International Journal of Surgery Case Reports最新文献

{"title":"Surgical management of cerebellopontine angle teratomas with total and subtotal approach in adults: A case report.","authors":"Sopho Nakhutsrishvili, Otar Gakhokia, Ana Basilashvili, Mia Metreveli, Elene Alphaidze, Revaz Shalibashvili","doi":"10.1016/j.ijscr.2025.110927","DOIUrl":"10.1016/j.ijscr.2025.110927","url":null,"abstract":"<p><strong>Introduction: </strong>Germ cell tumors (GCTs) are neoplasms originating from either gonadal or extragonadal tissues. Primary central nervous system (CNS) GCTs are rare and categorized into germinomas and non-germinomatous germ cell tumors (NGGCTs), the latter including teratomas. Intracranial teratomas represent a small fraction (0.1-1.5 %) of all brain tumors, predominantly occurring in the pineal and sellar regions. Posterior fossa teratomas in adults are exceptionally rare.</p><p><strong>Case presentations: </strong>This study presents two cases of cerebellopontine angle (CPA) mature teratomas in adult patients. The first case involves a 26-year-old female with severe headaches, diagnosed via MRI with a left CPA mass extending to the C2 level, confirmed as a mature teratoma post-surgical resection. The second case features a 37-year-old male with an incidental finding of a right CPA mass, leading to subtotal resection due to proximity to critical brainstem structures.</p><p><strong>Discussion: </strong>CNS teratomas constitute 0.5-1 % of intracranial neoplasms.Typical locations include midline structures; however, CPA localization is rare. Diagnosis primarily relies on imaging modalities like MRI, supplemented by histopathological confirmation. Surgical resection remains the mainstay of treatment, with the extent of resection balancing tumor removal and preservation of neurological function.</p><p><strong>Conclusion: </strong>CPA teratomas are rare but should be considered in the differential diagnosis of CPA masses. Effective management requires advanced imaging for accurate diagnosis and careful surgical planning to balance tumor removal with preservation of neurological function. These cases illustrate successful outcomes with tailored approaches, emphasizing the need for awareness and expertise in handling such uncommon tumors.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110927"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075936","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":"Rapid neurological recovery with spontaneous resolution of acute subdural hematoma after severe head trauma: A case report of auto-decompression phenomena.","authors":"Barnabas Obeng-Gyasi, Anoop S Chinthala, Alexei Christodoulides, Josue Ordaz, Gordon Mao","doi":"10.1016/j.ijscr.2025.110973","DOIUrl":"10.1016/j.ijscr.2025.110973","url":null,"abstract":"<p><strong>Introduction: </strong>The spontaneous resolution of acute subdural hematoma (aSDH) represents an ill-defined but clinically significant phenomenon in traumatic brain injury (TBI). While surgical evacuation remains the standard of care for significant aSDH, rare cases of spontaneous resolution, termed auto-decompression in literature, suggest alternative pathways of hematoma clearance that warrant further investigation.</p><p><strong>Case presentation: </strong>We discuss the case of a 40-year-old male with background seizure disorder who fell off a ladder. His Glasgow Coma Score (GCS) at presentation was 5. Brain Computed Tomography (CT) scan revealed bilateral aSDH and multiple skull fractures. Within 24 h, his GCS quickly improved to 9 T. Repeat brain CT done 72 h post-trauma showed resolution of the aSDH following non-operative management.</p><p><strong>Discussion: </strong>Spontaneous resolution of bilateral aSDH with rapid neurological improvement is a rare but possible occurrence, often attributed to auto-decompression phenomenon in patients with severe head trauma and specific predisposing factors. Our discussion revolves around this patients presentation with polytrauma, complex skull fractures, history of craniotomy, and acute coagulopathy contributing to the spontaneous resolution of the hematoma. Given the complex nature of TBI and the unpredictable course of recovery, clinicians must remain vigilant in continuously reassessing neurological status.</p><p><strong>Conclusion: </strong>This case discusses the unpredictable nature of TBI and highlights the rapid and unexpected resolution of aSDH in a patient with complex neurosurgical history, coagulopathy, and polytrauma. The findings showcase the problems of polytraumatized patients and exemplify the importance of individualized care even when initial signs indicate poor prognosis.