International Journal of Surgery Case Reports最新文献

{"title":"Ankylosing spondylitis with thoracic OPLL and OYL requiring multiple surgeries: A case report","authors":"Akinori Tani,&nbsp;Kazumasa Nakamura,&nbsp;Katsunori Fukutake,&nbsp;Hiroshi Takahashi,&nbsp;Akihito Wada","doi":"10.1016/j.ijscr.2025.112127","DOIUrl":"10.1016/j.ijscr.2025.112127","url":null,"abstract":"<div><h3>Introduction</h3><div>We encountered a rare and complex case of severe kyphosis resulting from ankylosing spondylitis (AS) in conjunction with ossification of the posterior longitudinal ligament (OPLL) and the yellow ligament (OYL), which necessitated multiple surgical interventions.</div></div><div><h3>Presentation of case</h3><div>The patient was a 45-year-old male with a high body mass index and severe thoracolumbar rigid kyphosis caused by AS. Given the significant degree of the pelvic incidence minus lumbar lordosis (PI-LL) mismatch, a two-stage L2 and L4 pedicle subtraction osteotomy (PSO) was planned, extending from T8 to the pelvis. At that juncture, although concomitant OPLL and OYL at the thoracic spine were observed, these were excluded from the surgical plan, as there were no neurological symptoms before surgery. On the fifth postoperative day following a two-stage surgery, motor weakness and paresthesia in the lower extremities manifested. Based on the neurological findings, a diagnosis of compressive thoracic myelopathy caused by OPLL/OYL at T4–8 level was made, and extensive laminectomy with extended thoracic fusion up to T3 was successfully performed.</div></div><div><h3>Discussion</h3><div>In retrospect, considering the risks associated with frequent surgery, a single-stage double-level PSO might have been preferable alternative. Furthermore, preparations could have been made for additional thoracic decompression and fusion on a standby basis in case thoracic myelopathy developed due to OPLL/OYL.</div></div><div><h3>Conclusion</h3><div>The rapid development of thoracic myelopathy following a double-level PSO at the lumbar spine, in the presence of AS and concomitant thoracic OPLL/OYL, despite the presence of ankylosing spine and apparent loss of mobility, was not predicted.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112127"},"PeriodicalIF":0.7,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419938","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}

{"title":"Survival against anatomical odds: Management of a 143-cm transdiaphragmatic, transspinal rod impalement-A case report","authors":"Suman Adhikari ,&nbsp;Aashutosh Jha ,&nbsp;Binod Bade Shrestha ,&nbsp;Sushil Mishra ,&nbsp;Mrigendra Raj Pandey ,&nbsp;Pradeep Ghimire","doi":"10.1016/j.ijscr.2025.112104","DOIUrl":"10.1016/j.ijscr.2025.112104","url":null,"abstract":"<div><h3>Introduction</h3><div>Impalement injuries are rare but often fatal injuries due to their complex nature involving multiple organ systems and the risk of massive hemorrhage. Patient outcome depends upon early resuscitation, the location, extent of organ involvement and post-operative care.</div></div><div><h3>Presentation of the case</h3><div>We report a case of a 55-year-old man who fell onto an exposed rod from approximately 10 ft in height. On presentation to the Emergency Department in an ambulance, he was hemodynamically stable. He had absent sensory and motor functions below the T7-T8 levels of the trunk. Multiplanar CT showed rod impalement traversing the abdomen, thorax, and vertebral canal causing spinal cord transection, but without visceral/vascular injuries. He was taken to the operating theater, and laparotomy was performed, and the rod was extracted under direct vision. Post-operatively, he was managed with broad-spectrum antibiotics and supportive measures. He was discharged on the 8th post-operative day in stable condition.</div></div><div><h3>Discussion</h3><div>Patients with thoracoabdominal impalement should be managed in accordance with Advanced Trauma Life Support (ATLS) principles. Computed Tomography (CT) scan is the diagnostic modality of choice. Early hemodynamic stabilization followed by definitive removal in the operating room under direct vision is recommended. Meticulous postoperative care is crucial for optimal recovery.</div></div><div><h3>Conclusion</h3><div>This report aims to emphasize that not all extensive impalement injuries lead to fatal outcomes. Prognosis depends on the mechanism of injury, resuscitation, management approach, and post-operative care.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112104"},"PeriodicalIF":0.7,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145467729","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}

