BJR Case Reports最新文献

Bronchial artery embolization for haemoptysis in patients with lymphoma and leukaemia. 支气管动脉栓塞治疗淋巴瘤、白血病患者咯血。

IF 0.5

BJR Case Reports Pub Date : 2025-07-17 eCollection Date: 2025-07-01 DOI: 10.1093/bjrcr/uaaf036

Ruben Geevarghese, Elena N Petre, Etay Ziv, Ernesto Santos, Lee Rodriguez, Vlasios S Sotirchos, Ken Zhao, Stephen B Solomon, Erica S Alexander

{"title":"Bronchial artery embolization for haemoptysis in patients with lymphoma and leukaemia.","authors":"Ruben Geevarghese, Elena N Petre, Etay Ziv, Ernesto Santos, Lee Rodriguez, Vlasios S Sotirchos, Ken Zhao, Stephen B Solomon, Erica S Alexander","doi":"10.1093/bjrcr/uaaf036","DOIUrl":"10.1093/bjrcr/uaaf036","url":null,"abstract":"Haemoptysis in patients with lymphoma and leukaemia can present a therapeutic challenge, given that it is often associated with underlying impairments of haemostasis and immunosuppression. Bronchial artery embolization (BAE) is a mainstay in the treatment of haemoptysis, typically in those requiring emergent management. In this case series, the role of BAE in patients with lymphoma and leukaemia was evaluated. A total of 5 patients were identified between August 2010 and August 2022. Three patients were diagnosed with lymphoma (classical Hodgkin's lymphoma, diffuse large B-cell lymphoma and extra-nodal marginal zone lymphoma) and 2 patients were diagnosed with leukaemia (1 patient with acute myeloid leukaemia and the other with chronic lymphocytic leukaemia). All patients were thrombocytopenic [77.6 ± 28.5 × 109/L (mean ± SD)], at presentation. Three patients had concurrent lung infection at the time of their presentation. Technical success was achieved in 4/5 patients (80%). Clinical success was obtained in 4/5 patients (80%). Recurrence following embolization was seen in 2 patients. Three patients died within 30 days following embolization (from deteriorating respiratory function). Bronchial artery embolization for haemoptysis in patients with lymphoma and leukaemia is safe and feasible. Concurrent lung infection is potentially of significance with regard to initial presentation and overall outcomes following embolization. In select patients, BAE may provide a therapeutic option, though further investigation is required.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 4","pages":"uaaf036"},"PeriodicalIF":0.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745415","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

Primary central nervous system mucosa-associated lymphoid tissue lymphoma: a diagnostic challenge. 原发性中枢神经系统粘膜相关淋巴组织淋巴瘤：一个诊断挑战。

IF 0.5

BJR Case Reports Pub Date : 2025-07-17 eCollection Date: 2025-07-01 DOI: 10.1093/bjrcr/uaaf037

Danial Nasiri, Theoni Maragkou, Andreas Raabe, Anna Katharina Krähenbühl, Franca Wagner

{"title":"Primary central nervous system mucosa-associated lymphoid tissue lymphoma: a diagnostic challenge.","authors":"Danial Nasiri, Theoni Maragkou, Andreas Raabe, Anna Katharina Krähenbühl, Franca Wagner","doi":"10.1093/bjrcr/uaaf037","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf037","url":null,"abstract":"Primary central nervous system (CNS) mucosa-associated lymphoid tissue (MALT) lymphoma is a rare condition frequently mistaken for meningioma. Since these conditions require distinct treatment approaches, recognizing their imaging characteristics is essential for accurate clinical decision-making. A 69-year-old woman presented with headaches and forehead swelling, prompting MRI of the CNS. Suspecting an intracranial meningioma, the tumour board recommended surgical resection. However, histopathological analysis identified the lesion as a primary CNS MALT lymphoma. Follow-up revealed secondary cutaneous tumour infiltration, leading to a delay in adjuvant radiotherapy. Understanding the differential diagnoses of meningioma is critical for neuroradiologists and neurosurgeons to ensure appropriate treatment planning. This case highlights a misdiagnosis of meningioma that was ultimately identified as a primary CNS MALT lymphoma, emphasizing key imaging and clinical characteristics essential for distinguishing between the most important differential diagnoses of primary CNS MALT lymphoma.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 4","pages":"uaaf037"},"PeriodicalIF":0.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754776","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

