International Journal of Surgery Case Reports最新文献

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A diagnostic challenge: A rare case of PTEN hamartoma of soft tissue of the mental region
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-25 DOI: 10.1016/j.ijscr.2025.111089
Deepti Soni , Vaishnavi Patange , Erukkambattu Jayashankar , Loveleen Kaur , Aman Kumar , Deepak Krishna
{"title":"A diagnostic challenge: A rare case of PTEN hamartoma of soft tissue of the mental region","authors":"Deepti Soni ,&nbsp;Vaishnavi Patange ,&nbsp;Erukkambattu Jayashankar ,&nbsp;Loveleen Kaur ,&nbsp;Aman Kumar ,&nbsp;Deepak Krishna","doi":"10.1016/j.ijscr.2025.111089","DOIUrl":"10.1016/j.ijscr.2025.111089","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Phosphatase and tensin homolog (PTEN) hamartomas comprise a spectrum of disorders that involve multiple systems and originate from a group of allelic disorders from germ line mutations in the PTEN gene. PTEN hamartomas involve a spectrum of disorders with diversed clinical manifestations and diagnosis can be challenging, particularly when lesions mimic other conditions.</div></div><div><h3>Case presentation</h3><div>We present a case of a PTEN hamartoma in an eighteen-year-old male, who presented with a history of swelling on the chin with episodic bleeds. Initial diagnosis of an arteriovenous malformation was made radiologically but was later confirmed by histopathological and immunohistochemistry to be a case of PTEN hamartoma.</div></div><div><h3>Discussion</h3><div>PTEN is a tumor suppressor gene, and patients with germline PTEN mutations are more likely to develop malignancies, particularly epithelial, mesenchymal, and hematopoietic cancers. PTEN hamartomas cause a variety of conditions, including Cowden syndrome, Bannayan-Riley-Ruvalcaba syndrome, PTEN-related Proteus syndrome, and Proteus-like syndrome. As a result, cancer surveillance is critical in managing <em>PTEN hamartoma</em> tumor syndrome (PTHS) patients. All PTEN mutation carriers should adhere to approved cancer surveillance measures.</div></div><div><h3>Conclusion</h3><div>This case highlights the unusual presentation of PTHS. It can present as an isolated PTEN hamartoma of Soft Tissue (PHOST) lesion without systemic findings and establishing a genetic diagnosis is important to the patient's future health. A multidisciplinary approach with the clinical, radiologic and pathologic findings of PTHS and PHOST lesions will more rapidly lead to an accurate diagnosis. Prompt diagnosis and appropriate treatment are important to prevent potentially severe outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111089"},"PeriodicalIF":0.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577677","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}
引用次数: 0
Successful management of cesarean scar pregnancy progressive to placenta accreta spectrum: An uncommon condition in Vietnam and mini-review of the literature
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-25 DOI: 10.1016/j.ijscr.2025.111076
Quang Nhat Ho , Ngoc Hai Tran , Anh Dinh Bao Vuong , Dinh Vinh Nguyen , Phuc Nhon Nguyen , Quoc Huy Vu Nguyen
{"title":"Successful management of cesarean scar pregnancy progressive to placenta accreta spectrum: An uncommon condition in Vietnam and mini-review of the literature","authors":"Quang Nhat Ho ,&nbsp;Ngoc Hai Tran ,&nbsp;Anh Dinh Bao Vuong ,&nbsp;Dinh Vinh Nguyen ,&nbsp;Phuc Nhon Nguyen ,&nbsp;Quoc Huy Vu Nguyen","doi":"10.1016/j.ijscr.2025.111076","DOIUrl":"10.1016/j.ijscr.2025.111076","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Cesarean scar pregnancy (CSP) is an uncommon ectopic pregnancy that could be progressive to the placenta accreta spectrum (PAS). It is defined as abnormal trophoblast invasion of part or all of the placenta into the myometrium of the uterine wall, with varying degrees of severity. These abnormal pathologies of placental implantation could lead to life-threatening complications for pregnant women.</div></div><div><h3>Case presentation</h3><div>A 39-year-old female patient was transferred to our consultant hospital for the diagnosis of CSP at 6 weeks of gestational age (GA). Due to asymptomatic presentation, the patient requested continuing pregnancy despite the high risk of uterine rupture and massive hemorrhage. The pregnant woman was strictly monitored on clinical aspects and ultrasound findings. Noticely, the PAS was suspected at 15–16 weeks of GA, and PAS type percreta was diagnosed at 22 weeks of GA. However, the woman continued her pregnancy and a planned cesarean delivery was performed at 34 weeks 6 days of GA. Additionally, modified one-step conservative surgery (MOSCUS) was successfully applied for uterine preservation. The materno-fetal outcomes were favorable.</div></div><div><h3>Clinical discussion</h3><div>CSP is related to highly severe complications during pregnancy and the possibility of PAS. A timely termination of pregnancy ought to be discussed with the patient upon diagnosis. However, a proper management is more challenging for women desiring pregnancy.</div></div><div><h3>Conclusion</h3><div>A continuing pregnancy and strict monitoring with a multidisciplinary team could be considered if the patient refuses medical abortion in cases of CSP progressive to PAS. Further data is needed on this entity.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 111076"},"PeriodicalIF":0.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487086","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}
