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Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy 胆囊-肝管:胆囊切除术后胆漏的一种胆管变异——正常和常见变异胆道解剖的病例报告和回顾
Case Reports in Radiology Pub Date : 2019-06-17 DOI: 10.1155/2019/6812793
Nathan Meyer, S. Al-katib, Farnoosh Sokhandon
{"title":"Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy","authors":"Nathan Meyer, S. Al-katib, Farnoosh Sokhandon","doi":"10.1155/2019/6812793","DOIUrl":"https://doi.org/10.1155/2019/6812793","url":null,"abstract":"Although relatively infrequent, bile duct leaks are among the primary complications of hepatobiliary surgery and cholecystectomy given the large number of these operations performed annually around the world. Variant biliary anatomy increases the risk of surgical complications, especially if unrecognized on preoperative imaging or intraoperatively. Presented here is a case of a patient with an unrecognized cholecystohepatic duct at the time of surgery leading to bile leak after cholecystectomy. Numerous factors made for a technically difficult surgery with obscuration of the true anatomy, ultimately resulting in transection of the cholecystohepatic duct. Understanding normal and variant biliary anatomy will help prevent avoidable complications of hepatobiliary surgery.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80297218","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}
引用次数: 4
Dural and Leptomeningeal Spine Metastases of Breast Cancer. 乳腺癌的硬脊膜和脊膜脊柱转移。
Case Reports in Radiology Pub Date : 2019-05-29 eCollection Date: 2019-01-01 DOI: 10.1155/2019/4289362
Fernando Matos, Luís Cerqueira
{"title":"Dural and Leptomeningeal Spine Metastases of Breast Cancer.","authors":"Fernando Matos,&nbsp;Luís Cerqueira","doi":"10.1155/2019/4289362","DOIUrl":"https://doi.org/10.1155/2019/4289362","url":null,"abstract":"<p><p>We present a case of a 57-year-old female diagnosed with invasive ductal breast cancer, which was treated and in remission for 12 years. In 2018 she presented a progressive dorsal back pain, which prevented her from performing basic tasks. An MR study was performed and revealed the presence of an extramedullary metastatic sleeve located in the thoracic intradural space. Concomitant multiple small nodular foci were adhering diffusely to the spinal cord, compatible with leptomeningeal metastatic disease. The occurrence of both forms of spread in the spine is uncommon, and its distinction on imaging is of particular importance taking into account the differences in treatment approach and prognosis.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"4289362"},"PeriodicalIF":0.0,"publicationDate":"2019-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/4289362","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37119921","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: 2
Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion. 罕见的囊性纵隔淋巴管瘤表现为复发性胸腔积液1例报告。
Case Reports in Radiology Pub Date : 2019-05-26 eCollection Date: 2019-01-01 DOI: 10.1155/2019/1301845
Fateme Salehi, Mark Landis, Richard Inculet, Daniele Wiseman
{"title":"Case Report of a Rare Cystic Mediastinal Lymphangioma Mimicking Recurrent Pleural Effusion.","authors":"Fateme Salehi,&nbsp;Mark Landis,&nbsp;Richard Inculet,&nbsp;Daniele Wiseman","doi":"10.1155/2019/1301845","DOIUrl":"https://doi.org/10.1155/2019/1301845","url":null,"abstract":"<p><p>Mediastinal lymphangiomas are rare benign congenital malformations, but complications can occur, including infection, cystic hemorrhage, superior vena cava syndrome, airway compromise, and chylothorax. Radiologically, lymphangiomas are well-defined masses, with low attenuation ranging from simple to complex fluid and fat. They often encase adjacent mediastinal structures. We present a case of mediastinal lymphangioma in a young female, who presented with recurrent complex pleural effusions, initially thought to represent an empyema and/or necrotic mass. Despite surgical chest tube and interventional radiology drainage, fluid reaccumulated. Upon further review, the interventional and thoracic radiologist concurred that the complex collection was in fact predominantly extra pleural in location. The patient underwent partial resection after it was discovered intraoperatively that the extra pleural cystic mass was contiguous with and extended deeply into the mediastinum. Histopathology confirmed the diagnosis of lymphangioma.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"1301845"},"PeriodicalIF":0.0,"publicationDate":"2019-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/1301845","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37367651","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: 2
