International Journal of Surgery Case Reports最新文献

{"title":"Gallstone ileus in a young patient complicated by double biliary-enteric fistula: A rare case report","authors":"Mohamed Zayati ,&nbsp;Mohamed Ali Chaouch ,&nbsp;Ibtissem Korbi ,&nbsp;Midani Touati ,&nbsp;Bassem Bouzouita ,&nbsp;Faouzi Noomen","doi":"10.1016/j.ijscr.2025.111946","DOIUrl":"10.1016/j.ijscr.2025.111946","url":null,"abstract":"<div><h3>Background</h3><div>Gallstone ileus is an uncommon complication of chronic cholecystitis, characterized by mechanical small bowel obstruction due to gallstone migration through a biliodigestive fistula. The occurrence of double biliary-enteric fistulas (e.g., cholecysto-duodenal and cholecysto-colic) is infrequent and presents additional diagnostic and surgical challenges.</div></div><div><h3>Case presentation</h3><div>A 41-year-old woman with no significant past medical history presented with progressive abdominal pain, distension, and cessation of bowel movements. Laboratory findings indicated a severe inflammatory response (CRP: 312 mg/L; leukocytosis: 13,000/mm³). CT imaging revealed jejuno-ileal distention with a calcified intraluminal mass suggestive of gallstone ileus and evidence of a cholecysto-duodenal fistula. Emergency laparotomy confirmed a large obstructing gallstone 30 cm from the ileocecal valve. Surgical exploration revealed two fistulas: cholecysto-duodenal and cholecysto-colic. The stone was removed via enterotomy; both fistulas were sutured, and a partial cholecystectomy was performed. The postoperative course was uneventful.</div></div><div><h3>Discussion</h3><div>Gallstone ileus typically affects older individuals, and its occurrence in a young patient is unusual. The presence of a double fistula is a rare complication that complicates surgical management. Early diagnosis via imaging and timely intervention are critical. In this case, a one-stage procedure involving enterotomy, fistula closure, and partial cholecystectomy was successfully performed.</div></div><div><h3>Conclusion</h3><div>This case underscores the diagnostic and surgical complexity of gallstone ileus, especially when associated with double biliary-enteric fistulas. It emphasizes the importance of individualized surgical planning and the utility of CT imaging in diagnosis.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111946"},"PeriodicalIF":0.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151429","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":"Commentary on “digital amputations in a child with multisystem inflammatory syndrome (MIS-C): A case report” by Davoodi et al., 2025","authors":"Hamidreza Zivarifar ,&nbsp;Amirbahram Rahimzadeh ,&nbsp;Forough Ahrari ,&nbsp;Mohammad Ali-Hassanzadeh","doi":"10.1016/j.ijscr.2025.111937","DOIUrl":"10.1016/j.ijscr.2025.111937","url":null,"abstract":"","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111937"},"PeriodicalIF":0.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103095","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":"Endovascular treatment of pediatric vertebral artery dissection: Case report and literature review","authors":"Yi Zhang ,&nbsp;Yujun Liao ,&nbsp;Bin Xu ,&nbsp;Yanlong Tian ,&nbsp;Hao Li","doi":"10.1016/j.ijscr.2025.111935","DOIUrl":"10.1016/j.ijscr.2025.111935","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Vertebral artery dissection (VAD) is considered a rare disease in the pediatric population, with challenging to diagnose and treatment. The optimal management remains unclear. Outcome of endovascular treatment, is still rarely reported. Along with a literature review, we aimed to provide information of clinical manifestation, treatment and prognosis in endovascular treatment of pediatric VAD.</div></div><div><h3>Presentation of case</h3><div>Two endovascular treated cases of spontaneous pediatric VAD were retrospectively reviewed. Clinical symptoms were only headache. Diagnosis was confirmed by DSA. Endovascular coils occlusions of parental vertebral artery were performed in two cases. Both individuals experienced a full recovery, and there were no further occurrences of symptoms or new infarction.</div></div><div><h3>Clinical discussion</h3><div>VAD is a rare but significant cause of stroke in children. Its incidence in the pediatric population is low, with males being more frequently affected than females. Treatment options for pediatric VAD include conservative medical management, surgical intervention, and endovascular therapy. Endovascular treatment, though less commonly reported, has shown promise in achieving good clinical outcomes with minimal complications. We report two pediatric cases of VAD treated with endovascular therapy. Both patients presented with headache as the primary symptom and achieved full recovery without neurological deficits. Endovascular treatment appears to be a safe and effective option for pediatric VAD, especially in cases where conservative management is insufficient or surgical intervention is not feasible.</div></div><div><h3>Conclusions</h3><div>Pediatric VAD is rare and endovascular treatment is feasible for the treatment. More research will still be needed to demonstrate the superiority in clinical outcomes with endovascular therapy.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111935"},"PeriodicalIF":0.