{"title":"Laparoscopic median arcuate ligament release: Successful management of Dunbar syndrome in a young male","authors":"Sujan Paudel ,&nbsp;Prajjwol Luitel ,&nbsp;Abhishek Kumar Shah ,&nbsp;Bikal Ghimire","doi":"10.1016/j.ijscr.2025.112109","DOIUrl":"10.1016/j.ijscr.2025.112109","url":null,"abstract":"<div><h3>Introduction and importance</h3><div>Median arcuate ligament syndrome (MALS), also known as Dunbar syndrome, is a rare condition caused by compression of the celiac artery and/or ganglion by the median arcuate ligament. Its incidence is poorly defined, but it typically affects lean, middle-aged women. Due to its non-specific symptoms, MALS is often underdiagnosed. Although open surgery is conventional in resource-limited settings, laparoscopic approaches offer favorable outcomes.</div></div><div><h3>Presentation of case</h3><div>We report a case of a 24-year-old male with chronic postprandial upper abdominal pain and significant weight loss. Imaging via contrast-enhanced CT confirmed celiac artery compression consistent with MALS. He underwent successful laparoscopic median arcuate ligament release with celiac neurolysis.</div></div><div><h3>Discussion</h3><div>MALS presents diagnostic challenges due to its overlapping symptoms with other gastrointestinal disorders. Imaging and clinical correlation are crucial for diagnosis. While open surgery remains common in low-resource settings, laparoscopy provides reduced morbidity and quicker recovery.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of considering MALS in chronic postprandial pain and supports the feasibility of laparoscopic decompression as an effective treatment, even in resource-constrained environments.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112109"},"PeriodicalIF":0.7,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419806","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}

{"title":"Congenital broncho-esophageal fistula; presenting as recurrent pneumonia in a 10-years-old child: A case report","authors":"Seifu Alemu ,&nbsp;Gersam Abera ,&nbsp;Ashenafi Kasaye ,&nbsp;Hasen Muhammed ,&nbsp;Wondu Reta Demissie","doi":"10.1016/j.ijscr.2025.112116","DOIUrl":"10.1016/j.ijscr.2025.112116","url":null,"abstract":"<div><h3>Background and importance</h3><div>Congenital broncho-esophageal fistula (BEF) is a rare developmental anomaly where there is an abnormal communication between the esophagus and the bronchial tree. Unlike tracheoesophageal fistulas (TEF) which is often diagnosed in neonates, isolated BEF may go undiagnosed until later age and present as recurrent respiratory infections or chronic cough triggered by feeding. The problem may go undiagnosed as it is often mistaken for other common causes of cough in children like pneumonia and bronchial asthma or other hyperactive airway diseases.</div></div><div><h3>Case presentation</h3><div>This is a case of a 10 years old female who presented with recurrent pneumonia and chronic cough exacerbated by feeding and episodes of choking. She had multiple admissions since early ages and was treated with antibiotics. No remarkable physical finding on the systemic examination except for crepitations on the right lower lung fields. Routine laboratory tests were performed and diagnosis confirmed by imaging which showed a broncho-esophageal fistula connecting the esophagus to the right main bronchus. After a course of parenteral antibiotics, a right postero-lateral thoracotomy with surgical division and closure of the fistula was performed, and finally she he was discharged in good condition on the 8th postoperative day.</div></div><div><h3>Clinical discussion</h3><div>Congenital BEF is a rare anomaly caused by incomplete separation of the foregut during embryogenesis resulting in a communication between the esophagus and the bronchial tree, and it is estimated to be less than 0.1 % of all congenital anomalies. This communication allows ingested material such as food, saliva and gastric contents to enter the airway and patients are prone to chronic pulmonary inflammation, recurrent respiratory infections and eventually bronchiectasis. Patients with BEF often present with recurrent pneumonia to the same pulmonary segment, chronic cough worsened by swallowing, choking episodes and occasionally hemoptysis. In this case the patient's recurrent pneumonia, chronic cough on feeding and choking on liquids were the hallmarks of esophago-respiratory communication.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of considering congenital broncho-esophageal fistula in children with recurrent respiratory infections and feeding related cough. The key to a prompt diagnosis and timely treatment remains high index of suspicion and considering a diagnostic imaging (barium esophagogram) in such patients.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112116"},"PeriodicalIF":0.7,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419812","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}