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110973"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081213","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":"Intralobar pulmonary sequestration associated with a bronchogenic cyst in an elderly woman: A case report","authors":"Wiem Ben Makhlouf ,&nbsp;Abdessalem Hentati ,&nbsp;Saadia Makni ,&nbsp;Soumaya Graja ,&nbsp;Slim Charfi ,&nbsp;Tahya Sellami Boudawara","doi":"10.1016/j.ijscr.2025.111008","DOIUrl":"10.1016/j.ijscr.2025.111008","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Congenital lung malformations (CLMs) are rare congenital abnormalities resulting from abnormal development of the foregut and tracheobronchial tree. Pulmonary sequestration (PS) and bronchogenic cysts (BC) are two such anomalies, and while they can occasionally coexist, the combination of intralobar pulmonary sequestration (ILS) and BC is exceptionally rare. Only a limited number of cases have been reported in the literature. This case presents a unique occurrence of ILS and BC in the left lower lobe of an elderly woman, contributing to the understanding of these anomalies' shared origin.</div></div><div><h3>Case presentation</h3><div>A 57-year-old woman with no significant medical history presented with left-sided chest pain and cough lasting for one month. Chest CT revealed a well-circumscribed cystic lesion in the left lower lobe, initially suspected to be a hydatid cyst. During surgery, a feeding artery originating from the descending thoracic aorta was found, confirming ILS. The cyst contained a thick chocolate-like fluid, suggesting a BC. Pathological analysis confirmed the presence of a unilocular cyst lined by respiratory epithelium, with features consistent with BC and ILS. The postoperative recovery was uncomplicated.</div></div><div><h3>Clinical discussion</h3><div>CLMs include various malformations such as foregut duplication cysts, PS, and congenital pulmonary airway malformations. BCs arise from the ventral foregut and are usually asymptomatic but may present with symptoms due to infection or complications. PS is characterized by non-functioning lung tissue supplied by an aberrant systemic artery. CT features of PS vary, and angiography remains the gold standard for diagnosis. Two types of sequestration exist: extralobar and intralobar. ILS, typically considered acquired, has been occasionally linked to congenital anomalies, suggesting an embryological origin. The coexistence of BC and ILS is extremely rare, with only 10 cases reported in the literature.</div></div><div><h3>Conclusion</h3><div>The coexistence of Bronchogenic Cyst (BC) and Intralobar Pulmonary Sequestration (ILS) is a rare condition, with only a few cases documented. This case highlights the complexity of diagnosing these pulmonary malformations and suggests a potential shared congenital origin, challenging previous theories that ILS arises from chronic inflammation. Further studies are needed to elucidate the embryological link between these malformations and their clinical implications.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 111008"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372890","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":"Florid cystic endosalpingiosis: Diagnostic challenges and management in the spectrum of müllerian anomalies – A case report","authors":"Ghaddab Imen ,&nbsp;Bergaoui Haifa ,&nbsp;Toumi Dhekra ,&nbsp;Cheikh Mohamed Chayma ,&nbsp;Bayar Amal ,&nbsp;Faleh Raja","doi":"10.1016/j.ijscr.2025.110840","DOIUrl":"10.1016/j.ijscr.2025.110840","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Cystic endosalpingiosis is a rare, benign condition characterized by the presence of fallopian tube-like epithelium outside the fallopian tubes. It predominantly affects menopausal women and is often asymptomatic. Florid cystic endosalpingiosis, an unusual form, can mimic malignant ovarian masses, making accurate diagnosis crucial.</div></div><div><h3>Case presentation</h3><div>We present a 48-year-old postmenopausal woman with chronic pelvic pain, found to have a suspicious multicystic mass during ultrasound. Laparoscopic exploration revealed extensive cystic endosalpingiosis involving the uterine surface and left adnexa. Histopathological analysis confirmed the diagnosis.