引用次数: 0
Undisplaced transcervical femoral neck stress fracture in a recreational runner: A case report
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-25 DOI: 10.1016/j.ijscr.2025.111090
Manasil Malla , Sneha Raut , Rohit Shrestha , Prakash Sitoula
{"title":"Undisplaced transcervical femoral neck stress fracture in a recreational runner: A case report","authors":"Manasil Malla ,&nbsp;Sneha Raut ,&nbsp;Rohit Shrestha ,&nbsp;Prakash Sitoula","doi":"10.1016/j.ijscr.2025.111090","DOIUrl":"10.1016/j.ijscr.2025.111090","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Femoral neck stress fractures (FNSFs) are rare injuries, particularly in middle-aged recreational runners, and pose significant diagnostic challenges. Despite their low incidence, early detection and appropriate management are crucial to prevent serious complications such as displacement or avascular necrosis.</div></div><div><h3>Case presentation</h3><div>A 52-year-old male runner presented with progressive right hip pain, exacerbated by activity and relieved by rest. Initial X-ray imaging was normal; however, MRI revealed an undisplaced transcervical femoral neck stress fracture, classified as Type II (compression-side). The patient underwent insitu fixation with cannulated screws.</div></div><div><h3>Discussion</h3><div>FNSFs present diagnostic challenges due to their subtle symptoms and low initial X-ray sensitivity. MRI remains the gold standard for early diagnosis. This case underscores the importance of clinical suspicion and early imaging in preventing complications like fracture displacement and avascular necrosis.</div></div><div><h3>Conclusion</h3><div>Early recognition and timely intervention are critical in managing femoral neck stress fractures. MRI is essential for accurate diagnosis, and proactive surgical treatment effectively prevents severe complications, leading to favorable recovery outcomes. This case emphasizes the need for heightened clinical awareness in patients with unexplained hip pain to ensure optimal management.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 111090"},"PeriodicalIF":0.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487088","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}
引用次数: 0
Post-operative spread of small cell glioblastoma to the subcutaneous tissue via craniotomy defect in a 9-year-old boy: An exceptionally rare case report and review of the literature
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-25 DOI: 10.1016/j.ijscr.2025.111094
Nooshin Zaresharifi , Anita Khalili , Behrad Eftekhari , Zoheir Reihanian
{"title":"Post-operative spread of small cell glioblastoma to the subcutaneous tissue via craniotomy defect in a 9-year-old boy: An exceptionally rare case report and review of the literature","authors":"Nooshin Zaresharifi ,&nbsp;Anita Khalili ,&nbsp;Behrad Eftekhari ,&nbsp;Zoheir Reihanian","doi":"10.1016/j.ijscr.2025.111094","DOIUrl":"10.1016/j.ijscr.2025.111094","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Glioblastoma multiforme (GBM), a grade 4 astrocytoma, represents a predominant malignant primary tumor within the central nervous system (CNS) and is known for its dismal prognosis. While extremely uncommon in pediatric cases, the small cell glioblastoma (scGBM) variant poses diagnostic challenges due to overlapping histopathological features with other intracranial tumors.</div></div><div><h3>Case presentation</h3><div>We present the case of a 9-year-old Persian boy who underwent a craniotomy due to a malignant brain tumor. The histopathological examination, followed by ancillary immunohistochemical and molecular studies, led to the rare diagnosis of scGBM. Following a course of 32-session adjuvant radiotherapy, the tumor recurred with a peculiar manifestation, a subcutaneous mass at the previous surgical site, as a result of recurrent tumor invasion through craniotomy defect.</div></div><div><h3>Clinical discussion</h3><div>Small-cell glioblastoma (scGBM) presents aggressive features, often misdiagnosed as other tumors. A rare pediatric occurrence, scGBM requires careful histopathological and molecular evaluations. Treatment aligns with classic GBM protocols, but prognosis is poor, with overall survival ranging from 5 to 23 months.</div></div><div><h3>Conclusion</h3><div>The case highlights the diagnostic intricacies in distinguishing scGBM from other morphologically similar intracranial tumors, especially in pediatric patients. The report contributes to the limited literature on scGBM in the young population, emphasizing the significance of refined diagnostic approaches for accurate diagnosis and appropriate succeeding treatment for the best patient result.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111094"},"PeriodicalIF":0.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577800","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}
