Case Reports in SurgeryPub Date : 2026-06-19eCollection Date: 2026-01-01DOI: 10.1155/cris/1140740
Rashad Sholan, Rufat Aliyev, Seymur Karimov
{"title":"Preserving Fertility After Bilateral Testicular Gunshot Injury: A Case Report.","authors":"Rashad Sholan, Rufat Aliyev, Seymur Karimov","doi":"10.1155/cris/1140740","DOIUrl":"10.1155/cris/1140740","url":null,"abstract":"<p><p>Penetrating scrotal trauma from gunshot injuries is rare but can severely impact fertility and endocrine function. We report a 32-year-old male with bilateral testicular injury managed with left partial orchiectomy and right testicular repair. Viable tissue was preserved without grafts, and perfusion was confirmed intraoperatively. Postoperative recovery was uneventful, with Doppler ultrasonography showing bilateral viability. Initial severe asthenozoospermia improved markedly over 2 years. This case underscores the potential for testicular salvage and fertility preservation in severe bilateral injuries, highlighting the value of prompt, tailored surgical intervention.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"1140740"},"PeriodicalIF":0.6,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148293495","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 : 2026-06-18eCollection Date: 2026-01-01DOI: 10.1155/cris/6391145
Emily C Scheffel, Lauryn A Ridley, Gabriel A Ramos, Jack Guiry, Beatriz Da Cruz Alves, Adanna C Akujuo
{"title":"Successful, Concurrent Cesarean Section and Type A Aortic Dissection Repair in a Patient With Marfan Syndrome and Sickle Cell Trait.","authors":"Emily C Scheffel, Lauryn A Ridley, Gabriel A Ramos, Jack Guiry, Beatriz Da Cruz Alves, Adanna C Akujuo","doi":"10.1155/cris/6391145","DOIUrl":"10.1155/cris/6391145","url":null,"abstract":"<p><p>We present a 23-year-old at 35 weeks' gestation with Marfan syndrome (MFS) and sickle cell trait (SCT) with acute Type A aortic dissection (TAAD) requiring concurrent cesarean delivery and aortic repair. Delivery, hemi-arch aortic replacement, and coronary reconstruction were successfully performed. Despite intraoperative complexity and postoperative complications, the patient was managed with fewer ischemic complications compared to previous cases of coincident SCT and aortic repair. This case demonstrates critical principles for managing cardiothoracic emergencies in pregnancy with high-risk conditions. It emphasizes multidisciplinary care and cardiopulmonary bypass (CPB) techniques for optimization of SCT and maternal-fetal outcomes in aortopathies.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"6391145"},"PeriodicalIF":0.6,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13277770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148293485","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 : 2026-06-17eCollection Date: 2026-01-01DOI: 10.1155/cris/9926848
Mohamad Behzadi, Nazanin Anaraki, Javad Salimi
{"title":"A Case Report of a Mature Omental Teratoma: Insights Into Extragonadal Teratoma Formation and Management.","authors":"Mohamad Behzadi, Nazanin Anaraki, Javad Salimi","doi":"10.1155/cris/9926848","DOIUrl":"10.1155/cris/9926848","url":null,"abstract":"<p><p>Teratomas are germ cell tumors, with ovarian teratomas being the most common type. However, extragonadal teratomas are extremely rare. Omental teratomas are the most common type of extragonadal teratomas. Most patients with omental teratomas are asymptomatic, making preoperative diagnosis challenging. Imaging studies, such as CT scans, can provide valuable information, but a definitive diagnosis requires histopathological examination. In this case, a 65-year-old Iranian woman presented with mild abdominal pain and a normal physical examination. A preoperative abdominopelvic CT scan revealed a calcified pelvic mass with fat components, suggesting a connection to the right fallopian tube. However, during surgery, the mass was found to be in the greater omentum, with no adnexal involvement. Histopathological examination confirmed a mature teratoma. Treatment for mature teratomas typically involves surgical excision, which was successfully performed in this case, resulting in a smooth postoperative recovery.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"9926848"},"PeriodicalIF":0.6,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13273390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276101","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 : 2026-06-16eCollection Date: 2026-01-01DOI: 10.1155/cris/6854083
Amirhassan Rabbani, Hesameddin Eghlimi, Mina Khoshkbar Foroushan, Mahmoud Amiri
