To explore the feasibility of using indocyanine green(ICG) visualizing the deep infiltrating endometriosis (DIE) during robotic surgery.

A patient with DIE in Department of Genecology and Obstetrics, Chinese PLA General Hospital was selected and underwent total hysterectomy with bilateral adnexectomy and endometriosis lesion excision with perfect preoperative examination and no surgical contraindication. Near-infrared fluorescence imaging with indocyanine green was used in the operation to visualize the endometriosis lesions.

The location of the lesions were accurate and the patient discharged from hospital successfully.

Near-infrared fluorescence imaging system with indocyanine green may clearly visualize the deep infiltrating endometriosis during robotic surgery. It is characterized by brief operation, accuracy and real time. With this technique, we can comprehensively evaluate the scope of our surgery.

This case report presents a patient with familial adenomatous polyposis (FAP) and low rectal cancer who underwent radical anterior resection of the rectum, total colectomy, and transverse colonic lengthening. This approach achieved complete tumor resection while avoiding a permanent colostomy and improving postoperative bowel function. The patient initially received a prophylactic loop ileostomy during the first-stage surgery, which has since been successfully reversed. During follow-up, the patient has maintained good general health, preserved bowel function, and has resumed normal daily activities.

Recurrent inflammatory granulation tissue hyperplasia at the small enterostomy is rare. Our center reported a case of a 67-year-old male who developed inflammatory granulation tissue hyperplasia at the small enterostomy 5 and 7 years after the small bowel obstruction surgery, respectively. We surgically removed the hyperplastic tissue, and postoperative pathology showed inflammatory granulation tissue hyperplasia without cancer cells. Although the probability of malignant transformation of inflammatory granulation tissue is extremely low, the risk of stoma cancer still needs to be considered. Therefore, this article summarized the treatment of the case to provide more evidence for clinical treatment.

Inguinal ovarian hernia in adult women is rare, and cases concomitant with adenomyoma of the uterine round ligament are even rarer. Here, we report the diagnostic and therapeutic course of a 49-year-old woman with a right-sided inguinal ovarian hernia complicated by adenomyoma of the round ligament. We further analyzed this case in conjunction with the literature, with a focus on the clinical characteristics, diagnosis, and management of adult inguinal ovarian hernia. Preoperative diagnosis remains challenging, and the condition is prone to misdiagnosis or missed diagnosis. Imaging modalities such as ultrasonography, computed tomography, or magnetic resonance imaging demonstrating an "absent" ipsilateral ovary can facilitate the diagnosis. Surgery is the mainstay of treatment. Intraoperatively, particular attention should be paid to preserving the ovary and reproductive function, and hernia repair should be performed to prevent postoperative recurrence.

Cervical spondylosis is a syndrome characterized by degenerative changes in the cervical intervertebral disc tissue and its accessory structures, which subsequently cause compression or stimulation of adjacent nerve roots, spinal cords, or blood vessels, and the appearance of corresponding clinical symptoms. Cervical radiculopathy (CSR) is the most common type of cervical spondylosis in clinical practice, mainly manifested as sensory, motor, and reflex disorders consistent with the distribution area of spinal nerve roots. The symptoms are mainly characterized by severe neck pain and limited neck movement. The pain radiates to the shoulders, arms, forearms, and fingers, and may be accompanied by weakness in the upper limbs and numbness in the fingers. The nerve roots of C5, C6, and C7 are most commonly involved. Brachial plexus neuritis (BPN), also known as neuralgic amyotrophy (NA), is a common peripheral nerve disease that can lead to motor and sensory dysfunction of the affected limb, severely affecting patients' lives and work. The cause of BPN remains unclear. It is speculated to be caused by viruses and immune factors, and may also be related to genetic factors. BPN attacks often start with severe pain around the shoulder and deep within the clavicle, which is generally ineffective with painkillers. Three to ten days later, muscle weakness in one upper limb occurs, followed by rapid muscle atrophy, and the pain tends to ease. Early identification, active diagnosis and treatment, and rehabilitation are conducive to the patient's recovery. Because the two share similar symptoms, such as neck and shoulder pain, abnormal sensations, or reduced muscle strength, BPN is often misdiagnosed as cervical spondylosis of the nerve root type in clinical practice. Especially when cervical spondylosis and BPN coexist, it is more likely to be misdiagnosed and mistreated.

To explore the clinical characteristics, diagnostic key points, and treatment methods of patients with cervical spondylosis complicated with brachial plexus neuritis.

The data of 22 patients diagnosed with cervical spondylosis complicated with brachial plexus neuritis who visited Fuxing Hospital Affiliated to Capital Medical University and Tsinghua Changgung Hospital of Tsinghua University in Beijing from August 2016 to January 2025 were collected. Their onset characteristics, symptoms and signs, imaging (cervical MRI, brachial plexus nerve ultrasound/MRN), and neuroelectrophysiological features were summarized. Moreover, follow up on its comprehensive therapeutic effect.

Among the 22 patients, 16 were male, and 6 were female, aged 43 to 87 years, with disease courses ranging from 10 days to 7 months. All 22 patients presented with acute exacerbation of pain and movement disorders based on chronic neck discomfort, and most of them were accompanied by evident proximal muscle atrophy of the upper limbs. Electromyography confirmed neurogenic damage, mainly due to brachial plexus injury, with a pattern characterized by injury to common motor nerves such as the suprascapular, axillary, and musculocutaneous nerves. After comprehensive treatment, the pain of all patients was significantly relieved. At the 6-month follow-up, 21 patients achieved clinical cure.

Cervical spondylosis and brachial plexus neuritis can coexist. For patients with complex shoulder and arm pain, this should be considered. A detailed electrophysiological examination is key to a precise diagnosis. Comprehensive conservative treatment for such diseases is an important means to improve prognosis.

Bile reflux after one anastomotic gastric bypass (OAGB) is a major concern of bariatric metabolic surgeons, because bile reflux may lead to the increased risk of gastroesophageal reflux disease (GERD) and upper gastrointestinal cancer, and even revision surgery was completed due to severe bile reflux. However, there is no unified and ideal anti-bile reflux method in OAGB. In recent years, our center has also made a preliminary exploration in this respect, improved the method of gastrointestinal anastomosis and input loop fixation, and achieved satisfactory results in a short period of time.

Pyostomatitis vegetans (PSV) is an uncommon inflammatory disorder of the oral mucosa, frequently associated with inflammatory bowel disease. IgA pemphigus, a rare autoimmune bullous disease, seldom involves mucosal tissues. We present a case of IgA pemphigus initially manifesting as PSV, with subsequent development of pustular lesions on the posterior trunk, neck, back, and perianal region, accompanied by gastrointestinal symptoms and peer reactions. The patient's condition improved following combination therapy with glucocorticoids, thalidomide, and rituximab. The extensive mucosal involvement observed in this case broadens the understanding of the clinical spectrum of IgA pemphigus. This report highlights that PSV may serve as an initial manifestation of IgA pemphigus, which should therefore be considered in the differential diagnosis of such oral lesions. Multidisciplinary management is essential for accurate diagnosis and effective treatment.