BJR Case Reports最新文献_第10页

Rectal complications following SpaceOAR insertion after prior pelvic radiation. 先前盆腔放疗后置入SpaceOAR后的直肠并发症。

IF 0.5

BJR Case Reports Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf013

Andrew H Yates, Philip J Dempsey, Jack W Power, Adam Agnew, Brian D Murphy, Calvin Coffey, Richard Moore, Mazen El Bassiouni, Michelle M J McNicholas

{"title":"Rectal complications following SpaceOAR insertion after prior pelvic radiation.","authors":"Andrew H Yates, Philip J Dempsey, Jack W Power, Adam Agnew, Brian D Murphy, Calvin Coffey, Richard Moore, Mazen El Bassiouni, Michelle M J McNicholas","doi":"10.1093/bjrcr/uaaf013","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf013","url":null,"abstract":"Treating prostate cancer with radiation therapy in patients with a history of prior pelvic radiation may be limited by rectal dose constraints and the risk of rectal toxicity. Rectal spacers have been shown to improve rectal dosimetry in the treatment of prostate cancer. This study aimed to evaluate the safety and outcomes of hydrogel spacer placement, specifically SpaceOAR, between the rectum and prostate in prostate cancer patients who had previously undergone radiation therapy. In this retrospective case series, we analysed the medical records of 8 sequential patients undergoing reirradiation in the setting or prior pelvic radiation, who had received transperineal SpaceOAR placement. We documented the incidence of complications after SpaceOAR placement, before and after undergoing radiation therapy. There was a spectrum of complications in this patient cohort, ranging from pelvic pain to more severe complications such as rectal perforation abscess and fistula. Severe complications occurred in 2 of the 8 patients. Re-irradiation may increase the risk of normal tissue complications; however, hydrogel spacer placement using SpaceOAR in prostate cancer patients with prior pelvic radiation was associated with a higher rate of rectal complications than expected in a small series of patients. We urge caution when using SpaceOAR in this patient group.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf013"},"PeriodicalIF":0.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051576","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

Meniscal tear of the knee causing cystic adventitial disease of popliteal artery: support for the synovial theory. 膝关节半月板撕裂引起腘动脉囊性外膜疾病：对滑膜理论的支持。

IF 0.5

BJR Case Reports Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf015

Ruhaid Khurram, Rashed Al-Khudairi, Parag Jaiswal, Helen Marmery

引用次数: 0

Unexpected vasogenic oedema and alexia as complications after dural arteriovenous fistula embolization. 硬脑膜动静脉瘘栓塞术后意外血管源性水肿和失语症。

IF 0.5

BJR Case Reports Pub Date : 2025-03-12 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf012

Yun-Hsien Ho, Hsin-Fan Chiang, Cheng-Chih Hsieh, Shih-Yang Wei, Chun-Chao Huang

{"title":"Unexpected vasogenic oedema and alexia as complications after dural arteriovenous fistula embolization.","authors":"Yun-Hsien Ho, Hsin-Fan Chiang, Cheng-Chih Hsieh, Shih-Yang Wei, Chun-Chao Huang","doi":"10.1093/bjrcr/uaaf012","DOIUrl":"10.1093/bjrcr/uaaf012","url":null,"abstract":"A 63-year-old male presented with acute onset of intermittent dizziness, visual disturbances, and left temporal headache. Investigations revealed a dural arteriovenous fistula (dAVF) at the left sigmoid sinus, classified as Cognard type IIb. Successful therapeutic transvenous embolization was performed using coils and Onyx, resulting in complete resolution of the dAVF without immediate complications. However, 3 days post-embolization, the patient developed headache, dizziness, visual discomfort, and alexia. MRI findings suggested vasogenic oedema in the left temporo-occipital area due to venous outflow obstruction. Despite treatment with enoxaparin and dexamethasone, the patient experienced progressive symptoms including difficulty in object naming, memory decline, and nonconvulsive seizures. Follow-up imaging indicated improvement of oedema and stable minimal focal gliosis. This rare case of a patient developing alexia following endovascular embolization of a dural AVF highlights the importance of post-procedural monitoring and suggests potential benefits of prophylactic anticoagulation to reduce the risk of probable complications.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf012"},"PeriodicalIF":0.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670158","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 a paediatric chondromyxoid fibroma-like osteosarcoma. 小儿软骨粘液样纤维瘤样骨肉瘤1例。

IF 0.5

BJR Case Reports Pub Date : 2025-03-01 DOI: 10.1093/bjrcr/uaaf011

Khaoula Boumeriem, Iliass Bourekba, Nazik Allali, Latifa Chat, Siham El Haddad

引用次数: 0

Idiopathic granulomatous mastitis after mRNA vaccination against COVID-19: a possible association? mRNA疫苗接种后的特发性肉芽肿性乳腺炎：可能的关联？

