{"title":"Endovascular embolization of inferior pancreaticoduodenal artery pseudoaneurysm post-laparoscopic cholecystectomy in a patient with celiac artery stenosis – A case report","authors":"S. Vignesh, T. Mukuntharajan","doi":"10.25259/crcr_39_2022","DOIUrl":"https://doi.org/10.25259/crcr_39_2022","url":null,"abstract":"Inferior pancreaticoduodenal artery (iPDA) pseudoaneurysms are mostly secondary to pancreatitis, abdominal trauma, or iatrogenic procedures. We present a rare case of iPDA pseudoaneurysm secondary to laparoscopic cholecystectomy in a patient with celiac artery stenosis. A 50-year-old man who underwent laparoscopic cholecystectomy 7 days back presented with abdominal pain, blood in drain output, and tachycardia. Abdominal computed tomography (CT) showed a large retroperitoneal hematoma adjacent to head of pancreas with a pseudoaneurysm likely arising from gastroduodenal artery. Proximal stenosis of celiac artery was also present. Digital subtraction angiography (DSA) showed pseudoaneurysm arising from posterior branch of iPDA. Coil embolization was performed with complete obliteration of the aneurysm. However, the patient presented again with increasing abdominal pain and hemoglobin drop after 8 days. CT showed migration of coil loop into the hematoma and residual filling of pseudoaneurysm. Repeat embolization was planned and the pseudoaneurysm with iPDA branch was embolized with 33% glue-lipoidal mixture. On follow-up 3 months later, the patient was found to be stable with no further complications. iPDA pseudoaneurysm is less commonly encountered visceral artery pseudoaneurysm. Trapping of pseudoaneurysm with both proximal and distal vessel occlusion is ideal method for embolization to prevent recurrence.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129577412","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}
S. Chawla, Aditya Charan, A. Joshi, Dharamveer Sihag
{"title":"Duodenal intussusception due to periampullary duodenal adenoma: A case report","authors":"S. Chawla, Aditya Charan, A. Joshi, Dharamveer Sihag","doi":"10.25259/crcr_51_2022","DOIUrl":"https://doi.org/10.25259/crcr_51_2022","url":null,"abstract":"Duodenal intussusceptions are uncommon due to their fixed location in retroperitoneum except when associated with bowel malrotation abnormalities. We present a case of recurrent duodenojejunal intussusception in a 34-year-old female diagnosed on imaging. The lead point, in our case, was periampullary duodenal tubulovillous adenoma which was confirmed on endoscopy and subsequent punch biopsy. The patient underwent segmental duodenal resection anastomosis preserving the ampulla with reduction of the intussuceptum and fixation of the jejunal loops and its mesentery.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123894021","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}
Suba Arul Devi, K. M. Machaiah, A. C. Pinto, Santosh Rai
{"title":"Imaging of bilateral tendoachilles xanthomatosis in a young woman","authors":"Suba Arul Devi, K. M. Machaiah, A. C. Pinto, Santosh Rai","doi":"10.25259/crcr_45_2022","DOIUrl":"https://doi.org/10.25259/crcr_45_2022","url":null,"abstract":"Bilateral tendoachilles xanthomatosis is a rare entity and is frequently found in association with the primary hyperlipidemia. It is characterized by the deposition of cholesterol in tendons. An early diagnosis with different imaging modalities changes the course of the disease. This case report illustrates the bilateral tendoachilles xanthomas on MRI imaging in a patient who presented with painless progressive swelling of bilateral ankle joints for several years. Intralesional subtotal resection was successfully done and histological evaluation further confirmed the diagnosis.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127536356","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}
Alok Kale, N. Chidambarnathan, K. Kumar, Y. Livingstone
{"title":"Chondromesenchymal hamartoma of sinonasal region in a young child: Computed tomography, MR imaging, and pathological findings with brief review","authors":"Alok Kale, N. Chidambarnathan, K. Kumar, Y. Livingstone","doi":"10.25259/crcr_4_2022","DOIUrl":"https://doi.org/10.25259/crcr_4_2022","url":null,"abstract":"This report documents computed tomography and magnetic resonance imaging (MRI) findings for a case of sinonasal chondromesenchymal hamartoma and its recurrence occurring in an 11-year-old boy. We have described MRI dynamic contrast enhancement patterns in the recurrence of pathology, which, to the best of our knowledge, is the first documentation of such features. Sinonasal chondromesenchymal hamartoma is a rare pediatric benign hamartoma that can mimic aggressive inflammatory lesions or malignancies in the sinonasal region. A correct diagnosis is imperative to avoid unnecessary adjuvant therapy.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"390 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115903690","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}