引用次数: 0
Extra renal collecting system with concomitant renal stone and simple cyst: Case report
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-24 DOI: 10.1016/j.ijscr.2025.111088
Endale Demeke Dessalew, Habtamu Aderaw Zeru, Alemayehu Shanko Zena, Abeselom Lemma Gebreamlak, Abiy Tadele Alene
{"title":"Extra renal collecting system with concomitant renal stone and simple cyst: Case report","authors":"Endale Demeke Dessalew,&nbsp;Habtamu Aderaw Zeru,&nbsp;Alemayehu Shanko Zena,&nbsp;Abeselom Lemma Gebreamlak,&nbsp;Abiy Tadele Alene","doi":"10.1016/j.ijscr.2025.111088","DOIUrl":"10.1016/j.ijscr.2025.111088","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Extrarenal calyx (ERC) is very rare upper urinary tract anomaly originally described by Eisendrath in 1925. This malformation usually has major calyces and the renal pelvis located outside the renal parenchyma. Since the incidence of this anomaly is quite low and the clinical presentation is very variable, a high degree of suspicion should be kept in mind to safeguard against inadvertent injury of the calyces when operating on a well-functioning kidney.</div></div><div><h3>Case presentation</h3><div>We present here a 41 years old female patient who had right-side flank pain of 2 years duration. Physical examination was unremarkable. Imaging showed a right simple Para-pelvic renal cyst with two renal stones. Open cyst deroofing was done. Intraoperatively the pelvis along with the infundibula was found outside the renal parenchyma and stone was removed from extra renal pelvis and infundibula. The patient was discharged home on 4th post-operative day with smooth post-operative course. Six weeks after the operation, her renal function test was normal and abdomino-pelvic ultrasound examination was found unremarkable.</div></div><div><h3>Clinical discussion</h3><div>ERCs are a rare urinary tract anomaly, described as the presence of a major calyx (or calyces) and renal pelvis outside the kidney parenchyma. This malformation can have complex radiological findings or can cause intraoperative dilemma.</div></div><div><h3>Conclusion</h3><div>An extra renal calyx (ERC), described as rare urologic anatomic variations, occurs when the major calyces are located outside of the renal parenchyma. Such rare phenomenon can pose preoperative diagnosis as well as surgical difficulties and high degree of suspicion is the key factor for better outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 111088"},"PeriodicalIF":0.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487090","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}
引用次数: 0
Comments on “duct-related complications of pediatric post-traumatic pancreatitis”: Expanding the discussion
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-24 DOI: 10.1016/j.ijscr.2025.111078
Marouf Mouhammad Alhalabi, Hussam Aldeen Alshiekh
{"title":"Comments on “duct-related complications of pediatric post-traumatic pancreatitis”: Expanding the discussion","authors":"Marouf Mouhammad Alhalabi,&nbsp;Hussam Aldeen Alshiekh","doi":"10.1016/j.ijscr.2025.111078","DOIUrl":"10.1016/j.ijscr.2025.111078","url":null,"abstract":"","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"129 ","pages":"Article 111078"},"PeriodicalIF":0.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601846","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}
引用次数: 0
Management and functional outcomes of a pipkin type II fracture: A case report
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-24 DOI: 10.1016/j.ijscr.2025.111091
Jafar Sallameh , Majd Mansour , Abdallah N. Mansour , Bashaar Asaad , Ali Afif , Ali Youssef
{"title":"Management and functional outcomes of a pipkin type II fracture: A case report","authors":"Jafar Sallameh ,&nbsp;Majd Mansour ,&nbsp;Abdallah N. Mansour ,&nbsp;Bashaar Asaad ,&nbsp;Ali Afif ,&nbsp;Ali Youssef","doi":"10.1016/j.ijscr.2025.111091","DOIUrl":"10.1016/j.ijscr.2025.111091","url":null,"abstract":"<div><h3>Introduction</h3><div>Femoral head (Pipkin) fractures are rare injuries typically caused by high-energy trauma. Classified into four types, their management remains debated, particularly for Pipkin type II fractures. This case report provides insights into surgical treatment, rehabilitation, and associated complications.