Accessory spleen torsion: a hidden etiology of acute abdominal emergency. 副脾扭转：急腹症的隐性病因。

IF 0.5

BJR Case Reports Pub Date : 2025-07-16 eCollection Date: 2025-07-01 DOI: 10.1093/bjrcr/uaaf035

Lucía Sanabria Greciano, Ana Fernández Alfonso, Begoña Peinado Iribar, Raquel Cano Alonso, Ana Álvarez Vázquez, Vicente Martínez de Vega Fernández

{"title":"Accessory spleen torsion: a hidden etiology of acute abdominal emergency.","authors":"Lucía Sanabria Greciano, Ana Fernández Alfonso, Begoña Peinado Iribar, Raquel Cano Alonso, Ana Álvarez Vázquez, Vicente Martínez de Vega Fernández","doi":"10.1093/bjrcr/uaaf035","DOIUrl":"10.1093/bjrcr/uaaf035","url":null,"abstract":"Accessory spleen torsion is a rare but important cause of acute abdominal pain, often presenting with non-specific symptoms that overlap with more common abdominal pathologies. This case report discusses a 19-year-old female who presented with left-sided flank pain and leucocytosis. Imaging with abdominal CT and MRI revealed a well-defined lesion near the spleen and kidney, with mild vascular engorgement and surrounding inflammation. While these findings raised suspicion for accessory spleen torsion, the diagnosis was not immediately clear. The lesion's location, vascular congestion, and absence of typical characteristics for other pathologies, such as haematomas, abscesses, mesothelial cysts, or lymphangiomas pointed towards torsion, but confirmation required surgical intervention. During laparoscopic exploration, a 5 cm accessory spleen with ischaemic changes due to torsion of its pedicle was identified and successfully removed without complications. Accessory spleens, present in 10%-30% of the population, are usually asymptomatic but can become problematic if torsion, rupture, or infarction occurs. Imaging plays a critical role in identifying torsion, with CT and MRI revealing the characteristic \"whirlpool sign\" and vascular congestion. Early recognition is crucial to prevent complications such as necrosis and rupture, and surgical intervention, typically laparoscopic splenectomy, is the treatment of choice. This case highlights the importance of considering accessory spleen torsion in the differential diagnosis of acute abdominal pain, particularly in young patients with non-specific symptoms. Awareness of this condition can improve early diagnosis and outcomes, preventing severe consequences.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 4","pages":"uaaf035"},"PeriodicalIF":0.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745414","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

Connecting the dots: Exploring bronchocentric granulomatosis in paediatric leukaemia. 连接点：探讨支气管中心性肉芽肿病在儿科白血病。

IF 0.5

BJR Case Reports Pub Date : 2025-07-07 eCollection Date: 2025-07-01 DOI: 10.1093/bjrcr/uaaf033

Tanvi Pendse, Priscilla Joshi, Rucha Puranik, Divya Patel

引用次数: 0

Hepatic barrage to high-flow, intra-hepatic arteroportal fistulas requiring combined interventional approach. 肝阻塞到高流量肝内动脉门静脉瘘需要联合介入治疗。

IF 0.5

BJR Case Reports Pub Date : 2025-07-04 eCollection Date: 2025-07-01 DOI: 10.1093/bjrcr/uaaf034

