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Surgical management of malignancy-associated carotid sinus syndrome: a case report and literature review. 恶性相关颈动脉窦综合征的手术治疗:1例报告及文献复习。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-06 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjag035
Nebojša Oravec, Rajat C Sharma, Nicholas Wiebe, Caitlin T Yeo

A 59-year-old male was admitted to hospital for workup of a high-grade atrioventricular block, where he had recurrent episodes of symptomatic bradycardia and hypotension. Imaging performed in anticipation of pacemaker insertion demonstrated a right-sided neck mass obliterating the jugular vein and compressing the carotid artery. He continued to have episodes of hemodynamic instability despite transvenous pacing. Decision was made to proceed with excisional biopsy and surgical debulking as a therapeutic attempt for suspected mass effect on the carotid sinus. Intraoperatively, there was gross vagus nerve invasion and no hemodynamic response to direct manipulation of the carotid sinus. The vagus nerve was transected to eliminate tumor-related parasympathetic neurotransmission. Pathology revealed a squamous cell carcinoma. The patient had radiographic and clinical improvement after treatment with chemoradiation. In a small number of similar cases, surgical resection of the tumor or intracranial section of the vagus nerve resulted in resolution of vasomotor symptoms, in conjunction with adjunctive treatments.

{"title":"Surgical management of malignancy-associated carotid sinus syndrome: a case report and literature review.","authors":"Nebojša Oravec, Rajat C Sharma, Nicholas Wiebe, Caitlin T Yeo","doi":"10.1093/jscr/rjag035","DOIUrl":"https://doi.org/10.1093/jscr/rjag035","url":null,"abstract":"<p><p>A 59-year-old male was admitted to hospital for workup of a high-grade atrioventricular block, where he had recurrent episodes of symptomatic bradycardia and hypotension. Imaging performed in anticipation of pacemaker insertion demonstrated a right-sided neck mass obliterating the jugular vein and compressing the carotid artery. He continued to have episodes of hemodynamic instability despite transvenous pacing. Decision was made to proceed with excisional biopsy and surgical debulking as a therapeutic attempt for suspected mass effect on the carotid sinus. Intraoperatively, there was gross vagus nerve invasion and no hemodynamic response to direct manipulation of the carotid sinus. The vagus nerve was transected to eliminate tumor-related parasympathetic neurotransmission. Pathology revealed a squamous cell carcinoma. The patient had radiographic and clinical improvement after treatment with chemoradiation. In a small number of similar cases, surgical resection of the tumor or intracranial section of the vagus nerve resulted in resolution of vasomotor symptoms, in conjunction with adjunctive treatments.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjag035"},"PeriodicalIF":0.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144041","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
Treatment of toxic epidermal necrosis lesions with ovine forestomach matrix. 羊前胃基质治疗中毒性表皮坏死病变。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-06 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjaf742
Rodrigo Dornelles, Jessica Simon, Sabraj O C Dutra

Stevens-Johnson syndrome and toxic epidermal necrosis (TEN) are used to describe a spectrum of acute mucocutaneous reactions primarily affecting the skin and mucous membranes, resulting in painful blisters and epidermal detachment. Swift diagnosis followed by management of the damaged epidermis is vital to prevent further infection, which if left untreated can become life-threatening. We report a case of TEN in a 42-year-old female who presented with 55% epidermal loss. Over the course of 41 days, the affected regions were treated with ovine forestomach matrix (OFM) grafts, which led to epithelial restoration of the lesions in 1-2 weeks with good functional and cosmetic outcomes. This case is the first documented use of OFM in the treatment of TEN lesions.

