BJR Case ReportsPub Date : 2023-08-01DOI: 10.1259/bjrcr.20200142
Francesco Marampon, Martina Parisi, Piero Rodolfo Cicco, Maria Serpone, Miriam Tomaciello, Daniela Musio, Francesca De Felice, Vincenzo Tombolini
{"title":"Skin metastases from prostate cancer successfully treated with radiation therapy.","authors":"Francesco Marampon, Martina Parisi, Piero Rodolfo Cicco, Maria Serpone, Miriam Tomaciello, Daniela Musio, Francesca De Felice, Vincenzo Tombolini","doi":"10.1259/bjrcr.20200142","DOIUrl":"https://doi.org/10.1259/bjrcr.20200142","url":null,"abstract":"<p><p>Skin metastases from prostate cancer (PCa) are rare, cause considerable discomfort, and usually indicate advanced disease and a poor prognosis. To date, literature accounts for no more than 88 cases of skin metastasis from PCa, and radiation therapy (RT) is not considered a standard treatment option. Here, we have described a rare case of skin localization of castration-resistant metastatic PCa, which occurred in a 75-year-old male previously treated with RT for PCa, 11 years earlier. The skin lesions, which progressively appeared in different areas of the chest wall, were successfully treated with electron beam RT (900 cGy, for 3 consecutive days). Five months after irradiating skin metastases, the patient showed general fair conditions and no longer developed other skin lesions in the areas already treated or elsewhere. This report describes a scarce case of cutaneous metastases from PCa, underlying the crucial role of RT as a definitive palliative treatment that should be used to limit systemic chemotherapy-related toxicity.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20200142"},"PeriodicalIF":0.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9998979","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}
BJR Case ReportsPub Date : 2023-08-01DOI: 10.1259/bjrcr.20220109
Jason Gan, Janki Patel, Eleanor Ainsworth, Aatish Patel, Geraldine O'Hara, Ahmed Elowaidy
{"title":"Case series of perianal and pelvic MRI imaging findings in monkeypox.","authors":"Jason Gan, Janki Patel, Eleanor Ainsworth, Aatish Patel, Geraldine O'Hara, Ahmed Elowaidy","doi":"10.1259/bjrcr.20220109","DOIUrl":"https://doi.org/10.1259/bjrcr.20220109","url":null,"abstract":"<p><p>Monkeypox is a viral infection historically rarely seen in humans, but currently the focus of international attention due to a multi-country outbreak outside endemic countries of Central and West Africa, where cases are typically confined. Perianal pain and lesions have recently been recognised as a feature of monkeypox. We present a case series of the imaging findings of patients with monkeypox, including active proctitis, anal canal inflammation, and perianal inflammation. The aim is to increase awareness of perianal and rectal monkeypox MRI imaging features during this current outbreak.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20220109"},"PeriodicalIF":0.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052828","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}
BJR Case ReportsPub Date : 2023-08-01DOI: 10.1259/bjrcr.20230053
Filip Jelenak, Jaspreet Hira, Rachita Khot
{"title":"Surveillance imaging of type II endoleak with contrast-enhanced ultrasound.","authors":"Filip Jelenak, Jaspreet Hira, Rachita Khot","doi":"10.1259/bjrcr.20230053","DOIUrl":"https://doi.org/10.1259/bjrcr.20230053","url":null,"abstract":"<p><p>Type II endoleak is the most common type of endoleak after endovascular repair of abdominal aortic aneurysm and has been reported in up to 20-50% of patients. Patients undergo lifelong surveillance of aortic graft stents to monitor for endoleak. Contrast-enhanced ultrasound can be an adjunct to CT angiography (CTA) which is the preferred imaging modality for surveillance. However, CT angiography introduces challenges of recurring cost, exposure to ionizing radiation, and the need for iodinated contrast dye. We report a case using CEUS for the detection of type II endoleak.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20230053"},"PeriodicalIF":0.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001056","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}
