Surgery Case Reports最新文献

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Impacted gallstone at the duodenum: Surgical resolution of Bouveret’s syndrome in the elderly 十二指肠阻生胆结石：老年布韦莱特综合征的手术治疗

Surgery Case Reports

Pub Date : 2025-09-22 DOI: 10.1016/j.sycrs.2025.100143

Syed Saad Ali Chishti, Rimsa Tahir, Muhammad Awais, Hugo Prins, Cornelius Emeka Nzewi

Bouveret’s Syndrome is a rare form of gallstone ileus resulting in gastric outlet obstruction due to migration of a gallstone through a bilioenteric fistula. It most commonly affects elderly female patients and poses diagnostic and therapeutic challenges due to its nonspecific clinical presentation. This report aims to present the case of an elderly female who came with persistent vomiting and upper abdominal pain for 3 weeks, worsening over one week. Contrast-enhanced CT revealed a 4 cm gallstone lodged at the D2-D3 junction, causing duodenal obstruction and proximal distension. Endoscopic evaluation was deferred due to clinical instability and stone’s location and size, above careful consideration using clinical pre-operative tools. She underwent urgent exploratory laparotomy for stone retrieval, and a Heineke-Mikulicz pyloroplasty was performed. While endoscopic treatment is often used, this case highlights the importance of surgical intervention in large, impacted stones or in clinically unstable patients. In this case, CT scan provided a clear diagnosis, and surgical intervention was both necessary and effective. Given the rarity of Bouveret’s Syndrome and its variable presentation, this report contributes to existing literature by reinforcing the importance of high clinical suspicion, timely imaging, and individualized surgical decision-making.

布韦莱特综合征是一种罕见的胆结石性肠梗阻，由于胆结石通过胆肠瘘迁移而导致胃出口梗阻。它最常见于老年女性患者，由于其非特异性临床表现，给诊断和治疗带来了挑战。本报告的目的是提出一个案例的老年女性谁来持续呕吐和上腹部疼痛3周，恶化超过一周。增强CT显示一颗4 cm的胆结石卡在D2-D3交界处，引起十二指肠梗阻和近端扩张。由于临床不稳定性和结石的位置和大小，在使用临床术前工具仔细考虑之前，内镜评估被推迟。她接受了紧急探查性剖腹手术以取出结石，并进行了Heineke-Mikulicz幽门成形术。虽然内镜治疗经常被使用，这个病例强调了手术干预的重要性，在大的，阻生的结石或临床上不稳定的患者。本例CT扫描诊断明确，手术干预是必要且有效的。鉴于布韦莱特综合征的罕见性及其多变的表现，本报告通过强调高度临床怀疑、及时成像和个体化手术决策的重要性，对现有文献做出了贡献。

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引用次数: 0

Synchronous appendicitis and cholecystitis in the setting of intestinal malrotation: A rare presentation of adhesion of the appendix to the gallbladder 小肠旋转不良并发阑尾炎和胆囊炎：罕见的阑尾与胆囊粘连的表现

Surgery Case Reports

Pub Date : 2025-09-22 DOI: 10.1016/j.sycrs.2025.100146

Katie Lee , Hannah Woolley , Gregory Wu , Manuel Martinez

Introduction

Intestinal malrotation is a congenital abnormality that can complicate diagnosis of abdominal conditions. We present the first documented case of concurrent acute appendicitis, acute cholecystitis, and congenital intestinal malrotation.

Presentation of case

A 58-year-old female initially presented with perforated cholecystitis complicated by abscess formation and cholangitis, requiring interventional drainage and endoscopic stenting. Five months later, she returned with concurrent acute cholecystitis and appendicitis. Due to intestinal malrotation, the appendix was located in the right upper quadrant adjacent to the gallbladder and had eroded into the anterior abdominal wall. Laparoscopic subtotal cholecystectomy and appendectomy were successfully performed with pathology confirming both diagnoses.

Discussion

This case demonstrates a need for heightened suspicion of atypical presentations in patients with anatomical variants. Anatomical proximity may predispose to concurrent disease through bacterial spread.

Conclusion

This case reinforces the importance of maintaining broad differential diagnoses and utilizing comprehensive imaging in patients with anatomical variants.