</div></div><div><h3>Case presentation</h3><div>A 22-year-old male sustained a Pipkin type II femoral head fracture from a dashboard injury in a car accident. He presented with a posterior hip dislocation and a fracture involving the weight-bearing surface. Closed reduction was performed within 40 min, followed by open reduction and internal fixation (ORIF) using two Herbert screws via an anterior approach. The patient was discharged after three days and began structured rehabilitation. At six months, he showed significant functional recovery with minimal restrictions.</div></div><div><h3>Discussion</h3><div>The management of Pipkin type II fractures remains controversial, particularly regarding fragment fixation versus excision. Early surgical intervention and stable fixation are key to reducing complications such as avascular necrosis (AVN) and post-traumatic arthritis. In this case, ORIF with early rehabilitation, including gradual weight-bearing and range of motion exercises, contributed to a favorable outcome.</div></div><div><h3>Conclusion</h3><div>Prompt surgical intervention and a structured rehabilitation program are essential for optimal recovery in Pipkin type II fractures. This case highlights the importance of individualized treatment strategies and adds to the growing literature on managing this rare injury.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 111091"},"PeriodicalIF":0.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480653","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}
引用次数: 0
Quadriceps tear, infection and dislocation: Three rare complications after total knee arthroplasty. A case report
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-22 DOI: 10.1016/j.ijscr.2025.111074
Fernando De Maio, Alessandro Caterini, Silvia Salera, Giuseppe Rovere, Pasquale Farsetti, Vincenzo De Luna
{"title":"Quadriceps tear, infection and dislocation: Three rare complications after total knee arthroplasty. A case report","authors":"Fernando De Maio,&nbsp;Alessandro Caterini,&nbsp;Silvia Salera,&nbsp;Giuseppe Rovere,&nbsp;Pasquale Farsetti,&nbsp;Vincenzo De Luna","doi":"10.1016/j.ijscr.2025.111074","DOIUrl":"10.1016/j.ijscr.2025.111074","url":null,"abstract":"<div><h3>Introduction</h3><div>Infection after a total knee arthroplasty (TKA) is one of the most severe complications, with an incidence that ranged from 0,5 % to 1,8 %, while the incidence of a quadriceps tendon tear after total knee arthroplasty range from 0.1 % to 1.1 %. Dislocation of a TKA is another rare but very serious complication with an incidence of 0.5 %. After all, the association of these three complications, that quickly occur together, is extremely rare condition.</div></div><div><h3>Presentation of case</h3><div>Ninety years old man underwent to TKA for right knee osteoarthritis. During rehabilitation, the patient had quadriceps tendon rupture and underwent to tenorrhaphy. Three months after tenorrhaphy, on suspicion of infection, the patient received a surgical debridement. At this time total knee prosthesis was well fixed and was not removed. After another five months, the patient felt again and the radiographs of the right knee showed a posterior dislocation of the TKA treated by closed reduction in operating room, under general anesthesia. At the latest follow-up, clinical and radiological examinations showed good alignment of the TKA prosthesis, without loosening and good functional capacity.</div></div><div><h3>Discussion</h3><div>Orthopedic surgical treatment in an elderly patient could expose to many complications. We could speculate that musculo-tendinous lesion and infection favored the TKA dislocation.</div></div><div><h3>Conclusion</h3><div>Infection, tendon injuries and dislocation are serious complications after TKA. Poor outcomes are often described for each of these complications in the current literature, however our patient recovered a good quality of life after treatment, despite the complexity of these complications and the old age.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 111074"},"PeriodicalIF":0.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487089","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}
引用次数: 0
A rare case of large encapsulated papillary carcinoma of the male breast with a diagnostic challenge: A case report and literature review
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-22 DOI: 10.1016/j.ijscr.2025.111083
Birhanu Kassie Reta , Yordanos Birhane Gebrecherkos , Seblewengel Maru Wubalem , Hindeya Hailu Hagos , Demelash Darota Dojamo , Hidaya Yahya Mohammed