{"title":"Treatment of toxic epidermal necrosis lesions with ovine forestomach matrix.","authors":"Rodrigo Dornelles, Jessica Simon, Sabraj O C Dutra","doi":"10.1093/jscr/rjaf742","DOIUrl":"https://doi.org/10.1093/jscr/rjaf742","url":null,"abstract":"<p><p>Stevens-Johnson syndrome and toxic epidermal necrosis (TEN) are used to describe a spectrum of acute mucocutaneous reactions primarily affecting the skin and mucous membranes, resulting in painful blisters and epidermal detachment. Swift diagnosis followed by management of the damaged epidermis is vital to prevent further infection, which if left untreated can become life-threatening. We report a case of TEN in a 42-year-old female who presented with 55% epidermal loss. Over the course of 41 days, the affected regions were treated with ovine forestomach matrix (OFM) grafts, which led to epithelial restoration of the lesions in 1-2 weeks with good functional and cosmetic outcomes. This case is the first documented use of OFM in the treatment of TEN lesions.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjaf742"},"PeriodicalIF":0.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143992","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
Acute appendicitis during pregnancy: a retrospective case series of seven cases. 妊娠期急性阑尾炎:回顾性7例病例。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-06 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjag037
Chansokha Soeur

Acute appendicitis is the most frequent non-obstetrical surgical emergency during pregnancy. Anatomical displacement of the appendix and atypical symptoms complicate diagnosis, often delaying treatment and increasing maternal-fetal risks. A retrospective study of seven pregnant women treated for acute appendicitis at National Maternal and Child Health Center between 01 January 2023 and 31 December 2024. Epidemiological, clinical, diagnostic, therapeutic, and outcome data were analyzed using descriptive and inferential statistics. Mean age was 31 years (SD 7.2; range 21-42). Most cases occurred in the third trimester (57%). Four cases were recorded in 2023 and three in 2024. Farmers represented 57% of patients, workers 29%, and housewives 14%. Geographically, cases originated from six provinces, with Tboung Khmum contributing the highest number (29%). Consultation delay was longer in complicated appendicitis (mean 5.2 vs. 2.3 days, P < .05). Elevated C-Reactive Protein (CRP) (>50 mg/L) was significantly associated with advanced forms (χ2 = 4.9, P = .027). Ultrasound confirmed appendicitis in 86% of cases, with atypical localization more frequent in the third trimester (P < .05). All patients underwent open surgery: McBurney (1 case), para-median (1 case), or modified McBurney (5 cases). Antibiotic regimens were tailored to severity. No maternal deaths occurred; one fetal death with premature delivery at 31 weeks was noted. Inferential analysis confirms that delayed consultation and elevated CRP are predictors of complicated appendicitis in pregnancy. Systematic ultrasonography and rapid intervention are essential to reduce morbidity.

{"title":"Acute appendicitis during pregnancy: a retrospective case series of seven cases.","authors":"Chansokha Soeur","doi":"10.1093/jscr/rjag037","DOIUrl":"https://doi.org/10.1093/jscr/rjag037","url":null,"abstract":"<p><p>Acute appendicitis is the most frequent non-obstetrical surgical emergency during pregnancy. Anatomical displacement of the appendix and atypical symptoms complicate diagnosis, often delaying treatment and increasing maternal-fetal risks. A retrospective study of seven pregnant women treated for acute appendicitis at National Maternal and Child Health Center between 01 January 2023 and 31 December 2024. Epidemiological, clinical, diagnostic, therapeutic, and outcome data were analyzed using descriptive and inferential statistics. Mean age was 31 years (SD 7.2; range 21-42). Most cases occurred in the third trimester (57%). Four cases were recorded in 2023 and three in 2024. Farmers represented 57% of patients, workers 29%, and housewives 14%. Geographically, cases originated from six provinces, with Tboung Khmum contributing the highest number (29%). Consultation delay was longer in complicated appendicitis (mean 5.2 vs. 2.3 days, <i>P</i> < .05). Elevated C-Reactive Protein (CRP) (>50 mg/L) was significantly associated with advanced forms (χ<sup>2</sup> = 4.9, <i>P</i> = .027). Ultrasound confirmed appendicitis in 86% of cases, with atypical localization more frequent in the third trimester (<i>P</i> < .05). All patients underwent open surgery: McBurney (1 case), para-median (1 case), or modified McBurney (5 cases). Antibiotic regimens were tailored to severity. No maternal deaths occurred; one fetal death with premature delivery at 31 weeks was noted. Inferential analysis confirms that delayed consultation and elevated CRP are predictors of complicated appendicitis in pregnancy. Systematic ultrasonography and rapid intervention are essential to reduce morbidity.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjag037"},"PeriodicalIF":0.5,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143809","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
An innovative `8'-shaped deep-layered suture method for incision suture rejection: a case report. 创新的“8”字深层缝合方法治疗切口缝合排斥1例。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-05 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjag041
Bin-Yu Wang, Zhi Wang, Mi Yuan, Yun-Cang Wang