{"title":"Intracranial lipoma with extra cranial subcutaneous component with a midline bony defect and persistent falcine sinus.","authors":"Santh Kumar Bellamkonda, Balamuralikrishna Vadana, Chandrasekhara Rao Kondragunta, Swetha Balije","doi":"10.1259/bjrcr.20220011","DOIUrl":"10.1259/bjrcr.20220011","url":null,"abstract":"<p><p>Intracranial lipomas are only 0.06-0.46% of intracranial lesions, forming a rare type of congenital malformation. Interhemispheric lipoma associated with subcutaneous component is extremely rare. They are usually asymptomatic, but may also present with seizures, raised intracranial pressure, dementia, hemiparesis, persistent headaches, psychomotor retardation and cranial nerve defects. These are associated with vascular, bone, tentorial and other abnormalities. MR examination must be considered to evaluate for a possibility of intracranial component and to rule out other anomalies. Here, we present features of a rare presentation of intracranial lipoma.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"1 1","pages":"20220011"},"PeriodicalIF":0.6,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46900593","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}
BJR Case ReportsPub Date : 2023-07-03eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20230037
Fumio Chikamori, Ryo Yamada, Koji Ueta, Sunao Uemura, Kazuhisa Onishi, Mitsuteru Yoshida, Nobuyuki Tanida, Hiromichi Yamai, Hisashi Matsuoka, Norihiro Hokimoto, Jun Iwabu, Kai Mizobuchi, Akira Marui, Niranjan Sharma
{"title":"Identification and verification of communicating accessory bile duct associated with a biliary circuit by modified and dynamic intraoperative cholangiography during laparoscopic cholecystectomy.","authors":"Fumio Chikamori, Ryo Yamada, Koji Ueta, Sunao Uemura, Kazuhisa Onishi, Mitsuteru Yoshida, Nobuyuki Tanida, Hiromichi Yamai, Hisashi Matsuoka, Norihiro Hokimoto, Jun Iwabu, Kai Mizobuchi, Akira Marui, Niranjan Sharma","doi":"10.1259/bjrcr.20230037","DOIUrl":"https://doi.org/10.1259/bjrcr.20230037","url":null,"abstract":"<p><p>Communicating accessory bile duct (CABD) is a rare anatomical anomaly of the bile duct and forms a biliary circuit. It is difficult to identify during laparoscopic cholecystectomy (LC) without the use of intraoperative cholangiography (IOC). A modified IOC, in which tube insertion was performed through the infundibulum of the gallbladder, was evaluated dynamically. This procedure allowed us to accurately identify and verify the presence of CABD, a biliary circuit, and the short cystic duct. The short cystic duct could be separated safely without damaging the biliary circuit. Modified and dynamic IOC is recommended for identifying and verifying the presence of CABD during LC.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20230037"},"PeriodicalIF":0.6,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487228","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}
BJR Case ReportsPub Date : 2023-06-13eCollection Date: 2023-08-01DOI: 10.1259/bjrcr.20220078
Francisco Javier Hidalgo-Tallón, Rosa Pinto-Bonilla, Jose Baeza-Noci, Silvia Menéndez-Cepero, Alessio Cabizosu
{"title":"Medical ozone on hamstring injury in a professional athlete assessed by thermography: a clinical case report.","authors":"Francisco Javier Hidalgo-Tallón, Rosa Pinto-Bonilla, Jose Baeza-Noci, Silvia Menéndez-Cepero, Alessio Cabizosu","doi":"10.1259/bjrcr.20220078","DOIUrl":"10.1259/bjrcr.20220078","url":null,"abstract":"<p><p>Injuries associated with the hamstring muscles in the running athlete are increasingly investigated due to the economic and functional consequences associated with them. Although hardly used in the treatment of sports injuries, medical ozone is effective and very well tolerated in the treatment of musculoskeletal pain, it was decided to add a series of medical ozone infiltrations to the treatment. The evolution of the case was recorded by medical thermography, in addition to measuring pain intensity (visual analog scale) and functional capacity (toe touch test). Pain intensity (visual analog scale) decreased from seven at baseline to two at the end of treatment (after two ozone infiltrations, one weekly). Mobility of the damaged area (toe touch test) improved from a distance of 8 cm at baseline to 0 cm at the end of treatment. Regarding medical thermography, after the first and second infiltration of ozone, the temperature rose to a significant increase in perfusion from baseline from 31.2 to 31.8 °C and from 31.2 to 32 °C, respectively. These results suggest the possible interest of medical ozone as an adjuvant treatment for the recovery of sports tendinopathies and encourage us to carry out further studies.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20220078"},"PeriodicalIF":0.5,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001051","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}
BJR Case ReportsPub Date : 2023-05-25eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20220049
Charlotte E Munday, Shreena U Patel, Neel Jain, Dina Hikmat, Thomas Armstrong