IF 0.5

BJR Case Reports Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaae048

Elisenda Vall, Vicente Araya, Lidia Tortajada, Vanessa Escobedo, Rosa Nogueiras, Javier Del Riego

引用次数: 0

A case of congenital fibular hemimelia associated with skeletal and non-skeletal malformations. 先天性腓骨偏瘫伴骨骼及非骨骼畸形1例。

IF 0.5

BJR Case Reports Pub Date : 2025-02-18 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf008

Mahmoud R Manasra, Rahaf E Farah, Roua E Farah, Sama S Yassin, Shadi A Abuisneina

{"title":"A case of congenital fibular hemimelia associated with skeletal and non-skeletal malformations.","authors":"Mahmoud R Manasra, Rahaf E Farah, Roua E Farah, Sama S Yassin, Shadi A Abuisneina","doi":"10.1093/bjrcr/uaaf008","DOIUrl":"10.1093/bjrcr/uaaf008","url":null,"abstract":"Fibular hemimelia (FH) is a rare congenital abnormality where the fibula is either totally or partially absent. It can occur alone or alongside other skeletal malformations, and in very few cases, it may occur along with non-skeletal anomalies. A 4-year-old female was diagnosed with unilateral right-sided FH, accompanied by limb shortening, a right-side ankle deformity, valgus foot, and 3 lateral rays that had been totally absent since the first week of birth. And she was incidentally diagnosed with spina bifida occulta at a 3-year-old age. FH is most commonly unilateral and mostly affects the right side, leads to a limb-length discrepancy, and maybe comes as a symptom of a syndrome such as Foetus-Fibula-Ulna syndrome and so on. Risk factors include prenatal history, drugs, and no supplementation intake. Together, these elements could be a contributing factor to our condition. The congenital limb abnormalities may be discovered during pregnancy by sonography. If present, other investigations need to be done to differentiate the diagnosis. Treatment according to degree: mild, moderate, and severe cases. In our case, the type 2 FH characteristic was shown by sonography, accompanied by limb shortening, lateral rays absent, and a non-skeletal anomaly (spina bifida). These anomalies very rarely come with each other at the same time. To the best of our knowledge, this case is exceptional in that FH is present at birth alongside spina bifida.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf008"},"PeriodicalIF":0.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568477","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

Ruptured ovarian dermoid causing chemical peritonitis: a case report. 卵巢皮样破裂致化学性腹膜炎1例。

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

引用次数: 0

Giant cell tumour of the larynx-a diagnostic challenge. 喉部巨细胞瘤——诊断上的挑战。

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

引用次数: 0

Endovascular treatment of a giant arteria lusoria aneurysm in a young female with Marfan syndrome. 年轻女性马凡氏综合征巨大阔动脉动脉瘤的血管内治疗。

IF 0.5

BJR Case Reports Pub Date : 2025-02-07 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaaf005

Sandra Fraund-Cremer, Rene Rusch, Anselm Uebing, Inga Voges, Philipp Schäfer

{"title":"Endovascular treatment of a giant arteria lusoria aneurysm in a young female with Marfan syndrome.","authors":"Sandra Fraund-Cremer, Rene Rusch, Anselm Uebing, Inga Voges, Philipp Schäfer","doi":"10.1093/bjrcr/uaaf005","DOIUrl":"10.1093/bjrcr/uaaf005","url":null,"abstract":"Aneurysms of an aberrant right subclavian artery (ARSA) are rare but constitute a potentially lethal condition, especially with concomitant Marfan syndrome (MFS). A 27-year-old female with confirmed MFS presented with a relevant progression of a known aneurysm of an ARSA in MRI. The patient had undergone valve-sparing aortic root replacement (David procedure) 4 months prior. After interdisciplinary discussion, she underwent endovascular exclusion of the aneurysm using a combination of established vascular plugs and novel shape memory polymer embolization plugs to fill the large ARSA aneurysm volume. The shape memory polymer embolization plugs expand in the vessel to a porous scaffold, designed to support thrombus formation throughout its structure. The polymer is also radiolucent, which minimizes artefact and facilitates follow-up imaging. Development of a strategy for the treatment of ARSA aneurysms is challenging and different surgical, endovascular, and combined approaches have been published. Interdisciplinary discussion is crucial to minimize the overall risk and trauma. In our case of a young female and new mother, an endovascular approach was successfully and safely performed. The future need for surgery due to concomitant MFS is expected.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf005"},"PeriodicalIF":0.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568480","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. 通过非手术治疗成功解决绞窄性裂孔疝和旋转不良引起的胃肺病1例报告。

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

引用次数: 0