BJR Case Reports最新文献

Complete abdominal aortic occlusion following seat-belt trauma: a proposal for early recognition. 安全带损伤后完全性腹主动脉闭塞：早期识别的建议。

IF 0.5

BJR Case Reports Pub Date : 2026-04-13 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag015

Antonio Galluzzo, Fabio Lampis, Chiara Esposito, Diletta Cozzi, Riccardo Ferrari, Michele Galluzzo, Vittorio Miele

{"title":"Complete abdominal aortic occlusion following seat-belt trauma: a proposal for early recognition.","authors":"Antonio Galluzzo, Fabio Lampis, Chiara Esposito, Diletta Cozzi, Riccardo Ferrari, Michele Galluzzo, Vittorio Miele","doi":"10.1093/bjrcr/uaag015","DOIUrl":"https://doi.org/10.1093/bjrcr/uaag015","url":null,"abstract":"Post-traumatic abdominal aortic occlusion (PTAO) is an extremely rare but potentially fatal consequence of high-energy blunt trauma, particularly in the setting of seat-belt injury. While thoracic aortic injuries are more commonly reported, complete occlusion of the abdominal aorta remains poorly documented, with only a few case reports available in the literature. We present two cases of seat-belt-associated PTAO, both evaluated with contrast-enhanced computed tomography (CECT), highlighting the importance of early recognition and tailored imaging protocols in polytrauma scenarios. In both cases, the aortic injury was located at the level of L3, anatomically aligned with vertebral fractures, supporting a direct traumatic mechanism. One patient underwent emergent surgical repair but succumbed to complications, while the other was successfully treated with an endovascular approach and remained stable at one-year follow-up. Key diagnostic features included sudden absence of aortic opacification, absence of vascular calcifications, and lack of collateral circulation, helping distinguish acute PTAO from chronic conditions such as Leriche syndrome. Our findings emphasize the need for radiologists and emergency clinicians to maintain a high index of suspicion for PTAO in patients with seat-belt injuries and vertebral fractures. Prompt diagnosis using CECT can guide urgent therapeutic decisions and improve patient outcomes. This report adds to the limited literature on abdominal aortic injury following blunt trauma and proposes practical imaging criteria for early detection.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 2","pages":"uaag015"},"PeriodicalIF":0.5,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13117600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784903","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

Triple-catheter adjunctive technique through a 6-Fr distal access catheter for coil embolisation of splenic aneurysm: one balloon and two embolisation catheters via single access. 经6-Fr远端通路导管的三导管辅助技术用于脾动脉瘤线圈栓塞：一根球囊和两根单通道栓塞导管。

IF 0.5

BJR Case Reports Pub Date : 2026-04-11 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag014

Hiroshi Kuwamura, Yohsuke Suyama, Yasuhiro Enjoji, Ippei Ozaki, Yusuke Yamamoto, Mikiya Takao, Yoji Kishi, Hiroshi Shinmoto

{"title":"Triple-catheter adjunctive technique through a 6-Fr distal access catheter for coil embolisation of splenic aneurysm: one balloon and two embolisation catheters via single access.","authors":"Hiroshi Kuwamura, Yohsuke Suyama, Yasuhiro Enjoji, Ippei Ozaki, Yusuke Yamamoto, Mikiya Takao, Yoji Kishi, Hiroshi Shinmoto","doi":"10.1093/bjrcr/uaag014","DOIUrl":"https://doi.org/10.1093/bjrcr/uaag014","url":null,"abstract":"We present a novel triple-catheter adjunctive technique through a 6-Fr distal access catheter (DAC) for coil embolisation of an 18 mm wide-necked splenic aneurysm located at the bifurcation of the superior and inferior branches in a 63-year-old female. Despite the significantly tortuous splenic artery, the DAC was successfully navigated near the aneurysm, providing catheter stability. One 2.8-Fr balloon catheter and 2 2.2-Fr microcatheters were deployed simultaneously through the DAC to perform the balloon-assisted double-catheter technique. Dense packing was achieved with a volume embolisation ratio of 39.2%, while preserving the superior branch flow. Post-embolisation angiography revealed complete aneurysmal occlusion without splenic infarction. This technique presents a viable solution for complex visceral aneurysms in tortuous anatomies, enabling dense packing while preserving the parent artery, without requiring multiple access sites or larger guiding catheters.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 2","pages":"uaag014"},"PeriodicalIF":0.5,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13105842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784927","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

