nbsp;Nghi Thanh Nhan Le","doi":"10.1016/j.ijscr.2025.111969","DOIUrl":"10.1016/j.ijscr.2025.111969","url":null,"abstract":"<div><h3>Background</h3><div>Squamous cell carcinoma (SCC) arising from long-standing burn scars—Marjolin's ulcer—is rare but aggressive. Multiple synchronous SCCs in burn scars are exceptionally uncommon and associated with rapid progression.</div></div><div><h3>Case presentation</h3><div>A 56-year-old male with a 40-year-old thermal injury to the right upper limb presented with two enlarging masses over the elbow and axilla. Initial cytology suggested benign dermoid cysts, but MRI indicated suspicious heterogeneous lesions. Excision with axillary lymphadenectomy revealed well-differentiated SCC with extensive nodal metastases and positive margins. Within one month, rapid multifocal recurrence and cervical lymphadenopathy required right upper limb amputation with cervical lymphadenectomy, followed by adjuvant radiotherapy. Postoperative care included antibiotic prophylaxis, multimodal analgesia, early physiotherapy, and psychological counseling. The patient expressed that he had never considered his burn scars a cancer risk and hoped his experience would encourage vigilance for chronic wounds.</div></div><div><h3>Discussion</h3><div>This case underscores the limitations of cytology in evaluating chronic scar lesions and the importance of early biopsy, histopathologic confirmation, and oncologic resection from the outset. Multifocal SCC in burn scars may indicate a high-risk biological profile, warranting aggressive surgical management and structured long-term follow-up.</div></div><div><h3>Conclusion</h3><div>Clinicians should maintain a high index of suspicion for malignancy in chronic burn scars, avoid relying solely on cytology, and adopt an oncologic surgical approach at first intervention. Lifelong surveillance is essential to detect recurrence or new primary lesions.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111969"},"PeriodicalIF":0.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109968","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 presentation of a large lower extremity abscess caused by Aggregatibacter aphrophilus: A case report","authors":"Takashi Higuchi ,&nbsp;Yoshihiro Araki ,&nbsp;Mikino Saito ,&nbsp;Atsushi Taninaka ,&nbsp;Satoru Demura","doi":"10.1016/j.ijscr.2025.111971","DOIUrl":"10.1016/j.ijscr.2025.111971","url":null,"abstract":"<div><h3>Introduction</h3><div><em>Aggregatibacter aphrophilus</em> (<em>A. aphrophilus</em>) is a rare cause of severe infections, including periodontitis, brain abscess, and endocarditis. While typically oral commensals, its involvement in extremity soft tissue abscesses is uncommon, posing diagnostic challenges and often mimicking tumors. This report describes a rare <em>A. aphrophilus</em> infection presenting as a large, spontaneously draining lower extremity abscess without trauma history.</div></div><div><h3>Presentation of case</h3><div>A 63-year-old male with untreated diabetes presented with posterior knee pain. Initial MRI suggested a biceps femoris tendon hematoma, treated conservatively. Because swelling, skin infiltration, and spontaneous drainage progressed, a soft tissue tumor was suspected, leading to referral to our hospital. MRI showed a small area of increased signal intensity in the proximal tibial bone marrow, with an enhancing, large heterogeneous extrarticular mass in surrounding soft tissue. Needle biopsy and tissue culture from the debrided abscess identified <em>A. aphrophilus</em>. The patient was successfully treated with piperacillin, requiring five weeks of hospitalization for wound management.</div></div><div><h3>Discussion</h3><div>This case highlights the diagnostic complexity of <em>A. aphrophilus</em> infection when presenting atypically in soft tissues. Initial misdiagnosis as a hematoma and subsequent tumor suspicion underscore considering rare bacterial etiologies in persistent or draining lesions, especially in immunocompromised patients. <em>A. aphrophilus</em> may require specific culture or molecular methods for identification. Prompt diagnosis and targeted antibiotic therapy were crucial.</div></div><div><h3>Conclusion</h3><div><em>A. aphrophilus</em> should be considered in the differential diagnosis of large, spontaneously draining lower extremity soft tissue lesions, even without a history of trauma. This case emphasizes microbiological culture for diagnosing atypical infections and preventing delayed treatment.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111971"},"PeriodicalIF":0.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109972","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":"Scalp reconstruction after squamous cell carcinoma resection: A case report","authors":"Parham Khoshdani Farahani","doi":"10.1016/j.ijscr.2025.111965","DOIUrl":"10.1016/j.ijscr.2025.111965","url":null,"abstract":"<div><h3>Introduction</h3><div>Cutaneous squamous cell carcinoma (cSCC) of the scalp poses significant reconstructive challenges due to limited tissue mobility, convex bony anatomy, and a scarcity of adjacent donor tissue. Surgical excision remains the primary treatment but may result in extensive defects requiring advanced reconstruction strategies.</div></div><div><h3>Case presentation</h3><div>We report the case of a patient presenting with a necrotic scalp lesion diagnosed as infiltrative cSCC near the vertex, extending to the right parietal region, with a preoperative tumor size of approximately 6 cm × 4 cm. Wide local excision with 1.0–1.5 cm margins was performed, followed by intraoperative frozen section confirmation of tumor-free margins. The resulting full-thickness defect, measuring approximately 8 cm × 6 cm and exposing the calvarial bone, was reconstructed using five pinwheel flaps to redistribute local scalp tissue. This approach achieved complete coverage, preserved contour, and enabled a single-stage reconstruction without the need for free flaps or dermal substitutes.