Case Reports in SurgeryPub Date : 2025-05-22eCollection Date: 2025-01-01DOI: 10.1155/cris/3027477
Ayman Shehadeh, Amer Mansoor, Jordan Bray, Waed Atallah, Jason Mikhail, Richard Spinale, Angad Pordal
{"title":"Fournier's Gangrene and Pneumothorax Secondary to Nontraumatic Duodenal Perforation.","authors":"Ayman Shehadeh, Amer Mansoor, Jordan Bray, Waed Atallah, Jason Mikhail, Richard Spinale, Angad Pordal","doi":"10.1155/cris/3027477","DOIUrl":"https://doi.org/10.1155/cris/3027477","url":null,"abstract":"<p><p>Peptic ulcer disease (PUD) results from erosion and ulceration of the upper digestive tract mucosa. Clinical presentations can vary from asymptomatic to severe complications such as perforation, strictures, or bleeding. Perforation can release enteric contents and gas into the abdomen, leading to intra-abdominal sepsis, requiring surgical intervention for source control and repair. We present a case of a 69-year-old male who developed both Fournier's gangrene and a right-sided pneumothorax secondary to a nontraumatic perforated duodenal ulcer. The patient underwent an emergent thoracostomy, laparotomy with Graham omentoplasty, and extensive debridement with successful outcome. While rare complications like pneumothorax and necrotizing soft tissue infections have been documented, their simultaneous occurrence from a nontraumatic ulcer perforation is unprecedented in literature. Previous reports suggest enteric contents can traverse retroperitoneal fascial planes and peritoneal defects to reach distant anatomical sites as a possible mechanism for these complications. This case highlights the potential for atypical presentations of PUD and the importance of comprehensive evaluation, early recognition, and prompt surgical intervention.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"3027477"},"PeriodicalIF":0.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180708","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}
Case Reports in SurgeryPub Date : 2025-05-20eCollection Date: 2025-01-01DOI: 10.1155/cris/9982214
Makai-Popa Silviu-Tiberiu, De Blasi Vito, Moga Marius Alexandru, Arru Luca, Goergen Martine, Azagra Juan Santiago
{"title":"Laparoscopic Pancreaticoduodenectomy After Roux-en-Y Gastric Bypass: Case Report and Literature Review.","authors":"Makai-Popa Silviu-Tiberiu, De Blasi Vito, Moga Marius Alexandru, Arru Luca, Goergen Martine, Azagra Juan Santiago","doi":"10.1155/cris/9982214","DOIUrl":"10.1155/cris/9982214","url":null,"abstract":"<p><p>This is a case report of an alternate laparoscopic reconstruction possibility in a patient that required a cephalic duodenopancreatectomy (DPC) who previously underwent a Roux-en-Y gastric bypass (RYGB). The question of what type of reconstruction is to be performed in such patients is thoroughly debated in this article.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"9982214"},"PeriodicalIF":0.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157106","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}
Case Reports in SurgeryPub Date : 2025-05-13eCollection Date: 2025-01-01DOI: 10.1155/cris/9915368
Aaron Womer, Vaibhav Duggal, Charles E Thompson
{"title":"Two Cases With Atypical Presentation of Intestinal Malrotation During Adulthood.","authors":"Aaron Womer, Vaibhav Duggal, Charles E Thompson","doi":"10.1155/cris/9915368","DOIUrl":"10.1155/cris/9915368","url":null,"abstract":"<p><p>Intestinal malrotation is often considered a disease of the newborn. It involves the failure of the 270° counterclockwise rotation of the midgut during embryonic development. Patients typically present with symptoms such as bilious vomiting and can further be diagnosed through imaging. The complications of intestinal malrotation include midgut volvulus which can cause ischemia of the intestine. In order to prevent this feared complication and treat malrotation, the four-step Ladd's procedure was developed. Proficiency of the procedure is more common among pediatric surgeons due to the higher incidence rate of malrotation; however, it can occur at any age. Adult presentations are reported to account for only 0.2%-0.5% of all cases of intestinal malrotation. Due to that, adult general surgeons are less likely to encounter the pathology and need to perform a Ladd's procedure. However, with the consequences being so dire, the ability to perform Ladd's procedure remains important in all general surgeons. In this report, we present two cases of intestinal malrotation in adults managed with Ladd's procedure and emphasize the importance with familiarity of both the pathology and procedure.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"9915368"},"PeriodicalIF":0.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109982","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}
Case Reports in SurgeryPub Date : 2025-05-11eCollection Date: 2025-01-01DOI: 10.1155/cris/5599829
Mohamadhusni Zarli, Joao G Porto, Ruben Blachman-Braun, Hemendra N Shah