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral lateral ventricular epidermoid cyst: A case report","authors":"Bizuayehu Asefa,&nbsp;Eyob Zenebe,&nbsp;Ermias Feleke,&nbsp;Worku Furi,&nbsp;Henock Solomon","doi":"10.1016/j.ijscr.2025.111944","DOIUrl":"10.1016/j.ijscr.2025.111944","url":null,"abstract":"<div><h3>Introduction</h3><div>Epidermoid cysts are benign inclusion cysts that arise from ectopically displaced ectodermal tissue. Intraventricular epidermoid cysts are uncommon, and involvement of the bilateral lateral ventricles is rarely reported. Computed tomography (CT) scans typically show well-localized, hypodense lesions. These cysts are slightly hyperintense to cerebrospinal fluid (CSF) on both T1 and T2 magnetic resonance imaging (MRI) sequences.</div></div><div><h3>Case presentation</h3><div>We report a 17-year-old male diagnosed with bilateral lateral ventricular epidermoid cysts after presenting with a four-year history of episodic generalized tonic-clonic seizures and recurrent throbbing global headache. He had surgery, and histopathology confirmed an epidermoid cyst. Postoperatively, the patient experienced symptom improvement.</div></div><div><h3>Discussion</h3><div>Intracranial epidermoid cysts are benign, accounting for 0.2 %–1.8 % of intracranial tumors. Lateral ventricular epidermoids present with obstructive hydrocephalus and signs and symptoms of increased intracranial pressure. Pathological analysis reveals a pearly white tumor composed of simple squamous cells with abundant laminated and compacted keratin and positivity for epithelial membrane antigen. Both microscopic and endoscopic techniques can be used for the resection of lateral ventricular epidermoid cysts.</div></div><div><h3>Conclusion</h3><div>Lateral ventricular epidermoids are rare benign lesions. Clinical features include symptoms of increased intracranial pressure, such as headache, vomiting, and altered mentation. MRI is the diagnostic imaging modality of choice. Complete surgical resection is curative, with rare reports of recurrence after subtotal resection. Follow-up is crucial to monitor for recurrence and other associated complications.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111944"},"PeriodicalIF":0.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151396","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":"Iatrogenic migration from a multiple filler injections for tear trough: A case report","authors":"Weidong Zhang ,&nbsp;Yong Pan","doi":"10.1016/j.ijscr.2025.111941","DOIUrl":"10.1016/j.ijscr.2025.111941","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Iatrogenic migration of dermal fillers in the periorbital region represents a rare yet significant complication. Accurate assessment of patient history, imaging, and anatomical knowledge is crucial for achieving optimal outcomes. This report underscores the importance of comprehensive evaluation and tailored surgical intervention when confronted with persistent lower eyelid swelling resistant to conventional enzymatic therapy.</div></div><div><h3>Case presentation</h3><div>A 48-year-old female presented with persistent right lower eyelid swelling after bilateral tear trough augmentation using a hyaluronic acid-based dermal filler. Despite multiple rounds of hyaluronidase injections, the right-sided mass remained unchanged. MRI revealed an encapsulated fluid collection. Further inquiry revealed a history of polyacrylamide hydrogel (Amazingel) injection a decade earlier, raising suspicion of residual, non-biodegradable filler. Surgical exploration via transcutaneous lower blepharoplasty confirmed extensive deposits of polyacrylamide hydrogel. Complete excision resulted in excellent aesthetic outcomes and high patient satisfaction.</div></div><div><h3>Clinical discussion</h3><div>This case highlights how aggressive cannula manipulation, even when using blunt instruments, can disrupt encapsulated hydrogel, leading to unwanted filler migration. Non-biodegradable fillers such as polyacrylamide hydrogel can persist for years, complicating subsequent procedures if unrecognized. Early use of diagnostic imaging and careful review of previous interventions can expedite correct diagnosis. Surgical intervention, rather than repeated enzymatic therapy, is critical when non-absorbable materials are suspected. Precise dissection and removal of capsule-encased filler material are paramount for definitive resolution.</div></div><div><h3>Conclusion</h3><div>Clinicians must maintain a high index of suspicion for residual non-biodegradable filler in patients presenting with unexplained, persistent swelling post-augmentation. Thorough patient history, meticulous imaging, and appropriate surgical management are integral to addressing iatrogenic filler migration. This case underscores the need for individualized treatment strategies and adherence to cautious injection techniques to mitigate complications and optimize patient satisfaction.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111941"},"PeriodicalIF":0.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092769","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":"Reconstruction of an extensive upper back defect following excision of chondrosarcoma using bilateral trapezius muscle and bilateral bipedicle fasciocutaneous flaps: A case report","authors":"Samit Sharma ,&nbsp;Anup Thapa ,&nbsp;Suraj Pariyar ,&nbsp;Prajjwol Luitel ,&nbsp;Ashish Adhikari","doi":"10.1016/j.ijscr.2025.111942","DOIUrl":"10.1016/j.ijscr.2025.111942","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Chondrosarcoma (CS) is a rare malignant cartilage-forming tumor, with spinal involvement accounting for less than 10 % of cases. Surgical resection often leaves large soft tissue and bony defects that require complex reconstruction.