</div></div><div><h3>Clinical discussion</h3><div>This case demonstrates the effectiveness of employing five pinwheel flaps for reconstructing a complex, full-thickness scalp defect in a patient with adequate local tissue reserves, offering a tissue-sparing alternative to more invasive methods like free tissue transfer or dermal templates. The technique, supported by preoperative planning and intraoperative margin assessment, ensured oncologic safety and aesthetic restoration while minimizing morbidity. The unique application of five pinwheel flaps in this large defect highlights a less commonly utilized approach, providing an educational example of adaptability in challenging cases.</div></div><div><h3>Conclusion</h3><div>The use of five pinwheel flaps provides a viable, single-stage option for reconstructing full-thickness scalp defects following cSCC resection, particularly in cases with sufficient local tissue. This report contributes to the surgical literature by expanding the application of pinwheel flaps, demonstrating their potential in complex scalp reconstruction, and emphasizing their role in multidisciplinary reconstructive planning.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111965"},"PeriodicalIF":0.7,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109971","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":"Acute cecal volvulus in a pediatric patient with intestinal malrotation: A case report.","authors":"Mohammad Al-Jawad, Naya Al Naëb, Abdalkareem Al-Jalloud, Haya Alkayali, Nour Abdulazize Lbabidi, Aghyad Kudra Danial","doi":"10.1016/j.ijscr.2025.111959","DOIUrl":"https://doi.org/10.1016/j.ijscr.2025.111959","url":null,"abstract":"<p><strong>Introduction: </strong>Cecal volvulus is a rare cause of intestinal obstruction, accounting for 1-3 % of cases, with higher incidence in neuropsychiatric patients and those with anatomical abnormalities. Emergency surgery is essential, though optimal management remains debated between detorsion with fixation and resection.</p><p><strong>Case presentation: </strong>A 12-year-old boy presented with acute abdominal pain, vomiting, and obstipation. Imaging revealed cecal volvulus with malrotation, prompting emergency right hemicolectomy with primary anastomosis, leading to full recovery.</p><p><strong>Discussion: </strong>Pediatric cecal volvulus is rare, often requiring surgical intervention due to high necrosis risk. Diagnosis relies on clinical suspicion and imaging, with resection being definitive. This case demonstrates successful management despite atypical presentation.</p><p><strong>Conclusion: </strong>Early surgical intervention is crucial in pediatric cecal volvulus. This case confirms that even with atypical features, prompt diagnosis and resection ensure favorable outcomes, highlighting the importance of clinical vigilance.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"111959"},"PeriodicalIF":0.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233767","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":"Faecolith-induced small bowel obstruction: A rare acute surgical emergency - A case series","authors":"Surya Raj Nishad,&nbsp;Alisha Kusatha,&nbsp;Sushil Mishra,&nbsp;Sandesh Doranga,&nbsp;Sujan Shrestha,&nbsp;Pradeep Ghimire","doi":"10.1016/j.ijscr.2025.111951","DOIUrl":"10.1016/j.ijscr.2025.111951","url":null,"abstract":"<div><h3>Introduction</h3><div>Intestinal obstruction is a common surgical emergency; however, faecolith-induced obstruction is exceptionally rare, especially in the small intestine. This case series highlights an uncommon etiology of small bowel obstruction(SBO), with an emphasis on diagnostic challenges, surgical management, and patient outcomes.</div></div><div><h3>Presentation of cases</h3><div>We report three cases of SBO due to faecolith impaction: two geriatric and one pediatric patient. All presented with symptoms of abdominal distention, colicky pain, and failure to pass stool. Imaging, particularly contrast-enhanced computed tomography (CECT) of abdomen and pelvis revealed dilated small bowel loops with transition point and intraluminal hyperdense masses suggestive of faecolith-induced SBO, including one case of secondary small bowel obstruction due to a caecal faecolith. Emergency Surgical interventions included enterotomy in two cases and cecotomy in one, with one patient requiring a loop ileostomy due to bowel edema. All patients recovered uneventfully and were discharged between postoperative day (POD) 5 to 8.</div></div><div><h3>Discussion</h3><div>Faecolith-induced SBO is an uncommon but important differential diagnosis, particularly in patients with no prior history of abdominal surgery. In such case early imaging with CECT is crucial for diagnosis. Timely and appropriate surgical intervention results in excellent outcomes and helps prevent complications such as ischemia or perforation.</div></div><div><h3>Conclusion</h3><div>Clinicians should maintain a high index of suspicion for faecolith-induced SBO in patients with typical features of bowel obstruction but no history of prior abdominal surgery. Prompt diagnosis and operative management can lead to favorable outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111951"},"PeriodicalIF":0.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108010","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}