International Journal of Surgery Case Reports最新文献

{"title":"Unusual location of sinonasal ossifying fibroma of the posterior ethmoid sinus: a case report and literature review.","authors":"Abdulrahman S Altowaim, Yazieed Mohammed AlBarrak, Lenah Khalid Al Fadhil, Abdulaziz Mohammed Alghamdi","doi":"10.1097/RC9.0000000000000915","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000915","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Ossifying fibroma is a benign, well-demarcated fibro-osseous neoplasm that most commonly affects the mandible and maxilla. Involvement of the paranasal sinuses is rare, and ethmoid sinus localization is particularly uncommon. Because sinonasal ossifying fibroma may mimic other fibro-osseous and osseous lesions radiologically, histopathologic confirmation and complete excision are important for diagnosis and disease control.</p><p><strong>Case presentation: </strong>A 43-year-old Saudi man with well-controlled type 2 diabetes mellitus presented with a 6-month history of progressive right-sided nasal obstruction and frontal headache. He reported no history of epistaxis, visual disturbance, or anosmia. Computed tomography demonstrated a well-defined 2.5 × 1.6 × 2.3 cm sclerotic lesion with ground-glass matrix occupying the right posterior ethmoid air cells and abutting the skull base. Histopathology confirmed ossifying fibroma. The patient underwent complete endoscopic transnasal resection with skull base repair using a free autologous cartilage graft. The clinical course is summarized in Table 1. Recovery was uneventful, and he was discharged on postoperative day two.</p><p><strong>Clinical discussion: </strong>Ethmoidal ossifying fibroma is rare and may present with nonspecific sinonasal symptoms. Complete excision is recommended for symptomatic sinonasal disease because incomplete removal is associated with recurrence. In selected cases, an endoscopic approach can provide direct visualization, avoid external approach-related morbidity, and allow skull base reconstruction when required. However, 4-month follow-up is insufficient to make definitive statements about long-term recurrence.</p><p><strong>Conclusion: </strong>Posterior ethmoid ossifying fibroma is an uncommon presentation of a benign fibro-osseous tumor. Accurate diagnosis requires clinical, radiologic, and histopathologic correlation. Complete endoscopic resection with appropriate skull base repair can achieve favorable short-term outcomes in selected cases, but prolonged surveillance is necessary.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4196-4200"},"PeriodicalIF":0.6,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171342","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":"Simple oral mucosal epithelial transplantation (SOMET) for bilateral limbal stem cell deficiency in a patient of failed simple limbal epithelial transplantation (SLET): a case report.","authors":"Hirika Gosalia, Neet Mehta, Mariya B Doctor, Sayan Basu","doi":"10.1097/RC9.0000000000000974","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000974","url":null,"abstract":"<p><strong>Introduction: </strong>We report the successful outcome of cataract surgery following simple oral mucosal epithelial transplantation (SOMET) in a patient with drug-induced cicatrizing conjunctivitis (DICC) and failed simple limbal epithelial transplantation (SLET). While SOMET has previously been described in Stevens-Johnson syndrome, its utility in cases of failed SLET or DICC has not been reported. Additionally, the long-term outcomes of SOMET and subsequent cataract surgery post SOMET have also not been described previously.</p><p><strong>Case presentation: </strong>A male in his thirties presented with bilateral limbal stem cell deficiency (LSCD) secondary to DICC. He initially underwent bilateral allogeneic SLET; however, progressive failure resulted in total corneal conjunctivalization. The patient subsequently underwent SOMET with ocular surface reconstruction in the right eye. At the 1-year follow-up, cataract surgery was performed. At the final follow-up, the patient achieved an unaided visual acuity of 20/40.</p><p><strong>Discussion: </strong>Drug inducted cicatrising conjunctivitis is a significant cause of bilateral LSCD and conjunctival cicatrization. Although SLET has shown promising results in unilateral LSCD, management options for bilateral disease remain limited. SOMET is an autologous procedure that simultaneously addresses LSCD and ocular surface cicatrization. It combines the advantages of cultivated oral mucosal epithelial transplantation and SLET, and is a single-stage procedure, avoiding the need for laboratory-based cell cultivation, allogeneic tissue, and systemic immunosuppression.