BJR Case Reports最新文献

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Ruptured ovarian dermoid causing chemical peritonitis: a case report.
IF 0.5
BJR Case Reports Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaaf004
Vrinda Chandar, Joel Kevin Raj Samuel, Ajay Kumar Singh
{"title":"Ruptured ovarian dermoid causing chemical peritonitis: a case report.","authors":"Vrinda Chandar, Joel Kevin Raj Samuel, Ajay Kumar Singh","doi":"10.1093/bjrcr/uaaf004","DOIUrl":"10.1093/bjrcr/uaaf004","url":null,"abstract":"<p><p>Spontaneous rupture of ovarian dermoid cysts is uncommon. We describe a case of a 32-year-old female who presented to the emergency room with abdominal pain and distension. The patient was discovered to have a ruptured dermoid cyst which caused chemical peritonitis and was managed surgically.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf004"},"PeriodicalIF":0.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434131","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
Giant cell tumour of the larynx-a diagnostic challenge.
IF 0.5
BJR Case Reports Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaaf006
Vitor H Fraga de Abreu, Ricardo Pacheco, Fernando Cunha, Alexandra Borges
{"title":"Giant cell tumour of the larynx-a diagnostic challenge.","authors":"Vitor H Fraga de Abreu, Ricardo Pacheco, Fernando Cunha, Alexandra Borges","doi":"10.1093/bjrcr/uaaf006","DOIUrl":"10.1093/bjrcr/uaaf006","url":null,"abstract":"<p><p>Giant cell tumours (GCTs) of the larynx are extremely rare. The most affected structure is the thyroid cartilage and only 44 cases are reported in the literature.<sup>1</sup> Clinically, their first manifestation is usually a palpable neck mass, often accompanied by hoarseness, dyspnoea, and/or dysphagia depending on size and location. GCTs are benign neoplasms, yet awareness of this entity is crucial as their aggressive local behaviour can cause significant morbidity with airway obstruction and can simulate a malignancy. The differential diagnosis is broad and remains a clinical and radiological challenge. Indeed, the final diagnosis is established by histology postoperatively. Surgery is the preferred treatment but may impair voice quality. For incomplete surgical resections and high surgical risk lesions, denosumab treatment is a valuable option. We share our experience on GCTs in a young adult presenting as a supraglottic mass.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf006"},"PeriodicalIF":0.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434128","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
Successful resolution of gastric pneumatosis due to a strangulated hiatus hernia and malrotation through non-surgical management: a case report.
IF 0.5
BJR Case Reports Pub Date : 2025-02-05 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaaf007
Shiv Hadani, Dhaara Bhatt, Ashish Bhagat, Vivek Malhotra
{"title":"Successful resolution of gastric pneumatosis due to a strangulated hiatus hernia and malrotation through non-surgical management: a case report.","authors":"Shiv Hadani, Dhaara Bhatt, Ashish Bhagat, Vivek Malhotra","doi":"10.1093/bjrcr/uaaf007","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf007","url":null,"abstract":"<p><p>Gastric pneumatosis is a rare finding, and clinicians, when under pressure, find it challenging to immediately identify the cause and decide if the patient requires emergency surgery. We present a case where an initial CT scan demonstrated gastric pneumatosis involving only the greater curvature of the antrum caused by a strangulated hiatus hernia and malrotation of the distal stomach. The CT features suggested the patient required immediate surgery; however, a conservative approach was taken, and a follow-up CT scan 4 days after the onset demonstrated complete resolution and no long-term complications.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf007"},"PeriodicalIF":0.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468373","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
Cranio-cervical hyperpneumatization: a case report.