An Unusual Ovarian Mucinous Borderline Tumor with a Large Solid Component. 罕见的卵巢黏液交界性肿瘤伴大实性成分。
Case Reports in Radiology Pub Date : 2019-05-22 eCollection Date: 2019-01-01 DOI: 10.1155/2019/1402736
Eito Kozawa, Kaiji Inoue, Mitsutake Yano, Masanori Yasuda, Kosei Hasegawa, Junji Tanaka, Tomoaki Ichikawa, Mamoru Niitsu
{"title":"An Unusual Ovarian Mucinous Borderline Tumor with a Large Solid Component.","authors":"Eito Kozawa,&nbsp;Kaiji Inoue,&nbsp;Mitsutake Yano,&nbsp;Masanori Yasuda,&nbsp;Kosei Hasegawa,&nbsp;Junji Tanaka,&nbsp;Tomoaki Ichikawa,&nbsp;Mamoru Niitsu","doi":"10.1155/2019/1402736","DOIUrl":"https://doi.org/10.1155/2019/1402736","url":null,"abstract":"<p><p>Herein, we report magnetic resonance imaging (MRI) findings of a mucinous borderline tumor of the ovary, which we observed as a mainly solid tumor with large solid components in the lower pelvic cavity. The appearance of ovarian epithelial tumors on imaging is often complex. Cystic to solid appearing masses may be observed, and they often resemble epithelial carcinoma. Due to mucinous or hemorrhage components of packed small or microcystic components, MRI depicts slightly high signal intensity on T1-weighted images and low signal intensity on T2-weighted images. Mucinous borderline tumor of the ovary with a large solid component is very rare, but it is clinically important to recognize the possibility of mucinous borderline tumor to avoid unnecessary surgical intervention.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"1402736"},"PeriodicalIF":0.0,"publicationDate":"2019-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/1402736","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37367652","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: 3
TB Meningitis and TB Peritonitis: Abdominal Pseudocyst and VP-Shunt Link. 结核性脑膜炎和结核性腹膜炎:腹部假性囊肿和vp -分流链。
Case Reports in Radiology Pub Date : 2019-04-28 eCollection Date: 2019-01-01 DOI: 10.1155/2019/4893547
Manzoor Ahmed, Essameldin Ali ElGamal, Anwar Ahmad, Muhammad Badar Zaman
{"title":"TB Meningitis and TB Peritonitis: Abdominal Pseudocyst and VP-Shunt Link.","authors":"Manzoor Ahmed,&nbsp;Essameldin Ali ElGamal,&nbsp;Anwar Ahmad,&nbsp;Muhammad Badar Zaman","doi":"10.1155/2019/4893547","DOIUrl":"https://doi.org/10.1155/2019/4893547","url":null,"abstract":"<p><p>TB meningitis (TBM) carries high morbidity and mortality and is a relatively common extrapulmonary TB in the third world countries. TBM as thick exudative disease manifests on MRI and CT as nodular basal leptomeningitis, hydrocephalus, basal infarcts, and tuberculomas. Hydrocephalus is treated with ventriculoperitoneal shunting (VPS). Shunt malfunction and revision are common. We report a case of multidrug-resistant TBM with spinal involvement and dissemination of the disease via VPS causing TB peritonitis (TBP). TBP presented as a large abdominal pseudocyst around the catheter tip with shunt malfunction. There was no evidence for any other site of extra-CNS disease. TBP per se is relatively less common. This is the first case reporting VPS as a means of TB spread.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"4893547"},"PeriodicalIF":0.0,"publicationDate":"2019-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/4893547","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37315156","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
Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen's Aneurysm. 经肺动脉注射正丁基-2-氰基丙烯酸酯近端线圈阻断治疗拉斯穆森动脉瘤。
Case Reports in Radiology Pub Date : 2019-04-15 eCollection Date: 2019-01-01 DOI: 10.1155/2019/1725238
Atsushi Ugajin, Hiroyuki Fujii, Hiroyasu Nakamura, Akifumi Fujita, Takahiro Sasaki, Naoko Mato, Hideharu Sugimoto
