Case Reports in Surgery最新文献

A Rare Vascular Challenge: Brachial Artery Collateral Pseudoaneurysm Managed With Vein Grafting. 一种罕见的血管挑战：用静脉移植治疗肱动脉侧支假性动脉瘤。

IF 0.5

Case Reports in Surgery Pub Date : 2025-09-26 eCollection Date: 2025-01-01 DOI: 10.1155/cris/8844140

Mario Malangone, Nunzio Montelione, Vincenzo Catanese, Francesco Alberto Codispoti, Andrea Cucci, Dalila Di Palma, Francesco Spinelli, Francesco Stilo

{"title":"A Rare Vascular Challenge: Brachial Artery Collateral Pseudoaneurysm Managed With Vein Grafting.","authors":"Mario Malangone, Nunzio Montelione, Vincenzo Catanese, Francesco Alberto Codispoti, Andrea Cucci, Dalila Di Palma, Francesco Spinelli, Francesco Stilo","doi":"10.1155/cris/8844140","DOIUrl":"10.1155/cris/8844140","url":null,"abstract":"Upper extremity pseudoaneurysms are uncommon, and involvement of collateral branches of the brachial artery is particularly rare. A 78-year-old woman without antecedent trauma presented with a new pulsatile mass and progressive dysfunction of the proximal arm. Duplex ultrasonography provided sufficient diagnostic and planning information, demonstrating a pseudoaneurysm arising from a collateral branch of the brachial artery measuring 38 mm × 29 mm × 46 mm, with an estimated neck diameter of 3 mm and neck length of 5 mm, and a thin peripheral mural thrombus. Given lesion size and compressive features, open repair was performed under general anesthesia: sac excision and arterial reconstruction with a reversed basilic vein interposition graft using end-to-end anastomoses. The postoperative course was uneventful, with discharge on postoperative Day 1; at 7-day follow-up, duplex ultrasonography confirmed patency of the reconstructed segment without stenosis, residual sac, arteriovenous fistula, or signs of distal ischemia. This case supports open venous autologous reconstruction as an effective option for large and compressive arterial pseudoaneurysms of brachial collateral branches.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"8844140"},"PeriodicalIF":0.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12494478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231641","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

Acute Appendicitis Secondary to Intestinal Schistosomiasis. 肠血吸虫病继发急性阑尾炎。

IF 0.5

Case Reports in Surgery Pub Date : 2025-09-09 eCollection Date: 2025-01-01 DOI: 10.1155/cris/4115372

Ethan Shyu, Luis Arias-Espinosa, Gabriele Barrocas, Scott Weisenberg, Flavio Malcher

引用次数: 0

Lymphatic Obstruction Related to Small Bowel Obstruction With Chylous Ascites in Prior Roux En Y Gastric Bypass Patient Case Report. 既往Roux En Y胃分流术患者伴乳糜腹水的小肠梗阻相关淋巴阻塞病例报告。

IF 0.5

Case Reports in Surgery Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.1155/cris/6093542

Caroline Couch, Jonathan Chica

引用次数: 0

Unexpected Acute-Onset Stump Appendicitis in a Teenager: A Rare Postappendectomy Complication. 意外急性发作残端阑尾炎在青少年：一个罕见的阑尾切除术后并发症。

IF 0.5

Case Reports in Surgery Pub Date : 2025-08-22 eCollection Date: 2025-01-01 DOI: 10.1155/cris/3546440

Ahmad Fasfoos, Maaweya Jabareen, Wasef Alhroub, Ammar Hassouneh, Dunia Salhab, Aleen Aldabbas, Razan Sobeih, Isra Hamoudah, Islam Ishnawer, Qusai Sobeih

引用次数: 0

Hemorrhagic Shock in Primary Hepatic Pregnancy: A Diagnostic and Surgical Challenge. 原发性肝性妊娠失血性休克：诊断和手术的挑战。

IF 0.5

Case Reports in Surgery Pub Date : 2025-08-19 eCollection Date: 2025-01-01 DOI: 10.1155/cris/5393611

Martin Manzaneda-Peralta, Jerson Morales-Rodriguez, Edith Ramos-Ocola, José Valdivia-López, Ylein Alvarez-Delgadillo, José Jiménez-Vera, Julio Fuenzalida-Valdivia, Karlo Terreros-Abril

