International Journal of Surgery Case Reports最新文献

{"title":"Emergency multimodality imaging for a giant cystic renal artery aneurysm in a lung adenocarcinoma patient with iodinated contrast media allergy: A case report","authors":"Jiulong Dai, Yuping Shen","doi":"10.1016/j.ijscr.2025.111145","DOIUrl":"10.1016/j.ijscr.2025.111145","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Renal artery aneurysm (RAA) is a rare, but potentially life-threatening condition. The rarity of malignancy-associated RAAs limits our understanding of their natural history, morphological characteristics, intervention criteria, and available treatment options. When these aneurysms manifest as large cystic formations, they may mimic renal masses or cysts. Managing these aneurysms presents significant challenges, particularly for patients with contraindications to conventional imaging techniques, such as allergies to iodinated contrast agents.</div></div><div><h3>Case presentation</h3><div>This study presents a case of a 36-year-old male patient diagnosed with lung adenocarcinoma accompanied by pleural metastasis, who was suspected of having renal aneurysms. Due to an allergy to iodine contrast agents, the patient was unable to undergo computed tomography angiography (CTA). To address this challenge, we developed an emergency multimodal imaging pathway utilizing non-enhanced computed tomography (CT), Doppler ultrasound, and contrast-enhanced ultrasound (CEUS) for patients allergic to iodine contrast agents. This approach offers significant advantages, including reduced diagnostic time, the use of a safe blood pool microbubble contrast agent, and high spatial resolution. Ultimately, the patient was diagnosed with saccular RAA and underwent immediate surgical intervention, including renal artery reconstruction. The surgery was completed successfully and without complications. After treatment, the patient experienced rapid remission of symptoms related to the renal aneurysm.</div></div><div><h3>Clinical discussion</h3><div>This case illustrates the efficacy of a multimodal imaging approach—comprising CT, US, and CEUS—in the emergency diagnosis of RAA, particularly for patients with contraindications to iodinated contrast agents. While CTA is often considered the gold standard, it is associated with limitations such as radiation exposure and potential nephrotoxicity. In light of these constraints, the integration of non-contrast CT, conventional US, and CEUS proved to be an optimal strategy, yielding comprehensive diagnostic information without incurring the risks associated with iodinated or gadolinium-based contrast. CEUS, in particular, proves invaluable by providing real-time, high-resolution imaging of blood flow patterns within the RAA, a capability that conventional US alone cannot achieve, which is essential for differential diagnosis and treatment planning. This multimodal approach addresses the limitations of single-modality techniques by delivering anatomical, morphological, and functional data. It is especially advantageous for oncology patients who require frequent imaging and long-term follow-up, as it mitigates cumulative radiation exposure. The use of microbubble contrast agents in CEUS offers an extremely low risk of allergic reactions and is not affected by renal function, providing relia","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111145"},"PeriodicalIF":0.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621387","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":"Colic ameboma mimicking colic cancer: A case report","authors":"Tayssir KHLIF ,&nbsp;Salsabil NASRI ,&nbsp;Amine Ben SAFTA ,&nbsp;Farah HAMZA ,&nbsp;Wided AJOULI ,&nbsp;Ramzi NOUIRA","doi":"10.1016/j.ijscr.2025.111149","DOIUrl":"10.1016/j.ijscr.2025.111149","url":null,"abstract":"<div><h3>Introduction</h3><div>Amoebic colitis, caused by the protozoan <em>Entamoeba histolytica</em>, is a significant global health concern, ranking as the second leading cause of parasitic infection-related mortality. The disease manifests across a wide clinical spectrum, from asymptomatic carriers to severe necrotizing colitis. Rarely, it can form an inflammatory mass, or ameboma, which may mimic malignancy.</div></div><div><h3>Case presentation</h3><div>We report a case of a 60-year-old female presenting with acute right iliac pain, fever, and nausea, but no diarrhea or recent travel history. Imaging revealed irregular cecal thickening with features suggestive of a perilesional abscess. Exploratory laparotomy identified a 7 cm cecal mass with necrotic tissue, leading to a right hemicolectomy. Histopathology confirmed amoebic colitis with trophozoites in necrotic areas. Postoperative recovery was uneventful with antibiotic therapy.