BJR Case Reports最新文献

{"title":"A complication of the transradial approach: thyrocervical trunk pseudoaneurysm with hemothorax.","authors":"Kareem El Naamani,&nbsp;Rawad Abbas,&nbsp;Georgios S Sioutas,&nbsp;Abdelaziz Amllay,&nbsp;Stavropoula Tjoumakaris,&nbsp;Michael R Gooch,&nbsp;Robert H Rosenwasser,&nbsp;Pascal Jabbour","doi":"10.1259/bjrcr.20220136","DOIUrl":"https://doi.org/10.1259/bjrcr.20220136","url":null,"abstract":"<p><p>The transradial approach has gained popularity in the neuroendovascular field after several studies proved its low rate of hemorrhagic and vascular-related complications in both diagnostic and therapeutic procedures. This is a case of a patient who presented for flow diversion treatment of an incidental left carotid ophthalmic aneurysm. The procedure was uneventful. Post-operatively, the patient's neurological exam and vital signs were normal, however the patient complained of abdominal and chest pain that worsened when lying down and improved when sitting up. Radiologic diagnosis confirmed the presence of a thyrocervical trunk pseudoaneurysm which was completely obliterated with Onyx 18 embolization. Thyrocervical trunk pseudoaneurysm formation is a rare complication of the transradial approach. Shedding the light on these entities is essential as symptoms vary in severity and presentation and necessitate swift diagnosis and treatment.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 3","pages":"20220136"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923663","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":"An expansile presentation of focal cemento-osseous dysplasia of the mandible in a young girl.","authors":"Jonas Ver Berne,&nbsp;Reinhilde Jacobs,&nbsp;Esther Hauben,&nbsp;Constantinus Politis","doi":"10.1259/bjrcr.20230013","DOIUrl":"https://doi.org/10.1259/bjrcr.20230013","url":null,"abstract":"<p><p>A 6-year-old girl presented with a grossly expansive lesion of the left lower jaw. Radiological investigations revealed a large mixed radiolucent/radio-opaque lesion of the left mandible extending into the ramus. Correlation of biopsy and imaging results lead to the diagnosis of an expansile form of focal cemento-osseous dysplasia. Surgical enucleation was performed, and the patient remained free of recurrence after 6 months of follow-up. When dealing with fibro-osseous lesions of the jaw, correlation of radiological and pathological results is mandatory to make a correct diagnosis and avoid unnecessarily extensive surgery.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 3","pages":"20230013"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923665","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":"Canal of Nuck hernia containing the internal reproductive organs of both gender in a neonate with disorder of sex development: a rare case presentation.","authors":"Kamal H Attia,&nbsp;Mehad H Felemban,&nbsp;Ahmad A Al Boukai,&nbsp;Latifah A Alfahad","doi":"10.1259/bjrcr.20230003","DOIUrl":"https://doi.org/10.1259/bjrcr.20230003","url":null,"abstract":"<p><p>The combination of disorder of sex development and canal of Nuck hernia, in which the hernial sac contains the internal reproductive organs (gonads) of both genders, is exceedingly rare. We present a unique case of a neonate who presented with ambiguous genitalia and a lump in the left inguinal region. The child underwent various radiographic procedures and hernial repair. Blood work-up, karyotyping, and histopathological analysis from gonads confirmed the diagnosis of Ovotesticular disorder of sex development. Subsequently, the child had a reconstructive vaginoplasty, and the final decision regarding gender assignment will be made after assessing mental and sexual behavior in early childhood.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 3","pages":"20230003"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923661","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":"Diagnosis and imaging in COVID-19 induced myositis.","authors":"Zaynab Abid Sohail,&nbsp;Jawad Naqvi,&nbsp;Leanne Gray","doi":"10.1259/bjrcr.20220134","DOIUrl":"https://doi.org/10.1259/bjrcr.20220134","url":null,"abstract":"<p><p>The case describes how musculoskeletal disease can manifest in coronavirus disease. The most reported symptoms of covid infection are cough, fever and myalgia. Myalgia and myositis are similar conditions in that they both describe muscular pain and fatigue. However, they are distinguishable in that myalgia is usually benign and self-limiting whilst untreated myositis can lead to serious complications often requiring hospital admission. This case report aims to familiarise physicians with atypical presentations of coronavirus disease to prevent delays in diagnosis and treatment. Timely treatment of covid-induced myositis can decrease in-hospital mortality rates and improve patient outcomes.