{"title":"Rare Vascular Sarcoma Treated With Ex Vivo Liver Surgery: A Case of IVC Leiomyosarcoma.","authors":"Amirhassan Rabbani, Hesameddin Eghlimi, Mina Khoshkbar Foroushan, Mahmoud Amiri","doi":"10.1155/cris/6854083","DOIUrl":"10.1155/cris/6854083","url":null,"abstract":"<p><p>We report a case of leiomyosarcoma of the inferior vena cava (IVC) treated with liver resection, autotransplantation, and IVC reconstruction using a Dacron graft. A 47-year-old female presented with mild to moderate lower extremity edema and weakness. Physical examination revealed no abdominal or pelvic abnormalities. However, further evaluation confirmed a tumor in the suprarenal IVC, extending to the hepatic veins, with thrombus formation in the suprahepatic IVC. During surgery, the tumor was confirmed to originate from the IVC. Given its proximity to the hepatic veins, an ex vivo liver resection and autotransplantation (ELRA) were performed, followed by IVC reconstruction using a Dacron graft via the piggyback technique. The patient experienced no postoperative complications. Although liver resection and autotransplantation are considered extremely aggressive procedures, they can be viable options in cases where complete surgical resection is not feasible using standard techniques.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"6854083"},"PeriodicalIF":0.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13270409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270562","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 : 2026-06-15eCollection Date: 2026-01-01DOI: 10.1155/cris/2579487
Alejandro O Chara, Vikas S Gupta, Jiancong Liang, Scott C Borinstein, Daniel J Benedetti, Julia Shelton
{"title":"Synchronous Ectopic Adrenal Rhabdomyosarcoma and Ipsilateral Cystic Nephroma Revealing a Diagnosis of DICER1-Related Tumor Predisposition: A Case Report.","authors":"Alejandro O Chara, Vikas S Gupta, Jiancong Liang, Scott C Borinstein, Daniel J Benedetti, Julia Shelton","doi":"10.1155/cris/2579487","DOIUrl":"10.1155/cris/2579487","url":null,"abstract":"<p><p>DICER1-related tumor predisposition (DRTP) results from loss-of-function germline variants that predispose patients to numerous benign and malignant tumors. Cystic nephromas are among the most common neoplasms in patients with DRTP; however, there are no reports of rhabdomyosarcoma from adrenal tissue in children with DRTP. We present a case of a 30-month-old child with simultaneous cystic nephroma and rhabdomyosarcoma from ectopic adrenal tissue. He initially presented with chronic abdominal pain and poor weight gain. CT imaging demonstrated a large mass extending from the left kidney as well as an adjacent smaller mass in the retroperitoneum. Routine laboratory tests and tumor markers were unremarkable. He underwent an open left radical nephroureterectomy with excision of the midline retroperitoneal mass and lymph node dissection of the retrocaval and paraaortic basins. Pathologic examination revealed the larger mass to be a cystic nephroma, while the smaller mass was found to be embryonal rhabdomyosarcoma arising from ectopic adrenal tissue. Genetic testing of the rhabdomyosarcoma revealed a pathogenic c.4102dup (p.R1368fs) germline frameshift variant and a second c.5425G > A (p.G1809R) somatic missense variant in <i>DICER1</i>, as well as a somatic variant in BCOR. With this report, we advocate for further investigation of DICER1-associated rhabdomyosarcoma to improve management of this rare presentation.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"2579487"},"PeriodicalIF":0.6,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270504","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 : 2026-06-12eCollection Date: 2026-01-01DOI: 10.1155/cris/2954221
Noah S Brown, Drew Ferguson, Marshall Baker, Courtney L Scaife
{"title":"Beyond the Expected: A Case-Based Exploration and Literature Review on the Rare Evolution of Pseudomyxoma Peritonei From a Side-Branch Intraductal Papillary Mucinous Neoplasm.","authors":"Noah S Brown, Drew Ferguson, Marshall Baker, Courtney L Scaife","doi":"10.1155/cris/2954221","DOIUrl":"10.1155/cris/2954221","url":null,"abstract":"<p><strong>Objectives: </strong>We present a case of a ruptured side-branch intraductal papillary mucinous neoplasm (IPMN) who was found to have pseudomyxoma peritonei (PMP) with a deposit of acellular mucin in the pelvis.</p><p><strong>Case presentation: </strong>The patient is a 65-year-old female who initially presented to care with intermittent right upper quadrant pain and fullness. Preoperative imaging demonstrated a large cystic mass in the pancreatic tail, and, therefore, she was taken to the operating room for a distal pancreatectomy and splenectomy. Intraoperatively, she was found to have two distinct deposits of acellular mucin. Both deposits were nonadherent to the surrounding tissue and removed.</p><p><strong>Results: </strong>The patient recovered postoperatively without incident. She will be surveilled postoperatively with serial computed tomography.</p><p><strong>Conclusion: </strong>PMP arising from an IPMN of the pancreas is a rare and potentially devastating complication of the disease. Given the complexity of these cases, a multidisciplinary discussion for ongoing management is essential, and these cases are best managed at centers with significant experience in the management of PMP from other sources.