</div></div><div><h3>Discussion</h3><div>Ameboma, an uncommon complication of amoebic colitis, poses diagnostic challenges due to its tumor-like appearance. Misdiagnosis is common, especially in non-endemic regions, where clinical and radiological findings often mimic malignancy. Diagnosis requires a combination of serology, stool examination, and biopsy. Treatment is primarily medical, with surgical intervention reserved for complications. Preventive strategies, including sanitation improvements and vaccine development, are crucial to reducing disease burden.</div></div><div><h3>Conclusion</h3><div>This case underscores the importance of considering amoebiasis in differential diagnoses, even in non-endemic regions. Enhanced diagnostic awareness and preventive measures can significantly improve outcomes and reduce the global health impact of amoebiasis.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111149"},"PeriodicalIF":0.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686282","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":"Laparoscopic surgery for impacted dentures in the descending colon: A case report","authors":"Trung Nguyen Vo ,&nbsp;Tung Viet Le ,&nbsp;Vinh Quoc Nguyen ,&nbsp;Thanh Tan Nguyen","doi":"10.1016/j.ijscr.2025.111141","DOIUrl":"10.1016/j.ijscr.2025.111141","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Denture ingestion, commonly seen in older adults, can also occur in younger individuals. Most dentures require intervention as they cannot be excreted naturally. We report a case of a young male undergoing laparoscopic surgery to remove dentures impacted in the descending colon two months post-ingestion.</div></div><div><h3>Case presentation</h3><div>A 30-year-old male presented with intermittent left lower quadrant abdominal pain for three days. He had accidentally swallowed his dentures two months earlier. Abdominal X-ray showed a radiopaque foreign body in the descending colon. Endoscopic retrieval attempts failed, necessitating urgent surgery. The dentures were removed successfully through laparoscopic surgery, and the perforation was closed using continuous horizontal PDS 4.0 sutures. The postoperative course was uneventful and the patient was discharged on postoperative day four.</div></div><div><h3>Clinical discussion</h3><div>Denture ingestion poses a significant risk due to the nature of the object, often requiring removal as it cannot pass through the gastrointestinal tract. Removable dentures are a known risk factor for such accidents. Diagnosis typically involves abdominal X-rays or CT scans. Endoscopic retrieval is often attempted first but carries a risk of perforation, which may require emergency surgical intervention.</div></div><div><h3>Conclusion</h3><div>Surgical approaches depend on the location and extent of perforation and the patient's abdominal condition. Early laparoscopic intervention should be considered in cases where surgery is indicated, as it offers a minimally invasive and effective solution.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111141"},"PeriodicalIF":0.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621327","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":"Surgical management of an isolated humeral trochlear fracture: A rare case report and literature review","authors":"Abdul Rehman ,&nbsp;Maryam Nasrumminallah ,&nbsp;Fatima Rehan ,&nbsp;Harendra Kumar ,&nbsp;Aaqib Ashfaq ,&nbsp;F.N.U. Teena","doi":"10.1016/j.ijscr.2025.111147","DOIUrl":"10.1016/j.ijscr.2025.111147","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Isolated humeral trochlear fractures are extremely rare compared to their capitellar counterparts. The articular notch of the olecranon and coronoid process typically protects the trochlea from direct trauma, as it lacks any direct muscular or ligamentous attachments. The mechanisms that lead to such fractures are still a topic of speculation.</div></div><div><h3>Case presentation</h3><div>A 28-year-old male presented with an elbow injury following a road traffic accident (RTA). Initial anteroposterior radiographs revealed irregularity of the medial joint space and an intra-articular half-moon-shaped fragment displaced anteriorly and superiorly, as seen on the lateral view. A computed tomography (CT) scan confirmed an isolated fracture of the trochlea. The patient underwent open reduction and internal fixation (ORIF), which resulted in a favorable outcome. After three months of follow-up, the patient had a stable, painless elbow with a normal range of motion.