{"title":"Transcatheter Proximal Coil Blocking with n-Butyl-2-Cyanoacrylate Injection via the Pulmonary Artery Alone for Rasmussen's Aneurysm.","authors":"Atsushi Ugajin,&nbsp;Hiroyuki Fujii,&nbsp;Hiroyasu Nakamura,&nbsp;Akifumi Fujita,&nbsp;Takahiro Sasaki,&nbsp;Naoko Mato,&nbsp;Hideharu Sugimoto","doi":"10.1155/2019/1725238","DOIUrl":"https://doi.org/10.1155/2019/1725238","url":null,"abstract":"<p><p>Rasmussen's aneurysm is a peripheral pulmonary artery pseudoaneurysm (PAP) within a tuberculosis cavity. Because it can be perfused from the bronchial and pulmonary arterial circulations, combined embolization via the bronchial and pulmonary arteries is sometimes required. Herein, we present case of a 51-year-old man with Rasmussen's aneurysm that was successfully treated by proximal coil blocking with n-butyl-2-cyanoacrylate (NBCA) injection via the pulmonary artery alone. With proximal coil blocking, a sufficient amount of NBCA could be injected without unintended reflux of the NBCA cast to the proximal pulmonary artery. To our knowledge, there has been no report that attempted NBCA injection under proximal coil blocking for Rasmussen's aneurysm. Our treatment approach may be safe and effective for infectious lung disease-related PAP, which has to be treated from the pulmonary artery side.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"1725238"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/1725238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37282388","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: 2
Multisystemic Benign Metastasizing Leiomyoma: An Unusual Condition with an Atypical Clinical Presentation. 多系统良性转移性平滑肌瘤:一种不典型临床表现的罕见疾病。
Case Reports in Radiology Pub Date : 2019-04-10 eCollection Date: 2019-01-01 DOI: 10.1155/2019/7014248
Fernando Matos, Cristina Santiago, Duarte Silva
{"title":"Multisystemic Benign Metastasizing Leiomyoma: An Unusual Condition with an Atypical Clinical Presentation.","authors":"Fernando Matos,&nbsp;Cristina Santiago,&nbsp;Duarte Silva","doi":"10.1155/2019/7014248","DOIUrl":"https://doi.org/10.1155/2019/7014248","url":null,"abstract":"<p><p>Benign metastasizing leiomyoma (BML) is a rarely found entity with few documented cases in the literature, usually occurring in women of reproductive age with a history of myomectomy or hysterectomy. The leiomyomas can metastasize to several organs, the lungs being the most commonly affected. We report a case of a 40-year-old female patient who presented at our institution with low back pain. She underwent a lumbar MR that revealed the presence of an expansive and compressive mass in the body of L4. This mass was biopsied, corresponding to a metastasizing leiomyoma with no malignant characteristics. Subsequently, a CT examination showed several soft tissue density round masses in both lungs, but the most striking feature was a 12 cm mass located in the left iliac crest. There was asymmetrical uterus enlargement, caused by the presence of several leiomyomas. Since the lesions were estrogen and progesterone positive, hormone suppression consisting of oophorectomy followed by anastrozole was the chosen treatment. No signs of progression were observed at the 6-month follow-up. This case is one of the very few that occurred in a woman with no previous uterine intervention, adding further evidence that surgery is not an essential condition for this entity to develop.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"7014248"},"PeriodicalIF":0.0,"publicationDate":"2019-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7014248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37243818","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: 10
Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function. 功能正常的骨骼成熟患者肩部无症状半骨骺发育不良。
Case Reports in Radiology Pub Date : 2019-03-27 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5356246
Vincenzo Giordano, Marcos Giordano, Carolina Giordano, José Giordano, Renato Mendonça, Hilton Augusto Koch
