Case Reports in Surgery最新文献_第8页

Achilles Allograft Reconstruction for Ankle Multiligament Injuries in a Patient Presenting With Rotational Ankle Instability: A Surgical Technique. 跟腱同种异体移植重建踝关节多韧带损伤患者踝关节旋转不稳定：一种外科技术。

IF 0.6

Case Reports in Surgery Pub Date : 2026-06-02 eCollection Date: 2026-01-01 DOI: 10.1155/cris/9959031

Morteza Gholipour, Amirhossein Salmannezhad, Fatemeh Abbasi

{"title":"Achilles Allograft Reconstruction for Ankle Multiligament Injuries in a Patient Presenting With Rotational Ankle Instability: A Surgical Technique.","authors":"Morteza Gholipour, Amirhossein Salmannezhad, Fatemeh Abbasi","doi":"10.1155/cris/9959031","DOIUrl":"10.1155/cris/9959031","url":null,"abstract":"The ankle comprises two main ligamentous complexes: the medial and lateral complex. In cases of chronic ankle instability following a sprain involving both complexes, rotational ankle instability can develop. We introduce a 25-year-old male with rotational ankle instability who reported having 20 episodes of \"giving away\" over the 6 months following an ankle sprain. Due to persistent instability, the patient was deemed a candidate for surgical reconstruction. An Achilles tendon allograft was utilized to reconstruct four ligaments-two from the lateral complex (the anterior talofibular ligament [ATFL] and calcaneofibular ligament [CFL]) and two from the medial complex (the tibiocalcaneal ligament and anterior tibiotalar ligament, components of the deltoid ligament). At the final follow-up, the patient's American Orthopedic Foot and Ankle Society (AOFAS) score was 89, the pain level was rated at 2 on the visual analog scale (VAS), and there was no significant restriction in the range of motion. While arthroscopic repair is the preferred option, an open surgical approach was chosen to adequately address all the ligamentous injuries, as the patient had two complete ruptures in addition to two partial tears.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"9959031"},"PeriodicalIF":0.6,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148197353","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

Resection of Diffuse Leiomyomas Related to Morcellation: A Rare Case Report. 切除与碎裂有关的弥漫性平滑肌瘤一例罕见报告。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-30 eCollection Date: 2026-01-01 DOI: 10.1155/cris/1629800

Sri Snehita Reddy Bonthu, Anish Jomy, William R Salter, D Rohan Jeyarajah

引用次数: 0

Incidentally Identified Pneumatosis Cystoides Intestinalis in Patients With Gastric Outlet Obstruction From Addis Ababa, Ethiopia: A Case Report. 埃塞俄比亚亚的斯亚贝巴胃出口梗阻患者偶然发现的肠囊性肺肿一例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-30 eCollection Date: 2026-01-01 DOI: 10.1155/cris/9963907

Megersa Regassa, Terefe Meshesha, Kaleb Assefa Berhane, Meron Zeleke

{"title":"Incidentally Identified Pneumatosis Cystoides Intestinalis in Patients With Gastric Outlet Obstruction From Addis Ababa, Ethiopia: A Case Report.","authors":"Megersa Regassa, Terefe Meshesha, Kaleb Assefa Berhane, Meron Zeleke","doi":"10.1155/cris/9963907","DOIUrl":"10.1155/cris/9963907","url":null,"abstract":"Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by the presence of multiple gas-filled cysts within the submucosal or subserosal layers of the intestinal wall. Although often asymptomatic and detected incidentally, PCI may be associated with significant underlying gastrointestinal or systemic pathology. We report two young adults from Addis Ababa, Ethiopia, who presented with long-standing upper gastrointestinal symptoms, including early satiety, postprandial epigastric pain, reflux, vomiting, and marked weight loss. Clinical, laboratory, and endoscopic evaluations confirmed gastric outlet obstruction (GOO) secondary to chronic duodenal stenosis. Both patients underwent retrocolic gastrojejunostomy with truncal vagotomy and Braun's anastomosis. During surgery, multiple gas-filled cystic lesions consistent with PCI were incidentally identified on the serosal surface of the small intestine. There were no signs of bowel ischemia, perforation, or peritonitis. No bowel resection was performed, and PCI was managed conservatively. Postoperative recovery was uneventful in both cases, with complete symptom resolution and significant weight gain at follow-up. These cases emphasize that PCI may occur secondary to chronic mucosal disruption and increased intraluminal pressure in GOO. Recognition of PCI in this clinical context is essential to guide appropriate management. When incidentally detected in the absence of complications, PCI does not warrant specific surgical intervention. Management should instead focus on addressing the underlying pathology to avoid unnecessary bowel resection.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"9963907"},"PeriodicalIF":0.6,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148197300","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