</p><p><strong>Conclusion: </strong>SOMET appears to be a feasible option for bilateral LSCD, including cases of failed SLET. This case additionally demonstrates that SOMET can provide long-term ocular surface stability sufficient for successful cataract surgery and meaningful visual rehabilitation.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4408-4412"},"PeriodicalIF":0.6,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168892","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":"A 20-year follow-up of a patient with Klippel-Trenaunay syndrome: case report.","authors":"Dmytro B Dombrovskyi, Maria A Ivanchuk","doi":"10.1097/RC9.0000000000000969","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000969","url":null,"abstract":"<p><strong>Introduction: </strong>Klippel-Trenaunay syndrome (KTS) is a rare congenital malformation characterized by a clinical triad: capillary malformations, varicose veins, and hypertrophy of soft tissues or bones in one or more limbs. Differential diagnosis from Parkes Weber syndrome is crucial; the primary distinguishing feature is the presence of arteriovenous fistulas. KTS is progressive. Management of KTS is predominantly conservative, involving lifelong elastic compression therapy and regular courses of venotonics. This case report presents the clinical follow-up of a patient with KTS over a period of more than 20 years.</p><p><strong>Case presentation: </strong>A female patient with KTS presented with a congenital venous malformation of the right lower extremity, characterized by predominant deep vein hypoplasia and superficial venous varicosities, with grade III chronic venous insufficiency on the right side. She also had pelvic varicosities and superficial venous varicosities of the left lower extremity. During the reported period, the patient underwent two surgical interventions for the condition and had three deliveries.</p><p><strong>Discussion: </strong>KTS follows a progressive course characterized by unilateral varicose veins, persistent embryonic veins, anomalies of the superficial and deep venous systems, low-flow venolymphatic malformations, and hypertrophy of bone and soft tissue. Pregnancy in women with KTS is considered a high-risk condition. Management of KTS is predominantly conservative, supplemented by minimally invasive procedures if necessary.</p><p><strong>Conclusion: </strong>The study supports the conclusion that open surgery for KTS can lead to recurrences. Long-term use of elastic compression therapy, combined with consistent daily walking and regular courses of venotonics, may slow disease progression.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4399-4402"},"PeriodicalIF":0.6,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170864","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":"Petrous apex metastasis revealing prostate cancer: a rare case report and review of literature.","authors":"Marouf Rim, Bijou Walid, Oukessou Youssef, Rouadi Sami, Abada Redallah, Mahtar Mohamed","doi":"10.1097/RC9.0000000000000962","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000962","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Temporal bone malignancies are rare, representing only 0.2% of head and neck malignancies, with an annual incidence of 1 to 6 cases per million. Metastatic involvement of the petrous apex is particularly uncommon, with prostate cancer accounting for approximately 8.6% of temporal bone metastases. We report an extremely rare case of metastatic prostate cancer presenting with otologic symptoms and a destructive petrous apex lesion in a patient with no prior oncological history.</p><p><strong>Case presentation: </strong>A 73-year-old male presented with right-sided tinnitus, vertigo, and headaches. Audiological workup was unremarkable aside from bilateral presbycusis. CT and magnetic resonance imaging (MRI) imaging revealed a lytic lesion of the right petrous apex extending to the occipital basion and compressing the jugular bulb. Diagnostic mastoidectomy with biopsy demonstrated a poorly differentiated invasive adenocarcinoma with immunohistochemical profile confirming prostatic origin. Prostate-specific antigen was above 100 ng/mL. Positron emission tomography-computed tomography (PET-CT) revealed hypermetabolic prostatic disease with widespread osseous and lymph node metastases. The patient was subsequently initiated on androgen deprivation therapy (ADT) + radiotherapy.</p><p><strong>Discussion: </strong>Temporal bone metastases from prostate cancer are exceedingly rare, with fewer than 30 cases reported in the literature. Diagnosis is frequently delayed due to nonspecific otologic presentation and the osteolytic pattern, which is atypical for prostatic metastases. A multimodal approach combining high-resolution computed tomography, MRI, prostate-specific membrane antigen PET-CT and histopathological analysis with immunohistochemistry is essential for accurate diagnosis. Treatment remains primarily palliative, incorporating androgen deprivation therapy, radiotherapy, and emerging systemic agents.