To report a patient with incision suture rejection who was successfully treated using the innovative `8'-Shaped Deep-Layered suture method. A 33-year-old female patient presented with a severe suture rejection,the incision had dehisced and was unable to heal. The innovative suturing method was applied, involving the use of 2-0 absorbable sutures in an `8'-Shaped Deep-Layered suture method in the deep layers (muscle and subcutaneous tissue layers). Once the wound had healed, the sutures in the subcutaneous and muscle layers were completely removed in a single procedure from the outside of the skin. The `8'-Shaped Deep-Layered suture method is an effective innovative technique that overcomes the limitations of traditional suturing methods and effectively prevents incision suture rejection in patients.

{"title":"An innovative `8'-shaped deep-layered suture method for incision suture rejection: a case report.","authors":"Bin-Yu Wang, Zhi Wang, Mi Yuan, Yun-Cang Wang","doi":"10.1093/jscr/rjag041","DOIUrl":"https://doi.org/10.1093/jscr/rjag041","url":null,"abstract":"<p><p>To report a patient with incision suture rejection who was successfully treated using the innovative `8'-Shaped Deep-Layered suture method. A 33-year-old female patient presented with a severe suture rejection,the incision had dehisced and was unable to heal. The innovative suturing method was applied, involving the use of 2-0 absorbable sutures in an `8'-Shaped Deep-Layered suture method in the deep layers (muscle and subcutaneous tissue layers). Once the wound had healed, the sutures in the subcutaneous and muscle layers were completely removed in a single procedure from the outside of the skin. The `8'-Shaped Deep-Layered suture method is an effective innovative technique that overcomes the limitations of traditional suturing methods and effectively prevents incision suture rejection in patients.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjag041"},"PeriodicalIF":0.5,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12875339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143864","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
Atypical soft palate pyogenic granuloma in an elderly anticoagulated patient presenting with acute oropharyngeal hemorrhage. 以急性口咽出血为表现的老年抗凝患者的非典型软腭化脓性肉芽肿。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-05 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjag044
Ammir Abuzahra, Ruba Atawneh, Raya Abu Ayyash, Jana Dwaik, Siwar Abu Sakout, Jehad Kashkeesh

Pyogenic granuloma (PG) is a benign lobular capillary proliferation of mucocutaneous tissues that usually arises in response to local irritation. It typically occurs on the gingiva, with extragingival sites such as the soft palate being very rare. We report a 69-year-old female on Apixaban who presented with sudden, profuse oropharyngeal bleeding. Examination revealed a friable, sessile erythematous mass on the right soft palate that was actively bleeding. The lesion was surgically excised with electrocautery under local anesthesia after appropriate management of anticoagulation. Histopathology confirmed lobular capillary hemangioma (PG). No recurrence was observed at follow-up. This case highlights the importance of prompt recognition and complete excision of PG in anticoagulated patients, as even small lesions may precipitate life threating hemorrhage.