</div></div><div><h3>Case presentation</h3><div>A 46-year-old female presented with progressive upper back pain. Imaging revealed a 10 cm lesion involving the T4 vertebra, confirmed as chondrosarcoma on biopsy. Wide en bloc resection was performed, resulting in a large soft tissue defect. Reconstruction was done using the remaining trapezius muscle to fill the dead space and bilateral bipedicle fasciocutaneous flaps were used for soft tissue coverage.</div></div><div><h3>Clinical discussion</h3><div>Muscle flaps are commonly used for spinal reconstruction; however, fasciocutaneous flaps offer reliable coverage, better functional outcomes, and reduced complication rates. In this case, a bilateral bipedicle fasciocutaneous flap provided effective coverage where the trapezius muscle was inadequate alone.</div></div><div><h3>Conclusion</h3><div>Bilateral bipedicle fasciocutaneous flaps combined with remnant muscle tissue offer a safe and effective reconstructive option for large upper back defects following spinal chondrosarcoma resection.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111942"},"PeriodicalIF":0.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092754","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":"Pediatric Tiemdjo type IV transolecranon fracture-dislocation with medial collateral ligament rupture: Case report with brief literature context","authors":"Gabriel Alegría ,&nbsp;Byron Torres ,&nbsp;Alejandro Barros Castro","doi":"10.1016/j.ijscr.2025.111943","DOIUrl":"10.1016/j.ijscr.2025.111943","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric transolecranon fracture-dislocations (TOFD) are uncommon and often underdiagnosed. Type IV injuries, according to the Tiemdjo classification, include associated soft-tissue or bony lesions, further complicating treatment. The aim of this report is to present a pediatric case of Tiemdjo type IV TOFD with concomitant medial collateral ligament (MCL) rupture and highlight the clinical and surgical implications.</div></div><div><h3>Presentation of case</h3><div>An 11-year-old male sustained a displaced transverse olecranon fracture with anterior ulnohumeral dislocation after a fall. Clinical and intraoperative evaluation confirmed MCL rupture. Surgical fixation was performed using K-wires and a tension-band construct, and the MCL was repaired with a suture anchor. The patient achieved full range of motion and excellent function (MEPS 100) by 6 months postoperatively.</div></div><div><h3>Discussion</h3><div>TOFDs are distinct from Monteggia lesions by preserving radioulnar alignment. Type IV injuries, particularly when combined with ligamentous disruption, are uncommon. This case underscores the importance of addressing both bony and ligamentous components. Tension-band wiring remains suitable for simple transverse fractures in skeletally immature patients, facilitating early motion.</div></div><div><h3>Conclusion</h3><div>Recognition of TOFD and associated soft-tissue injury is essential. Early surgical intervention with anatomical reduction and ligament repair can achieve excellent functional outcomes in pediatric patients.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111943"},"PeriodicalIF":0.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092751","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":"Minimally invasive treatment of posterolateral tibial plateau fractures with bamboo raft reduction method combined with jail screws: A case report","authors":"Kang Li,&nbsp;Yanhong Li,&nbsp;Yuliang Wang,&nbsp;Yanqiang Chen","doi":"10.1016/j.ijscr.2025.111926","DOIUrl":"10.1016/j.ijscr.2025.111926","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>As an intra-articular partial fracture, the posterolateral fracture fragment (PLF) of the tibial plateau has long posed a clinical challenge for orthopedic surgeons. This complexity arises from its unique anatomical characteristics, the risk of associated neurovascular injuries, and the interference caused by the fibular head during the selection of surgical approaches and internal fixation strategies.</div></div><div><h3>Presentation of case</h3><div>A 35-year-old female was admitted due to pain and restricted mobility in the right knee joint following a car accident. X-ray and CT scans revealed a posterior lateral tibial plateau fracture with articular surface collapse. Closed reduction was performed using the bamboo raft reduction technique, combined with internal fixation employing jail screws. Early postoperative ambulation was achieved. During the follow-up period, no fracture displacement was detected, and imaging confirmed satisfactory bone healing with favorable clinical outcomes. Functional assessment using the Knee Society Clinical Rating System (KSS) yielded a clinical score of 95 and a functional score of 90.</div></div><div><h3>Clinical discussion</h3><div>This fracture pattern was effectively managed using the bamboo raft reduction technique combined with jail screw fixation. This approach yielded excellent clinical outcomes and high patient satisfaction, with no postoperative complications observed.