{"title":"Transurethral Treatment of a Seminal Vesicle Cyst With Lithiasis: Case Report.","authors":"Mohamadhusni Zarli, Joao G Porto, Ruben Blachman-Braun, Hemendra N Shah","doi":"10.1155/cris/5599829","DOIUrl":"10.1155/cris/5599829","url":null,"abstract":"<p><p>Seminal vesicle cyst (SVC) is a rare condition that can arise from congenital or acquired causes. In this report, we describe the case of a 33-year-old male who was incidentally discovered to have SVC and seminal vesicle stones following complaints of abdominal pain. He presented to the emergency department with these symptoms, which prompted further investigation and diagnosis. Computerized tomography (CT) scan revealed diverticulitis and a fluid attenuation lesion within the right aspect of the prostate gland. He was referred to urology, and further evaluation showed a right SVC of 1.8 × 1.5 × 1.5 cm on magnetic resonance imaging (MRI). The patient underwent endoscopic drainage of the SVC via transurethral seminal vesiculoscopy (TRU-SVS) and holmium laser incision. Three stones ranging from 2 to 4 mm were identified and removed with N-gage basket from the seminal vesicle resulting in successful removal of the stones and restoration of the ejaculatory duct's patency. Follow-up visits showed resolution of pain and an improvement in semen volume. This case report highlights the importance of considering SVC as a differential diagnosis in male patients presenting with such symptoms. TRU-SVS is a feasible and effective treatment option for SVC and associated seminal vesicle stones.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"5599829"},"PeriodicalIF":0.6,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101473","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}
Case Reports in SurgeryPub Date : 2025-04-30eCollection Date: 2025-01-01DOI: 10.1155/cris/1929050
Alhasan H Alhebshi, Ammar Kabbarah, Murad Aljiffry
{"title":"Large Mesenchymal Hepatic Hamartoma in Pediatric Age: A Case Report.","authors":"Alhasan H Alhebshi, Ammar Kabbarah, Murad Aljiffry","doi":"10.1155/cris/1929050","DOIUrl":"https://doi.org/10.1155/cris/1929050","url":null,"abstract":"<p><p>Benign liver tumors are infrequently observed in the pediatric age group, with an incidence reported at 0.7 per million population annually. Among these tumors, mesenchymal hamartoma constitutes 18%-29%. Imaging studies commonly reveal a well-marginated, solitary mass, often measuring up to 30 cm. The mass, primarily located in the right liver lobe (75% of cases), may exhibit a pedunculated structure. We present a case of a 1-year-and-9-month-old boy diagnosed with hepatic mesenchymal hamartoma. A contrast-enhanced computed tomography of the abdomen and magnetic resonance imaging (MRI) were performed and demonstrated a large multiloculated septated liver lesion measuring approximately 13.6 × 17.7 cm, demonstrating multiple partially thickened internal septations. The procedure was done for the patient in the form of an extended right hepatectomy with segment 4A and cholecystectomy.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"1929050"},"PeriodicalIF":0.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143954731","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":"Radiation-Induced Fibrosarcoma in the Stoma: A Case Report and Literature Review.","authors":"Zhao Li, Liang Fang, Liang Lv, Xinjia He, Wenqiang Luo, Dong Guo, Zhen Liu","doi":"10.1155/cris/5313214","DOIUrl":"https://doi.org/10.1155/cris/5313214","url":null,"abstract":"<p><p>Fibrosarcoma is a rare malignant neoplasm consisting of fibroblasts with a large variety of collagen production. They usually involve deep soft tissues in extremities and trunk. However, fibrosarcoma can be seen in fields that received previous irradiation. Here, we report a case of parastomal fibrosarcoma after laparoscope-assisted extra-levator abdominal perineal resection (ELAPE) and colostomy. Prior to surgery, the patient underwent neoadjuvant chemoradiotherapy. The patient received extensive stomal lumpectomy and stoma reconstruction. The patient is free of local or distal recurrence for 1 year and died 4 years after diagnosis.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"5313214"},"PeriodicalIF":0.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979021","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}
Case Reports in SurgeryPub Date : 2025-04-21eCollection Date: 2025-01-01DOI: 10.1155/cris/5595521
She's Magnolia C Ycong, Hannah Lois R Kangleon-Tan, Kristoff Armand E Tan
