Case Reports in Surgery最新文献

{"title":"Multimodal Ayurveda Intervention in the Management of Recurrent Pilonidal Sinus: A Case Report.","authors":"Wicramanayake W A A P, Peshala K K V S","doi":"10.1155/cris/1959796","DOIUrl":"10.1155/cris/1959796","url":null,"abstract":"<p><p>Pilonidal sinus (PNS) is a chronic inflammatory condition that primarily originates from hair follicles in the natal cleft at the base of the spine and may also occur in other areas such as the axilla and umbilicus. A 25-year-old male patient presented to the outpatient department (OPD) of the surgery unit at the National Ayurveda Teaching Hospital, Borella, in November 2022 with complaints of pain and purulent discharge from the sacral region near the anus, accompanied by intermittent fever for 5 days. Clinical examination revealed a tender swelling in the sacral area with a discharging sinus opening and multiple scar marks from previous surgeries. The patient had previously undergone two surgical procedures (wide excision and primary closure) for the same condition. Based on the clinical findings, the case was diagnosed as a recurrent PNS with abscess formation. Management was initiated with incision and drainage of the abscess, followed by application of a semisolid paste of <i>Apamarga Theekshna Kshara</i>, a herbomineral alkaline preparation from the whole plant of <i>Achyranthes aspera</i> L., burnt conch shells (a source of calcium carbonate) and a paste of the roots of <i>Plumbago indica</i> L. (added to improve and to achieve the maximum potency of <i>Kshara</i>). Microbiological culture of the pus revealed the presence of beta hemolytic <i>Streptococcus</i> (group G) and coliform. Internal medications, including <i>Pancha tikta</i> decoction, <i>Sudarshana Choorna</i> (powder), <i>Triphala Guggulu</i> (tablets), <i>Amurta Guggulu</i> (tablets), and <i>Kaishora Guggulu</i> (tablets), were administered to manage the infection and fever. During the postoperative period, the wound was cleansed with a polyherbal decoction (<i>Pancha valkala</i>) prepared from the aqueous extracts of the barks of <i>Ficus religiosa</i>, <i>Ficus benghalensis</i>, and <i>Ficus racemosa</i>. Wound dressings were performed using the same decoction mixed with <i>Apamarga Kshara</i> powder (herbomineral alkaline paste prepared from the whole plant of <i>Achyranthes aspera</i> L.and burnt conch shells) (without adding <i>P. indica</i> L roots. Hence, it's in medium potency). Once a healthy wound bed was achieved, dressing was continued with Seethodaka Taila, a medicated oil known for its wound-healing properties, for 3 months until complete wound healing was achieved. The patient was followed up for 3 years, during which no recurrence was reported. This case suggests that the multimodel ayurveda management approach may be a potential clinical experience that may encourage further study.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"1959796"},"PeriodicalIF":0.6,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219916","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":"Recurrent Intermittent Small Bowel Obstruction as an Initial Manifestation of Primary Intestinal Diffuse Large B-Cell Lymphoma: A Case Report and Systematic Literature Review.","authors":"Karl Nilsson Grip, Ann-Catrin Ekelund, Marcus Gustavsson, Olof Söderman, Jenny Nyqvist-Streng","doi":"10.1155/cris/1085579","DOIUrl":"https://doi.org/10.1155/cris/1085579","url":null,"abstract":"<p><p>Primary intestinal diffuse large B-cell lymphoma (DLBCL) is a rare gastrointestinal malignancy and an uncommon cause of small bowel obstruction (SBO). We report a 70-year-old man with no history of abdominal surgery who presented with recurrent episodes of abdominal pain, vomiting, and transiently resolving SBO. Serial computed tomography (CT) demonstrated a persistent transition point associated with an increasingly evident mesenteric soft tissue mass, initially suspected to represent a neuroendocrine tumor. After repeated presentations and temporary improvement with conservative management, exploratory laparotomy revealed a distal ileal tumor with central mesenteric involvement encasing major mesenteric vessels. Segmental small bowel resection with primary anastomosis was performed, although macroscopic mesenteric disease remained. Histopathological examination confirmed CD10-positive DLBCL, and systemic treatment with six cycles of R-CHOP was initiated. A structured search of MEDLINE and Embase identified 78 publications describing 87 adult cases of intestinal lymphoma presenting with SBO. DLBCL was the most frequently reported subtype, and the ileum was the most commonly specified anatomical location. However, recurrent obstruction with transient clinical and radiological improvement was rarely emphasized. This case demonstrates that temporary resolution of obstructive symptoms does not exclude a persistent pathological lead point. Recurrent SBO in a patient without previous abdominal surgery, particularly when serial imaging demonstrates evolving mesenteric or intestinal abnormalities, should prompt renewed investigation for an underlying malignancy, including intestinal lymphoma. Repeat cross-sectional imaging, multidisciplinary reassessment, and individualized consideration of operative exploration may facilitate timely diagnosis while avoiding conclusions that transient improvement represents definitive resolution.