</p><p><strong>Conclusion: </strong>A malignant metastatic etiology must always be considered, especially prostate cancer in male patients, even in the absence of a known oncological history. Early recognition through thorough radiological and pathological workup is essential to optimize management and quality of life.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4350-4354"},"PeriodicalIF":0.6,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168375","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":"Pregnancy after the Manchester-Fothergill procedure: a case report.","authors":"Zinat Ghanbari, Tahereh Eftekhar, Maryam Deldar, Hawraa Shbeeb, Shahla Pouyamoghadam, Marjan Ghaemi","doi":"10.1097/RC9.0000000000000452","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000452","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Cervical elongation is commonly associated with uterine prolapse. The Manchester-Fothergill procedure offers a fertility-preserving surgical option for its correction. However, conception following this procedure is exceedingly rare, with an estimated incidence of 1 in 10 000.</p><p><strong>Case presentation: </strong>We present the case of a 35-year-old multiparous woman (G3P2L2) who conceived 18 months after undergoing the Manchester-Fothergill procedure for cervical elongation. Her obstetric history included one vaginal delivery and one cesarean section performed for cervical elongation. Postoperatively, she resumed regular menstrual cycles and later experienced an unplanned pregnancy.</p><p><strong>Clinical discussion: </strong>The patient was managed with close antenatal surveillance, including serial sonographic evaluations of the cervical length and fetal well-being. She carried the pregnancy to term and delivered a healthy neonate via cesarean section at 39 weeks, with a birth weight of 3,700 grams. No evidence of prolapse recurrence was observed in the postpartum period.</p><p><strong>Conclusion: </strong>This case highlights that, although rare, a successful pregnancy is possible following the Manchester-Fothergill procedure. Optimal outcomes depend on vigilant antenatal care, regular cervical monitoring, limitation of physical exertion, and early identification of potential complications.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4017-4020"},"PeriodicalIF":0.6,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168855","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":"A diagnostic cascade from cholecystitis to Meckel's diverticulum rupture: a case report.","authors":"Lotfollah Abedini, Taha Negahdari, Sepehr Moradi, Reza Hosseinpour","doi":"10.1097/RC9.0000000000000951","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000951","url":null,"abstract":"<p><strong>Background: </strong>Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract, yet it rarely becomes symptomatic in adults. Perforation is an uncommon and often overlooked complication that may mimic more frequent abdominal conditions, particularly in the postoperative setting. MD presenting shortly after unrelated laparoscopic surgery is exceptionally rare and can pose a significant diagnostic challenge.</p><p><strong>Case presentation: </strong>A 36-year-old woman presented with acute right upper quadrant pain and was diagnosed with calculous cholecystitis. She underwent laparoscopic cholecystectomy and was discharged after an uncomplicated recovery. On postoperative day 3, she returned with abdominal distension, bilious vomiting, and persistent pain. Imaging revealed a port-site hematoma but no clear source of obstruction or leak. Due to sustained leukocytosis and clinical deterioration, diagnostic laparoscopy was performed, revealing bilious peritonitis and a necrotic, perforated MD with terminal ileal herniation. Diverticulectomy was completed, and the patient recovered fully.</p><p><strong>Discussion: </strong>Perforated MD can closely mimic postoperative ileus, small bowel obstruction, or biliary pathology, leading to delayed diagnosis. Imaging modalities frequently fail to detect this condition, underscoring the limitations of relying solely on radiologic evaluation when symptoms persist. Although a direct causal link to recent laparoscopic surgery cannot be confirmed, postoperative mechanical and perfusion-related changes may contribute to diverticular compromise in susceptible individuals.</p><p><strong>Conclusion: </strong>This case highlights the need to consider MD complications in patients who deteriorate unexpectedly after abdominal surgery. When clinical findings are discordant with imaging, early diagnostic laparoscopy remains essential for accurate diagnosis and timely intervention.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4303-4308"},"PeriodicalIF":0.