肠道旋转不良是一种先天性异常，可使腹部疾病的诊断复杂化。我们提出了第一例并发急性阑尾炎、急性胆囊炎和先天性肠道旋转不良的病例。病例介绍：一名58岁女性，最初因穿孔性胆囊炎合并脓肿形成和胆管炎，需要介入引流和内镜下支架置入。5个月后，她复发并并发急性胆囊炎和阑尾炎。由于肠道旋转不良，阑尾位于右上象限，毗邻胆囊，并已侵蚀入前腹壁。腹腔镜胆囊次全切除术和阑尾切除术均成功，病理证实两种诊断。本病例表明，需要高度怀疑非典型表现的患者解剖变异。解剖上的接近可能通过细菌传播导致并发疾病。结论本病例强调了在解剖变异患者中保持广泛鉴别诊断和利用综合影像学的重要性。

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引用次数: 0

Pediatric clival chordoma masquerading as meningioma: Diagnostic challenges and surgical considerations. A case report 伪装成脑膜瘤的儿童斜坡脊索瘤：诊断挑战和手术考虑。病例报告

Surgery Case Reports

Pub Date : 2025-09-22 DOI: 10.1016/j.sycrs.2025.100145

Diego Molina-Botello , Edgar Fernando Higuera-González , Zita Elizabeth Salazar-Ramírez , Roberto Casarrubias-Islas , Julio César López-Valdés

Pediatric clival chordomas are rare, malignant skull base tumors known for significant diagnostic and therapeutic challenges. We present a case of a 16-year-old male with progressive headaches and left sixth cranial nerve palsy whose clival mass was initially misdiagnosed as a meningioma by neuroimaging. Intraoperative findings and subsequent histopathology, however, confirmed a conventional chordoma (characterized by physaliferous cells, immunopositivity for cytokeratin, EMA, and S100, with a Ki-67 index of 5–10 %). This case underscores that pediatric clival chordomas can mimic more common lesions, emphasizing the critical role of early, accurate histopathological evaluation and a personalized multidisciplinary strategy for optimizing long-term patient outcomes.

小儿斜坡脊索瘤是一种罕见的恶性颅底肿瘤，诊断和治疗具有重大挑战。我们报告一个16岁的男性，他有进行性头痛和左第六脑神经麻痹，他的斜坡肿块最初被神经影像学误诊为脑膜瘤。然而，术中发现和随后的组织病理学证实为常规脊索瘤（以物理细胞为特征，细胞角蛋白、EMA和S100免疫阳性，Ki-67指数为5-10 %）。该病例强调了儿童斜坡脊索瘤可以模仿更常见的病变，强调了早期，准确的组织病理学评估和个性化多学科策略对优化患者长期预后的关键作用。

引用次数: 0

Incidental diagnosis of co-dominant double aortic arch in an adult: A rare cause of chronic cough and chest pain 偶然诊断的共显性双主动脉弓在一个成年人：一个罕见的原因慢性咳嗽和胸痛

Surgery Case Reports

Pub Date : 2025-07-21 DOI: 10.1016/j.sycrs.2025.100141

S. Mehdi Mousavi , Fariborz Roshan , Mehdi Attar , Pejman Kiani

Double aortic arch (DAA) is a rare congenital vascular anomaly forming a complete vascular ring that may compress the trachea and esophagus. While commonly presenting in infancy, adult cases are uncommon and often incidentally diagnosed. This report describes a 39-year-old female with chronic cough and chest pain. Initial echocardiography suggested abnormal aortic anatomy, leading to further evaluation with ECG-gated triple rule-out CT angiography. Imaging revealed a co-dominant DAA with absence of the right brachiocephalic artery and esophageal compression, without aneurysm or stenosis. The patient’s symptoms were attributed to the vascular ring, managed conservatively due to the absence of severe complications. This case underscores the importance of considering congenital vascular rings in adults with unexplained respiratory or esophageal symptoms. Advanced imaging is crucial for accurate diagnosis and management. Increased awareness of these anomalies can improve clinical outcomes.

