Case Reports in Radiology最新文献_第6页

Mature Ovarian Teratoma: Atypical Imaging. 成熟卵巢畸胎瘤:不典型影像。

Case Reports in Radiology Pub Date : 2020-02-18 eCollection Date: 2020-01-01 DOI: 10.1155/2020/1352961

S Wakrim, M El Jdid

引用次数: 0

Ruptured Ovarian Artery Pseudoaneurysm in a Postmenopausal Patient Treated with Transcatheter Embolization. 经导管栓塞治疗绝经后卵巢动脉假性动脉瘤破裂1例。

Case Reports in Radiology Pub Date : 2020-02-14 eCollection Date: 2020-01-01 DOI: 10.1155/2020/6728318

Michael M Herskowitz, Chi Mei Wong, Robert F Leonardo

引用次数: 2

Ruptured Obturator Internus Muscle Abscess Causing Extensive Retroperitoneal Necrosis. 闭孔内肌破裂脓肿引起广泛的腹膜后坏死。

Case Reports in Radiology Pub Date : 2020-02-07 eCollection Date: 2020-01-01 DOI: 10.1155/2020/8920178

Zablon Bett

{"title":"Ruptured Obturator Internus Muscle Abscess Causing Extensive Retroperitoneal Necrosis.","authors":"Zablon Bett","doi":"10.1155/2020/8920178","DOIUrl":"https://doi.org/10.1155/2020/8920178","url":null,"abstract":"Obturator internus muscle (OIM) abscess occurs rarely in adults. Accurate diagnosis is often hindered and delayed due to the deep location of the abscess and the nonspecific clinical features. Even of rarer occurrence is rupture of the obturator internus muscle abscess into the perirectal space and retroperitoneum causing extensive retroperitoneal necrotizing soft tissue infection. We present a case of ruptured left OIM abscess, which initially presented with clinical features, which were suspected as acute pancreatitis. Contrast-enhanced multidetector computed tomography (MDCT) of the abdomen and pelvis revealed ruptured left OIM abscess with extensive fat stranding, fluid collections, and pockets of gas throughout the perirectal space, perisigmoid space, and bilateral posterior pararenal and anterior pararenal spaces as well as thickening of bilateral anterior renal fascia, posterior renal fascia, and lateral conal fascia. These CT findings were consistent with extensive retroperitoneal necrotizing soft tissue infection secondary to ruptured left obturator internus muscle abscess. Broad-spectrum antibiotics were instituted immediately, and the patient was urgently worked up for drainage of the abscess and debridement of the necrotic material. However, the patient's condition deteriorated quickly before the surgical interventions were performed and slipped into septic shock. Emergency resuscitative measures were unsuccessful, and unfortunately, the patient died. The case represents a rare pathology with an unusual presentation, which can be fatal if diagnosis and treatment is delayed.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":"2020 ","pages":"8920178"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8920178","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37670895","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: 1

Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body. 会厌磁偶联:罕见下咽异物的影像学与手术相关性。

Case Reports in Radiology Pub Date : 2020-02-03 eCollection Date: 2020-01-01 DOI: 10.1155/2020/3245634

Yeli Pi, Shilpa Radhakrishnan, Yaser Alrajhi, Ravi Bhargava

{"title":"Magnetic Apposition across the Epiglottis: Radiographic and Operative Correlation of a Rare Hypopharyngeal Foreign Body.","authors":"Yeli Pi, Shilpa Radhakrishnan, Yaser Alrajhi, Ravi Bhargava","doi":"10.1155/2020/3245634","DOIUrl":"https://doi.org/10.1155/2020/3245634","url":null,"abstract":"Background and Aim. Rare-earth magnet ingestions are a subset of foreign body ingestions and can result in significant morbidity secondary to pressure necrosis. These magnets are best visualized radiographically, typically located in the gastrointestinal tract. However, unusual locations of magnetic adherence may include the hypopharynx along the epiglottis, where only 2 previous cases have been reported. Clinicians should be aware of the potential dangers of rare-earth magnet ingestion and consider atypical locations of attachment in the appropriate clinical setting. Case Presentation. We present an interesting case of a fourteen-year-old female patient who presents with witnessed ingestion of multiple rare-earth magnets. Soft-tissue neck radiographs demonstrate two adjacent rounded radiopaque densities in the hypopharynx. Intraoperative images confirmed the radiographic findings and identified two magnetic balls stuck along the dorsal and ventral aspect of the epiglottis without evidence of pressure necrosis.Conclusion: This is the first published case of magnetic foreign body adherence to the epiglottis in the Radiology literature. Awareness and recognition of the unique radiographic findings of this rare entity can help clinicians streamline timely management.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":"2020 ","pages":"3245634"},"PeriodicalIF":0.0,"publicationDate":"2020-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/3245634","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37670894","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: 1