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"1085579"},"PeriodicalIF":0.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13662958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191458","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":"Right Anterior Sectionectomy for Hepatic Helminthic Infection Mimicking Cholangiocarcinoma: A Case Report.","authors":"James Tai, Benjamin Shen, Khashayar Asadi, Marcel Leroi, Marcos Vinicius Perini","doi":"10.1155/cris/9902430","DOIUrl":"https://doi.org/10.1155/cris/9902430","url":null,"abstract":"<p><p>We present the case of a patient with an unexpected pathological finding of degenerate roundworm infection on histology for a liver resection for presumed intrahepatic cholangiocarcinoma. Helminthic infection of the liver is uncommon in developed and metropolitan regions and this patient had no risk factors for such. The only potentially risk factor for complications of the infection was the presence of long-term immunosuppression in the setting of Crohn's disease. The imaging, including computer tomography (CT), magnetic resonance imaging (MRI), and fluorodeoxyglucose positron emission tomography (FDG-PET) scan, was suggestive of a malignant process and thus the patient was consented and brought forward for segments five and eight liver resection. Interestingly the frozen section analysis and formal pathology confirmed a helminthic infection. The patient made an unremarkable recovery and remains well to date. Liver helminth infection mimicking malignancy is rare, however should always be considered as a differential diagnosis for atypical liver imaging findings.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"9902430"},"PeriodicalIF":0.6,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13659049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179508","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":"Late Penile Urethral Involvement of Urothelial Carcinoma After Radical Cystectomy: Diagnostic Challenge in Distinguishing Urethral Recurrence From Metastatic Disease.","authors":"Vanessa Talavera Cobo, Mario Daniel Tapia Tapia, Andrés Calva López, Carmina Alejandra Muñoz Bastidas, Luis Labairu Huerta, Daniel Sánchez Zalabardo, José Enrique Robles García, Bernardino Miñana López","doi":"10.1155/cris/4918822","DOIUrl":"https://doi.org/10.1155/cris/4918822","url":null,"abstract":"<p><p>Penile involvement of urothelial carcinoma is a rare clinical entity typically arising from primary pelvic tumours and is usually associated with advanced disease and poor prognosis. However, distinguishing between true penile metastasis and late urethral recurrence is challenging, particularly in patients with urethral preservation after radical cystectomy (RC). We report the case of a 77-year-old male with a history of high-grade invasive urothelial carcinoma (pT2a N0) with concomitant carcinoma in situ (CIS), treated with RC and uretero-ileal urinary diversion with urethral preservation. Ten years after surgery, the patient presented with a painful mass at the base of the penis accompanied by solid urethral discharge. Biopsy of the urethral content confirmed high-grade papillary urothelial carcinoma (G3) with invasion of the lamina propria. Multimodal imaging studies demonstrated a solid tumour involving the proximal third of the penile urethra with extension into the corpus spongiosum and tunica albuginea, alongside a suspicious left inguinal lymph node. The patient underwent radical penectomy and left laparoscopic inguinal lymphadenectomy. Histopathological examination confirmed high-grade invasive urothelial carcinoma of the penile urethra, invading the corpus spongiosum and tunica albuginea (pT2 N0), with free surgical margins. Immunohistochemical profiling was not performed due to limited archival material, preventing definitive distinction between urethral recurrence and metastatic disease. No adjuvant systemic therapy was administered. At 2 years of follow-up, the patient remains disease-free on surveillance imaging. This case highlights the unusual late presentation of urothelial carcinoma involving the penis and underscores the diagnostic challenge in distinguishing urethral recurrence from true metastatic disease in the absence of molecular data. Long-term surveillance, including thorough physical examination, is essential even many years after initial treatment.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"4918822"},"PeriodicalIF":0.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149164104","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":"Concomitant Meckel's Diverticulum With Focal Paneth Cell Metaplasia and Acute Appendicitis Presenting as Chronic Periumbilical Pain in a Child.","authors":"Aditya Pachwa, Chaitanya Laasya Reddy Arimanda, Agasthya Daggu, Lakshya Nehal Samineni","doi":"10.1155/cris/8396874","DOIUrl":"10.1155/cris/8396874","url":null,"abstract":"<p><p>Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract but remains diagnostically challenging in children because of its varied and nonspecific clinical presentation. Concomitant Meckel's diverticulum and acute appendicitis are uncommon and may further obscure diagnosis. We report a 9-year-old boy who presented with chronic periumbilical abdominal pain of 3 months' duration, with acute worsening over 3 days accompanied by vomiting. Physical