双主动脉弓（DAA）是一种罕见的先天性血管异常，形成完整的血管环，可压迫气管和食道。虽然通常在婴儿期出现，但成人病例并不常见，通常是偶然诊断的。本报告描述一名患有慢性咳嗽和胸痛的39岁女性。最初的超声心动图显示主动脉解剖异常，导致进一步评估心电图门控三重排除CT血管造影。影像学显示DAA共显性，无右侧头臂动脉和食管压迫，无动脉瘤或狭窄。患者的症状是由血管环引起的，由于没有严重的并发症，因此进行了保守治疗。本病例强调了在有不明原因呼吸或食管症状的成人中考虑先天性血管环的重要性。先进的影像学对准确诊断和治疗至关重要。提高对这些异常的认识可以改善临床结果。

引用次数: 0

Epidural hematoma following ventriculoperitoneal shunt insertion: Case report and literature review 脑室腹腔分流器置入后的硬膜外血肿：1例报告及文献复习

Surgery Case Reports

Pub Date : 2025-07-21 DOI: 10.1016/j.sycrs.2025.100139

Chizowa Okwuchukwu Ezeaku , Edward Oluwole Komolafe

Background

The insertion of a ventriculoperitoneal shunt (VPS) is the most commonly performed procedure for managing hydrocephalus worldwide. The occurrence of an epidural hematoma (EDH) following this procedure is exceedingly rare and potentially life-threatening. We report an illustrative case. Additionally, we present a comprehensive and up-to-date review highlighting risk factors, pathophysiology, and management. Finally, recommendations are provided to prevent this unfortunate complication.

Case presentation

A 22-year-old male presented with a three-month history of recurrent headaches and progressive visual loss. Neuroimaging findings were consistent with hydrocephalus secondary to aqueductal stenosis. He subsequently underwent right frontal ventriculoperitoneal shunt insertion. However, one day later, he experienced focal seizures accompanied by worsening headaches, necessitating a repeat cranial CT scan that revealed a massive bifrontal acute epidural hematoma, for which he underwent surgical evacuation. He is currently being followed up on an outpatient basis.

Conclusion

EDH after VPS occurs more frequently in paediatric, young and middle-aged populations. Identifying those at risk, selecting an appropriate shunt, and preventing CSF overdrainage and intraoperative bleeding are crucial preventive measures. Early diagnosis through careful postoperative monitoring, combined with a low threshold for neuroimaging, should facilitate timely surgical intervention.

背景脑室腹腔分流术（VPS）是世界范围内治疗脑积水最常用的手术。硬膜外血肿（EDH）的发生是非常罕见的，并可能危及生命。我们报告一个说明性的案例。此外，我们提出了一个全面的和最新的审查强调危险因素，病理生理和管理。最后，提出了预防这种不幸并发症的建议。22岁男性，有三个月复发性头痛及进行性视力丧失病史。神经影像学表现与继发于输水管狭窄的脑积水一致。他随后接受了右额脑室腹腔分流术。然而，一天后，他出现局灶性癫痫发作，并伴有头痛加剧，需要再次进行颅脑CT扫描，发现双额侧严重急性硬膜外血肿，为此他接受了手术撤离。他目前正在门诊接受随访。结论VPS后edh多见于儿童、青壮年人群。识别高危人群，选择合适的分流器，防止脑脊液过引流和术中出血是至关重要的预防措施。通过仔细的术后监测进行早期诊断，并结合较低的神经影像学阈值，应有助于及时的手术干预。

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引用次数: 0

Angiosarcoma of the gallbladder: A case report and a literature review 胆囊血管肉瘤1例报告并文献复习

Surgery Case Reports

Pub Date : 2025-07-21 DOI: 10.1016/j.sycrs.2025.100140

Sha Yang , Hongli Zhou , Yu Cai

We present a case of primary gallbladder angiosarcoma in a 40-year-old woman with a 10-year history of cholelithiasis who presented with acute cholecystitis. Computed tomography (CT) demonstrated a malignant tumor of the gallbladder. Due to the large size of the tumor, which invaded the pancreas and intestines and was accompanied by metastasis, a percutaneous biopsy of the gallbladder tumor was performed, and it was confirmed to be angiosarcoma of the gallbladder. The patient underwent transarterial embolization and biliary stenting, but subsequently developed tumor-duodenal fistula, intra-abdominal abscess, and ultimately succumbed to septic shock. Our review of 13 previously reported cases of gallbladder angiosarcoma worldwide summarizes the clinical characteristics of this rare malignancy. This study demonstrates that gallbladder angiosarcoma is highly aggressive, with marked invasive and metastatic potential, poor treatment response, and dismal prognosis. Our findings suggest that early intervention for gallstones may help prevent the development of gallbladder angiosarcoma.

