Journal of surgical case reports

The rate of implantation of endometrial tissue onto the appendix varies greatly within the literature with appendiceal intussusception being a rare clinical presentation in this small subset of patients. Here we discuss a case of appendicea…

Appendix intussusception (AI), with ~200 reported cases, is a rare condition in which the appendix invaginates into the cecum [1]. Etiologies include benign and malignant pathologies including both intraluminal and extraluminal lesions, but…

A 21-year-old parous woman (G2, P1) presented with sudden abdominal pain in a state of hemodynamic shock. Despite 10 weeks of amenorrhea and a serum β-human chorionic gonadotropin (β-HCG) level >10 000 U/l, several ultrasound (US) scans in …

We report a rare case of cecal volvulus around Ladd's band in a 45-year-old woman with previously undetected intestinal malrotation despite two prior laparotomies. The patient presented with subocclusive bowel syndrome and underwent emergen…

Abdominal wall tumors represent a significant challenge in surgical practice due to their wide range of etiologies and nonspecific clinical presentation. These lesions can include benign, malignant, and pseudotumoral pathologies, such as de…

Perforation of a duodenal diverticulum is rare but associated with high morbidity and mortality. Retroperitoneal perforations often present atypically, delaying diagnosis and management. We describe a 48-year-old woman presented to the hosp…

Extraskeletal osteosarcoma is a rare malignant tumor with an osteoid or bone matrix that develops in soft tissues that are not in contact with bone or periosteum. A 47-year-old woman presented with a subcutaneous mass in her right abdomen. …

Focal gallbladder wall thickening may raise suspicion for inflammatory, hyperplastic, or malignant processes. We report a rare case of chronic cholecystitis associated with adenomyosis and osseous metaplasia in a 43-year-old woman with mult…

Heterotopic pregnancy (HP), defined as the coexistence of intrauterine and extrauterine gestations, is a rare but potentially life-threatening condition. Its incidence is estimated at 1 in 30 000 spontaneous pregnancies, while assisted repr…

Multicystic peritoneal mesothelioma (MCPM) is a borderline variant of peritoneal mesothelioma with indolent behaviour but a significant recurrence rate without radical treatment. Due to its rarity, risk factors and optimal treatment are sti…

Actinomycosis is a rare chronic bacterial infection, with pelvic involvement accounting for ~5% of cases. Surgery may be required if there is intestinal obstruction, abscess formation, severe infection, or if malignancy cannot be excluded. …

Peritoneal inclusion cysts (PICs) are benign cystic lesions typically observed in women of reproductive age with prior pelvic surgery, endometriosis, or pelvic inflammatory disease. To date, no cases of PICs have been reported in transgende…

Primary umbilical endometriosis (Villar's nodule) is a rare entity, representing 0.5%-1% of all endometriosis cases. We report a 37-year-old multiparous woman presenting with a 7-day history of umbilical pain, swelling, and constipation. Ex…

An inverted appendix is a rare incidental finding on colonoscopy, often misinterpreted as a neoplastic lesion. A 74-year-old woman underwent routine screening colonoscopy that revealed a cecal polypoid lesion near the appendiceal orifice. I…

Interstitial ectopic pregnancies account for 1%-3% of ectopic pregnancies and carry a high risk of morbidity due to delayed diagnosis and potential catastrophic haemorrhage. Sonographic identification is challenging and may be further confo…

Small bowel obstruction (SBO) is a common cause of acute abdominal pain, typically resulting from adhesions, hernias, or malignancy. Appendicitis is a rare etiology of mechanical SBO, with less than 50 cases documented in the literature. We…

Acute appendicitis is a common disease in pregnancy that is often difficult to diagnose. However, delayed diagnosis may have a negative impact on the pregnant woman and the fetus. In this report, we present the case of a 34-year-old pregnan…

Adenomyoma originating from the round ligament of the uterus represents a remarkably uncommon pathological entity. Considering the anatomical course of the round ligament through the inguinal canal, pathological lesions in this structure ma…

Endometriosis of the vermiform appendix is an uncommon pathology that may present as an appendiceal mass identified on colonoscopy. This may be due to an appendiceal endometrioma or intussusception of the appendix. Mucinous appendiceal neop…

Appendiceal endosalpingiosis is an exceedingly rare histopathologic finding with uncertain clinical significance and unknown implications for management. Most often, endosalpingiosis occurs within ovary, fallopian tube, omentum, and uterus.…

Paraovarian cysts develop near the ovaries and fallopian tubes in the pelvic region. We describe our experience with a case of endometrioid carcinoma arising from a paraovarian cyst to help others better understand its presentation and mana…

Colo-cutaneous fistulas are a rare complication of diverticular disease. Percutaneous drainage offers a promising alternative to surgical intervention in the management of complicated diverticular disease with abscess formation. Recent case…

Uterine fibroids are common benign gynecological tumors. Submucosal fibroids, which protrude into the uterine cavity, may sometimes extend through the cervical canal as pedunculated masses, causing abnormal uterine bleeding (AUB). However, …

Endometriosis is a chronic, estrogen-dependent disease commonly affecting pelvic organs. Lymph node involvement is rare and even more so when leading to herniation. We report a rare case of a 41-year-old woman with no prior history of endom…

Endometriosis is a chronic gynecological condition characterized by the presence of endometrial-like tissue outside the uterine cavity. Although commonly associated with pelvic pain and infertility, its incidental discovery during a cesarea…