examination revealed localized right periumbilical tenderness without signs of peritonitis. Laboratory investigations demonstrated mild anemia and eosinophilia, while ultrasonography identified an appendicolith with mesenteric lymphadenitis, raising suspicion for appendiceal pathology. Owing to persistent symptoms and concern for evolving subacute intestinal obstruction, diagnostic laparoscopy was performed. Intraoperatively, acute appendicitis was identified along with a dilated Meckel's diverticulum ~100 cm proximal to the ileocecal junction and associated proximal small-bowel dilatation. Laparoscopic-assisted Meckel's diverticulectomy with appendectomy was successfully performed. Histopathologic examination confirmed acute appendicitis with a fecolith and transmural inflammatory infiltrates. The Meckel's diverticulum demonstrated focal Paneth cell metaplasia and lymphoid aggregates consistent with Peyer patches without ectopic gastric or pancreatic tissue or atypia. The mesenteric lymph node showed reactive lymphoid hyperplasia. The postoperative course was uneventful, and the child remained symptom-free at 2-month follow-up. This case highlights the importance of considering dual intraabdominal pathology in children presenting with prolonged or atypical abdominal pain. Diagnostic laparoscopy plays a pivotal role by enabling comprehensive abdominal evaluation and definitive treatment in a single setting. Furthermore, symptomatic Meckel's diverticulum may occur in the absence of heterotopic mucosa, and uncommon histopathologic findings such as focal Paneth cell metaplasia underscore the value of meticulous examination of resected specimens.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"8396874"},"PeriodicalIF":0.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134995","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":"Accurate Localization of the Internal Opening in a Cryptoglandular Anal Fistula: Complementary Roles of Goodsall's Rule, MRI, and Intraoperative Assessment: A Case Report.","authors":"Võ Đắc Truyền","doi":"10.1155/cris/3016034","DOIUrl":"10.1155/cris/3016034","url":null,"abstract":"<p><p>Accurate localization of the internal opening is essential for successful surgical management of cryptoglandular anal fistulas. Although Goodsall's rule remains a useful clinical guide, accurate delineation of fistula anatomy often requires complementary assessment with magnetic resonance imaging (MRI) and intraoperative evaluation. We report the case of a 34-year-old healthy man presenting with a recurrent perianal fistula characterized by intermittent swelling and purulent discharge. The external opening was located at the 2 o'clock position, more than 3 cm from the anal verge. Preoperative MRI demonstrated a curved transsphincteric fistulous tract extending to an internal opening at the posterior midline without secondary extensions or abscess. The internal opening was confirmed intraoperatively by clinical assessment and hydrogen peroxide injection through the external opening. The extrasphincteric portion of the tract and surrounding chronically inflamed tissue were excised (partial fistulectomy), whereas the transsphincteric portion crossing the external anal sphincter was treated by lay-open fistulotomy to minimize additional sphincter tissue sacrifice. The postoperative course was uneventful, with complete wound healing within 2 months and no impairment of continence. This case illustrates that accurate localization of the internal opening is best achieved through the complementary use of clinical assessment, Goodsall's rule, MRI, and intraoperative confirmation, thereby facilitating appropriate surgical planning and sphincter-preserving treatment.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"3016034"},"PeriodicalIF":0.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13646885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135032","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":"Cirsoid Aneurysm: Report of Two Cases With Cosmetic Surgical Treatment and Narrative Review of the Literature.","authors":"Henrique Salles Barbosa, Renata Salles Barbosa, Aline Cristina Pavani, Mariana Paes Levasseur, Mariana Fernandes Carvalho, João Frederico Vitorino Coelho Chaves, Luís Guilherme Delage da Fonseca","doi":"10.1155/cris/9907175","DOIUrl":"10.1155/cris/9907175","url":null,"abstract":"<p><p>Cirsoid aneurysm (CA) is a rare high-flow arteriovenous malformation (AVM) of the scalp that may cause cosmetic deformity, neurologic symptoms, skin ulceration, or hemorrhage. We report two men with left frontoparietal lesions supplied by the frontal branch of the superficial temporal artery. A 37-year-old man presented with a progressively enlarging pulsatile mass of 3 years' duration. Duplex ultrasonography and computed tomography angiography (CTA) demonstrated a high-flow scalp AVM with extensive venous drainage and no intracranial communication. A 27-year-old man presented with a 1-year history of a pulsatile mass that underwent rapid enlargement, ulceration, and massive bleeding. Temporary hemostasis was achieved by compression, and CTA showed a similar lesion without intracranial communication. Both patients underwent complete surgical excision through a left coronal incision without preoperative embolization. The feeding artery was ligated, the abnormal venous network was resected, and the ulcerated skin was excised in the second patient. Neither procedure required transfusion, and both postoperative courses were uneventful. At clinical follow-up of 6 months in the first patient and 3 months in the second, facial muscle function was preserved, cosmetic outcomes were satisfactory, and no clinical recurrence was detected. These cases support surgical excision as an effective option for localized, surgically accessible CAs with a limited arterial supply, while treatment should be individualized according to lesion extent, vascular anatomy, symptoms, hemorrhagic risk, and cosmetic objectives.