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"2954221"},"PeriodicalIF":0.6,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148249191","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":"Spontaneous Expulsion of Rectally Inserted Tramadol Ampoules: An Unusual Case Report of Drug Concealment and Delayed Disclosure.","authors":"Ashish Sapkota, Priyanka Regmi, Ajay Kumar Yadav, Rajani Giri","doi":"10.1155/cris/5630002","DOIUrl":"10.1155/cris/5630002","url":null,"abstract":"<p><p>Concealment of illicit drug ampoules is an unusual clinical scenario, posing diagnostic and management challenges due to delayed disclosure, drug leakage risk, and retrieval difficulties. We present the case of a 28-year-old male, an intravenous drug user, brought from police custody with complaints of per rectal pain. After initial denial, he admitted to rectal insertion of six tramadol ampoules. Clinical examination and imaging confirmed the presence of foreign bodies in the rectum. While surgical removal was planned, spontaneous expulsion occurred without complications, as verified by postoperative imaging. This case underscores the importance of early suspicion, detailed history-taking, and prompt imaging in suspected rectal foreign bodies. In stable patients, conservative management with laxatives may allow safe natural expulsion, reducing the need for invasive intervention, as in this case; however, this should be seen as a positive outcome rather than a recommended management approach, especially in cases involving fragile drug-containing ampoules.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"5630002"},"PeriodicalIF":0.6,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13250625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148223417","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 : 2026-06-10eCollection Date: 2026-01-01DOI: 10.1155/cris/7226955
Anil Kumar
{"title":"Anterior Horseshoe Anal Fistula Treated With IFTAK (Interception of Fistulous Track With Application of Ksharasutra) Technique: A Case Study.","authors":"Anil Kumar","doi":"10.1155/cris/7226955","DOIUrl":"10.1155/cris/7226955","url":null,"abstract":"<p><p>Anterior horseshoe anal fistula is a challenging variant of complex anorectal infections. Classical surgeries, including ksharasutra therapy in these cases may result in extensive postsurgical scarring and anal incontinence. On the other hand, interception of fistulous track with application of ksharasutra (IFTAK) technique has emerged as a novel way of managing anal fistulas because of its nature of minimal invasiveness, ability to cut and heal tissues with controlled fibrosis, and continence preservation. Here, we explain a detailed case study of a 40-year-old gentleman who presented with a recurrent anterior horseshoe fistula effectively managed with IFTAK. The digital rectal examination (DRE), proctoscopy, methylene blue test, and probing were done to delineate tracts and confirm the diagnosis. Fistula healed completely and showed no recurrence at 8 months of follow-up. Compared to traditional methods, the technique results in a shorter hospital stay and a shorter treatment duration.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"7226955"},"PeriodicalIF":0.6,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13250835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148223378","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 : 2026-06-09eCollection Date: 2026-01-01DOI: 10.1155/cris/7884178
Moonjin Kim
{"title":"Pedunculated Extraluminal Gastrointestinal Stromal Tumor of Stomach: A Rare Case Report in South Korea.","authors":"Moonjin Kim","doi":"10.1155/cris/7884178","DOIUrl":"10.1155/cris/7884178","url":null,"abstract":"<p><p>Gastrointestinal stromal tumors (GISTs) are known to arise from any of the five layers of the gastric wall, most commonly from the muscularis propria. Extraluminal gastric GISTs account for approximately 8% of cases and are relatively rare, with pedunculated forms being scarcely reported in South Korea. A 25-year-old man presented to our hospital with an incidental left upper quadrant (LUQ) mass adjacent to the stomach on a screening computed tomography (CT) scan. He had no symptoms and no suspicious findings on gastrointestinal endoscopy. Laparoscopic excision was performed, revealing an 8 cm × 7 cm mass connected to the posterior gastric serosa. Immunohistochemical staining confirmed the diagnosis of GIST. We report this case as an extremely rare presentation of a gastric GIST presenting as a pedunculated mass connected to the outer serosal surface, underscoring the diagnostic challenges associated with such atypical presentations.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"7884178"},"PeriodicalIF":0.6,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216549","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 : 2026-06-08eCollection Date: 2026-01-01DOI: 10.1155/cris/5863091
Molly E Milano, Alec M Giakas, Eric Tecce, Jonathan Dalton, I David Kaye
{"title":"Spinal Epidural Abscess Complicated by Compressive Myelopathy and Secondary Cord Ischemia: A Case Report.","authors":"Molly E Milano, Alec M Giakas, Eric Tecce, Jonathan Dalton, I David Kaye","doi":"10.1155/cris/5863091","DOIUrl":"10.1155/cris/5863091","url":null,"abstract":"<p><p>Spinal cord infarction (SCI) is an uncommon condition with a generally poor prognosis for neurologic recovery. There are numerous possible causes for SCI, yet frequently the etiology is not fully elucidated. Literature regarding SCI is sparse, with no conclusive algorithmic strategies for diagnosis and treatment. This case report describes the hospital course of a male in his seventh decade of life who presented to our emergency department with acute onset of bilateral lower extremity paralysis and intense lower back pain due to an SCI at the T4 spinal level.</p>","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"5863091"},"PeriodicalIF":0.6,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210179","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}