</div></div><div><h3>Clinical discussion</h3><div>Endosalpingiosis often presents a diagnostic challenge due to its nonspecific symptoms and potential to mimic neoplastic conditions. This case underscores the need for histological examination to differentiate between benign and malignant pelvic masses. Surgical resection is recommended for symptomatic cases, while asymptomatic ones may not require intervention.</div></div><div><h3>Conclusion</h3><div>Florid cystic endosalpingiosis should be considered in the differential diagnosis of multicystic pelvic masses in menopausal women. Accurate histological diagnosis is essential to exclude malignancy and guide appropriate management.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110840"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972811","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":"Proximal patellar tendon injury with avulsed periosteal sleeve: A case report and long-term follow-up","authors":"Mohamed AG Elbaz ,&nbsp;Ashootosh Batra ,&nbsp;Ahmed Mohamed Yousif Mohamed ,&nbsp;Kamel Mahmoud Alkhateeb ,&nbsp;Mohanad Abdulgadir","doi":"10.1016/j.ijscr.2025.110870","DOIUrl":"10.1016/j.ijscr.2025.110870","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute patellar tendon injuries in children are rare but increasing due to more high-energy sports participation. These injuries often involve bony fractures, with isolated tendon avulsions being uncommon. Timely diagnosis and surgical intervention are essential to restore knee function and pre-injury activity levels.</div></div><div><h3>Case presentation</h3><div>A 12-year-old male student-athlete was brought to the hospital after his right knee buckled while playing football. He exhibited significant tenderness, swelling, and an inability to actively extend the knee. Clinically, a palpable gap below the inferior pole of the patella was detected.</div></div><div><h3>Discussion</h3><div>Initial X-ray imaging was inconclusive. MRI confirmed a proximal patellar tendon avulsion from the inferior patella, with a narrow soft tissue sleeve attached to the distally retracted tendon. No bony avulsion or was found. Interestingly, intraoperatively, there was a complete avulsion of the periosteal sleeve covering the patella. Transosseous suture repair with suture anchor augmentation was performed. Followed by full reattachment of the periosteal sleeve. Three years post-surgery, the patient became a professional basketball player with full knee motion, no pain or instability, and excelled in high-intensity activities without limitations.</div></div><div><h3>Conclusion</h3><div>Isolated proximal patellar tendon injury without bony avulsion is rare, and its association with complete periosteal sleeve detachment is exceptionally uncommon. The combination of transosseous repair and suture anchor augmentation ensured long-term stability. This approach effectively distributed tensile forces, minimizing the risk of re-injury and repair failure. A tailored rehabilitation ensured full knee recovery, with long-term follow-up confirming a return to professional sports without limitations.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110870"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014155","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":"Neglected uterine rupture… myth or reality? – A case report","authors":"Youssef Essebbagh,&nbsp;Khadija Errmili,&nbsp;Saloua Iddouba,&nbsp;Othmane Elharmouchi,&nbsp;Najia Zeraidi,&nbsp;Aziz Baidada","doi":"10.1016/j.ijscr.2025.110830","DOIUrl":"10.1016/j.ijscr.2025.110830","url":null,"abstract":"<div><h3>Introduction</h3><div>Neglected Uterine rupture in an unscarred uterus is a rare but remains the most serious and fearsome complication in obstetrics, with high maternal and fetal risks, a neglected uterine rupture is rarer but more serious affecting the maternal prognosis with a high rate of hysterectomy.</div></div><div><h3>Case presentation</h3><div>A 36-year-old patient, presented on postpartum day 4 a pelvic pain, physical examination finds patient in shock, Ultrasound showed an enlarged uterus with a discontinuity on the right lateral edge and abundant peritoneal fluid reaching Morison's pouch. The patient underwent a necessary total interadnexal hysterectomy due to the presence of a partial uterine necrosis.</div></div><div><h3>Discussion</h3><div>Neglected uterine rupture in an unscarred uterus is a rare but serious complication, occurring in approximately 1 in 10,000 pregnancies. Its incidence is higher in developing countries, largely due to socioeconomic disparities and restricted access to healthcare resources. Neglected Uterine rupture may arise from trauma or obstetric maneuvers and can occur without clear causes, as illustrated by studies finding cases of rupture without risk factors; the preferred treatment is conservative, but severe cases may necessitate a hysterectomy, especially when conservative options are not viable.