</div></div><div><h3>Clinical discussion</h3><div>The purpose of this case report is to discuss the mechanisms and the diagnostic-therapeutic challenges associated with isolated humeral trochlear fractures. The surgery was performed by an orthopedic hand surgeon with seven years of experience. The outcome was assessed based on the significant improvement in the range of motion and the absence of neurological disturbances.</div></div><div><h3>Conclusion</h3><div>Isolated fractures of the humeral trochlea are rare and complex. Due to limited information and a lack of high-level studies on this injury, no standard treatment protocol exists. Based on previous reports and positive outcomes, we recommend open reduction and internal fixation for such fractures.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111147"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611323","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":"Torsion of a wandering spleen, a rare cause of acute abdomen: A case report","authors":"Halid Melkamu ,&nbsp;Binyam Yohannes ,&nbsp;Dejene Asefa ,&nbsp;Aklilu Debela ,&nbsp;Feben Binyam ,&nbsp;Abdulkerim Osman Ali","doi":"10.1016/j.ijscr.2025.111144","DOIUrl":"10.1016/j.ijscr.2025.111144","url":null,"abstract":"<div><h3>Introduction</h3><div>“Wandering spleen” a condition in which the spleen's suspensory ligaments are under developed or slack is characterized mainly by splenic hypermobility and loss of fixation. A variety of clinical presentations of this condition has been described; from an incidental finding in imaging surveys to acute, chronic, or intermittent symptoms due to splenic torsion. For these individuals, there are two possible treatment options: splenectomy or splenopexy.</div></div><div><h3>Case presentation</h3><div>Here we present a case of a 16 year old female patient presented with acute abdomen and underwent exploratory laparotomy and splenectomy for gangrenous volvulated wandering spleen.</div></div><div><h3>Clinical discussion</h3><div>Splenic suspensory ligament abnormalities, frequently referred to as a “wandering” spleen, are the cause of predisposition. However, because the patient usually exhibits no symptoms until splenic torsion occurs, diagnosing of a “wandering” spleen is challenging. Diagnosis is mainly using imaging modalities; color doppler study or compute tomography scan which are done usually once the patient is symptomatic.</div></div><div><h3>Conclusion</h3><div>High index of suspicion and early detection (along with other factors) might allow splenic preservation especially in children.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111144"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686284","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":"Endovascular repair of a hypogastric artery aneurysm with arteriovenous fistula in a patient with iliac vein thrombosis: A case report","authors":"Javad Salimi ,&nbsp;Amir Mangouri ,&nbsp;Alireza Samimiat ,&nbsp;Amir Shokri","doi":"10.1016/j.ijscr.2025.111139","DOIUrl":"10.1016/j.ijscr.2025.111139","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Abdominal aneurysms, often involving the iliac arteries, pose serious risks if untreated. Iliac arteriovenous fistulas (AVFs) are rare, typically secondary to trauma or deep vein thrombosis, with unclear mechanisms. They may present with high-output heart failure, abdominal bruits, and venous congestion. Computed tomography angiography (CTA) is essential for diagnosing aortoiliac aneurysms and fistulas. Endovascular repair, including recanalization and stenting, is the preferred approach, emphasizing precise preoperative planning and intraoperative execution to restore hemodynamics and minimize complications.</div></div><div><h3>Case presentation</h3><div>A 65-year-old male with chronic venous insufficiency for 12 years presented with acute left leg pain, severe edema, and inflammation. Despite persistent symptoms, no prior work-up had been performed, and he had only used compression stockings. Doppler sonography revealed acute thrombosis of the left common and external iliac veins with a pelvic vascular mass. He was admitted and started on anticoagulation. CTA identified a 90-mm left internal iliac artery aneurysm, an iliac AVF, and left common iliac vein occlusion. Endovascular repair was planned with initial coil embolization, but due to the aneurysm's size, a stent graft was deployed from the left common iliac to the proximal external iliac artery, successfully excluding the aneurysm. The patient recovered uneventfully with significant symptom relief.</div></div><div><h3>Clinical discussion</h3><div>The coexistence of an aneurysm and an AVF has not been reported in Iran. Ilio-iliac AVF, a rare complication of aortoiliac aneurysms, requires thorough evaluation.