Mirizzi Syndrome with Cholecystobiliary Fistula: Observation of Development from Asymptomatic Cholecystolithiasis to Surgery. Mirizzi综合征合并胆总管瘘:从无症状胆囊结石发展到手术的观察。

Case Reports in Radiology Pub Date : 2020-01-27 eCollection Date: 2020-01-01 DOI: 10.1155/2020/2049525

Hiroyuki Sugo, Yuuki Sekine, Naoki Iwanaga, Shigefumi Neshime, Michio Machida

{"title":"Mirizzi Syndrome with Cholecystobiliary Fistula: Observation of Development from Asymptomatic Cholecystolithiasis to Surgery.","authors":"Hiroyuki Sugo, Yuuki Sekine, Naoki Iwanaga, Shigefumi Neshime, Michio Machida","doi":"10.1155/2020/2049525","DOIUrl":"https://doi.org/10.1155/2020/2049525","url":null,"abstract":"Despite a considerable number of reports of Mirizzi syndrome, none have described the process of its development from simple cholecystolithiasis. We report an extremely rare case of Mirizzi syndrome in which it was possible to observe the process of development of cholecystobiliary fistula from asymptomatic cholecystolithiasis until unavoidable surgical intervention 4 years later. A 68-year-old woman presented at our hospital with right upper quadrant pain. She had been diagnosed as having asymptomatic cholecystolithiasis 4 years previously. Diagnostic abdominal computed tomography (CT) had revealed a 1.9 cm radiopaque stone, and thereafter, the patient had been monitored by imaging alone. CT conducted 6 months before the present admission revealed that the gallbladder stone was compressing the common hepatic duct, although the patient remained asymptomatic. On admission, abdominal CT showed that the gallbladder stone was obstructing the common bile duct with dilatation of the intrahepatic duct. Endoscopic retrograde cholangiopancreatography revealed a round filling defect at the confluence of the common bile duct and the image of the cystic duct; therefore, the patient was categorized as having Mirizzi syndrome type III, according to the Csendes classification. Intraoperative findings revealed a cholecystobiliary fistula involving up to two-thirds of the circumference of the common bile duct.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":"2020 ","pages":"2049525"},"PeriodicalIF":0.0,"publicationDate":"2020-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/2049525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37634420","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

Vertebral Erosion Secondary to Aortic Aneurysm. 继发于主动脉瘤的椎体侵蚀。

Case Reports in Radiology Pub Date : 2020-01-24 eCollection Date: 2020-01-01 DOI: 10.1155/2020/6062140

Zakaria Toufga, Fadma Aoujil, Nabil Moatassim Billah, Ittimad Nassar

引用次数: 1

Bilateral Bochdalek Hernias Associated with Arnold-Chiari I Malformation. 双侧Bochdalek疝合并Arnold-Chiari I型畸形。

Case Reports in Radiology Pub Date : 2020-01-22 eCollection Date: 2020-01-01 DOI: 10.1155/2020/1931879

Julian Fazi, Visad Patel, Cara Bryan

引用次数: 2

Multiparametric Ultrasound (mpUS) of a Rare Testicular Capillary Hemangioma. 1例罕见睾丸毛细血管瘤的多参数超声分析。

Case Reports in Radiology Pub Date : 2019-12-28 eCollection Date: 2019-01-01 DOI: 10.1155/2019/7568098