{"title":"Atypical soft palate pyogenic granuloma in an elderly anticoagulated patient presenting with acute oropharyngeal hemorrhage.","authors":"Ammir Abuzahra, Ruba Atawneh, Raya Abu Ayyash, Jana Dwaik, Siwar Abu Sakout, Jehad Kashkeesh","doi":"10.1093/jscr/rjag044","DOIUrl":"https://doi.org/10.1093/jscr/rjag044","url":null,"abstract":"<p><p>Pyogenic granuloma (PG) is a benign lobular capillary proliferation of mucocutaneous tissues that usually arises in response to local irritation. It typically occurs on the gingiva, with extragingival sites such as the soft palate being very rare. We report a 69-year-old female on Apixaban who presented with sudden, profuse oropharyngeal bleeding. Examination revealed a friable, sessile erythematous mass on the right soft palate that was actively bleeding. The lesion was surgically excised with electrocautery under local anesthesia after appropriate management of anticoagulation. Histopathology confirmed lobular capillary hemangioma (PG). No recurrence was observed at follow-up. This case highlights the importance of prompt recognition and complete excision of PG in anticoagulated patients, as even small lesions may precipitate life threating hemorrhage.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjag044"},"PeriodicalIF":0.5,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12875342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144035","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
Thymic hyperplasia after chemotherapy for ovarian malignancy: two cases complicated by hyperthyroidism. 卵巢恶性肿瘤化疗后胸腺增生:合并甲状腺功能亢进2例。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-05 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjag048
Fuyuki Ichikawa, Makoto Koike, Kazuna Matsutani, Asuka Tanaka, Akihiko Yoshimura, Fujihiro Oka, Takeshi Yokoi

Thymic hyperplasia is a benign condition in which the thymus enlarges in response to various stimuli. It occasionally occurs after chemotherapy for hematologic malignancies or in association with hyperthyroidism, but no previous reports describe cases in which multiple causes coexist. We present two cases of thymic hyperplasia occurring after chemotherapy for ovarian malignancy, both accompanied by concurrent hyperthyroidism. Case 1 was a 29-year-old woman with ovarian dysgerminoma, Stage IC1, and Case 2 was a 46-year-old woman with ovarian high-grade serous carcinoma, Stage IIIB; both patients received surgery and chemotherapy. Twelve and twenty-four months after completion of chemotherapy, computed tomography revealed an anterior mediastinal mass. Additional imaging showed no malignant features. They were diagnosed with thymic hyperplasia. Screening tests later identified hyperthyroidism in both women, and medical therapy was initiated. These cases highlight that thyroid function testing should be considered when thymic hyperplasia is detected in young female patients with malignancy.

{"title":"Thymic hyperplasia after chemotherapy for ovarian malignancy: two cases complicated by hyperthyroidism.","authors":"Fuyuki Ichikawa, Makoto Koike, Kazuna Matsutani, Asuka Tanaka, Akihiko Yoshimura, Fujihiro Oka, Takeshi Yokoi","doi":"10.1093/jscr/rjag048","DOIUrl":"https://doi.org/10.1093/jscr/rjag048","url":null,"abstract":"<p><p>Thymic hyperplasia is a benign condition in which the thymus enlarges in response to various stimuli. It occasionally occurs after chemotherapy for hematologic malignancies or in association with hyperthyroidism, but no previous reports describe cases in which multiple causes coexist. We present two cases of thymic hyperplasia occurring after chemotherapy for ovarian malignancy, both accompanied by concurrent hyperthyroidism. Case 1 was a 29-year-old woman with ovarian dysgerminoma, Stage IC1, and Case 2 was a 46-year-old woman with ovarian high-grade serous carcinoma, Stage IIIB; both patients received surgery and chemotherapy. Twelve and twenty-four months after completion of chemotherapy, computed tomography revealed an anterior mediastinal mass. Additional imaging showed no malignant features. They were diagnosed with thymic hyperplasia. Screening tests later identified hyperthyroidism in both women, and medical therapy was initiated. These cases highlight that thyroid function testing should be considered when thymic hyperplasia is detected in young female patients with malignancy.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjag048"},"PeriodicalIF":0.5,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12875341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144028","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
Fatal liver failure due to retroperitoneal hemorrhage in elective laparoscopic cholecystectomy-a case report. 择期腹腔镜胆囊切除术腹膜后出血致致致命性肝衰竭1例报告。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-05 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjag034
Romke Rozema, Joke-Afke van der Zee, Jacqueline J C van der Meij, Daniel A Hess, Ewoud H Jutte

Postoperative complications following elective laparoscopic cholecystectomy are rare but can have serious clinical consequences. Major complications include bleeding, bile duct injury, bile leakage, as well as bowel and vascular injuries. This case describes a 68-year-old patient in whom elective laparoscopic cholecystectomy was complicated by bile leakage and fatal retroperitoneal hemorrhage. Computed tomography was performed due to postoperative abdominal pain and revealed both intraperitoneal and retroperitoneal fluid. Diagnostic laparoscopy identified free intraperitoneal bile without active signs of bile leakage. Endoscopic retrograde cholangiopancreatography showed no evidence of bile leakage or choledocholithiasis. Computed tomography was obtained due to acute liver failure and demonstrated increased retroperitoneal fluid causing compression of the pancreatic head, duodenum, inferior vena cava, and porta hepatis. Anatomical variations of the hepatic arterial vasculature were also observed. The patient deceased due to multi-organ failure. Autopsy revealed massive retroperitoneal hemorrhage.