IF 0.5
BJR Case Reports Pub Date : 2025-01-23 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaaf003
Matthew Kueh, Ramnik Behar
{"title":"Cranio-cervical hyperpneumatization: a case report.","authors":"Matthew Kueh, Ramnik Behar","doi":"10.1093/bjrcr/uaaf003","DOIUrl":"10.1093/bjrcr/uaaf003","url":null,"abstract":"<p><p>Hyperpneumatization is a rare pathological process where air-filled cavitation form within solid bone architecture occurring at sites where physiological pneumatization is not seen. Extension of this process into the atlanto-occipital region is considered extremely rare and is only quoted several times in the literature. In this case report, we present a 66-year-old man who presented with an 8-month history of a worsening frontal headache and blocked sensation in his left ear. Subsequent CT head evaluation revealed hyperpneumatization affecting C1 vertebra, temporal and occipital bones with extension into the clivus. A rare complication of epidural emphysema was seen. The aetiology of hyperpneumatization is uncertain, although it is thought to be either congenital or acquired. In our case, clinical suggestion of eustachian tube dysfunction and radiological findings of thickened sinus mucosa and a unilateral nasal polyp point to chronic recurrent coryzal illnesses, which may indicate an acquired mechanism. Management is mostly conservative with surgical management reserved for high risk or refractory cases.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf003"},"PeriodicalIF":0.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434080","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
Rare complications of ERCP-pancreatitis, panniculitis, and polyarthritis syndromeand multifocal osteomyelitis.
IF 0.5
BJR Case Reports Pub Date : 2025-01-17 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaaf002
Ratna Koyyalamudi, Dominic Ku, Kirk Brown, Morgan Schulze
{"title":"Rare complications of ERCP-pancreatitis, panniculitis, and polyarthritis syndromeand multifocal osteomyelitis.","authors":"Ratna Koyyalamudi, Dominic Ku, Kirk Brown, Morgan Schulze","doi":"10.1093/bjrcr/uaaf002","DOIUrl":"10.1093/bjrcr/uaaf002","url":null,"abstract":"<p><p>Severe pancreatitis following retrograde cholangiopancreatography (ERCP) is an infrequent occurrence. Even rarer are the additional non-pancreatic symptoms that can emerge after ERCP-induced pancreatitis, such as panniculitis and polyarthritis. This combination of symptoms is recognized as the pancreatitis, panniculitis, and polyarthritis syndrome (PPPS). PPPS typically manifests as reddish subcutaneous nodules, primarily in the lower extremities. In some cases, the condition may progress into the bones, causing intramedullary fat necrosis/bone infarcts. Joint complications involve polyarthritis and affect both small and large joints. PPPS tends to develop 3-6 weeks after the peak of clinical pancreatitis. In this report, we present a case of PPPS that occurred as a complication following ERCP. This particular case became further complicated by the presence of bacteraemia and fungaemia, leading to the subsequent development of multi-focal osteomyelitis. The medical imaging included in this report provides a comprehensive overview of the entire clinical course, starting from the initial post-procedural complication and pancreatitis, followed by multi-modal imaging depicting panniculitis using ultrasound and MRI, and finally illustrating the development of multi-focal osteomyelitis. This case serves as an opportunity to explore and understand 2 rare complications associated with pancreatitis: PPPS and multi-focal osteomyelitis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf002"},"PeriodicalIF":0.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080774","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
Right coronary ostial atresia as a cause of arrhythmia and cardiogenic shock in a young woman: a case report. 年轻女性右冠状动脉口闭锁致心律失常和心源性休克1例报告。
IF 0.5
BJR Case Reports Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaae049
Velio Ascenti, Silvia Tresoldi, Caterina B Monti, Stefano Lucreziotti, Simone Soldi, Maurizio Cariati, Gianpaolo Carrafiello