</div></div><div><h3>Conclusion</h3><div>Neglected uterine rupture in an unscarred uterus is rare and serious, with high mortality and morbidity, often requiring rapid multidisciplinary intervention due to diagnostic delays.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110830"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014194","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 diagnosis of spinal osteoblastoma presenting with radicular pain and scoliosis: A case report","authors":"Faten Limaiem ,&nbsp;Mouadh Nefiss ,&nbsp;Ramzi Bouzidi","doi":"10.1016/j.ijscr.2025.110924","DOIUrl":"10.1016/j.ijscr.2025.110924","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Osteoblastoma is a rare benign bone tumor, accounting for 1 % of primary bone tumors, often affecting the spine and sacrum. Accurate diagnosis is essential for appropriate treatment and prognosis.</div></div><div><h3>Case presentation</h3><div>A 19-year-old male presented with two years of persistent nocturnal radicular and low back pain unresponsive to anti-inflammatory medications. Physical examination revealed a left-sided gibbosity and a positive Sonnette sign at lumbar levels L3-L4 and L4-L5 without neurological deficits. MRI and CT scans revealed anomalies in the right facet joint at L3-L4 and a lytic lesion at the L3 inferior articular process, suggestive of osteoblastoma. The patient underwent <em>en bloc</em> resection of the right L3 inferior articular process, decompression of the right L3 root, and tumor curettage. A unilateral fixation with pedicle screws was performed to prevent instability. Histological examination confirmed osteoblastoma. The patient's postoperative recovery progressed moderately, and he is actively participating in physical therapy, with continued follow-up planned to monitor for any potential recurrence or complications.</div></div><div><h3>Clinical discussion</h3><div>Osteoblastoma diagnosis is based on clinical, radiological, and histopathological evaluation. It is important to distinguish osteoblastoma from similar tumors for appropriate management. Surgical intervention, including <em>en bloc</em> resection or curettage, is the treatment of choice based on clinical factors and tumor location.</div></div><div><h3>Conclusions</h3><div>This case highlights the challenges in diagnosing spinal osteoblastoma, especially in young patients with persistent back pain. Early recognition, prompt intervention, and surveillance are critical for optimal outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110924"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030144","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":"Myiasis in a spinal cord injury patient with indwelling catheter: A case report from Gondar, Ethiopia","authors":"Kinfemicheal Tilahu Yigzaw ,&nbsp;Eyob Ayenew Engidaw ,&nbsp;Bethlehem Aliye Asfaw ,&nbsp;Yosef Awoke Wondemeneh ,&nbsp;Melkamu Temesgen Moges ,&nbsp;Gashaw Messele Getahun","doi":"10.1016/j.ijscr.2025.110934","DOIUrl":"10.1016/j.ijscr.2025.110934","url":null,"abstract":"<div><h3>Introduction and Importance</h3><div>Myiasis is an overlooked public health issue, with urogenital myiasis (UGM) being particularly rare, as evidenced by only 59 reported cases worldwide from 1975 to 2017. There is a notable scarcity of cases involving patients with prolonged catheter use related to SCI. The interaction of SCI with the complications associated with indwelling urinary devices is less frequently discussed in prior literature. Up to our best, it is the first case to be reported.</div></div><div><h3>Case presentation</h3><div>We report a case of a 40-year-old male with a spinal cord injury who developed UGM. He presented with multiple white maggots visible at the urethral meatus. He was on a long-term catheter due to urinary retention. There were moving maggots, which were manually removed.</div></div><div><h3>Clinical discussion</h3><div>This case underscores the risk of UGM in patients with urinary catheters, especially in underdeveloped areas where healthcare access may be restricted.</div></div><div><h3>Conclusion</h3><div>There is a critical need for education on UGM for at-risk groups, particularly those with indwelling urogenital devices, to ensure timely diagnosis and treatment and reduce the risk of complications.