Spontaneous Entero-Scrotal Fistula: A Rare Complication of Inguinal Hernia in a Developed Country-A Case Report. 自发性肠-阴囊瘘：发达国家腹股沟疝的一种罕见并发症——一例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-30 eCollection Date: 2026-01-01 DOI: 10.1155/cris/9362137

Immanuella Owusu-Ansa, Femi E Ayeni, Daniel Vagg, Senarath Edirimanne

{"title":"Spontaneous Entero-Scrotal Fistula: A Rare Complication of Inguinal Hernia in a Developed Country-A Case Report.","authors":"Immanuella Owusu-Ansa, Femi E Ayeni, Daniel Vagg, Senarath Edirimanne","doi":"10.1155/cris/9362137","DOIUrl":"10.1155/cris/9362137","url":null,"abstract":"Introduction and importance: Entero-scrotal fistula is an exceptionally rare and severe complication of inguinal hernias in adults. We present the first reported Australian case, highlighting the unique diagnostic challenges of Richter-type hernias, particularly in socially isolated patients, where presentation is often delayed.Case presentation: A 71-year-old male with a history of hypertension and chronic alcohol disorder was transferred from a group home with sepsis and a necrotic scrotal ulcer. Computed tomography confirmed a right inguinal hernia with an enterocutaneous fistula originating from the terminal ileum. Intraoperative findings revealed a Richter's hernia with the antimesenteric wall of the terminal ileum incarcerated within the deep inguinal ring, leading to a spontaneous fistula through the scrotal wall. Management involved an ileocecal resection with side-to-side anastomosis and debridement of necrotic scrotal tissue. Due to gross fecal contamination, a primary tissue repair was performed rather than mesh placement.Clinical discussion: Spontaneous fistulization typically results from prolonged incarceration. In this case, the Richter-type hernia allowed for intermittent bowel patency, which masked typical obstructive symptoms and delayed surgical intervention. In the setting of gross contamination (Type IV), primary suture repair-such as the \"Nylon Darn\" technique-is preferred over synthetic mesh to prevent prosthetic infection and chronic wound complications.Conclusion: This case underscores the importance of considering socioeconomic factors and atypical hernia types in surgical delays. In contaminated fields, primary tissue repair remains the gold standard to ensure a safe recovery and optimal patient outcomes.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"9362137"},"PeriodicalIF":0.6,"publicationDate":"2026-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13240459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148197298","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

Rare Presentation of Sinonasal Synovial Sarcoma With Frontal Sinus and Limited Intracranial Extension Associated With Probable Paraneoplastic Vasculitis: A Case Report. 罕见的鼻窦滑膜肉瘤伴额窦及有限的颅内扩张伴可能的副肿瘤血管炎1例报告。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-29 eCollection Date: 2026-01-01 DOI: 10.1155/cris/8837721

Afnan W M Jobran, Ibrahim Alzatari, Yazan Abugharbieh, Mohammed Abdulrazzak, Hasan Arafat