{"title":"Fatal liver failure due to retroperitoneal hemorrhage in elective laparoscopic cholecystectomy-a case report.","authors":"Romke Rozema, Joke-Afke van der Zee, Jacqueline J C van der Meij, Daniel A Hess, Ewoud H Jutte","doi":"10.1093/jscr/rjag034","DOIUrl":"https://doi.org/10.1093/jscr/rjag034","url":null,"abstract":"<p><p>Postoperative complications following elective laparoscopic cholecystectomy are rare but can have serious clinical consequences. Major complications include bleeding, bile duct injury, bile leakage, as well as bowel and vascular injuries. This case describes a 68-year-old patient in whom elective laparoscopic cholecystectomy was complicated by bile leakage and fatal retroperitoneal hemorrhage. Computed tomography was performed due to postoperative abdominal pain and revealed both intraperitoneal and retroperitoneal fluid. Diagnostic laparoscopy identified free intraperitoneal bile without active signs of bile leakage. Endoscopic retrograde cholangiopancreatography showed no evidence of bile leakage or choledocholithiasis. Computed tomography was obtained due to acute liver failure and demonstrated increased retroperitoneal fluid causing compression of the pancreatic head, duodenum, inferior vena cava, and porta hepatis. Anatomical variations of the hepatic arterial vasculature were also observed. The patient deceased due to multi-organ failure. Autopsy revealed massive retroperitoneal hemorrhage.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjag034"},"PeriodicalIF":0.5,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143999","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
Congenital imperforate hymen in a newborn presenting with vaginal protrusion and abdominal distension: a rare case report. 先天性处女膜闭锁在新生儿表现为阴道突出和腹胀:一个罕见的病例报告。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-05 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjag047
Fatema Almoustafa, Nour Eddin Almustafa, Ahmed Farag, Hamid Al Chamy, Sultaneh Haddad, Sara Jabaly

Imperforate hymen is a rare neonatal anomaly that can cause hydrocolpos and urinary obstruction. We report a newborn girl who presented on day three with abdominal distension and was found to have severe hydrocolpos from an imperforate hymen, leading to bilateral hydronephrosis but with preserved renal function. A hymenal incision effectively drained the accumulated secretions, resulting in rapid clinical improvement and complete resolution on follow-up imaging. Hydrocolpos occurs due to fluid accumulation behind a vaginal obstruction such as an imperforate hymen, and early recognition is essential to prevent complications like hydronephrosis and renal impairment. In this case, timely imaging and focused examination enabled prompt hymenotomy and immediate decompression. This highlights the importance of clinical suspicion, early imaging, and careful genital examination in female neonates. Neonatal imperforate hymen can cause significant hydrometrocolpos and hydronephrosis, emphasizing the need for early recognition and intervention.