{"title":"Primary Neuroendocrine Tumor of the Breast: A Rare Case.","authors":"She's Magnolia C Ycong, Hannah Lois R Kangleon-Tan, Kristoff Armand E Tan","doi":"10.1155/cris/5595521","DOIUrl":"https://doi.org/10.1155/cris/5595521","url":null,"abstract":"<p><p>Primary neuroendocrine tumors (NETs) predominantly affect postmenopausal women. This case study focused on a 54-year-old woman who presented with a painless right breast lump. While the lump exhibited estrogen and progesterone receptor (PR) positivity, it lacked human epidermal growth factor receptor 2 expression. Further evaluation revealed positivity for the neuroendocrine markers chromogranin A (CGA) and synaptophysin (SYN). It also revealed a 3% positive Ki-67 proliferation index. Treatment for neuroendocrine breast cancer (NEBC) mirrors that of standard invasive breast cancer: breast conservation or mastectomy combined with sentinel lymph node biopsy or axillary dissection. The patient underwent a right mastectomy with sentinel lymph node biopsy, followed by hormonal therapy based on her tumor's immunohistochemical profile. Due to the low incidence and limited research on primary NETs, their exact origin remains shrouded in mystery. Accurate diagnosis, specific treatment options, and long-term prognosis remain significant challenges in managing this rare form of breast cancer.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"5595521"},"PeriodicalIF":0.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981796","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}
Case Reports in SurgeryPub Date : 2025-04-19eCollection Date: 2025-01-01DOI: 10.1155/cris/9162938
William Abel, Christopher J Peterson, David P Lebel, Douglas J Grider
{"title":"Primary Mesenteric Well-Differentiated Inflammatory Liposarcoma With Mucosal Extension: A Lesion With High Risk for Misdiagnosis.","authors":"William Abel, Christopher J Peterson, David P Lebel, Douglas J Grider","doi":"10.1155/cris/9162938","DOIUrl":"https://doi.org/10.1155/cris/9162938","url":null,"abstract":"<p><p>Well-differentiated liposarcomas are common retroperitoneal lesions, but exceedingly rare when primary to the small bowel mesentery, with only a handful of cases reported in the literature. Presented is a patient with a primary mesenteric well-differentiated inflammatory liposarcoma with mucosal extension at high risk for misdiagnosis. A broad differential diagnosis with careful histopathologic observation, ancillary immunohistochemical studies, and fluorescent in situ hybridization for MDM2 amplification are key to make a correct diagnosis. This is especially true if such a lesion was first noted in the lamina propria on histopathology from an endoscopic mucosal biopsy.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"9162938"},"PeriodicalIF":0.6,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12033056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984375","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}
Case Reports in SurgeryPub Date : 2025-04-17eCollection Date: 2025-01-01DOI: 10.1155/cris/9531608
Paschalis Gavriilidis, Pantelis Xanthakos
{"title":"Ascending Colon Volvulus: The Enigma of Double Gastric Bubble.","authors":"Paschalis Gavriilidis, Pantelis Xanthakos","doi":"10.1155/cris/9531608","DOIUrl":"https://doi.org/10.1155/cris/9531608","url":null,"abstract":"<p><p><b>Introduction:</b> Volvulus of the caecum, ascending colon and first third of the transverse colon is a very rare surgical emergency. Timely diagnosis and intervention can avert serious complications. <b>Case Report:</b> A 54-year-old woman presented to the emergency department with colicky epigastric pain radiating to the left iliac fossa that lasted for 12 h. Vital signs were stable upon arrival at the hospital. Physical examination revealed that left abdomen and suprapubic fullness and bowel sounds were recorded, and rebound tests were negative. Laboratory results were neutrophils: 78% (35%-72%), lymphocytes: 16% (20%-45%), HB: 11 g/dL (12-16), HCT: 33% (36%-48%); all the rest were normal. Furthermore, computed tomography revealed a distended close of the large bowel extending from the left hypochondrium to the left iliac fossa. During explorative laparotomy, volvulus of the first third of the transverse, ascending colon and caecum was detected. Because the viability of the bowel wall was compromised, right extended hemicolectomy was performed with consequent ileotransverse anastomosis. The postoperative period was uneventful, and the patient was discharged on the fourth postoperative day. <b>Conclusions:</b> Expeditious diagnosis and early intervention of very rare surgical emergencies such as ascending colon volvulus may avert disastrous complications.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"9531608"},"PeriodicalIF":0.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964356","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":"Candida Parapsilosis: a Rare Culprit of Shunt Infection in an Adult.","authors":"Ersin Ikizoglu, Mert Arslan, Irmak Guzel, Ceren Kizmazoglu, Vildan Avkan Oguz, Burak Sade","doi":"10.1155/cris/6687581","DOIUrl":"https://doi.org/10.1155/cris/6687581","url":null,"abstract":"<p><p><i>Candida parapsilosis</i> is an exceedingly rare cause of ventriculoperitoneal (VP) shunt infection, even in patients who have a history of long-term antibiotic use, immune-compromised newborns, and intensive care unit patients. We hereby report a case of a 53-year-old male who presented with subarachnoid hemorrhage and had a complicated postoperative course due to <i>C. parapsilosis</i> infection, and we discuss the pertinent clinical aspects.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2025 ","pages":"6687581"},"PeriodicalIF":0.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960158","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}