Deciding the timing of aneurysm coiling and obstetric delivery in pregnant patients presenting with ruptured intracranial aneurysms: a case report and review. 颅内动脉瘤破裂的孕妇决定动脉瘤缠绕和分娩的时机：1例报告和回顾。

IF 0.5

BJR Case Reports Pub Date : 2026-04-11 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag012

Aly Shaaban, Abhishekh Hulegar Ashok, Robin J Borchert, Cinzia Cammarano, Lucy Miller, Basil Nourallah, Tamara Tajsic, Matthew Guilfoyle, Alison Wilson, Richard Haddon, Aoife Quinn, Nathan Chan

{"title":"Deciding the timing of aneurysm coiling and obstetric delivery in pregnant patients presenting with ruptured intracranial aneurysms: a case report and review.","authors":"Aly Shaaban, Abhishekh Hulegar Ashok, Robin J Borchert, Cinzia Cammarano, Lucy Miller, Basil Nourallah, Tamara Tajsic, Matthew Guilfoyle, Alison Wilson, Richard Haddon, Aoife Quinn, Nathan Chan","doi":"10.1093/bjrcr/uaag012","DOIUrl":"https://doi.org/10.1093/bjrcr/uaag012","url":null,"abstract":"The optimal treatment strategy for intracranial aneurysms (IA) in pregnancy is unclear, particularly in the third trimester of pregnancy and during the intrapartum period. We discuss a case of a ruptured IA at 39 + 3 weeks of gestation, during prelabour and review literature focusing on the order of treatment and delivery. A 4 × 6 × 3 mm aneurysm arising from the left posterior communicating segment of the internal carotid artery was embolised with multiple detachable coils, followed by a caesarean section (CS) with good maternal and foetal outcomes. Our review of the literature identified 29 reported cases of ruptured intracranial aneurysms in pregnancy. After 22 weeks of gestation, mortality was higher amongst patients who delivered first (3/9) compared to those who were coiled first (1/11). Our case and the published literature support the approach of securing the aneurysm before delivery to improve maternal outcomes.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 2","pages":"uaag012"},"PeriodicalIF":0.5,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13131216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821854","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

Ectopic hepatocellular carcinoma metastasizing to the brain with initial presentation as tumor stroke syndrome: a case report. 异位肝细胞癌转移至脑部，最初表现为肿瘤中风综合征1例。

IF 0.5

BJR Case Reports Pub Date : 2026-04-11 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag011

Haiyang Li, Daoying Wang

引用次数: 0

A rare case of extramedullary plasmacytoma of the paranasal sinuses. 罕见的鼻窦髓外浆细胞瘤1例。

IF 0.5

BJR Case Reports Pub Date : 2026-04-08 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag009

Laiba Butt, Laura Munro, Andrzej Wieczorek, Robert Wotherspoon, Brook Adams

引用次数: 0

Middle temporal vein thrombophlebitis, multicompartment deep neck infection, and Lemierre syndrome following temporal lifting: a previously unreported complication chain. 颞中静脉血栓性静脉炎、多室深颈感染和颞举升后的Lemierre综合征：一个以前未报道的并发症链。

IF 0.5

BJR Case Reports Pub Date : 2026-04-02 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag010

Adil Aytaç, Bahar Yanık Keyik

{"title":"Middle temporal vein thrombophlebitis, multicompartment deep neck infection, and Lemierre syndrome following temporal lifting: a previously unreported complication chain.","authors":"Adil Aytaç, Bahar Yanık Keyik","doi":"10.1093/bjrcr/uaag010","DOIUrl":"https://doi.org/10.1093/bjrcr/uaag010","url":null,"abstract":"Temporal lifting is widely performed as an aesthetic procedure with a generally favorable safety profile, yet rare and clinically significant complications may arise due to the anatomical continuity between the temporal region and deep cervical spaces. This report presents an uncommon case in which a healthy woman developed a rapidly progressive sequence of middle temporal vein thrombophlebitis, multicompartment deep neck infection, and Lemierre syndrome (an infectious thrombophlebitis of the internal jugular vein often leading to systemic septic embolization) shortly after temporal lifting. Her symptoms evolved from localized temporal discomfort to trismus, swallowing difficulty, and extensive cervical inflammatory spread, prompting suspicion for deep neck involvement. Magnetic resonance imaging provided critical diagnostic clarity by demonstrating venous thrombosis, diffuse soft tissue infiltration, and narrowing of the parapharyngeal airway. Early administration of broad spectrum antimicrobial therapy, therapeutic anticoagulation, and close respiratory monitoring resulted in full clinical recovery. This case emphasizes that even superficially performed facial rejuvenation procedures may trigger extensive infectious and vascular processes through established fascial pathways. To the best of current knowledge, this is the first reported occurrence of the combined presentation of temporal venous thrombophlebitis, widespread deep neck infection, and Lemierre syndrome following temporal lifting. These observations highlight the importance of early imaging and clinical vigilance in patients presenting with disproportionate postoperative symptoms.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 2","pages":"uaag010"},"PeriodicalIF":0.5,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693007","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 bloody surprise: rare presentation of pituitary apoplexy with epistaxis-a case report. 血淋淋的意外：罕见的脑垂体中风伴脑出血一例报告。