我们提出一个病例原发性胆囊血管肉瘤在一个40岁的妇女与10年胆结石病史谁提出了急性胆囊炎。计算机断层扫描（CT）显示胆囊恶性肿瘤。由于肿瘤体积较大，侵犯胰腺和肠道，并伴有转移，经皮行胆囊肿瘤活检，确认为胆囊血管肉瘤。患者接受了经动脉栓塞和胆道支架植入术，但随后发生肿瘤-十二指肠瘘，腹腔内脓肿，最终死于感染性休克。我们回顾了13例先前报道的胆囊血管肉瘤病例，总结了这种罕见恶性肿瘤的临床特征。本研究表明胆囊血管肉瘤具有高度侵袭性，具有明显的侵袭性和转移性，治疗效果差，预后差。我们的研究结果表明，胆结石的早期干预可能有助于预防胆囊血管肉瘤的发展。

引用次数: 0

Postpartum intracerebral and intraventricular hemorrhage – A case report and review of the literature 产后脑室内出血1例报告及文献复习

Surgery Case Reports

Pub Date : 2025-07-21 DOI: 10.1016/j.sycrs.2025.100142

Nikita Grace Mathews , Andrea Cuschieri , Mazhar Darwazeh , Adel Al Sisi , Kavita Krishnan , Rami Darwazeh

Background

Postpartum intracerebral hemorrhages (ICH) and intraventricular hemorrhages (IVH) are rare but potentially life-threatening conditions. They are often precipitated by hypertensive disorders, such as preeclampsia. Thus, the peripartum period is a critical time for monitoring female patients, particularly those at risk of hypertensive emergencies.

Clinical presentation

A 32-year-old female with no previous history of hypertension presented with severe headaches and elevated blood pressure (197/104 mmHg) seven days after delivery. Immediate brain computed tomography (CT) scan revealed the presence of a large ICH and IVH involving all 4 ventricles. Subsequently, the patient’s Glasgow Coma Scale (GCS) dropped rapidly (from 13/15–8/15) and a new brain CT scan revealed an increase in the intracerebral and intraventricular hemorrhage volume. Immediate surgery was performed, which consisted of decompressive craniectomy, ICH evacuation and placement of an external ventricular drain (EVD). The patient’s postoperative course showed significant recovery with upper moderate disability at 6 months follow-up based on the Glasgow Outcome Scale Extended (GOS-E) and scoring 3 out of 6 based on a modified Rankin scale score.

Conclusion

Timely neurosurgical intervention—including decompressive craniectomy, hematoma evacuation, and EVD placement—can significantly improve outcomes in postpartum patients with ICH and IVH, even in cases with rapid neurological decline. Clinicians should act swiftly when postpartum hypertension and neurological symptoms arise, as early diagnosis and intervention are critical to reducing mortality and long-term disability.

产后脑出血（ICH）和脑室内出血（IVH）是罕见但可能危及生命的疾病。它们通常由高血压疾病引起，如先兆子痫。因此，围产期是监测女性患者的关键时期，特别是那些有高血压急诊风险的女性患者。临床表现女性，32岁，无高血压病史，产后7天出现严重头痛和血压升高（197/104 mmHg）。即时脑CT扫描显示存在大脑出血和IVH，累及所有4个脑室。随后，患者的格拉斯哥昏迷评分（GCS）迅速下降（从13/15-8/15），新的脑部CT扫描显示脑内和脑室内出血量增加。立即进行手术，包括减压颅骨切除术，脑出血排出和放置外脑室引流管（EVD）。术后随访6个月，根据格拉斯哥结局量表扩展（GOS-E），患者表现出明显的恢复和中上残疾，根据改进的Rankin量表评分，患者获得了3分（满分6分）。结论及时的神经外科干预，包括颅脑减压、血肿清除和EVD放置，可以显著改善产后脑出血和IVH患者的预后，即使对神经功能迅速下降的患者也是如此。当产后高血压和神经系统症状出现时，临床医生应迅速采取行动，因为早期诊断和干预对降低死亡率和长期残疾至关重要。