{"title":"Asymptomatic Dysplasia Epiphysealis Hemimelica of the Shoulder in a Skeletally Mature Patient with Normal Function.","authors":"Vincenzo Giordano,&nbsp;Marcos Giordano,&nbsp;Carolina Giordano,&nbsp;José Giordano,&nbsp;Renato Mendonça,&nbsp;Hilton Augusto Koch","doi":"10.1155/2019/5356246","DOIUrl":"https://doi.org/10.1155/2019/5356246","url":null,"abstract":"<p><p>Dysplasia epiphysealis hemimelica is a rare osteocartilaginous overgrowth syndrome of bone epiphysis, mostly encountered in the lower limbs of immature skeleton patients. We report a case of proximal humerus presentation in an adult male, with neither articular involvement nor clinical dysfunction. This case highlights the importance of stratification into intra- and extra-articular lesions, as this distinction ultimately influences both symptoms and treatment outcome. In addition, the case highlights the importance of specific imaging modalities, such as CT and MR images, which provide excellent anatomic location of the lesion, adequate extension of cartilaginous components, exact status of articular cartilage, and accurate assessment of neighboring structures, such as vessels, nerves, ligaments, tendons, and muscles. The imaging features are described, the relevant literature is reviewed, and salient features are discussed.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"5356246"},"PeriodicalIF":0.0,"publicationDate":"2019-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5356246","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37355551","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
Septic Pulmonary Embolism Secondary to Klebsiella pneumoniae Epididymitis: Case Report and Literature Review. 肺炎克雷伯菌附睾炎继发脓毒性肺栓塞:1例报告及文献复习。
Case Reports in Radiology Pub Date : 2019-03-19 eCollection Date: 2019-01-01 DOI: 10.1155/2019/5395090
Juan Sebastián Alonso Ojeda Gómez, Jorge Alberto Carrillo Bayona, Laura Cristina Morales Cifuentes
{"title":"Septic Pulmonary Embolism Secondary to <i>Klebsiella pneumoniae</i> Epididymitis: Case Report and Literature Review.","authors":"Juan Sebastián Alonso Ojeda Gómez,&nbsp;Jorge Alberto Carrillo Bayona,&nbsp;Laura Cristina Morales Cifuentes","doi":"10.1155/2019/5395090","DOIUrl":"https://doi.org/10.1155/2019/5395090","url":null,"abstract":"Background Septic pulmonary embolism (SPE) is defined as the occurrence of septic thrombi in the pulmonary circulation. We report a case of SPE secondary to K. pneumoniae epididymitis. Case Presentation A 74-year-old male with a history of diabetes mellitus experienced SPE secondary to epididymitis, with isolation of K. pneumoniae in blood and presence of lung nodules, with a chest computed tomography showing the halo and reversed halo signs. Discussion SPE is characterized by the presence of septic thrombi in the pulmonary circulation coming from an extrapulmonary infective focus. SPE secondary to K. pneumoniae epididymitis is an uncommon condition that is characterized by the presence of multiple bilateral nodules of peripheral distribution. Conclusion SPE is an unusual complication of acute epididymitis. Suspicion of SPE should be considered in patients with a diagnosis of epididymitis, respiratory symptoms, and multiple nodules in chest imaging assessments.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"5395090"},"PeriodicalIF":0.0,"publicationDate":"2019-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/5395090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37342352","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: 8
Pneumocephalus and Meningitis as Complications of Mastoiditis. 乳突炎并发气脑和脑膜炎。
Case Reports in Radiology Pub Date : 2019-02-19 eCollection Date: 2019-01-01 DOI: 10.1155/2019/7876494
Conor Barry, George Rahmani, Diane Bergin
{"title":"Pneumocephalus and Meningitis as Complications of Mastoiditis.","authors":"Conor Barry,&nbsp;George Rahmani,&nbsp;Diane Bergin","doi":"10.1155/2019/7876494","DOIUrl":"https://doi.org/10.1155/2019/7876494","url":null,"abstract":"<p><p>Pneumocephalus in the absence of trauma, tumour, or surgery is a rare entity. We report a case of a 73-year-old lady who presented with sepsis leading to confusion and unresponsiveness. A CT of brain revealed mastoiditis, sinusitis, and associated pneumocephalus. Further investigations led to an eventual diagnosis of pneumococcal meningitis. The combination of pneumocephalus and meningitis as complications of mastoiditis is rare with very few cases published in the literature. We describe one such case.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"7876494"},"PeriodicalIF":0.0,"publicationDate":"2019-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7876494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37094292","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: 8
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