Recurrent anterior shoulder dislocation is often managed successfully with soft tissue or bony stabilization procedures. However, patient compliance plays a critical role in long-term outcomes. We report the case of a 53-year-old female patient with cognitive impairment and end-stage renal disease who presented with recurrent anterior shoulder dislocations. Despite minimal glenoid bone loss, a Latarjet procedure was performed due to poor soft tissue healing potential and anticipated postoperative noncompliance. Initial outcomes were satisfactory; however, the patient developed graft failure and humeral head necrosis, ultimately requiring resection arthroplasty. This case underscores that even appropriately selected surgical interventions can fail in the absence of adequate postoperative care. Patient-specific factors, particularly compliance, may outweigh the choice of surgical technique in determining long-term success.

A 48-year-old male patient presented with a 1.5 cm white lesion on the left floor of the mouth, which was diagnosed as well-differentiated squamous cell carcinoma. Following tumor resection, a 3.5× 2.0 cm mucosal defect was reconstructed using a superiorly based facial artery musculomucosal (FAMM) flap elevated from the ipsilateral buccal mucosa. The flap healed successfully without complications. At long-term follow-up, the patient exhibited normal articulation and oral intake, with no functional impairment.This case demonstrates that the FAMM flap is a reliable reconstructive option for moderate intraoral defects of the floor of the mouth, with excellent functional outcomes.

Primary squamous cell carcinoma of the pancreas is very rare, and pancreatic metastases from esophageal squamous cell carcinoma are also uncommon. We report a case of pure squamous cell carcinoma initially presenting as a pancreatic mass with a synchronous lesion in the esophagus. A 64-year-old male patient presented with acute upper abdominal pain and anorexia. Computed tomography imaging demonstrated a pancreatic mass with multiple lymph node and organ metastases. Histopathological examination of endoscopic ultrasound-guided fine needle aspiration and biopsy established the diagnosis of pure squamous cell carcinoma.Subsequent needle biopsies of esophagus and supraclavicular lymph nodes also confirmed the diagnosis of squamous cell carcinoma. This case emphasizes the diagnostic value of endoscopic ultrasound-guided aspiration cytology and biopsy, which enables a rapid and minimally invasive assessment of pancreatic mass with high diagnostic accuracy.

Objective: To compare the natural courses and surgical outcomes in recurred intermittent exotropia (IXT) patients with partial fusion after primary surgery, to provide appropriate follow-up strategies and guidelines for determination of reoperation. Methods: We performed a retrospective chart review of 78 patients hospitalized between January 2005 and December 2015 who had shown 10–20 prism diopter (PD) IXT after 1 year of primary surgery and had minimum postoperative follow-up of 2 years after initial surgery, 6 months after reoperation. Results: Thirty-eight of 78 patients underwent reoperation and 40 patients followed up without reoperation. The mean age at second surgery was 4.5 years, 2 years younger and the follow-up period was 2 years longer than observation group. Preoperative deviation at distance was 31. PD and 28.9 PD, about 2.5 PD larger than observation group. The risk factors for reoperation were younger age at first surgery, longer duration period and greater preoperative deviation. There was bimodal peak at 2nd and 5th years of reoperation. Based on the bimodal peak distributions, the patients were divided into early and late reoperation group based on 40 months. There was no difference between the two groups in final outcome. Conclusion About half of the patients with mild recur after primary surgery underwent reoperation. If the age was young and angle of deviation was large at primary surgery, the possibility of reoperation was high. The reoperation period did not affect outcomes at final follow-up, and most patients maintained stable state under 10 prism angles of deviation.

Hydrocele is one of the most common lesions of the male reproductive organs. However, the occurrence of Leydig cell tumor is relatively rare. In addition, cases where the two lesions are identified simultaneously have been very rarely reported in the literature. In the patient of this case, a hydrocele was clinically suspected and an intratesticular mass was found simultaneously with the hydrocele during an imaging examination. And then, radical orchiectomy was performed under the clinical suspicion of seminoma, the most common type of testicular tumor. The histopathological examination revealed a final diagnosis of Leydig cell tumor without malignant tendencies. In this case, we report a case of Leydig cell tumor, a rare sex cord-stromal tumor of the testis, found simultaneously with a hydrocele.

Para sports enhance physical function, quality of life, and social inclusion for individuals with impairments, yet participation is limited by complex classification systems and insufficient accessible information. This study aims to recommend tailored para sports and facilitate engagement through local sports organizations. Using the Power in Motion blog, launched in 2024, we simplified classification and provided impairment-specific sport guides. Two cases were examined: Case 1, a 31-year-old male with lower thoracic incomplete spinal cord injury, was recommended para archery, para shooting, and wheelchair fencing, aligning with his preference for precision-based individual sports. Case 2, a 45-year-old male with right hemiplegia, was recommended para boccia, para athletics (throwing events), and para rowing, reflecting his love for ball sports and career goals. These tailored recommendations support participation, recovery, and quality of life through focused sport involvement.

Gastrointestinal tract lipoma is a rare case for an emergency physician to encounter. Gastrointestinal lipomas are benign slowly growing tumors that can be found throughout the entire gastrointestinal tract. Lipomas manifests with general gastrointestinal symptoms which makes it difficult for an emergency physician to differentiate with other gastrointestinal tract problems. We report two cases of gastrointestinal lipoma: one was a 13 cm sized giant colonic lipoma located in the descending colon and the other case was a distal ileal lipoma which was identified as a leading point of intussusception. Both patients visited the emergency department with ambiguous symptoms and were treated successfully by surgery.

Perforation of a Meckel’s diverticulum with a foreign body is a rare complication. Whether in children or adults, fish bones have been reported to cause perforation in a Meckel’s diverticulum, but few cases have been reported in which swallowing relatively large bones such as chicken bones results in perforation. We report a case of perforation of a Meckel’s diverticulum caused by swallowing a chicken bone.

Jamu sticks are used in some Southeast Asian cultures especially Indonesia for vaginal health and tightening. However, there is no scientific evidence supporting the safety or effectiveness of Jamu sticks for vaginal tightening or health. Chemical reactions caused by these foreign substances can lead chemical vaginitis, increasing the risk of secondary infection through the disrupted vaginal wall. I report a case of a patient successfully treated for vaginal stenosis due to chemical vaginitis caused by Jamu sticks experienced in our hospital and advise caution against indiscriminate folk remedies.

Muco-submucosal elongated polyp is a non-neoplastic growth composed of normal mucosa and submucosal tissue. It was first reported by Matake and his colleagues and has been found mainly in the colon. The term colonic muco-submucosal elongated polyp was proposed for colonic lesions. However, only a few cases have been reported in the duodenum and jejunum of the small intestine. These lesions are called enteric muco-submucosal elongated polyp, and intussusception is very rare. In this case report, I experienced a case of enteric muco-submucosal elongated polyp that occurred in the jejunum of the small intestine and caused intussusception.