{"title":"Surgical management of renal cell carcinoma with extension into the inferior vena cava and right atrium: A case report","authors":"Muhammad Arza Putra ,&nbsp;Agus Rizal Ardy Hariandy Hamid ,&nbsp;Fakhri Ramhan ,&nbsp;David Hutagaol ,&nbsp;Konda Kinanti Muroso ,&nbsp;Renaldi Prasetio","doi":"10.1016/j.ijscr.2025.112117","DOIUrl":"10.1016/j.ijscr.2025.112117","url":null,"abstract":"<div><h3>Introduction</h3><div>Metastatic heart tumors are more prevalent than primary cardiac tumors. Renal cell carcinoma (RCC) is one of the tumor that can spread to the Inferior Vena Cava (IVC) to the right heart chamber. We present the Case of RCC with extension into the IVC and Right Atrium with surgical treatment and approach.</div></div><div><h3>Case description</h3><div>40-years old male experienced shortness of breath 3 months prior. PET CT-scan showed Lobulated hypermetabolic mass with malignant aspect measuring ±68.6 × 64.9 mm with necrotic area in the right renal lower pole corresponds to RCC. Tumor thrombus (TT) of the inferior vena cava reaches the right atrium. Transthoracic echocardiography showed multiple lobe thrombus from the IVC entering the RA. Surgical therapy with excision of right kidney tumor and TT into the IVC and RA with cardiopulmonary bypass (CPB).</div></div><div><h3>Clinical decision</h3><div>The thrombus was Mayo grade 4, preoperative imaging and intraoperative findings confirmed a short, mobile, non-adherent thrombus without caval wall invasion. Complete removal was achieved with CPB alone, omitting DHCA. Intraoperative transoesophageal echocardiography guided safe extraction, reducing procedural complexity and avoiding DHCA-related risks.</div></div><div><h3>Conclusion</h3><div>Management of RCC with RA extension requires precise assessment of thrombus level, morphology, and metastatic status. In selected Mayo grade 4 cases without wall adhesion, friable thrombus, or valve involvement, CPB without DHCA is a safe alternative, minimizing perioperative morbidity. DHCA should be prioritized when adhesion, friability, or valve extension is present.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112117"},"PeriodicalIF":0.7,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419811","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}

{"title":"Case report: Secondary peristomal cutaneous squamous cell carcinoma following multimodal treatment for rectal cancer","authors":"Elena Knochenhauer ,&nbsp;Andre Schreiber ,&nbsp;Anne Glitsch ,&nbsp;Stephan Kersting","doi":"10.1016/j.ijscr.2025.112112","DOIUrl":"10.1016/j.ijscr.2025.112112","url":null,"abstract":"<div><h3>Introduction</h3><div>This case report describes the rare development of a highly differentiated, keratinising squamous cell carcinoma on the skin of the anus praeter following multimodal therapy for rectal cancer. The case was successfully managed through structured follow-up care and interdisciplinary collaboration.</div></div><div><h3>Case presentation</h3><div>We report on the complex case of a patient with rectal carcinoma, which was treated with neoadjuvant radiochemotherapy, followed by surgical resection and adjuvant chemotherapy. During treatment, a low anterior resection syndrome developed, resulting in the creation of an end colostomy. Verrucous skin ulcerations developed around the stoma, leading to the development of squamous cell carcinoma of the skin based on this chronic inflammation.</div></div><div><h3>Discussion</h3><div>Secondary malignancies are a significant late complication of radiotherapy or combined radiochemotherapy. While high doses of radiation cause cell death, malignant transformations can be promoted in the low-dose peripheral areas of the radiation fields. In the present case, however, the chronic inflammatory skin change indicates inflammation-induced carcinogenesis, which is described in the literature as a central pathogenetic mechanism.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of close follow-up care and a holistic approach to patient care. It also illustrates the importance of recognising and managing treatment complications. Furthermore, it raises awareness of the development of secondary malignancies and malignant transformations.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112112"},"PeriodicalIF":0.7,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419727","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}