</div></div><div><h3>Conclusion</h3><div>The bamboo raft reduction technique combined with jail screw fixation for the treatment of PLF of the tibial plateau has the advantages of small trauma and quick recovery. This fixation method has strong theoretical feasibility and can provide a reference for clinicians.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111926"},"PeriodicalIF":0.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049020","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":"Sigmoid colon endometriosis as an uncommon cause of large bowel obstruction: A case report","authors":"Omar Al Ayoubi ,&nbsp;Mohammad Alaa Aldakak ,&nbsp;Nizar Alabdullah ,&nbsp;Faten Alabdullah ,&nbsp;Ayman Alasfar","doi":"10.1016/j.ijscr.2025.111927","DOIUrl":"10.1016/j.ijscr.2025.111927","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Large bowel obstruction (LBO) is most commonly caused by neoplasms, but rare etiologies like endometriosis should be considered, as bowel involvement can mimic other gastrointestinal disorders and lead to obstruction. Sigmoid endometriosis is a rare but important cause of LBO, which can lead to symptoms ranging from subtle gastrointestinal complaints to overt obstruction. Laparoscopy is the primary diagnostic tool, and surgery is often part of the treatment when obstruction occurs.</div></div><div><h3>Case presentation</h3><div>We report the case of a 51-year-old Arab female with a history of ulcerative colitis and chronic abdominal symptoms, who presented with progressive distension and intermittent constipation. Colonoscopy revealed a non-passable sigmoid stricture. Surgical resection was performed, and histopathology showed benign endometrial tissue in the colonic wall, confirming sigmoid endometriosis.</div></div><div><h3>Clinical discussion</h3><div>Endometriosis is a chronic inflammatory condition that can involve various intraperitoneal and extraperitoneal sites, with intestinal involvement reported in up to 37 % of cases—most commonly in the rectum and sigmoid colon. Gastrointestinal symptoms are often nonspecific and may mimic irritable bowel syndrome, making diagnosis challenging. Imaging modalities often lack specificity, while laparoscopy remains the gold standard. In this case, the diagnosis was only confirmed after surgical resection and histopathological analysis. Although medical therapy can be effective in symptom control, surgical excision becomes necessary when obstructive symptoms are present, as seen in our patient.</div></div><div><h3>Conclusion</h3><div>This case underscores sigmoid colon endometriosis as an uncommon yet significant cause of large bowel obstruction. Awareness of such rare presentations is essential for timely diagnosis and management.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"135 ","pages":"Article 111927"},"PeriodicalIF":0.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049019","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":"Atypical case report of hepatocellular carcinoma mimicking gallbladder cholangiocarcinoma: A diagnostic challenge","authors":"Mohamed Ali Chaouch ,&nbsp;Mohamed Zayati ,&nbsp;Ibtissem Korbi ,&nbsp;Midani Touati ,&nbsp;Ramzi Beltaifa ,&nbsp;Faouzi Noomen","doi":"10.1016/j.ijscr.2025.111928","DOIUrl":"10.1016/j.ijscr.2025.111928","url":null,"abstract":"<div><div>Introduction and importance: Hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA) are the two most common primary hepatic malignancies of distinct origins, but they can present with overlapping clinical and imaging features. Accurate differentiation is crucial, especially as treatment and prognosis differ significantly. This report presents a rare case of HCC mimicking gallbladder CCA, highlighting diagnostic challenges.</div></div><div><h3>Case presentation</h3><div>A 63-year-old man with diabetes and hypertension presented with progressive jaundice, fatigue, and weight loss. Imaging through CT and magnetic resonance imaging revealed a gallbladder mass that invaded the liver, suggesting CCA of the gallbladder. Surgical exploration and en bloc resection were performed, including bisegmentectomy (IVb and V), cholecystectomy, and lymphadenectomy. Postoperative histopathology revealed a lymphocyte-rich and well-differentiated variant of HCC, not CCA.</div></div><div><h3>Clinical discussion</h3><div>Despite the imaging and clinical indications of CCA, histological analysis confirmed the presence of HCC. The case highlights the limitations of imaging in atypical presentations and underscores the value of biopsy in obtaining a definitive diagnosis. The accurate classification of liver malignancies is critical for determining therapeutic strategies, such as eligibility for liver transplantation, and for prognostic accuracy.</div></div><div><h3>Conclusion</h3><div>This case highlights the diagnostic challenge of distinguishing HCC from CCA when imaging features overlap. Histopathological confirmation remains essential, and a multidisciplinary approach is vital for optimal patient management.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"136 ","pages":"Article 111928"},"PeriodicalIF":0.7,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151383","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}