</div></div><div><h3>Conclusion</h3><div>CT angiography is crucial, especially in atypical cases. Selecting the optimal endovascular approach remains a challenge, requiring individualized management.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111139"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143706318","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":"“Complication unveiled: Bilateral pulmonary embolism in the wake of shoulder arthroplasty” a case report","authors":"Khalil Awad Almalki ,&nbsp;Khalid Jubran Idris ,&nbsp;Azzam Ahmed Alzahrani ,&nbsp;Salman Ahmed","doi":"10.1016/j.ijscr.2025.111148","DOIUrl":"10.1016/j.ijscr.2025.111148","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Most common cases of Venous thromboembolism (VTE) seen for those who underwent for lower limb reconstruction and orthopedic trauma surgery in general. VTE was a rare surgical complication after shoulder replacement surgery. This study highlights that pulmonary embolism following upper extremity surgery increased in prevalence without currently guidelines for thromboembolism prevention during upper extremity surgeries especially shoulder arthroplasty surgeries.</div></div><div><h3>Case presentation</h3><div>80-year-old female patient presented at clinic with right shoulder pain. Clinical features and radiological investigations were suggestive of rotator cuff arthropathy. Following the diagnosis, the patient underwent right shoulder reverse arthroplasty. Two days post operation, the patient exhibited confusion and a decline in consciousness level also decrease in oxygen saturation levels. Clinical features and investigations pointed towards acute pulmonary embolism as the cause of the symptoms. Prompt intervention was initiated, and the patient was started on anticoagulant therapy to manage the condition. With appropriate management, the patient stabilized and was discharged from the hospital.</div></div><div><h3>Clinical discussion</h3><div>Diagnosis of PE need detailed history and physical examination including vital signs and modality of imaging like spiral Computed Tomography scan, risk factors for pulmonary embolism in patients who underwent shoulder arthroplasty were old age, prolonged surgery, female gender, obesity, diabetes, fluid and electrolyte imbalances, prolonged surgery and undergoing shoulder arthroplasty.</div></div><div><h3>Conclusion</h3><div>prophylactic anticoagulant therapy should be considered in patients with Risk factor for pulmonary embolism. There is a need to implement strategies, relevant guidelines, and policies to manage high-risk cases with a suspicion of thromboembolism post-shoulder arthroplasty.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111148"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686283","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: Extremely rare case of poroma on the inner canthus","authors":"Elise Kayser ,&nbsp;Christian Garbar ,&nbsp;Sophie Cortese ,&nbsp;Emilie Beulque ,&nbsp;Gilles Dolivet ,&nbsp;Romina Mastronicola","doi":"10.1016/j.ijscr.2025.111140","DOIUrl":"10.1016/j.ijscr.2025.111140","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Poromas are benign and slow-growing lesions originating from the sweat glands. They occur in the elderly, without gender predominance. This article describes the rare case of a patient presenting a poroma on the right inner canthus.</div></div><div><h3>Case presentation</h3><div>An 83-year-old patient presented with a lesion on the right inner canthus, which was thought to be basal cell carcinoma. After the surgical excision and the histological analysis, the lesion turned out to be a poroma, on an extremely rare localization.</div></div><div><h3>Clinical discussion</h3><div>Poromas are benign lesions with various presentations, which can turn to be malignant. The malignant form is called porocarcinoma. They are usually situated on the palms or the soles, or in the head and neck area. The diversity of presentations makes diagnosis difficult. Etiology of poromas is currently not well known but could be linked with long-term exposure to radiation or genetical background. There are many ways of treatment which can be used, like laser excision or surgery. In this article, surgery is the method performed, with a curative approach. Cases of poromas have been reported on the eyelid or on the thigh, which are both unusual localizations, but no cases of poroma on the inner canthus have been described, to the best of our knowledge.</div></div><div><h3>Conclusion</h3><div>A patient presented with a lesion on the right inner canthus, which turned out to be a poroma. She underwent surgery to treat it.