{"title":"Rare Presentation of Sinonasal Synovial Sarcoma With Frontal Sinus and Limited Intracranial Extension Associated With Probable Paraneoplastic Vasculitis: A Case Report.","authors":"Afnan W M Jobran, Ibrahim Alzatari, Yazan Abugharbieh, Mohammed Abdulrazzak, Hasan Arafat","doi":"10.1155/cris/8837721","DOIUrl":"10.1155/cris/8837721","url":null,"abstract":"Synovial sarcoma is a high-grade soft-tissue sarcoma that commonly affects adolescents and young adults. Involvement of the head and neck region is rare, and tumors arising from the sinonasal tract are particularly uncommon and diagnostically challenging. We report the case of a 38-year-old male who presented with head trauma and decreased consciousness following a transient neurological episode while driving. Brain computed tomography revealed a lesion involving the left anterior ethmoidal air cells with associated old cerebral infarctions. Further magnetic resonance imaging demonstrated an aggressive enhancing sinonasal mass with limited intracranial extension, associated with radiologic findings suggestive of vasculitis and acute-on-chronic ischemic insults. Histopathological evaluation showed a spindle-cell neoplasm considered most consistent with synovial sarcoma based on morphology and available immunohistochemical findings. The patient was started on neoadjuvant chemotherapy, after which the vasculitic findings showed regression, suggesting a probable paraneoplastic vasculitic association. Due to the complex anatomical location and local extension of the tumor, complete surgical resection was not initially feasible. Planned management included combined chemoradiotherapy with consideration of future surgical intervention. This case highlights the diagnostic and therapeutic challenges of sinonasal synovial sarcoma and emphasizes the importance of multidisciplinary evaluation, particularly in cases associated with unusual vasculitic and ischemic manifestations.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"8837721"},"PeriodicalIF":0.6,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148197310","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

Malignant Phyllodes Tumor in Adolescent Females: A Report of Three Cases and Review of the Literature. 青春期女性恶性叶状瘤3例报告并文献复习。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-25 eCollection Date: 2026-01-01 DOI: 10.1155/cris/5578363

James Yahaya J, Gift Bunyata S, Emmanuel Morgan D, Tonny Okecha, Emmanuel Othieno

{"title":"Malignant Phyllodes Tumor in Adolescent Females: A Report of Three Cases and Review of the Literature.","authors":"James Yahaya J, Gift Bunyata S, Emmanuel Morgan D, Tonny Okecha, Emmanuel Othieno","doi":"10.1155/cris/5578363","DOIUrl":"10.1155/cris/5578363","url":null,"abstract":"Malignant phyllodes tumors (MPTs) are quite a rare type of mesenchymal breast cancer that can mimic benign lesions such as fibroadenomas histologically and radiologically. They account for less than 1% of all breast cancers, and they usually occur commonly in younger and middle-aged women. We report three cases of MPT with ages ranging between 15 and 20 years from the Eastern region of Uganda that were obtained consecutively at our institution for the period of 3 years (from 2023 to 2025). Case 1 was a 15-year-old female with 2 months history of a left breast mass that was painful, rapidly growing, and associated with ulceration; it was confirmed histologically to be MPT and was treated successfully with ifosfamide 390 mg, doxorubicin 48 mg, and dexamethasone 8 mg. Case 2 was a 19-year-old female with 6-month history of a right breast mass that was associated with pain and tenderness, and the mass was confirmed histologically to be MPT though she died before the initiation of treatment. Case 3 was a 20-year-old female with 3-month history of a left breast mass that was associated with intermittent pains. She also had a positive family history of breast cancer. Her mass in the breast was confirmed histologically to be MPT and she was also treated with ifosfamide 390 mg, doxorubicin 48 mg, and dexamethasone 8 mg. All three cases tested positive for vimentin, but case 2 also showed focally positive SMA, but all of them were triple negative with Ki67 expression ranging from 20% to 35%. MPTs are rare and are more likely to recur, and they tend to have rapid growth and metastasis. Timely and proper management of patients with MPT helps to prevent possibilities of metastasis and improve the prognosis of the patients.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"5578363"},"PeriodicalIF":0.6,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13200617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148027314","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

Surgical Management of Recurrent Gastrojejunocolic Fistula With Gastric Antrectomy and Bilateral Vagotomy. 胃前切除术及双侧迷走神经切开术治疗复发性胃空肠结肠瘘。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-21 eCollection Date: 2026-01-01 DOI: 10.1155/cris/5078444