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169820","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":"Giant vulvar inclusion cyst in a 50-year-old female: a case report.","authors":"Haitham Abdalla Ali Ismail, Abdulrahman Mohammed Abdulrahman Abouh, Ahmed Abdalla Agab Eldour","doi":"10.1097/RC9.0000000000000856","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000856","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Epidermal inclusion cysts (EICs) of the vulva are common benign lesions that are usually small and asymptomatic. However, giant vulvar EICs are extremely rare, particularly in women presenting after menopause, where vulvar malignancy must always be excluded. In countries with a high prevalence of female genital mutilation (FGM), vulvar EICs may occur secondary to chronic vulvar trauma.</p><p><strong>Case presentation: </strong>We report the case of a 50-year-old married multiparous woman (para 3) with a 16-year history of progressive right vulvar swelling that became painful during the preceding 2 months after menopause. The swelling had spontaneously ruptured three times previously with discharge of whitish keratinous material before recurring again. Examination revealed a large right-sided lower vulvar cystic mass measuring approximately 15 × 11 cm, with smooth overlying skin and no inguinal lymphadenopathy. Ultrasound demonstrated a well-circumscribed avascular hypoechoic subcutaneous lesion measuring 16 × 12 cm. The patient underwent complete surgical excision under spinal anaesthesia in the lithotomy position through a longitudinal vulvar incision. Histopathological examination confirmed a fibrous-walled EIC lined by keratinized stratified squamous epithelium and filled with lamellate keratin debris without evidence of malignancy. The postoperative course was uneventful, and no recurrence was observed during 6 months of follow-up.</p><p><strong>Clinical discussion: </strong>Giant vulvar EICs are uncommon and may clinically mimic vulvar malignancy or other benign vulvar tumors. Careful clinical examination, imaging, complete surgical excision, and histopathological assessment are essential for definitive diagnosis and exclusion of malignancy.</p><p><strong>Conclusion: </strong>This case highlights the importance of considering EICs in the differential diagnosis of giant vulvar masses in women presenting after menopause. Complete surgical excision remains the definitive diagnostic and therapeutic approach.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4062-4065"},"PeriodicalIF":0.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171175","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":"Delayed post-traumatic left gastric artery pseudoaneurysm presenting with massive upper gastrointestinal hemorrhage: a case report.","authors":"Harroum Meriem, Harbi Raida, Letaief Amal, Sghaier Asma, Elghali Mohamed Amine","doi":"10.1097/RC9.0000000000000548","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000548","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Post-traumatic visceral artery pseudoaneurysms are rare vascular entities but carry a high risk of catastrophic hemorrhage. They most commonly involve the hepatic artery, while pseudoaneurysms of the left gastric artery are exceptionally uncommon. Delayed presentation several years after trauma is particularly rare and poses significant diagnostic challenges.</p><p><strong>Presentation of case: </strong>We report the case of a 37-year-old woman who presented with massive hematemesis and hemodynamic instability. She had a history of childhood abdominal trauma following a road traffic accident requiring partial splenectomy and reported vague abdominal pain in the weeks preceding the event. Initial differential diagnoses included peptic ulcer bleeding and esophageal varices. Upper gastrointestinal endoscopy revealed a large amount of intragastric blood without an identifiable source. Contrast-enhanced CT angiography demonstrated a saccular pseudoaneurysm of the left gastric artery with tortuous vessels. During preparation for endovascular embolization, the patient developed recurrent massive hemorrhage requiring emergency laparotomy. Intraoperative findings confirmed rupture into the gastric lumen, and hemostasis was achieved by ligation of the left gastric artery. The postoperative course was uneventful, and the patient was discharged in stable condition.</p><p><strong>Clinical discussion: </strong>Visceral artery pseudoaneurysms should be considered in unexplained gastrointestinal bleeding, particularly in patients with prior abdominal trauma. CT angiography is essential for diagnosis and guides management. Endovascular embolization is preferred in stable patients, whereas active rupture requires urgent surgical intervention.</p><p><strong>Conclusion: </strong>Delayed post-traumatic pseudoaneurysms should be included in the differential diagnosis of severe gastrointestinal hemorrhage. Early recognition, prompt imaging, and timely intervention are crucial to improve outcomes.