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"9907175"},"PeriodicalIF":0.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149134975","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":"Massive Splenomegaly Secondary to Lymphangioma With Gluteal Component in an Adolescent: A Case Report.","authors":"Jonathan F Guerron-Salazar, Alexis D Aparicio-Ortiz, Mónica Romero-Macías, Sergio Terriquez-Rodriguez, Margarita Eligio-Angeles","doi":"10.1155/cris/5705755","DOIUrl":"10.1155/cris/5705755","url":null,"abstract":"<p><p>Splenic lymphangioma (SL) is a rare benign lymphatic malformation resulting from abnormal development of lymphatic vessels. It primarily affects children and may coexist with lymphatic malformations at other anatomical sites. Most patients are asymptomatic, and the diagnosis is often incidental. When symptoms occur, they are usually related to the size of the lesion and the compression of adjacent organs. We present the case of a 14-year-old male with a history of congenital gluteal and perineal lymphatic malformations, initially misdiagnosed prenatally as myelomeningocele. During follow-up, the patient developed persistent colicky abdominal pain, progressive abdominal distension, and cutaneous lesions resembling frogspawn, exuding purulent discharge. Physical examination revealed a large, firm, and painful abdominal mass extending from the epigastrium to the hypogastrium. A contrast-enhanced abdominal computed tomography (CT) scan revealed massive splenomegaly with multiple nonenhancing cystic lesions and displacement of adjacent structures. An open splenectomy was performed due to symptomatic mass effect and diagnostic uncertainty. Intraoperatively, a markedly enlarged, multilobulated spleen was identified and removed without complications. Histopathological examination confirmed the diagnosis of SL, showing multiple thin-walled cystic spaces filled with eosinophilic proteinaceous material and lined by flat endothelial cells. The patient had an uneventful postoperative course, completed postsplenectomy prophylaxis, and was discharged in stable condition with good oral tolerance, normal bowel and urinary function, and no signs of infection or surgical complications. This case highlights the importance of considering lymphatic malformations in the differential diagnosis of pediatric patients presenting with atypical splenomegaly and cutaneous lymphatic lesions. Early diagnosis and appropriate surgical management can offer both symptomatic relief and definitive diagnostic confirmation in selected cases.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"5705755"},"PeriodicalIF":0.6,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104566","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":"Cranial Subdural Empyema Due to <i>Citrobacter koseri</i> in a 96-Year-Old Immunocompromised Patient: Case Report.","authors":"Milica Malesevic-Lepir, Mohamed M A Mohamed, Sali Binali, Alexander Piotrowski, Benjamin Voellger","doi":"10.1155/cris/8718830","DOIUrl":"https://doi.org/10.1155/cris/8718830","url":null,"abstract":"<p><p>Subdural empyema (SDE) is a life-threatening condition. Reports on SDE are scarce. We report the case of a 96-year-old immunocompromised patient on steroids for pemphigus who received repeat burrhole trephination and antibiotics to treat SDE. We identified <i>Citrobacter koseri</i> as the causative pathogen. Our patient made a good recovery at 2 months. We conclude that surgical treatment may yield a favorable outcome after cranial SDE, even in an elderly immunocompromised patient.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"8718830"},"PeriodicalIF":0.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104520","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":"Ileocecal Lipoma as a Lead Point for Adult Ileocolic Intussusception: A Diagnostic Challenge.","authors":"Sagar Kumar Jha, Shankar Kafle, Amit Kumar Thakur","doi":"10.1155/cris/4877273","DOIUrl":"https://doi.org/10.1155/cris/4877273","url":null,"abstract":"<p><p>Adult ileocolic intussusception caused by a giant ileocecal lipoma is an exceptionally rare cause of acute abdomen. We present the case of a 72-year-old male with ileocolic intussusception on CT scan who underwent manual reduction followed by definitive segmental resection with 2 cm margins. Histopathological examination revealed a large submucosal lipoma at the ileocecal junction acting as the lead point. This case highlights the importance of considering benign mesenchymal tumors in the differential diagnosis of acute abdomen in adults.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"4877273"},"PeriodicalIF":0.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149104561","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}