Paul Spiesecke, Thomas Fischer, Carsten Stephan, Andreas Maxeiner, Bernd Hamm, Markus Lerchbaumer

{"title":"Multiparametric Ultrasound (mpUS) of a Rare Testicular Capillary Hemangioma.","authors":"Paul Spiesecke, Thomas Fischer, Carsten Stephan, Andreas Maxeiner, Bernd Hamm, Markus Lerchbaumer","doi":"10.1155/2019/7568098","DOIUrl":"https://doi.org/10.1155/2019/7568098","url":null,"abstract":"Capillary hemangioma is a rare entity among testicular tumors. We demonstrate the case of an 18-year-old patient with palpatoric and sonographic conspicuous left testicle and negative serum tumor markers (α-fetoprotein, β-human chorionic gonadotropin, and lactate dehydrogenase). Ultrasound (US) imaging represented an isoechogenic lesion with high vascularization in both power Doppler and microflow imaging with central feeding artery. Both strain elastography and shear wave elastography demonstrated a stiff lesion compared to surrounding testicular tissue. While contrast-enhanced ultrasound (CEUS) clearly depicted high vascular load, time intensity curve (TIC) analysis was able to show shorter median transit time, higher peak enhancement, and higher wash-in area under the curve compared to regular testicular tissue. Histopathological examination revealed a lobular constructed and rich vascularized proliferation without cellular atypia and feeder vessels with positive reaction to CD34, CD31, CD99, and Vimentin. Proliferative activity was quantified to 3-5% by Ki-67 index. Two days after surgery, the patient could leave the hospital in subjective wellbeing. While histology remains the gold standard to make a precise diagnosis of capillary hemangiomas due to small case numbers and variety of this benign tumor, the combination of multiparametric US and clinical information may be a promising future tool in preoperative assessment.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"7568098"},"PeriodicalIF":0.0,"publicationDate":"2019-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/7568098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37559636","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: 5

Bilateral Oval and Round Window Atresia on CT Temporal Bone: A Rare Anomaly Clinically Mimicking Otosclerosis in an Adult. CT显示双侧颞骨卵圆窗闭锁:临床模拟成人耳硬化的罕见异常。

Case Reports in Radiology Pub Date : 2019-12-21 eCollection Date: 2019-01-01 DOI: 10.1155/2019/7457603

Manzoor Ahmed, Yogesh Indrasen More, Shaik Irfan Basha

引用次数: 1

Headache and MRI Changes after Endovascular Treatment of a Cerebral Aneurysm. 脑动脉瘤血管内治疗后头痛及MRI改变。

Case Reports in Radiology Pub Date : 2019-12-20 eCollection Date: 2019-01-01 DOI: 10.1155/2019/6917902

Liv Jorunn Høllesli, Martin W Kurz, Gry Inger N Behzadi, Tore Solbakken, Svein Harald Mørkve, Kathinka D Kurz

{"title":"Headache and MRI Changes after Endovascular Treatment of a Cerebral Aneurysm.","authors":"Liv Jorunn Høllesli, Martin W Kurz, Gry Inger N Behzadi, Tore Solbakken, Svein Harald Mørkve, Kathinka D Kurz","doi":"10.1155/2019/6917902","DOIUrl":"https://doi.org/10.1155/2019/6917902","url":null,"abstract":"Background: The main complications after endovascular therapy of intracranial aneurysms are aneurysm rupture and thromboembolic events. Yet, the widespread use of magnetic resonance imaging (MRI) in follow-up of these patients also demonstrates other, rarely known complications such as aseptic meningitis and foreign body reaction.Case presentation: A small aneurysm in the right posterior communicating artery was treated with endovascular therapy in a 65 year old woman. Two weeks after successful interventional treatment, the patient developed a headache. On MRI performed five months after intervention, vasogenic edema was seen in the vascular territory of the right internal carotid artery. The edema and the symptoms diminished without specific treatment within a year.Interpretation: The clinical and radiological presentation of this case are suggestive of a foreign body reaction, a treatable condition that radiologists and clinicians should be aware of.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":" ","pages":"6917902"},"PeriodicalIF":0.0,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2019/6917902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37536910","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: 1