{"title":"Postpartum intracerebral and intraventricular hemorrhage – A case report and review of the literature","authors":"Nikita Grace Mathews , Andrea Cuschieri , Mazhar Darwazeh , Adel Al Sisi , Kavita Krishnan , Rami Darwazeh","doi":"10.1016/j.sycrs.2025.100142","DOIUrl":"10.1016/j.sycrs.2025.100142","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum intracerebral hemorrhages (ICH) and intraventricular hemorrhages (IVH) are rare but potentially life-threatening conditions. They are often precipitated by hypertensive disorders, such as preeclampsia. Thus, the peripartum period is a critical time for monitoring female patients, particularly those at risk of hypertensive emergencies.</div></div><div><h3>Clinical presentation</h3><div>A 32-year-old female with no previous history of hypertension presented with severe headaches and elevated blood pressure (197/104 mmHg) seven days after delivery. Immediate brain computed tomography (CT) scan revealed the presence of a large ICH and IVH involving all 4 ventricles. Subsequently, the patient’s Glasgow Coma Scale (GCS) dropped rapidly (from 13/15–8/15) and a new brain CT scan revealed an increase in the intracerebral and intraventricular hemorrhage volume. Immediate surgery was performed, which consisted of decompressive craniectomy, ICH evacuation and placement of an external ventricular drain (EVD). The patient’s postoperative course showed significant recovery with upper moderate disability at 6 months follow-up based on the Glasgow Outcome Scale Extended (GOS-E) and scoring 3 out of 6 based on a modified Rankin scale score.</div></div><div><h3>Conclusion</h3><div>Timely neurosurgical intervention—including decompressive craniectomy, hematoma evacuation, and EVD placement—can significantly improve outcomes in postpartum patients with ICH and IVH, even in cases with rapid neurological decline. Clinicians should act swiftly when postpartum hypertension and neurological symptoms arise, as early diagnosis and intervention are critical to reducing mortality and long-term disability.</div></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"6 ","pages":"Article 100142"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144685784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Single chimney for elective endovascular treatment of juxtarenal abdominal aortic aneurysm with favorable asymmetric origin of the renal arteries. Is still valid in the custom-made device’s era? 单导管选择性血管内治疗肾动脉起源不对称的肾旁腹主动脉瘤。在定制设备的时代仍然有效吗？

Surgery Case Reports

Pub Date : 2025-07-14 DOI: 10.1016/j.sycrs.2025.100136

Diego Soto V , Cristian Marín O, Gabriel Cassorla J

Chimney endovascular aortic repair (ChEVAR) is a useful endovascular alternative for treating juxtarenal abdominal aortic aneurysms (AAA), particularly in cases with favorable anatomy. Case: 75-year-old male with a juxtarenal AAA involving the left renal artery. A successful ChEVAR procedure was performed using a parallel covered stent to preserve the left renal artery and achieve an adequate proximal seal. The postoperative course was favorable, with no complications or renal function deterioration. At the 20-month follow-up, computerized tomography angiography showed no signs of endoleak, a patent renal stent and a decrease in aneurysm sac size. Conclusion: ChEVAR is a feasible option for juxtarenal aneurysms when custom-made devices are unavailable, showing comparable mid- and long-term results. However, careful patient selection is essential to minimize risks such as endoleaks or stent thrombosis.

烟囱血管内主动脉修复术（ChEVAR）是治疗肾旁腹主动脉瘤（AAA）的一种有效的血管内替代方法，特别是在解剖结构良好的病例中。病例：75岁男性，肾旁AAA累及左肾动脉。我们成功地使用平行覆盖支架进行了ChEVAR手术，以保护左肾动脉并获得足够的近端封闭。术后过程良好，无并发症或肾功能恶化。在20个月的随访中，计算机断层血管造影显示无内漏迹象，肾支架通畅，动脉瘤囊变小。结论：在没有定制装置的情况下，ChEVAR是治疗关节旁动脉瘤的可行选择，其中期和长期效果相当。然而，谨慎的患者选择是必要的，以尽量减少风险，如内漏或支架血栓形成。

引用次数: 0

Solid aneurysmal bone cyst of the clivus mimicking malignancy: A rare case report 假恶性斜坡实性动脉瘤性骨囊肿一例

Surgery Case Reports

Pub Date : 2025-07-11 DOI: 10.1016/j.sycrs.2025.100137

Laura Mestre-Orozco , Daniel Alejandro Vega-Moreno , Ulises García-González , Julio César López-Valdés