IF 0.5

BJR Case Reports Pub Date : 2026-04-02 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag007

Kevin Jun Hui Kow, Jaya Sri Konakanchi, Vaanathi Paulvannan, Jooly Joseph

{"title":"A bloody surprise: rare presentation of pituitary apoplexy with epistaxis-a case report.","authors":"Kevin Jun Hui Kow, Jaya Sri Konakanchi, Vaanathi Paulvannan, Jooly Joseph","doi":"10.1093/bjrcr/uaag007","DOIUrl":"https://doi.org/10.1093/bjrcr/uaag007","url":null,"abstract":"Pituitary apoplexy (PA) is an endocrine emergency caused by haemorrhage or infarction of the pituitary gland, often occurring in patients with known tumours. Classical presentation includes headache, visual disturbances, and cranial nerve palsies. We describe a rare presentation of PA with epistaxis in a 71-year-old man with a known non-functioning pituitary macroadenoma. On admission, he had acute confusion, worsening headache, and left-sided epistaxis with signs of Cranial Nerve (CN) III palsy and reduced consciousness. Initial Computerized Tomography (CT) showed a stable macroadenoma without acute changes. Laboratory evaluation showed panhypopituitarism and features of vasopressor deficiency. Rapid clinical deterioration prompted repeat CT and Magnetic Resonance Imaging (MRI), which demonstrated interval enlargement of the adenoma with haemorrhage and mass effect. MRI also revealed a catastrophic left middle cerebral artery infarct secondary to M1 segment thrombosis. Despite intensive care support, the patient failed to recover neurologically and passed away. Our case report describes the rare occurrence of epistaxis in PA, due to tumour extension into the sphenoid sinus and erosion of the sellar floor. We emphasize the importance of an early MRI and endocrinology review for timely diagnosis and management. We underscore the need to consider PA in patients with known adenomas and acute neurological decline, even with atypical symptoms. Our case report adds to the limited literature on epistaxis as a presenting sign of PA and associated high morbidity.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 2","pages":"uaag007"},"PeriodicalIF":0.5,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784908","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

Azygos ACA fusiform dilatation: embryological insights from co-existing midline lipoma and callosal malformation. Azygos ACA梭状扩张：来自共存的中线脂肪瘤和胼胝体畸形的胚胎学见解。

IF 0.5

BJR Case Reports Pub Date : 2026-03-24 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag008

Shigeta Miyake, Yu Iida, Neil V Patel, Timo Krings

{"title":"Azygos ACA fusiform dilatation: embryological insights from co-existing midline lipoma and callosal malformation.","authors":"Shigeta Miyake, Yu Iida, Neil V Patel, Timo Krings","doi":"10.1093/bjrcr/uaag008","DOIUrl":"10.1093/bjrcr/uaag008","url":null,"abstract":"We present a case of a tubulonodular-type lipoma of the corpus callosum (LCC) with hypogenesis of the corpus callosum (CC) accompanied by an azygos anterior cerebral artery (ACA) with fusiform dilatation adjacent to the lipoma in an 85-year-old female that was incidentally found during a transient ischaemic attack (TIA) workup. The patient had no symptoms of LCC or fusiform ACA dilatation. This case highlights the characteristic imaging findings and morphological changes in the adjacent arteries, particularly those associated with LCC. A literature review of 32 reported cases of LCC confirmed that fusiform dilatation of the adjacent vessels is commonly associated with this abnormality. This study suggests that these vascular changes may arise from the abnormal differentiation of the meninx primitiva, affecting both brain structures and blood vessels. Conservative management of fusiform dilatation is recommended as the prognosis appears favourable, with no reported cases of bleeding from such lesions. These findings underscore the importance of understanding the embryological origins of LCC and associated vascular abnormalities.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 2","pages":"uaag008"},"PeriodicalIF":0.5,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582622","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