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4021-4024"},"PeriodicalIF":0.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171838","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":"Transcatheter arterial embolization enabling curative surgery for bleeding locally advanced breast cancer: a case report.","authors":"Tomoe Kameyama, Tomoko Seki, Takamichi Yokoe, Aiko Nagayama, Maiko Takahashi, Tetsu Hayashida","doi":"10.1097/RC9.0000000000000922","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000922","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Locally advanced breast cancer (LABC), defined as stage IIIB or IIIC disease without distant metastasis, is generally managed with systemic therapy as the initial treatment. However, uncontrolled bleeding from fungating tumors may interrupt treatment continuity and render definitive surgery unfeasible. Although endovascular therapy is occasionally used as an emergency hemostatic measure, its role in enabling curative surgery remains insufficiently documented. We report a case of LABC in which transcatheter arterial embolization (TAE) successfully controlled tumor bleeding and enabled subsequent definitive resection.</p><p><strong>Presentation of case: </strong>A 66-year-old woman with untreated breast cancer presented with massive hemorrhage from a rapidly enlarging fungating tumor, resulting in transient loss of consciousness. Contrast-enhanced computed tomography revealed a 10-cm left breast mass with axillary and supraclavicular lymphadenopathy without distant metastasis (T4bN3cM0, stage IIIC). Persistent bleeding initially precluded definitive oncologic treatment. Endovascular embolization of the internal mammary and lateral thoracic arteries was performed on the second hospital day, achieving immediate and sustained hemostasis.</p><p><strong>Clinical discussion: </strong>Hemorrhage control enabled uninterrupted radiotherapy and endocrine therapy, leading to marked tumor regression. Subsequent total mastectomy with axillary dissection was performed without skin grafting, and pathology demonstrated minimal residual disease with no nodal metastasis.</p><p><strong>Conclusion: </strong>TAE may provide rapid and durable hemorrhage control, thereby allowing uninterrupted multimodal therapy and ultimately enabling curative surgery in selected patients with LABC.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4217-4222"},"PeriodicalIF":0.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168331","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":"Reversible cerebral vasoconstriction syndrome as a rare postoperative complication after resection of a rosette-forming glioneuronal tumor: a case report and literature review.","authors":"Ali Akil, Christin Berjaoui, Hussein Akil, Selim Nasser, Ibrahim Saikali","doi":"10.1097/RC9.0000000000000944","DOIUrl":"https://doi.org/10.1097/RC9.0000000000000944","url":null,"abstract":"<p><strong>Introduction: </strong>Reversible cerebral vasoconstriction syndrome (RCVS) is an uncommon postoperative complication, rarely reported after posterior fossa tumor resections. Rosette-forming glioneuronal tumor (RGNT) is an infrequent, low-grade neoplasm of the central nervous system. To our knowledge, no prior cases of RCVS following RGNT resection have been documented.</p><p><strong>Case summary: </strong>We report a male patient in his 20s who underwent suboccipital craniotomy for resection of a cerebellar RGNT. Three weeks postoperatively, the patient presented with acute right hemiparesis and aphasia. Brain MRI demonstrated a left hemisphere watershed ischemic lesion. Magnetic resonance angiography revealed narrowing and \"beading\" of major intracranial arteries bilaterally, consistent with RCVS. Management included therapeutic anticoagulation, dual antiplatelet therapy, and intravenous hydration. The patient achieved complete neurological recovery.</p><p><strong>Clinical discussion: </strong>RCVS is characterized by transient, reversible multifocal cerebral arterial vasoconstriction and is associated with vasoactive triggers and surgical stress. Postoperative RCVS is rare after posterior fossa surgery, and differentiation from primary angiitis of the CNS and thromboembolic stroke is essential. Proposed mechanisms include endothelial dysfunction, surgical manipulation, and hemodynamic changes.</p><p><strong>Conclusion: </strong>RCVS can manifest as a delayed complication after posterior fossa tumor resection; Prompt diagnosis and supportive management are essential for recovery.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"138 10","pages":"4201-4206"},"PeriodicalIF":0.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149168901","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}