Aneurysmal bone cysts (ABCs) are rare, benign osseous lesions, with the solid variant being particularly uncommon and exceedingly rare in the skull base, posing significant diagnostic challenges due to its mimicry of malignant neoplasms. We present a case of a 67-year-old man with progressive visual disturbances whose MRI revealed a heterogeneously enhancing, solid lesion of the clivus and sphenoid bone, prompting differential diagnoses including chordoma. Endoscopic endonasal resection and crucial histopathological and immunohistochemical analyses, negative for common tumor markers but positive for CD34 in vascular structures, confirmed a solid variant ABC. This case highlights the profound diagnostic complexity of such skull base lesions, underscoring the critical importance of integrating imaging, histology, and immunohistochemistry. By presenting this rare entity, we aim to enhance clinical awareness of solid variant ABCs, emphasizing the necessity for meticulous diagnostic evaluation to prevent misdiagnosis and potential overtreatment, while also recommending long-term follow-up due to recurrence potential

动脉瘤性骨囊肿（abc）是一种罕见的良性骨性病变，实性骨囊肿在颅底尤为罕见，由于其与恶性肿瘤的相似性，给诊断带来了重大挑战。我们报告一个67岁男性进行性视觉障碍的病例，其MRI显示斜坡和蝶骨的非均匀增强，实性病变，提示鉴别诊断包括脊索瘤。内镜下鼻内切除术和重要的组织病理学和免疫组织化学分析，常见肿瘤标志物阴性，但血管结构中CD34阳性，证实了ABC的实体变异。本病例强调了这种颅底病变诊断的复杂性，强调了影像学、组织学和免疫组织化学结合的重要性。通过介绍这种罕见的实体变体，我们旨在提高临床对实体变体abc的认识，强调细致的诊断评估的必要性，以防止误诊和潜在的过度治疗，同时由于复发的可能性，建议长期随访

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引用次数: 0

Epidural migration of sequestered cervical prolapsed intervertebral disc: A report of two cases with literature review 隐匿性颈椎间盘脱垂的硬膜外移位：附2例报告并文献复习

Surgery Case Reports

Pub Date : 2025-07-07 DOI: 10.1016/j.sycrs.2025.100138

Madhusudhan Nagesh, Andiperumal R. Prabhuraj

A sequestrated lumbar prolapsed intervertebral disc (PIVD) is known to migrate, but cervical disc migration is rare. A cervical corpectomy is usually necessary to remove a sequestered disc fragment. We present two cases of migrated cervical PIVD managed without corpectomy at our institute. The first case was a 30-year-old man who presented with a spontaneous cervical disc herniation. He underwent right-sided lamino-foraminotomy and discectomy, and at one-year follow-up, he is completely symptom-free. The second case is a 28-year-old man with traumatic cervical PIVD presenting in Nurick grade 5. He underwent a two-level anterior cervical discectomy with fusion, and at one-year follow-up, he has improved to Nurick grade 3. Even though it is rare to find a migrated cervical PIVD, it is necessary to keep this entity as a differential diagnosis while evaluating a ventral epidural mass lesion, because early surgical decompression can lead to significant neurological recovery. In most cases, cervical corpectomy to remove the migrated disc can be avoided.

隔离的腰椎间盘脱垂（PIVD）是已知的移位，但颈椎间盘移位是罕见的。通常需要行颈椎椎体切除术来切除游离椎间盘碎片。我们提出了两个迁移宫颈PIVD管理没有椎体切除术在我们的研究所。第一个病例是一名30岁的男性，他表现为自发性颈椎间盘突出。他接受了右侧椎板-椎间孔切开术和椎间盘切除术，在一年的随访中，他完全没有症状。第二个病例是一名28岁男性外伤性宫颈PIVD，表现为Nurick 5级。他接受了两节段前路颈椎椎间盘切除术并融合，在一年的随访中，他已改善到Nurick 3级。尽管很少发现宫颈PIVD移位，但在评估腹侧硬膜外肿块病变时，仍有必要将其作为鉴别诊断，因为早期手术减压可显著恢复神经功能。在大多数情况下，可以避免颈椎椎体切除术去除移位的椎间盘。

引用次数: 0

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