Endovascular treatment of a pancreatic pseudoaneurysm associated with massive pancreatic arteriovenous malformation using flow modification technique. 血流改良技术在血管内治疗胰假性动脉瘤合并大量胰动静脉畸形。

IF 0.5

BJR Case Reports Pub Date : 2026-02-17 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaag005

Kohei Hamamoto, Ryoma Kobayashi, Emiko Chiba, Naoki Kunitomo, Soichiro Kojima, Hiroyuki Fujii, Mitsuru Matsuki, Kazuma Rifu, Homare Ito, Mineyuki Tojo, Harushi Mori

{"title":"Endovascular treatment of a pancreatic pseudoaneurysm associated with massive pancreatic arteriovenous malformation using flow modification technique.","authors":"Kohei Hamamoto, Ryoma Kobayashi, Emiko Chiba, Naoki Kunitomo, Soichiro Kojima, Hiroyuki Fujii, Mitsuru Matsuki, Kazuma Rifu, Homare Ito, Mineyuki Tojo, Harushi Mori","doi":"10.1093/bjrcr/uaag005","DOIUrl":"10.1093/bjrcr/uaag005","url":null,"abstract":"Pancreatic arteriovenous malformation (PAVM) is a rare vascular anomaly of the gastrointestinal tract, and the coexistence of a pseudoaneurysm is exceptionally uncommon. This report details a case of pseudoaneurysm associated with a massive PAVM that was successfully managed with endovascular therapy. A 67-year-old female patient with a massive PAVM presented with acute back pain. Contrast-enhanced computed tomography revealed a pseudoaneurysm in the pancreatic head accompanied by a surrounding haematoma. Transcatheter arterial embolisation (TAE) was selected as the minimally invasive treatment and the pseudoaneurysm was visualised on angiography. However, identifying the culprit artery was challenging due to the extensive vascular network of the PAVM. Following modification of the local haemodynamics using coil embolisation, the culprit artery became detectable, allowing successful embolisation of the pseudoaneurysm using N-butyl cyanoacrylate (NBCA). This case report highlights the clinical utility of NBCA embolisation combined with flow modification for managing a pseudoaneurysm associated with a massive PAVM, which represents an exceptionally rare vascular anomaly.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 2","pages":"uaag005"},"PeriodicalIF":0.5,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12975320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445481","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

PET-CT standardized uptake values are increased in focal nodular marrow hyperplasia: a review of indeterminate marrow lesions at a large teaching hospital. 局灶性骨髓结节性增生的PET-CT标准化摄取值增高：一家大型教学医院不确定骨髓病变的回顾。

IF 0.5

BJR Case Reports Pub Date : 2026-02-03 eCollection Date: 2026-01-01 DOI: 10.1093/bjrcr/uaag004

Alexander Pearce, Michael Thomas, Fiona Witham

{"title":"PET-CT standardized uptake values are increased in focal nodular marrow hyperplasia: a review of indeterminate marrow lesions at a large teaching hospital.","authors":"Alexander Pearce, Michael Thomas, Fiona Witham","doi":"10.1093/bjrcr/uaag004","DOIUrl":"https://doi.org/10.1093/bjrcr/uaag004","url":null,"abstract":"Focal nodular marrow hyperplasia (FNMH) is a benign entity that can create diagnostic uncertainty for the radiologist and, if not recognized, can lead to unnecessary intervention or cause interruption in potential treatment due to the need for follow-up imaging for clarification. Current research suggests lesions with a standardized uptake value over 3.6 on fluorodeoxyglucose positron emission tomography and CT scans should be considered metastatic rather than benign. The aims of this study are to analyze the multimodality characteristics of FNMH, educate the reader, and recommend imaging techniques to improve specificity in the absence of histological analysis. Patients who underwent cross-sectional imaging and nuclear medicine studies between 2018 and 2023 were collected, after concerns were raised as to the nature of indeterminate bone marrow lesions. Data were collected on demographics, malignancy, site of index lesion, imaging characteristics, and follow-up. A total of 9 eligible patients were collected. All patients underwent CT and MRI scanning. 8 of the 9 had Positron emission tomography CT (PETCT), of which 7 had standardized uptake values for PETCT exceeding 3.6 using different radiotracers. All but one of the cases were conservatively managed; the remaining case received radiotherapy to their lesion. FNMH can demonstrate higher PET standardized uptake values (SUV) than previously reported in the literature. This has important implications for treatment as the SUV overlaps with those of metastatic bony lesions. Work is needed to improve the distinction between benign and malignant lesions that lie at this threshold of uptake level.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 1","pages":"uaag004"},"PeriodicalIF":0.5,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285542","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