International Journal of Surgery Case Reports最新文献

{"title":"Doxycycline sclerotherapy as a primary treatment of head and neck giant cystic hygroma: A case report study.","authors":"Waddah Al-Saadie","doi":"10.1016/j.ijscr.2025.110945","DOIUrl":"10.1016/j.ijscr.2025.110945","url":null,"abstract":"<p><strong>Introduction: </strong>Cystic hygroma is a benign lymphatic malformation, developing around 6th gestational week. The big challenge is in the way they are managed due to their extension within the vital elements. Treatment options include watchful waiting, surgery, sclerotherapy and combination between them in some cases.</p><p><strong>Case presentation: </strong>We present a rare case of giant cystic hygroma of a 11-month-old male was referred to the Department of Otolaryngology for an asymptomatic, aesthetically unappealing swelling in the neck since 9 months. A well-defined large cystic mass measures about (4 × 7 × 9 cm) was seen in the CT scan, originating at the left lateral neck. It extends from the left submandibular space inferiorly posterior to the sternocleidomastoid muscle, and retrosternally to the aortic arch level. From the Posterior aspect, the mass reaches the prevertebral space. No lymph adenopathy was noted. No bony erosions. Findings are suggestive of Cystic Higroma (CH).The primary treatment was sclerotherapy using doxycycline for one time. The procedure was performed at an operating theatre under general anesthesia because injection of the sclerosant factor is painful. The child was monitored for 3 months after the procedure (with an interval of one month between each observation). There was a noticeable improvement after 4 weeks and the complete resolution of the cystic hygroma was observed 12 weeks after the initial procedure. During the monitoring period of 6 months, the lesion did not show any recurrence.</p><p><strong>Clinical discussion: </strong>In this case of giant Cystic Higroma (CH) significantly decreased after using of Doxycycline sclerotherapy for one time only without the need to repeat the procedure more than once. So clinicians should be aware of this good treatment of (CH) because it offers minimal patient trauma and excellent outcomes.</p><p><strong>Conclusion: </strong>Through the good results we have reached from this case, we encourage its application extensively in the future to more cases due to their safety and quick results.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110945"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075842","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 report of gallstone ileus caused by biliary-intestinal fistula: Multidetector computed tomography features analysis.","authors":"Meimei Gao, Gang Chen, Juanqin Niu, Yonghua Huang, Wei Xue","doi":"10.1016/j.ijscr.2025.110993","DOIUrl":"10.1016/j.ijscr.2025.110993","url":null,"abstract":"<p><strong>Introduction and significance: </strong>Gallstone ileus is a mechanical intestinal obstruction caused by gallstones or stones from the common bile duct entering the intestinal canal through a biliary-intestinal fistula and becoming impacted. Multidetector computed tomography (MDCT) scanning is the most important auxiliary diagnostic method for this disease.</p><p><strong>Case presentation: </strong>We report a rare case of gallstone ileus involving an elderly female patient and analyze the characteristics of the MDCT images: atrophic cholecystitis, gallstones, the formation of a local duodenal-gallbladder fistula, pneumatosis in the intrahepatic bile ducts of the left lobe of the liver and some extrahepatic bile ducts, intestinal mechanical obstruction, and the presence of an ectopic stone. A partial small bowel resection was performed and the stone was removed.</p><p><strong>Clinical discussion: </strong>Gallstone ileus is a rare disease that often occurs in elderly women. It has no specific clinical symptoms and is prone to delayed diagnosis and treatment. MDCT scanning is the most sensitive and accurate diagnostic method for gallstone ileus, once the disease is clearly diagnosed, surgical treatment is recommended as soon as possible.</p><p><strong>Conclusion: </strong>The aim of this study is to elevate the understanding and treatment of gallstone ileus.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110993"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075910","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":"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":"Case report: Vulvar metastasis after lung metastasis in cervical squamous cell carcinoma, a case report and literature review.","authors":"Ze-Lan Liao, Ka-Na Wang, Jia-Wen Zhang","doi":"10.1016/j.ijscr.2025.110816","DOIUrl":"10.1016/j.ijscr.2025.110816","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Cervical cancer is highly correlated with high-risk human papillomavirus (HPV) infection, accounting for approximately 70 % of cases. However, false-negative HPV test results can occur, complicating early detection.</p><p><strong>Case presentation: </strong>We introduce a rare case of cervical cancer with lung metastasis followed by vulvar metastasis. Notably, the HPV test was negative at diagnosis but became positive upon detection of vulvar metastasis.</p><p><strong>Clinical discussion: </strong>We discuss the pathways of vulvar metastasis in cervical cancer and potential causes of false-negative HPV tests. A search for cases of vulvar metastasis of cervical cancer in Medline and Embase between 2004 and 2024 was performed and a literature review was conducted.</p><p><strong>Conclusion: </strong>The occurrence of vulvar metastasis indicates the terminal manifestation of the tumor and the survival period is short. Active radiotherapy, chemotherapy, immunotherapy and other multiple treatments may increase the overall survival time of patients.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110816"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069024","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":"Palliative management of malignant duodenocolic fistula: Case report on endoscopic duodenal stent placement and its clinical implications.","authors":"Guro Bjørnå, Mai-Britt Worm Ørntoft, Claudia Jaensch","doi":"10.1016/j.ijscr.2025.110918","DOIUrl":"10.1016/j.ijscr.2025.110918","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Malignant duodenocolic fistulas are a rare but serious complication of advanced colorectal cancer. With the growing elderly population and increasing incidence of advanced colorectal cancer, there is a pressing need to explore palliative alternatives to complete resection, especially when a patient's overall health precludes extensive surgery.</p><p><strong>Case presentation: </strong>This case report presents a palliative approach involving luminal stent placement via gastroscopy in a patient with non-resectable, locally invasive colorectal cancer, resulting in a malignant duodenocolic fistula.</p><p><strong>Clinical discussion: </strong>We discuss different palliative treatment strategies against malignant duodenocolic fistulas, including endoscopic luminal stent placement and specific technical aspects of this procedure, highlighting factors that may contribute to a successful clinical outcome.</p><p><strong>Conclusion: </strong>Endoscopic stent placement can represent a minimally invasive palliative strategy to provide symptom relief in a patient with advanced colorectal cancer. Treatment strategy should be considered on a individual basis and in close consultation with the patient.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"127 ","pages":"110918"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069104","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}