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110934"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042510","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":"Primary spinal epidural hematoma mimicking stroke: A case report of rare diagnostic challenge","authors":"Bibek Shrestha ,&nbsp;Bishal Gaurav ,&nbsp;Priyesh Shrestha ,&nbsp;Sushil K. Shilpakar ,&nbsp;Dipendra Thapa ,&nbsp;Bikas Thapa","doi":"10.1016/j.ijscr.2025.110932","DOIUrl":"10.1016/j.ijscr.2025.110932","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Spinal epidural hematoma is a rare and potentially life-threatening condition characterized by bleeding into epidural space, leading to spinal cord compression. With an incidence of approximately 1 per 1,000,000 annually, SEH requires urgent diagnosis and management to prevent irreversible neurological damage. This report highlights a case of primary spinal epidural hematoma causing acute spinal cord compression and hemiplegia mimicking stroke like features.</div></div><div><h3>Case presentation</h3><div>A 23-year-old male presented to the emergency department with acute upper back pain, progressive lower limb weakness, and bowel and bladder incontinence. Neurological examination revealed motor strength of 0/5 in the lower limbs, sensory loss in the perineal region, and preserved bulbocavernosus reflex. MRI of the spine demonstrated epidural hematoma compressing the spinal cord from C6 to D2. The patient underwent emergent laminotomy and hematoma evacuation. Postoperative recovery was uneventful, with significant improvement in neurological function.</div></div><div><h3>Clinical discussion</h3><div>Spinal epidural hematoma is a diagnostic challenge due to its nonspecific symptoms, which may mimic other conditions such as ischemic stroke. MRI remains the diagnostic gold standard. Timely surgical decompression is critical for favorable outcomes, especially in cases presenting significant neurological deficits.</div></div><div><h3>Conclusion</h3><div>This case emphasizes the importance of rapid recognition of SHE from stroke and spinal cord ischemia, imaging, and surgical management of Spinal epidural hematoma to mitigate severe neurological consequences. Awareness of this rare condition is vital for early diagnosis and effective treatment.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110932"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143098161","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":"Post IVF heterotopic pregnancy with one in cervix and one in uterus. Successful delivery after termination of the cervical pregnancy with intraamniotic feticide","authors":"G. Michos ,&nbsp;R. Najdecki ,&nbsp;G. Valasoulis ,&nbsp;A. Daponte ,&nbsp;A. Mamopoulos ,&nbsp;E.G. Papanikolaou","doi":"10.1016/j.ijscr.2025.110832","DOIUrl":"10.1016/j.ijscr.2025.110832","url":null,"abstract":"<div><h3>Introduction</h3><div>Cervical pregnancy is a rare kind of ectopic pregnancy. Heterotopic pregnancy is a condition, where we have one sac in the uterus and one in another location, usually because of IVF treatment. This scenario can become a life-threatening condition, if remain untreated.</div></div><div><h3>Presentation of case</h3><div>A 44-year-old woman underwent IVF (egg donation) with double embryotransfer and resulted in twin pregnancy, however heterotopic. One in cervix and one intrauterine. Until 8 weeks both pregnancies evoluting equally and then a decision made to terminate the cervical one. Her physician chose a transabdominal approach (amniocentesis wise); however, this attempt failed. Then, intracervical puncture by a reproductive specialist was attempted with potassium chloride injection and aspiration of the amniotic fluid. The pregnancy was terminated successfully, and no complications presented afterwards. The intrauterine pregnancy evoluted normally and a livebirth was achieved at 39 weeks.</div></div><div><h3>Discussion</h3><div>The current case represents an interesting way of terminating a cervical pregnancy even in the presence of a twin intrauterine sibling.</div></div><div><h3>Conclusion</h3><div>Patients with heterotopic pregnancies, should be encouraged not to terminate both pregnancies and to be referred in specialized reproductive and fetal maternity centers.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"Article 110832"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11760322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956930","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}