{"title":"A rare case of large encapsulated papillary carcinoma of the male breast with a diagnostic challenge: A case report and literature review","authors":"Birhanu Kassie Reta ,&nbsp;Yordanos Birhane Gebrecherkos ,&nbsp;Seblewengel Maru Wubalem ,&nbsp;Hindeya Hailu Hagos ,&nbsp;Demelash Darota Dojamo ,&nbsp;Hidaya Yahya Mohammed","doi":"10.1016/j.ijscr.2025.111083","DOIUrl":"10.1016/j.ijscr.2025.111083","url":null,"abstract":"<div><h3>Introduction</h3><div>Male breast carcinoma accounts for 1 % of all breast cancers. Encapsulated breast cancer (EPC) is a rare form of papillary breast cancer, accounting for 0.5 % to 2 % of all breast cancer. The aim of this case report is to highlight that EPC can present as a huge, mainly cystic lesion with a small solid focus, so that ultrasound-guided fine needle aspiration cytology (FNAC) should be done to avoid false negative results.</div></div><div><h3>Presentation of case</h3><div>We reported a 66-year-old male patient who presented with a right breast, painless, centrally located mass of 3 years duration. On an ultrasound examination, there was mainly a cystic retroareolar mass with a small solid focus measuring 10.5 cm × 8 cm × 5.9 cm. Initial cytology examination revealed a hemorrhagic aspirate, but subsequent ultrasound-guided FNAC concluded a papillary lesion. Simple mastectomy with sentinel lymph node biopsy was done, and subsequent histopathologic examination confirmed the diagnosis of encapsulated papillary carcinoma with negative lymph node status.</div></div><div><h3>Discussion</h3><div>EPC is one of the malignant papillary lesions of the breast, and it is considered a ductal carcinoma in situ. Diagnosis of EPC needs careful histopathologic examination and use of myoepithelial markers. EPC has a low locoregional and distant metastasis, and it is associated with an excellent prognosis.</div></div><div><h3>Conclusion</h3><div>In male patients presenting with large cystic breast lesions, EPC should be considered as a differential diagnosis, and ultrasound-guided FNAC should be done to make sure the solid focus is sampled.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 111083"},"PeriodicalIF":0.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471495","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}
引用次数: 0
Neglected obturator hip dislocation with associated avascular necrosis of the femoral head in adolescent, a rare case report
IF 0.6
International Journal of Surgery Case Reports Pub Date : 2025-02-21 DOI: 10.1016/j.ijscr.2025.111069
Shindo Isack Kilawa , Peter Magembe Mrimba , Godlisten S. Kawiche , Rogers J. Temu , Honest H. Massawe , Faiton N. Mandari
{"title":"Neglected obturator hip dislocation with associated avascular necrosis of the femoral head in adolescent, a rare case report","authors":"Shindo Isack Kilawa ,&nbsp;Peter Magembe Mrimba ,&nbsp;Godlisten S. Kawiche ,&nbsp;Rogers J. Temu ,&nbsp;Honest H. Massawe ,&nbsp;Faiton N. Mandari","doi":"10.1016/j.ijscr.2025.111069","DOIUrl":"10.1016/j.ijscr.2025.111069","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Neglected obturator hip dislocation is rare and possesses a dilemma in management to an orthopedic surgeon however total hip arthroplasty yield good to excellent outcome.</div></div><div><h3>Case presentation</h3><div>23 years male, with four-month history of painful right hip associated with limping and inability to use the right lower limp, following a motor traffic crush and managed traditionally prior visiting our clinic, he had no any other associated injuries and medical history was uneventfully.</div><div>On clinical evaluation, he was alert and oriented, with stable vitals, limping on walking with a stick, his right hip joint was slightly flexed, abducted and externally rotated, with limited hip range of motion and discrepancy of 3 cm.</div><div>Pelvis X-ray revealed anterior inferior right hip joint dislocation, shallow acetabula, and features suggestive of avascular necrosis of head and neck.</div><div>A diagnosis of neglected right obturator hip dislocation with avascular necrosis of the head and neck was made and advised for Total Hip Arthroplasty; however, patient and family refused the plan due to their financial constraints and traditional believes in spite of proper discussion provided, he was advised on weight bearing as tolerated, using crutches, and follow up visits, however he was lost to follow up.</div></div><div><h3>Discussion</h3><div>Our case report is unique due to its rarity in occurrence and it was neglected due to traditional believes in their family and poor health seeking behavior. Total hip arthroplasty was considered as a treatment of choice in our case; however, the patient and family refused the option due to financial constraints and traditional believe and trust to bone settlers.</div></div><div><h3>Conclusion</h3><div>A neglected obturator hip dislocation is very rare and in spite of a dilemma on treatment, total hip arthroplasty is recommended for this case. Community health education should be considered so that hip dislocation being managed as early as possible.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"128 ","pages":"Article 111069"},"PeriodicalIF":0.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464898","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}
引用次数: 0
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