{"title":"Right coronary ostial atresia as a cause of arrhythmia and cardiogenic shock in a young woman: a case report.","authors":"Velio Ascenti, Silvia Tresoldi, Caterina B Monti, Stefano Lucreziotti, Simone Soldi, Maurizio Cariati, Gianpaolo Carrafiello","doi":"10.1093/bjrcr/uaae049","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae049","url":null,"abstract":"<p><p>A 19-year-old woman presented to the emergency department with arrhythmia and signs of cardiogenic shock. After a 12-lead electrocardiogram ruled out acute myocardial infarction, and cardiac magnetic resonance showed no sign of cardiomyopathy, cardiac computed tomography angiography (CCTA) was performed, displaying ostial atresia of the right coronary artery. She was thus referred to a specialist centre for congenital cardiovascular disease, where an electrophysiological study observed an arrhythmogenic focus on the posteromedial papillary muscle, which was ablated, and she has been asymptomatic since. When dealing with patients presenting with arrhythmias or cardiogenic shock, and no signs of myocardial infarction or cardiomyopathy, performing CCTA to study the anatomy of the coronary arteries is vital.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaae049"},"PeriodicalIF":0.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013849","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
Desmoid fibromatosis post-cervical spine surgical intervention. 颈椎手术干预后硬纤维瘤病。
IF 0.5
BJR Case Reports Pub Date : 2024-12-17 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaae050
Dana AlNuaimi, Shareefa Abdulghaffar, Reem AlKetbi, Badreya Khadim, Khalid Ibrahim
{"title":"Desmoid fibromatosis post-cervical spine surgical intervention.","authors":"Dana AlNuaimi, Shareefa Abdulghaffar, Reem AlKetbi, Badreya Khadim, Khalid Ibrahim","doi":"10.1093/bjrcr/uaae050","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae050","url":null,"abstract":"<p><p>Desmoid tumours are rare benign tumours that show locally aggressive and invasive features leading to potential complications. They can be quite challenging for the treating surgeon if they occur adjacent to neurovascular structures. The aetiology of these tumours is still unclear, but the incidence is higher in females and in patients with a history of trauma or surgical procedures, raising the possibility of genetic and hormonal factors as well as post-traumatic or post-operative inflammatory changes promoting the formation of desmoid fibromatosis. We report a case of a 34-year-old Asian female who presented to our hospital with a history of difficulty in swallowing due to an enlarging lump on the left side of her neck. Patient had a past medical history of previous cervical spinal disc surgery due to a herniated disc. Diagnostic imaging showed a large soft tissue mass centred between the left common carotid artery and the cervical vertebrae displacing the trachea and oesophagus to the right side. A biopsy was obtained, and histopathological examination was suggestive of a desmoid tumour. The patient underwent surgical resection of the tumour but returned later with recurrence and had to undergo the surgery again to achieve full cure.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaae050"},"PeriodicalIF":0.5,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933078","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
A case of small intestinal fixation failure. 小肠固定失败1例。
IF 0.5
BJR Case Reports Pub Date : 2024-11-27 eCollection Date: 2024-11-01 DOI: 10.1093/bjrcr/uaae046
Kanako Oyanagi, Yosuke Horii, Hiroyuki Ishikawa, Kazuyasu Takizawa
{"title":"A case of small intestinal fixation failure.","authors":"Kanako Oyanagi, Yosuke Horii, Hiroyuki Ishikawa, Kazuyasu Takizawa","doi":"10.1093/bjrcr/uaae046","DOIUrl":"10.1093/bjrcr/uaae046","url":null,"abstract":"<p><p>A 77-year-old woman underwent CT to evaluate haematemesis. The images showed that the third part of the duodenum flexed steeply on the right side of the aorta and ran caudally, without crossing anterior to the aorta. The duodenal-jejunal junction and jejunum were located on the patient's right side. Upper gastrointestinal endoscopy revealed a laceration at the gastric cardia, and a diagnosis of Mallory-Weiss syndrome was made. Repeat CT 7 days later revealed that the abnormal positioning of the intestinal tract had resolved spontaneously. Two months later, the patient experienced another episode of haematemesis, and CT revealed repeat deviation of the duodenal-jejunal junction and jejunum to her right side. Upper gastrointestinal endoscopy revealed another laceration at the gastric cardia, as in the previous study. On the basis of the initial CT findings showing the duodenal-jejunal junction in the right hemi-abdomen, intestinal malrotation was suspected. However, because the jejunum deviated repeatedly to the right side but resolved spontaneously, we diagnosed dysplasia of the ligament of Treitz. Laparotomy revealed a formed ligament of Treitz; however, fixation in the upper jejunum was incomplete. Additionally, CT revealed that the anterior pararenal space was loosely fixed and mobile. These factors may have caused the right-sided deviation of the small intestine. In this case, the third part of the duodenum likely flexed on the right side of the aorta, causing an obstruction that resulted in repeat vomiting episodes and Mallory-Weiss syndrome.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 6","pages":"uaae046"},"PeriodicalIF":0.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808223","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