Michele Citone, Antonluca Annese, Giacomo Gabbani, Francesco Pindozzi, Gianmarco Falcone, Emanuele Casamassima, Antonella Santolupo, Silvia Aspite, Lucia Ragozzino, Margherita Falcini, Filippo Biagi, Martina Rosi, Valentina Adotti, Gabriele Dragoni, Davide Roccarina, Tommaso Innocenti, Luca Messerini, Stefano Gitto, Francesco Mondaini, Fabio Marra, Fabrizio Fanelli, Francesco Vizzutti

{"title":"Hepatic barrage to high-flow, intra-hepatic arteroportal fistulas requiring combined interventional approach.","authors":"Michele Citone, Antonluca Annese, Giacomo Gabbani, Francesco Pindozzi, Gianmarco Falcone, Emanuele Casamassima, Antonella Santolupo, Silvia Aspite, Lucia Ragozzino, Margherita Falcini, Filippo Biagi, Martina Rosi, Valentina Adotti, Gabriele Dragoni, Davide Roccarina, Tommaso Innocenti, Luca Messerini, Stefano Gitto, Francesco Mondaini, Fabio Marra, Fabrizio Fanelli, Francesco Vizzutti","doi":"10.1093/bjrcr/uaaf034","DOIUrl":"10.1093/bjrcr/uaaf034","url":null,"abstract":"Transjugular intra-hepatic porto-systemic shunt (TIPS) is a proven strategy for the management of portal hypertension (PH) complications. Here, we report on a complex case of haemorrhagic shock due to the rupture of gastro-oesophageal varices in the context of PH originally sustained by idiopathic, likely congenital, high-flow intrahepatic arterioportal fistulas (IAPFs) preceded by extensive bowel ischaemia. While the occlusion of the IAPFs potentially controlled the steal of arterial splanchnic blood into the portal circulation, it failed to manage PH related bleeding, necessitating the placement of a salvage TIPS. Porta-caval pressure gradient persisted markedly increased after IAPFs occlusion, indicating an independent intra-hepatic component causing PH. Moreover, hepatic histology demonstrated a pre-sinusoidal/sinusoidal barrage response of the hepatic parenchyma secondary to long-standing IAPFs, causing the onset of an intra-hepatic component of PH. For these reasons, the combined interventional approach led to resolution of the refractory portal hypertensive bleeding, avoiding fatal evolution of diffuse bowel infarction.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 4","pages":"uaaf034"},"PeriodicalIF":0.5,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12270259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660629","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

Polyarteritis nodosa with testicular involvement: a rare case report highlighting the role of nuclear imaging and angiography in diagnosis. 结节性多动脉炎累及睾丸：罕见病例报告，强调核影像及血管造影在诊断中的作用。

IF 0.5

BJR Case Reports Pub Date : 2025-07-01 DOI: 10.1093/bjrcr/uaaf032

Jacob Owens, Gunnar Whealy, Harvey Sekhon, Rustain Morgan, Craig Johnson, Lei Yu

{"title":"Polyarteritis nodosa with testicular involvement: a rare case report highlighting the role of nuclear imaging and angiography in diagnosis.","authors":"Jacob Owens, Gunnar Whealy, Harvey Sekhon, Rustain Morgan, Craig Johnson, Lei Yu","doi":"10.1093/bjrcr/uaaf032","DOIUrl":"10.1093/bjrcr/uaaf032","url":null,"abstract":"Polyarteritis nodosa (PAN) is a systemic small to medium vessel vasculitis. It is often associated with hepatitis B infection and classically presents with cutaneous, gastrointestinal, or nervous system involvement. We present a case of a 56-year-old male who presented with a chief complaint of painful scrotal swelling. Initial ultrasound demonstrated concern for epididymitis, and the patient was started on appropriate antibiotics without improvement of symptoms, resulting in admission. Due to continued scrotal pain, fevers, and negative infectious work-up, F-18 fluorodeoxyglucose (FDG) PET/CT was obtained, revealing diffuse hypermetabolic activity throughout the medium to small arterial vasculature, concerning for vasculitis. Abdominopelvic angiography confirmed the diagnosis, and the patient was started on steroids with plans to initiate cyclophosphamide. Clinical testicular involvement is a rare presentation of PAN, although it is often seen at autopsy. Previously reported cases have presented with similar scrotal pain and tenderness in addition to constitutional symptoms, as well as treatment with steroids and immunosuppressive agents. While biopsy with histopathology or angiography often serves as the gold standard for the diagnosis of PAN, this case also demonstrates the diagnostic utility of nuclear medicine with F-18 FDG PET/CT. Polyarteritis nodosa typically demonstrates hypermetabolic activity of the small- to medium-sized vasculature on F-18 FDG PET/CT, most often in the lower extremities. With similar findings, this case contributes to reports that show the utility of nuclear imaging in diagnosing vasculitides.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 4","pages":"uaaf032"},"PeriodicalIF":0.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12228961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585216","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 rare case of dermoid cyst in the pancreas. 胰腺皮样囊肿1例。