Giancarlo Sticca, Michel Morin, Madeleine Poirier, Lucas Sideris, Yves Bendavid

{"title":"Surgical Management of Recurrent Gastrojejunocolic Fistula With Gastric Antrectomy and Bilateral Vagotomy.","authors":"Giancarlo Sticca, Michel Morin, Madeleine Poirier, Lucas Sideris, Yves Bendavid","doi":"10.1155/cris/5078444","DOIUrl":"10.1155/cris/5078444","url":null,"abstract":"Background: Gastrojejunocolic fistulas (GJCFs) are rare complications following gastrojejunostomy and Roux-en-Y procedures, most often in the context of peptic ulcer disease.Case report: A 42-year-old woman, with a history of cocaine addiction, underwent an gastrojejunostomy, a transgastric closure of the gastric pylorus, and a Graham patch for a perforated duodenal ulcer. She then presented with a dehisced gastrojejunal anastomosis. Resection of the dehisced anastomosis and Roux-en-Y reconstruction was performed. Eight months later, the patient returned to the hospital with a GJCF. A one-stage en-bloc GJCF resection with redo Roux-en-Y was performed. Six months later, a scan demonstrated a recurrent GJCF. Antrectomy and bilateral truncal vagotomy were performed to avoid recurrent gastric acid secretion. Resection of the dehisced gastrojejunal anastomosis and the segment of fistulized transverse colon was performed. A third Roux-en-Y reconstruction was fashioned. The patient evolved well and showed no signs of recurrent disease.Discussion: The cornerstone treatment of GJCF is the administration of parenteral nutrition, followed by a single-stage en-bloc procedure. Some factors that can contribute to recurrent GJCF are retained gastric antrum syndrome, incomplete vagotomy, and noncompliance with oral antacid therapy. Despite the significant leaps in the medical management of peptic ulcer disease in recent years, surgical strategies that reduce excess gastric acid secretion should be considered in select cases.Conclusion: This case highlights that gastric antrectomy and bilateral vagotomy have not been rendered obsolete in the 21st century, particularly in patients who cannot be compliant with oral proton pump inhibitors.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"5078444"},"PeriodicalIF":0.6,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13191761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148013800","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

Late Visceral Herniation Secondary to Traumatic Left Hemidiaphragmatic Rupture After Blunt Trauma. 钝性外伤后外伤性左膈肌破裂继发的晚期内脏疝。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-19 eCollection Date: 2026-01-01 DOI: 10.1155/cris/7160634

J Santiago Pabón-Castro, José Alejandro Díaz-Castillo, L Fernando Vélez-Cuorvo, Johana C Ramírez-Pérez, Valentina Velasco-Muñoz, Sara Prieto-Rodríguez

{"title":"Late Visceral Herniation Secondary to Traumatic Left Hemidiaphragmatic Rupture After Blunt Trauma.","authors":"J Santiago Pabón-Castro, José Alejandro Díaz-Castillo, L Fernando Vélez-Cuorvo, Johana C Ramírez-Pérez, Valentina Velasco-Muñoz, Sara Prieto-Rodríguez","doi":"10.1155/cris/7160634","DOIUrl":"10.1155/cris/7160634","url":null,"abstract":"Traumatic hemidiaphragmatic rupture (TDR) after blunt thoracoabdominal trauma is uncommon but potentially lethal if diagnosed late. The aim of this report is to highlight the delayed presentation of TDR and the diagnostic and therapeutic considerations in a resource-limited setting. We present a case report of a 21-year-old man with obesity (BMI 30) suffered blunt trauma from a 2-m fall. On initial evaluation, the chest X-ray showed no hemidiaphragmatic elevation or pneumothorax, and he was discharged with recommendations. Fifteen days later, he was readmitted due to progressive dyspnea and desaturation. A Chest X-ray and contrast-enhanced computed tomography showed a left hemidiaphragmatic defect (46 × 70 mm) with herniation of the stomach, omentum, tail of the pancreas, and spleen. Exploratory laparotomy was performed, revealing a 10 cm × 7 cm defect with viable contents. Repair was achieved by primary closure with interrupted 0 polypropylene sutures, Stamm gastrostomy, and left thoracostomy. Postoperative evolution was satisfactory, and he was discharged after 12 days. This case is relevant because of its delayed presentation and the unusual inclusion of the pancreatic tail and spleen in the hernia sac, underscoring the need for a high index of suspicion and early imaging in closed thoracic trauma. TDR may present in a delayed fashion; early diagnosis by CT and timely surgical repair are essential to prevent severe complications, especially in resource-limited contexts.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"7160634"},"PeriodicalIF":0.6,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147986770","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