{"title":"A rare cause of Hoffa's fat pad impingement: the crossed-doubled patellar tendon.","authors":"Charlotte E Munday, Shreena U Patel, Neel Jain, Dina Hikmat, Thomas Armstrong","doi":"10.1259/bjrcr.20220049","DOIUrl":"https://doi.org/10.1259/bjrcr.20220049","url":null,"abstract":"<p><p>We present an unusual case of Hoffa's fat pad impingement syndrome and chondromalacia patellae in the presence of a rare congenital crossed doubled patellar tendon. The crossed-doubled patellar tendon is exceedingly rare. It's relationship to other conditions involved in anterior knee pain is unclear; however, this case highlights potential pathological associations.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20220049"},"PeriodicalIF":0.6,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487221","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}
{"title":"Antenatally detected fetus in fetu case report.","authors":"Rucha Ulhas Puranik, Priscilla Joshi, Vandana Jahanvi, Abhilasha Tej Handu, Karthik Reddy Puli","doi":"10.1259/bjrcr.20230001","DOIUrl":"https://doi.org/10.1259/bjrcr.20230001","url":null,"abstract":"<p><p>Fetus in fetu (FIF) is an extremely rare pathology in which a malformed fetus is located in the body of its twin. It may occur as a result of an aberration of the twinning process. It is important to distinguish this condition from a teratoma. This article emphasizes the importance of the various modalities in the antenatal diagnosis and post-natal follow-up of FIF. An appropriate early intervention if instituted results in a good prognosis. Only few cases of FIF have been reported in medical literature. We present a case which was antenatally diagnosed and proven on histopathology post-natally. This case report illustrates the importance of multimodality imaging techniques in the diagnosis of this condition.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 3","pages":"20230001"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9621352","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}
BJR Case ReportsPub Date : 2023-05-01DOI: 10.1259/bjrcr.20220119
Amarit Kay Gill, Ashok Raghavan, Eishaan Kamta Bhargava
{"title":"Isolated congenital facial nerve agenesis.","authors":"Amarit Kay Gill, Ashok Raghavan, Eishaan Kamta Bhargava","doi":"10.1259/bjrcr.20220119","DOIUrl":"https://doi.org/10.1259/bjrcr.20220119","url":null,"abstract":"<p><p>An otherwise healthy 2-month-old boy was referred to ENT for a congenital right facial palsy, with a birth history of difficult ventouse delivery. Initially, a traumatic cause was suspected, however subsequent MR 3D-FIESTA (<i>T<sub>2</sub></i> weighted) imaging demonstrated a right facial nerve agenesis with normal appearances of the remainder of the brain parenchyma, cranial nerves and parotid glands. There were no syndromic features or hearing difficulties. Isolated congenital nerve agenesis is a rare condition, with very few case reports available in the literature. Pre-natal 4D ultrasound imaging further supports the diagnosis. To our knowledge, this is the first published pre-natal ultrasound image of congenital facial nerve palsy. The infant has been referred for consideration of nerve reconstruction surgery, and is receiving multi-disciplinary input from ENT, Physiotherapy and Ophthalmology, the latter for prevention of exposure keratitis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 3","pages":"20220119"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923667","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}
BJR Case ReportsPub Date : 2023-05-01DOI: 10.1259/bjrcr.20230024
Abhinav Chander Bhagat, Radha Sarawagi Gupta, Rajesh Malik
{"title":"Antenatal diagnosis of hydrometrocolpos with Mullerian duplication on ultrasound and fetal MRI: case report and literature review.","authors":"Abhinav Chander Bhagat, Radha Sarawagi Gupta, Rajesh Malik","doi":"10.1259/bjrcr.20230024","DOIUrl":"https://doi.org/10.1259/bjrcr.20230024","url":null,"abstract":"<p><p>Fetal abdomino-pelvic cystic lesions are uncommon and can have varied etio-pathogenesis. Most commonly they originate from the gastrointestinal or genitourinary tract. These include choledochal cyst, hydronephrosis, renal cyst, mesenteric/omental cyst, ovarian cyst, meconium pseudocyst, and hydrocolpos/hydrometrocolpos among others. Fetal hydrometrocolpos is rare with a reported incidence of 0.006% and its diagnosis requires a high index of suspicion. Antenatal ultrasound and magnetic resonance imaging (MRI) is invaluable in diagnostic evaluation. This case report describes the imaging features of antenatally detected congenital hydrometrocolpos with Mullerian duplication secondary to cloacal malformation using antenatal ultrasound and MRI. Per-operative findings and other possible differential diagnoses are discussed along with a brief review of literature.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 3","pages":"20230024"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9621349","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}