IF 0.5

BJR Case Reports Pub Date : 2025-06-10 eCollection Date: 2025-05-01 DOI: 10.1093/bjrcr/uaaf031

Syer Ree Tee, Zainab Al Manji, Donal Maguire, Niall Swan, Sinead H McEvoy

引用次数: 0

Unravelling fetal enigmas: a case of suprasellar lesion. 解开胎儿之谜：鞍上病变1例。

IF 0.5

BJR Case Reports Pub Date : 2025-05-14 eCollection Date: 2025-07-01 DOI: 10.1093/bjrcr/uaaf029

Shravani Shinde, Dr Priscilla Joshi, Shriyash Pinglikar

引用次数: 0

Whole-body MRI for a patient with progressive multiple myeloma. 进行性多发性骨髓瘤患者的全身MRI。

IF 0.5

BJR Case Reports Pub Date : 2025-05-08 eCollection Date: 2025-05-01 DOI: 10.1093/bjrcr/uaaf028

Jonathan E Henning, Taiga Nishihori, Ciara Freeman, Alexander Lazarides, Jinming Song, Davis Kuruvilla, Sebastian Feuerlein, James R Costello

{"title":"Whole-body MRI for a patient with progressive multiple myeloma.","authors":"Jonathan E Henning, Taiga Nishihori, Ciara Freeman, Alexander Lazarides, Jinming Song, Davis Kuruvilla, Sebastian Feuerlein, James R Costello","doi":"10.1093/bjrcr/uaaf028","DOIUrl":"10.1093/bjrcr/uaaf028","url":null,"abstract":"Multiple Myeloma represents a plasma cell disorder that can result in hallmark bony destructive change in addition to other signs of myelomatous disease. Imaging often helps in establishing the diagnosis and staging the patient. There are several different imaging modalities that can provide different levels of insight into the disease extent. We report a unique case of multiple myeloma where the progressive nature of the patient's disease highlights the strengths and limitations of the different imaging approaches. Whole-body MRI represents a noncontrast imaging technique that directly images the bone marrow space, allowing for disease detection that can precede the onset of cortical and trabecular destructive changes. In so doing, whole-body MRI provides a level of insight that far exceeds traditional plain films and even CT. Using the findings from many different imaging modalities (plain films, CT, PET-CT, and whole-body magnetic resonance imaging), we will discuss how imaging can help clinicians to better assess the patient's disease burden and complement the foundations of traditional disease monitoring (serology, histopathology from biopsy, direct clinical exam, and observation).","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 3","pages":"uaaf028"},"PeriodicalIF":0.5,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095356","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

Bronchial systemic-artery-to-pulmonary-artery-fistula as mimicker of pulmonary embolism: computed tomography findings verified with bronchial artery angiography. 支气管系统动脉-肺动脉-动脉瘘作为肺栓塞的模拟物：计算机断层扫描结果与支气管动脉血管造影证实。

IF 0.5

BJR Case Reports Pub Date : 2025-05-05 eCollection Date: 2025-05-01 DOI: 10.1093/bjrcr/uaaf027

Gernot Rott

引用次数: 0