{"title":"Cerebriform intradermal nevus manifesting as cutis verticis gyrata","authors":"P. Abhiram, S. Patil","doi":"10.25259/crcr_34_2022","DOIUrl":"https://doi.org/10.25259/crcr_34_2022","url":null,"abstract":"Cutis verticis gyrata (CVG) is a rare scalp condition characterized by scalp skin redundancy that manifests as thickening of scalp skin with furrows and convoluted folds, giving out a cerebriform pattern of external appearance. CVG might manifest either as primary or secondary to an underlying cause. This case demonstrates the typical imaging findings of CVG that was provisionally diagnosed on imaging and confirmed on histopathology as secondary to cerebriform intradermal nevus in a healthy adolescent girl presenting with history of focal irregular scalp thickening since birth.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132058108","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}
{"title":"Lollipop stick en-route cecum: Mimic of appendicitis","authors":"S. Chawla, Vasantha Choudhary, Ravi Kasniya","doi":"10.25259/crcr_7_2023","DOIUrl":"https://doi.org/10.25259/crcr_7_2023","url":null,"abstract":"Acute appendicitis is commonly encountered abdominal emergency in children which present clinically with acute onset right iliac fossa pain. We present a case by a 5-year-old child which presented in a similar manner, however, was subsequently diagnosed with perforation in cecum secondary to foreign body ingestion on contrast-enhanced computed tomography.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133403951","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}
Rajagopal Ganesh, S. Jayanthan, N. Karunakaran, G. Rupesh, K. Nadanasadharam, Sidramappa Dande
{"title":"Acrorenal ocular syndrome: Case series of a rare familial congenital syndrome","authors":"Rajagopal Ganesh, S. Jayanthan, N. Karunakaran, G. Rupesh, K. Nadanasadharam, Sidramappa Dande","doi":"10.25259/crcr_50_2022","DOIUrl":"https://doi.org/10.25259/crcr_50_2022","url":null,"abstract":"Acrorenal ocular syndrome includes a spectrum of acral anomalies such as oligodactyly, ectrodactyly, syndactyly, brachydactyly, humerus/carpal hypoplasia, cutaneous syndactyly, and renal anomalies such as unilateral renal agenesis, unilateral hypoplasia, ectopia, horseshoe kidney, and vesico-ureteric reflex. The common ocular manifestations include Duane anomaly, coloboma, and ptosis.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122269470","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}
Harsha Veena Kanamathareddy, A. Irodi, J. Mathai, Phaneendra Rao Gurijala
{"title":"A “no-touch” neck “mass” in a child","authors":"Harsha Veena Kanamathareddy, A. Irodi, J. Mathai, Phaneendra Rao Gurijala","doi":"10.25259/crcr_10_2022","DOIUrl":"https://doi.org/10.25259/crcr_10_2022","url":null,"abstract":"Aberrant cervical thymus is a rare cause of pediatric neck masses related to the embryological development. In most of the cases, this condition is asymptomatic and essentially benign in nature. Here, we describe the sonological and magnetic resonance imaging (MRI) features of cervical thymus in a 2-month-old baby who presented with the left submandibular swelling. The unique imaging findings on ultrasound and MRI paralleling that of the normal thymus tissue were helpful in confidently establishing the diagnosis. Therefore, the radiologist must be aware of the condition and the typical normal appearance of thymus which can obviate the need for biopsy or surgical intervention.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"5 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123690793","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}
Shailly Sonker, B. Sureka, S. Soni, Nikhil Kothari
{"title":"Cecal gangrene – Unusual complication of manual bowel decompression","authors":"Shailly Sonker, B. Sureka, S. Soni, Nikhil Kothari","doi":"10.25259/crcr_52_2022","DOIUrl":"https://doi.org/10.25259/crcr_52_2022","url":null,"abstract":"We present a case of a 31-year-old female who presented with complaints of obstipation. Imaging features were suggestive of small bowel obstruction with transition point at distal ileum. On emergency laparotomy, the patient was found to have fecal impaction, for which manual bowel decompression (milking) was done. The patient developed hypotension intraoperatively requiring ICU admission for post-operative management. Post-operative CT demonstrated features of hypotension with gangrenous changes in the cecal wall. Re-exploration surgery demonstrated features of cecal gangrene consistent with imaging findings.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126978836","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}
Sibhithran Rajakumar, A. Murali, Gokulakrishnan Periakaruppan, R. Rangasami
{"title":"Pulmonary hot-clot artifacts mimicking as metastatic lung lesions in 18F-fluorodeoxyglucose positron emission tomography/computed tomography – A case series","authors":"Sibhithran Rajakumar, A. Murali, Gokulakrishnan Periakaruppan, R. Rangasami","doi":"10.25259/crcr_36_2022","DOIUrl":"https://doi.org/10.25259/crcr_36_2022","url":null,"abstract":"Significant rise in oncological patients everyday led to demand for 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) scan for tumor staging, evaluation of treatment response, and monitoring/management which have become a standard of care. Basic knowledge on the physiological tracer uptakes, normal variants, and benign processes in PET/CT will help in differentiating hotclot/pulmonary microemboli artifacts from metastasis in lungs. We have encountered four such cases at our setup with different clinical history and would like to discuss on its importance in reporting and not to overcall it as lung metastasis.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125812973","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}