Thoraco-omphalopagus conjoined twins: comprehensive evaluation with sonography and MRI in first trimester-a rare imaging diagnosis. 胸脐连体双胞胎:早期超声和MRI的综合评价-一种罕见的影像学诊断。
IF 0.5
BJR Case Reports Pub Date : 2024-11-23 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaae045
Harsimran Bhatia, Purnima Aggarwal, Shritik Devkota, Samiksha Lamichhane
{"title":"Thoraco-omphalopagus conjoined twins: comprehensive evaluation with sonography and MRI in first trimester-a rare imaging diagnosis.","authors":"Harsimran Bhatia, Purnima Aggarwal, Shritik Devkota, Samiksha Lamichhane","doi":"10.1093/bjrcr/uaae045","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae045","url":null,"abstract":"<p><p>Conjoined twins, or Siamese twins as they are commonly called, are a rare and extreme form of monochorionic twinning. Imaging plays an essential role in the diagnosis and follow-up of conjoined twins. While ultrasound is often the screening modality of choice, MRI is carried out for better anatomical delineation and further characterization as and when necessary. We present a unique case of first trimester thoraco-omphalopagus conjoined twins with cystic hygroma who were comprehensively evaluated with sonography and MRI with imaging findings confirmed post-pregnancy termination. The case stresses upon the utility of advanced imaging techniques including foetal MRI that immensely contribute towards a reliable diagnosis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaae045"},"PeriodicalIF":0.5,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933080","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
Torticollis in incomplete Kawasaki disease: a case of atlantoaxial rotatory fixation. 不完全川崎病所致斜颈:寰枢椎旋转固定一例。
IF 0.5
BJR Case Reports Pub Date : 2024-11-22 eCollection Date: 2024-11-01 DOI: 10.1093/bjrcr/uaae044
Keisho Ryu
{"title":"Torticollis in incomplete Kawasaki disease: a case of atlantoaxial rotatory fixation.","authors":"Keisho Ryu","doi":"10.1093/bjrcr/uaae044","DOIUrl":"10.1093/bjrcr/uaae044","url":null,"abstract":"<p><p>Various respiratory, musculoskeletal, gastrointestinal, neurological, and urinary complications have been reported in Kawasaki disease. Here, we describe a rare case of atlantoaxial rotatory fixation (AARF) associated with incomplete Kawasaki disease. The case is of a healthy 4-year-old Japanese boy who had a high-grade fever, lymphadenopathy, and torticollis diagnosed with incomplete Kawasaki disease. Intravenous high-dose immunoglobulin and oral aspirin quickly resolved his fever and improved his lymphadenopathy, but torticollis remained. On orthopaedic examination, torticollis was observed with a marked restriction of rotation, and an open-mouth anteroposterior cervical radiograph and a CT scan confirmed rotational dislocation at the dens axis (AARF). Cervical collar fixation was immediately started, and the torticollis gradually normalized within a week. AARF is defined as torticollis due to dislocation or subluxation of the atlantoaxial joint. The diagnosis of AARF is difficult with routine plain cervical radiographs in 2 directions alone, and an additional cervical open-mouth anteroposterior radiograph and a CT scan aid the diagnosis. AARF associated with Kawasaki disease is uncommon, and only 24 cases have been reported in the literature. AARF may occur in Kawasaki disease patients with cervical lymphadenopathy. Still, torticollis is often transient and may not be recognized or ignored by family doctors and paediatricians. Reduction of the atlantoaxial joint can often be achieved spontaneously or with conservative treatment such as a collar or neck traction, but treatment is difficult if the diagnosis is delayed. Therefore, family doctors and paediatricians need to suspect the onset of AARF if torticollis is observed during treatment for Kawasaki disease, perform plain cervical radiographs including open-mouth anteroposterior view and a CT scan of the cervical spine, and have orthopaedists immediately intervene to avoid invasive surgery.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 6","pages":"uaae044"},"PeriodicalIF":0.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829965","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
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