Heartburn Takes a Whole New Meaning: Multidisciplinary Management of a Gastropericardial Fistula. 胃灼热的全新意义：胃心包瘘的多学科治疗。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-13 eCollection Date: 2026-01-01 DOI: 10.1155/cris/5597348

Jake Sypniewski, Jesse K Kelley, G Dane Fritz, Geoffrey Lam, Eugene Zolotarevsky

{"title":"Heartburn Takes a Whole New Meaning: Multidisciplinary Management of a Gastropericardial Fistula.","authors":"Jake Sypniewski, Jesse K Kelley, G Dane Fritz, Geoffrey Lam, Eugene Zolotarevsky","doi":"10.1155/cris/5597348","DOIUrl":"10.1155/cris/5597348","url":null,"abstract":"Gastropericardial fistulas (GCs) are exceedingly rare in the reported literature. Etiologies include prior abdominal surgery, malignancy, and perforated gastric ulcers. Presenting symptoms range from chest pain to cardiac tamponade. Early imaging can help delineate the origin of the fistula. Management involves a multidisciplinary team, involving endoscopic stenting for temporization followed by definitive surgery for fistula closure. Robotic, video-assisted thoracoscopic surgery (VATS) with pericardial window has only been reported once in modern literature as definitive management for GCs. Thus, we present a case of a gastro-pericardial fistula that was temporized with endoscopic stenting and surgically managed with right robotic VATS with a pericardial window and definitive fistula closure. The patient had presented in cardiac tamponade with initial imaging demonstrating a large, loculated hydropneumopericardium and GC. The patient's postoperative course was unremarkable, and she was discharged on postoperative day 7. Follow-up within our health system is currently 4.5 years, and she continues to do well.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"5597348"},"PeriodicalIF":0.6,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13172607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962262","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

Dual-Segment Colonic Volvulus Involving the Sigmoid and Transverse Colon: A Surgical Emergency. 双节段结肠扭转累及乙状结肠和横结肠：一例外科急诊。

IF 0.6

Case Reports in Surgery Pub Date : 2026-05-12 eCollection Date: 2026-01-01 DOI: 10.1155/cris/5273726

Gourav Goyal, Jyoti Meena, Mansi Singh

{"title":"Dual-Segment Colonic Volvulus Involving the Sigmoid and Transverse Colon: A Surgical Emergency.","authors":"Gourav Goyal, Jyoti Meena, Mansi Singh","doi":"10.1155/cris/5273726","DOIUrl":"10.1155/cris/5273726","url":null,"abstract":"Synchronous colonic volvulus is an extremely rare and life-threatening cause of large bowel obstruction, characterized by simultaneous torsion of two separate colonic segments. Early diagnosis is challenging due to its nonspecific clinical presentation and overlapping radiological features with isolated volvulus. Delay in recognition increases the risk of ischemia, perforation, sepsis, and mortality, making rapid identification and surgical intervention critical. We present a case of a middle-aged patient who arrived at the emergency department with progressive abdominal pain, distension, constipation, and absence of flatus. Physical examination revealed a markedly distended abdomen with diffuse tenderness, and laboratory tests demonstrated leukocytosis. Abdominal radiographs suggested large bowel obstruction, while contrast-enhanced computed tomography (CECT) demonstrated the characteristic whirl sign at two distinct anatomical sites, consistent with synchronous volvulus of the sigmoid and transverse colon. The patient underwent emergency exploratory laparotomy, which confirmed volvulus of both affected segments with compromised vascularity. Surgical management included resection of the necrotic segments with primary anastomosis. The postoperative course was uneventful, and the patient was discharged in stable condition with scheduled follow-up. This case highlights the importance of maintaining a high index of suspicion in patients presenting with acute large bowel obstruction, particularly when imaging demonstrates atypical or dual transition points. While sigmoid volvulus is the most common form, synchronous involvement of multiple colonic segments is exceedingly uncommon but should be considered to prevent diagnostic delay. Timely surgical intervention remains the cornerstone of management and is paramount in preventing progression to gangrene, peritonitis, and septic shock.","PeriodicalId":9600,"journal":{"name":"Case Reports in Surgery","volume":"2026 ","pages":"5273726"},"PeriodicalIF":0.6,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147926387","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