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111140"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611322","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 retroperitoneal liposarcoma with colonic infiltration as a cause of gastrointestinal bleeding: Case report and literature review","authors":"Sebastian Forero-Escobedo ,&nbsp;Sandra Milena Gonzalez-Rodriguez ,&nbsp;Jose Alejandro Ramírez-Rincón ,&nbsp;Vanessa Alejandra Garcia-Bernal ,&nbsp;Santiago Polanco-Perdomo ,&nbsp;Sofía Echeverri-Torrents","doi":"10.1016/j.ijscr.2025.111142","DOIUrl":"10.1016/j.ijscr.2025.111142","url":null,"abstract":"<div><h3>Introduction</h3><div>Retroperitoneal liposarcomas are rare malignant tumors that often present asymptomatically until advanced stages. Giant liposarcomas exceeding 30 cm are particularly uncommon, and colonic infiltration causing gastrointestinal bleeding is extremely rare, with only a few cases documented in the literature.</div></div><div><h3>Case presentation</h3><div>A 78-year-old female presented with hematochezia, constipation, and diffuse abdominal pain. Imaging revealed a large left para-aortic retroperitoneal mass compressing the colon. Colonoscopy showed colonic mucosal atrophy without active bleeding. Surgical exploration via midline laparotomy identified a bilobulated 89 × 35 × 40 cm retroperitoneal mass, infiltrating the left colon and compromising adjacent structures. En bloc resection, including hemicolectomy and left salpingo-oophorectomy, was performed. Histopathology confirmed a dedifferentiated liposarcoma with well-differentiated areas and colonic invasion reaching the muscularis propria. Margins were positive (R1). The patient recovered well postoperatively and experienced a single episode of intestinal obstruction at 6 months, resolved medically.</div></div><div><h3>Discussion</h3><div>Retroperitoneal liposarcomas typically exhibit compressive behavior rather than invasion. However, dedifferentiation is associated with aggressive features, including local invasion and higher recurrence rates. Colonic infiltration by giant liposarcomas is exceedingly rare, with only three additional cases reported. Mechanisms of bleeding include mucosal ischemia, compression, or direct histological infiltration, as observed in this case.</div></div><div><h3>Conclusion</h3><div>The relationship between gastrointestinal bleeding and colonic infiltration in retroperitoneal liposarcomas may reflect the association between tumor dedifferentiation and invasive behavior. This underscores the importance of curative-intent surgical management as the primary therapeutic strategy, despite the challenge posed by the proximity to critical neurovascular structures.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111142"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611324","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: Rare case of recurring cervical sialolipoma","authors":"Elise Kayser ,&nbsp;Christian Garbar ,&nbsp;Sophie Cortese ,&nbsp;Emilie Beulque ,&nbsp;Gilles Dolivet ,&nbsp;Romina Mastronicola","doi":"10.1016/j.ijscr.2025.111143","DOIUrl":"10.1016/j.ijscr.2025.111143","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Sialolipomas are benign and slow-growing lesions arising from minor and major salivary glands. They constitute a rare subtype of lipomas, with a low rate of recurrence. This article describes the case of a patient presenting with recurring sialolipoma.</div></div><div><h3>Case presentation</h3><div>A 56-year-old patient presented with a voluminous lipomatous lesion on the right cervical side. The histopathological analysis after the surgical removal of the lesion revealed sialolipoma, a recurring of a similar lesion treated ten years ago.</div></div><div><h3>Clinical discussion</h3><div>Sialolipomas are relatively rare lesions occurring mainly in adults. Their structure is composed of salivary glands' elements and adipocytes. Many histological forms exist and have been described, like oncocytic lipoadenomas or pleomorphic adenomas for example. Sialolipomas are usually asymptomatic, and the patients experience no pain. The etiology of sialolipomas would be due to salivary glands dysfunctions, resulting in altered gland configuration. The treatment of choice for this type of lesion is complete excision by surgery. It was the curative approach used here.</div></div><div><h3>Conclusion</h3><div>A patient presented with a big mass on the right cervical side, which turned out to be sialolipoma, a benign lesion. It was the recurring of a similar tumor treated ten years ago. The lesion has been treated by surgery.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111143"},"PeriodicalIF":0.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621326","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}