{"title":"Hemorrhagic Shock in Primary Hepatic Pregnancy: A Diagnostic and Surgical Challenge.","authors":"Martin Manzaneda-Peralta, Jerson Morales-Rodriguez, Edith Ramos-Ocola, José Valdivia-López, Ylein Alvarez-Delgadillo, José Jiménez-Vera, Julio Fuenzalida-Valdivia, Karlo Terreros-Abril","doi":"10.1155/cris/5393611","DOIUrl":"10.1155/cris/5393611","url":null,"abstract":"Introduction: Primary hepatic ectopic pregnancy is rare; it has been reported to have an incidence of 1:15,000 per uterine pregnancy approximately. This study aims to determine the clinical presentation and treatment of hepatic ectopic pregnancy. Presentation of Case: We present the case of a patient with no history of pregnancy who presented with abdominal pain refractory to treatment. With a human chorionic gonadotropin hormone (β-hCG) measure of 55,710 mIU/mL, an abdominal ultrasound that revealed the presence of a rounded image of 50 mm × 50 mm at the level of the right hepatic lobe and the complication of hypovolemic shock. Under the diagnosis of an abdominal ectopic pregnancy, the patient underwent surgery. Discussion: Initially, an exploratory laparotomy was performed, which revealed the presence of bleeding, clots, and a gestational sac; subsequently, a wedge resection was done, and a Pringle maneuver and hepatic packing were performed, obtaining favorable results in the patient's case. Conclusion: The diagnosis of primary hepatic ectopic pregnancy is made through β-hCG measurement and serial abdominal ultrasonography. Treatment can be pharmacological (methotrexate) or surgical, applying techniques such as the Pringle maneuver.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"5393611"},"PeriodicalIF":0.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12381409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144943975","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

Postoperative Perianal Abscess and Concomitant Anorectal Fistula: An Extremely Rare Complication After Emergency Transanal Hemorrhoidal Dearterialization With Mucopexy for Hemorrhoidal Disease. 术后肛周脓肿并发肛门直肠瘘：紧急经肛痔去动脉化伴黏液固定术治疗痔疮疾病的一种极为罕见的并发症。

IF 0.5

Case Reports in Surgery Pub Date : 2025-08-08 eCollection Date: 2025-01-01 DOI: 10.1155/cris/1465838

Charito Chatzinikolaou, Konstantinos Perivoliotis, Amalia Moula, Kyriakos Psarianos, Alexios Stavrou, Ioannis Baloyiannis

{"title":"Postoperative Perianal Abscess and Concomitant Anorectal Fistula: An Extremely Rare Complication After Emergency Transanal Hemorrhoidal Dearterialization With Mucopexy for Hemorrhoidal Disease.","authors":"Charito Chatzinikolaou, Konstantinos Perivoliotis, Amalia Moula, Kyriakos Psarianos, Alexios Stavrou, Ioannis Baloyiannis","doi":"10.1155/cris/1465838","DOIUrl":"10.1155/cris/1465838","url":null,"abstract":"We report the rare case of postoperative perianal abscess after emergency transanal hemorrhoidal dearterialization (THD) with mucopexy for Grade III hemorrhoidal disease (HD). A 68-year-old male presented to our hospital with rectal bleeding due to HD Grade III. He underwent THD with mucopexy with an uneventful postoperative recovery. The patient was evaluated on the 15th postoperative day due to perianal pain without any abnormal laboratory and imaging findings. One month postoperatively he presented with perianal edema and pus discharge. During the rectal examination, a perianal abscess with a concomitant fistula was identified and was confirmed with an MRI scan. He was submitted to abscess drainage and seton placement. This report aims to raise awareness among colorectal surgeons about the risk for this specific complication during the postoperative period. Further studies, are needed so that the etiopathology of this condition is identified and the risk factors can be controlled and avoided.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"1465838"},"PeriodicalIF":0.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144871643","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

Giant Breast Myofibroblastoma: A Rare Case of Benign Breast Tumor in a Postmenopausal Woman. 巨乳肌成纤维细胞瘤：绝经后妇女一例罕见的乳腺良性肿瘤。

IF 0.5

Case Reports in Surgery Pub Date : 2025-08-06 eCollection Date: 2025-01-01 DOI: 10.1155/cris/9930606

Henry I Lyimo, Zephania D P Gega, Alex B Mashaka, Angela T Mlole, Saida K Abeid, Petro J Mabindi, Nashivai E Kivuyo, Ally H Mwanga

{"title":"Giant Breast Myofibroblastoma: A Rare Case of Benign Breast Tumor in a Postmenopausal Woman.","authors":"Henry I Lyimo, Zephania D P Gega, Alex B Mashaka, Angela T Mlole, Saida K Abeid, Petro J Mabindi, Nashivai E Kivuyo, Ally H Mwanga","doi":"10.1155/cris/9930606","DOIUrl":"10.1155/cris/9930606","url":null,"abstract":"Introduction: Breast myofibroblastoma (MFB) is a relatively rare benign tumor that mimics the clinical presentation of malignant tumors of the breast. It has various morphologic variants that can be accurately diagnosed based on histopathology and immunohistochemistry staining. We report a case of MFB in a menopausal woman for pertinent clinical consideration and management. Case Presentation: We report a case of a 57-year-old Tanzanian woman, who presented with a huge right breast mass for 1 year. Initial radiological findings were inconclusive, however, the tissue specimen for histology and immunohistochemical (IHC) confirmed the diagnosis. A simple mastectomy was thereafter performed as a curative therapy. Conclusion: This case presentation underscores the importance of considering MFB as a potential differential for breast tumors especially in menopausal women. Tissue biopsy for histopathology and IHC staining form the cornerstone for accurate diagnosis and appropriate management.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"9930606"},"PeriodicalIF":0.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144844475","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