{"title":"Congenital imperforate hymen in a newborn presenting with vaginal protrusion and abdominal distension: a rare case report.","authors":"Fatema Almoustafa, Nour Eddin Almustafa, Ahmed Farag, Hamid Al Chamy, Sultaneh Haddad, Sara Jabaly","doi":"10.1093/jscr/rjag047","DOIUrl":"https://doi.org/10.1093/jscr/rjag047","url":null,"abstract":"<p><p>Imperforate hymen is a rare neonatal anomaly that can cause hydrocolpos and urinary obstruction. We report a newborn girl who presented on day three with abdominal distension and was found to have severe hydrocolpos from an imperforate hymen, leading to bilateral hydronephrosis but with preserved renal function. A hymenal incision effectively drained the accumulated secretions, resulting in rapid clinical improvement and complete resolution on follow-up imaging. Hydrocolpos occurs due to fluid accumulation behind a vaginal obstruction such as an imperforate hymen, and early recognition is essential to prevent complications like hydronephrosis and renal impairment. In this case, timely imaging and focused examination enabled prompt hymenotomy and immediate decompression. This highlights the importance of clinical suspicion, early imaging, and careful genital examination in female neonates. Neonatal imperforate hymen can cause significant hydrometrocolpos and hydronephrosis, emphasizing the need for early recognition and intervention.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjag047"},"PeriodicalIF":0.5,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12875340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144001","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
Giant pseudoaneurysm mimicking as soft tissue tumor: a case report. 模拟软组织肿瘤的巨大假性动脉瘤1例报告。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-05 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjag036
Muhammad Fadli P Pahlevi, Hashfi F Raz, Andri Andi, Muhammad H R Siregar

Pseudoaneurysms are false aneurysms that develop following arterial wall injury and are characterized by a contained hematoma with turbulent flow. While commonly presenting with typical vascular symptoms, in rare cases, they can mimic soft tissue tumors, especially in chronic post-traumatic settings. We report the case of a 23-year-old male who presented with progressive swelling in the right thigh. Initially suspected to be an aggressive soft tissue malignancy. Chronic pseudoaneurysms may present with features mimicking malignant soft tissue tumors both clinically and radiologically, especially in the absence of classic signs like pulsatility or bruit. magnetic resonance imaging findings, particularly flow artifacts and absence of solid enhancement, and bedside Doppler ultrasound are key diagnostic tools. Misdiagnosis can lead to inappropriate and potentially dangerous interventions.

{"title":"Giant pseudoaneurysm mimicking as soft tissue tumor: a case report.","authors":"Muhammad Fadli P Pahlevi, Hashfi F Raz, Andri Andi, Muhammad H R Siregar","doi":"10.1093/jscr/rjag036","DOIUrl":"https://doi.org/10.1093/jscr/rjag036","url":null,"abstract":"<p><p>Pseudoaneurysms are false aneurysms that develop following arterial wall injury and are characterized by a contained hematoma with turbulent flow. While commonly presenting with typical vascular symptoms, in rare cases, they can mimic soft tissue tumors, especially in chronic post-traumatic settings. We report the case of a 23-year-old male who presented with progressive swelling in the right thigh. Initially suspected to be an aggressive soft tissue malignancy. Chronic pseudoaneurysms may present with features mimicking malignant soft tissue tumors both clinically and radiologically, especially in the absence of classic signs like pulsatility or bruit. magnetic resonance imaging findings, particularly flow artifacts and absence of solid enhancement, and bedside Doppler ultrasound are key diagnostic tools. Misdiagnosis can lead to inappropriate and potentially dangerous interventions.</p>","PeriodicalId":47321,"journal":{"name":"Journal of Surgical Case Reports","volume":"2026 2","pages":"rjag036"},"PeriodicalIF":0.5,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143986","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
Expanding the boundaries of PTE: successful integration with multiple major cardiac procedures. 扩展PTE的边界:成功整合多个主要心脏手术。
IF 0.5 Q4 SURGERY Pub Date : 2026-02-05 eCollection Date: 2026-02-01 DOI: 10.1093/jscr/rjaf896
Emily Hay-Arthur, Elizabeth J Bashian, Sarah Y Park, Jordan R H Hoffman, Michael T Cain

Pulmonary thromboendarterectomy (PTE) is the only curative treatment for chronic thromboembolic pulmonary hypertension. While combining PTE with a single cardiac procedure is well established, evidence for performing it with multiple major procedures is limited. We report a successful bilateral PTE with coronary artery bypass grafting, ascending aortic and hemiarch repair, patent foramen ovale closure, and left atrial appendage ligation. The patient recovered uneventfully, with marked functional and hemodynamic improvement at 6 months. This case demonstrates the safety and feasibility of complex cardiac surgery with PTE, underscoring the value of thorough, multidisciplinary preoperative planning.

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Journal of Surgical Case Reports
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