{"title":"Clinical diagnosis and challenges in management of Osteogenesis Imperfecta in a resource-limited setting — A case report and review of literature","authors":"Dinesh Kumar Pandit ,&nbsp;Samagya Paudel ,&nbsp;Hem Shankar Yadav,&nbsp;Kshitiz Shrestha,&nbsp;Roshika Ghatani,&nbsp;Pia Rai","doi":"10.1016/j.ijscr.2025.112077","DOIUrl":"10.1016/j.ijscr.2025.112077","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric bone fragility presents a significant diagnostic challenge, often leading to misdiagnosis between conditions like rickets and Osteogenesis Imperfecta (OI). Accurate differentiation is crucial for effective management due to the varying underlying pathophysiologies.</div></div><div><h3>Case presentation</h3><div>This report details the diagnostic journey of a 10-year-old male who initially presented with recurrent femoral shaft fractures and was misdiagnosed with rickets. Despite conventional treatment, persistent symptoms and the emergence of classic OI features, such as grey sclera and dentinogenesis imperfecta, prompted re-evaluation and ultimately led to a diagnosis of Osteogenesis Imperfecta Type I.</div></div><div><h3>Discussion</h3><div>This case highlights the complexities of diagnosing rare genetic bone disorders that mimic more common conditions. Challenges include limited access to advanced diagnostics like genetic testing and the need for a high index of suspicion in atypical presentations. The importance of a multidisciplinary approach to OI management and early diagnosis for patient and family support is emphasized. The case also highlights the necessity of thoroughly investigating the underlying causes of pathological fractures.</div></div><div><h3>Conclusion</h3><div>This case report illustrates the diagnostic pitfalls in pediatric bone fragility and reinforces the need for comprehensive clinical assessment and appropriate investigations to avoid misdiagnosis of conditions like OI. Early and accurate diagnosis is crucial for effective management and improved patient outcomes.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112077"},"PeriodicalIF":0.7,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419892","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}

{"title":"Gallbladder ascariasis complicated by chronic eosinophilic cholecystitis in a one-year-old infant: A case report","authors":"Israa Saad ,&nbsp;Ahmed Ayoub ,&nbsp;Mohamed Abouheba ,&nbsp;Saber Waheeb ,&nbsp;Nada Yakout ,&nbsp;Mostafa Zain","doi":"10.1016/j.ijscr.2025.112105","DOIUrl":"10.1016/j.ijscr.2025.112105","url":null,"abstract":"<div><h3>Introduction &amp; importance</h3><div>Ascaris lumbricoides is one of the most prevalent soil-transmitted helminths, affecting up to 1.2 billion people worldwide. Although it mainly inhabits the intestine, migration to the biliary system can occur. Gallbladder involvement is exceptionally rare, particularly in children.</div></div><div><h3>Case presentation</h3><div>We report a one-year-old male with recurrent fever, anorexia, vomiting, and weight loss for three months. Past history included neonatal intensive care for hypoplastic lungs, anemia, and sepsis. Examination revealed mild epigastric and right hypochondrial tenderness. Laboratory results showed eosinophilia, and stool analysis confirmed Ascaris ova. Abdominal ultrasound demonstrated hepatomegaly, gallbladder wall thickening, and a hyperechoic mobile lesion suggestive of Ascaris.</div></div><div><h3>Clinical discussion</h3><div>Gallbladder ascariasis is extremely uncommon in infants, with only two previously reported cases under one year of age, which were managed conservatively. Clinical features are nonspecific, overlapping with other gastrointestinal disorders. Ultrasound is the diagnostic tool of choice, revealing typical hyperechoic intraluminal structures. In this case, laparoscopic cholecystectomy confirmed a degenerated worm with chronic eosinophilic cholecystitis. While conservative management with anthelmintics is standard, surgery is indicated for complications such as cholecystitis or worm impaction.</div></div><div><h3>Conclusion</h3><div>Although uncommon, Ascaris lumbricoides may migrate into the gallbladder, resulting in symptomatic cholecystitis. In endemic regions, gallbladder ascariasis should be considered in the differential diagnosis of patients with unexplained gastrointestinal or biliary symptoms. Early recognition through a high index of suspicion and timely ultrasonographic evaluation is essential for accurate diagnosis and optimal management. Peripheral eosinophilia, reflecting the host immune response to parasitic infestation, may provide an additional diagnostic clue.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112105"},"PeriodicalIF":0.7,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520782","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}