Colocaval Fistula: A Unique Case Report. 阴道瘘：一个独特的病例报告。

IF 0.5

Case Reports in Surgery Pub Date : 2025-07-29 eCollection Date: 2025-01-01 DOI: 10.1155/cris/8818123

Stephen Vining, Brett M Chapman

{"title":"Colocaval Fistula: A Unique Case Report.","authors":"Stephen Vining, Brett M Chapman","doi":"10.1155/cris/8818123","DOIUrl":"10.1155/cris/8818123","url":null,"abstract":"Fistula formation is a connection between anatomic locations that is intrinsically abnormal. A variety of causative etiologies and involved structures exist for these anomalous developments. Fistulas between vasculature and the enteric system are rare. When present, anatomical proximity is the dominant factor in determining which structures are involved. Aortoenteric fistulas involving the esophagus, duodenum, and small bowel are well-known with the stomach also being involved in rare instances. Fistulas involving the inferior vena cava (IVC) and enteric system have also been seen with the stomach, small bowel, and intrathoracic colon following an interposition each represented in reported cases. We present a case of an 82-year-old female with multiple medical comorbidities including opioid dependence, chronic constipation, recurrent lower extremity deep venous thrombosis, recurrent upper gastrointestinal (GI) bleeding, and IVC filter dependence who developed a unique problem. Her presenting complaints were nonspecific, but ultimately a diagnosis of fistula formation between the IVC and sigmoid colon was made. The colocaval fistula described here is the first intraperitoneal case to be reported in the body of literature.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"8818123"},"PeriodicalIF":0.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788346","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

Perforated Rectal Cancer Presenting With Symptoms of Sciatic Nerve Compression: A Case Report. 以坐骨神经压迫为症状的直肠癌穿孔1例报告。

IF 0.5

Case Reports in Surgery Pub Date : 2025-07-22 eCollection Date: 2025-01-01 DOI: 10.1155/cris/8680616

J L O'Sullivan, L Vu, P Tan

引用次数: 0

A Case of Hemorrhagic Shock for a Ruptured Splenic Aneurysm Treated With REBOA-Assisted Surgery. reboa辅助手术治疗脾动脉瘤破裂失血性休克1例。

IF 0.6

Case Reports in Surgery Pub Date : 2025-07-09 eCollection Date: 2025-01-01 DOI: 10.1155/cris/7264596

Chiara D'Alterio, Cristina Carruezzo, Armando Raso, Arezia Di Martino, Roberto Santoro, Domenico Giannotti

{"title":"A Case of Hemorrhagic Shock for a Ruptured Splenic Aneurysm Treated With REBOA-Assisted Surgery.","authors":"Chiara D'Alterio, Cristina Carruezzo, Armando Raso, Arezia Di Martino, Roberto Santoro, Domenico Giannotti","doi":"10.1155/cris/7264596","DOIUrl":"10.1155/cris/7264596","url":null,"abstract":"Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a technique aimed at temporarily interrupting or limiting blood flow through the aorta, which may be used as a bridge until definitive bleeding control by endovascular procedures or surgery. Despite the main current indication for its use is traumatic massive noncompressible torso hemorrhage, its application in end-stage nontraumatic abdominal and pelvic hemorrhage is progressively increasing. Case Presentation: A 42 year-old male patient was brought to our hospital Emergency Department with acute onset of abdominal pain, hypotension, paleness, and diaphoresis. A computed tomography (CT) was performed evidencing a voluminous retroperitoneal hematoma caused by the rupture of an unknown splenic aneurysm. Emergency open splenectomy with resection of the splenic aneurysm and evacuation of the retroperitoneal hematoma was performed, with the assistance of the REBOA technique. The endovascular balloon was positioned in the aorta, proximally to the celiac axis (Zone 1), through a percutaneous femoral access by the interventional radiologist. Intermittent aortic occlusion enabled proximal bleeding control, adequate myocardial and cerebral perfusion, and allowed surgeons to safely and successfully perform splenectomy by resecting the splenic artery at the origin. Conclusion: REBOA provides a rapid and minimally invasive hemodynamic control in severe hemorrhagic settings and its application in the initial management of nontraumatic abdominal hemorrhage should be strongly advised. Further studies with large sample size focusing on nontrauma patients are needed.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"7264596"},"PeriodicalIF":0.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658529","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