{"title":"Ovarian mesonephric-like adenocarcinoma mimicking serous carcinoma: A case report integrating cytologic, frozen, histological, immunohistochemistry, and molecular analyses","authors":"Wanrun Lin ,&nbsp;Suming Huang ,&nbsp;Xin Zhou ,&nbsp;Lei Qin ,&nbsp;Wenxin Zheng ,&nbsp;Feng Zhou","doi":"10.1016/j.ijscr.2025.112106","DOIUrl":"10.1016/j.ijscr.2025.112106","url":null,"abstract":"<div><h3>Introduction</h3><div>Mesonephric-like adenocarcinoma (MLA) is a recently recognized, rare subtype of endometrial carcinoma that can also arise in the ovary. Ovarian MLA is uncommon and often misdiagnosed due to its varied growth patterns and overlap with more common ovarian carcinomas.</div></div><div><h3>Presentation of case</h3><div>We report a case of ovarian MLA that closely mimicked serous carcinoma clinically and histologically. The patient presented with a pelvic mass. Cytological analysis of peritoneal washing fluid initially raised a strong suspicion for serous carcinoma, underscoring the potential for MLA to masquerade on cytology. Intraoperative frozen section proved especially challenging: low-grade cytology and papillary-glandular architecture led to a provisional diagnosis of low-grade serous carcinoma, delaying recognition of MLA until permanent sections and ancillary stains could be performed. Formalin-fixed, paraffin-embedded sections demonstrated complex branching papillae and retiform glandular pattern with low to moderate nuclear atypia and scattered psammoma bodies, a pattern that can mimic both low-grade and high-grade serous carcinoma. Foci of endometriosis were identified in the fallopian tube, indicating the possibility of endometriosis derivation. However, immunohistochemistry showed a mesonephric profile: the tumor was diffusely positive for PAX8, GATA3, and TTF-1, while negative for estrogen receptor (ER) and progesterone receptor (PR), with wild-type p53 expression. Next-generation sequencing revealed a KRAS p.G12V mutation, low tumor mutational burden, and microsatellite stability, confirming the diagnosis of MLA.</div></div><div><h3>Discussion</h3><div>This case underscores the diagnostic challenges of MLA, particularly its ability to masquerade as low-grade or high-grade serous carcinoma on morphology, including cytology, frozen, and permanent sections.</div></div><div><h3>Conclusion</h3><div>We compare the cytologic, histologic, immunophenotypic, and molecular features of MLA and serous carcinoma, highlighting the importance of thorough evaluation to avoid the pitfall of morphology-only diagnosis.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112106"},"PeriodicalIF":0.7,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419940","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}

{"title":"SeptAlign™ biosorbable implant for correction of mobile cartilaginous nasal septum deviation: A case report","authors":"Harry E. Zylicz ,&nbsp;Caroline Taylor ,&nbsp;William Robertson ,&nbsp;Mary Ellis Beach ,&nbsp;William Barham ,&nbsp;Henry P. Barham","doi":"10.1016/j.ijscr.2025.112111","DOIUrl":"10.1016/j.ijscr.2025.112111","url":null,"abstract":"<div><h3>Introduction</h3><div>The standard of care for symptomatic nasal septal deviation in adults, refractory to medical management, is septoplasty. SeptAlign™ is a minimally-invasive, bioabsorbable implant cleared by the United States Food and Drug Administration for mechanical correction of minor nasal septal deviation and a novel alternative to traditional septoplasty.</div></div><div><h3>Presentation of case</h3><div>We present a case report of a 42 year old male with a history of symptomatic nasal septal deviation and nasal airway obstruction who strongly wished to avoid open surgical correction.</div></div><div><h3>Discussion</h3><div>We successfully implanted the SeptAlign device to correct the cartilaginous deviation with severe anterior caudal deflection. We present pre- and post-procedure computed tomography and endoscopy imaging and patient reported outcomes to demonstrate correction of nasal airway obstruction and symptoms.</div></div><div><h3>Conclusion</h3><div>SeptAlign is a less invasive alternative to traditional septoplasty or septorhinoplasty in patients with cartilaginous nasal septal deviation, with the added benefits of avoiding general anesthesia and the convenience of an in-office procedure.</div></div>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"137 ","pages":"Article 112111"},"PeriodicalIF":0.7,"publicationDate":"2025-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145419941","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}