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 3","pages":"20220134"},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9621351","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":"Oh nuts, they've got a pelvic kidney - a tricky testicular vein embolisation.","authors":"Sajal Patel,&nbsp;Irfan Ahmed,&nbsp;Benedict Thomson","doi":"10.1259/bjrcr.20220130","DOIUrl":"10.1259/bjrcr.20220130","url":null,"abstract":"<p><p>Testicular vein embolisation for varicocele is a common interventional procedure performed in predominantly young, healthy males. Cross-sectional imaging is rarely performed for treatment planning and is often not available. In this case report, we describe a case of testicular vein embolisation in an ipsilateral pelvic kidney where cross-sectional imaging aided treatment planning resulting in successful embolisation.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"1 1","pages":"20220130"},"PeriodicalIF":0.6,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42049514","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":"Transverse carpal ligament tear at the trapezial ridge without fracture - the \"trapezial ridge line\" sign: two case reports.","authors":"Saroj K Golay,&nbsp;Ramy Mansour,&nbsp;Nicholas Riley,&nbsp;Yaron Berkowitz","doi":"10.1259/bjrcr.20220041","DOIUrl":"https://doi.org/10.1259/bjrcr.20220041","url":null,"abstract":"<p><p>A tear of the transverse carpal ligament attachment at the trapezial ridge without associated fracture has not been previously described. We present a detailed description of a 16-year-old Caucasian male patient treated at our institution, and a second supporting case of a 15-year-old Caucasian male patient with a similar mechanism of injury and diagnostic findings. It is important to be aware of this ligament tear, as it may affect clinical management, is occult on computed tomography, and only detectable on magnetic resonance imaging, stressing the worth of magnetic resonance imaging in the setting of acute wrist trauma.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 2","pages":"20220041"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9278556","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":"Acute disseminated encephalomyelitis (ADEM)-like illness in a pediatric patient following COVID-19 vaccination.","authors":"Kenneth Brock,&nbsp;Susana Creagh Reyes,&nbsp;Christopher Conner,&nbsp;Natalie Gillson,&nbsp;Michael Weiss,&nbsp;Osama Elfituri,&nbsp;Amir Paydar","doi":"10.1259/bjrcr.20220097","DOIUrl":"https://doi.org/10.1259/bjrcr.20220097","url":null,"abstract":"<p><p>Since the inception of the COVID-19 pandemic, over 60 cases of acute disseminated encephalomyelitis (ADEM) or ADEM-like clinically isolated syndromes have been linked to COVID-19 infection. However, cases linked to COVID-19 vaccination remain exceptionally rare. To the author's knowledge, eight published cases of ADEM or ADEM-like clinically isolated syndrome have been described after patients received COVID-19 vaccinations, all of which occurred in adults. This report details the first documented case of an ADEM-like illness in a pediatric patient, which developed shortly after receiving the Pfizer (Pfizer-BioNTech, Germany) COVID-19 vaccination. The patient made a near complete clinical recovery over 10 days after receiving a 5-day course of intravenous immunoglobulin therapy.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 2","pages":"20220097"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577721","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":"A near-miss diagnosis of necrotizing breast fasciitis complicated by atrial fibrillation secondary to septic focus: a case report and brief review of literature.","authors":"Rachel Jane Klapper,&nbsp;Benjamin Joseph Michael Horn,&nbsp;Benedict Amalraj,&nbsp;Maamannan Venkataraj,&nbsp;Mohammad Abdurrehman Sheikh,&nbsp;Dominika Pullmann,&nbsp;Kiran Malikayil,&nbsp;Jeffrey Wooliscroft","doi":"10.1259/bjrcr.20220120","DOIUrl":"https://doi.org/10.1259/bjrcr.20220120","url":null,"abstract":"<p><p>Necrotizing fasciitis of the breast is a rare, life-threatening entity characterized by a rapidly aggressive infection of the soft tissue. There are few literature reports on necrotizing fasciitis at the level of the breast tissue as the most common locations are within the abdominal wall or extremities, but this entity can lead to sepsis and systemic multiorgan failure if not adequately managed. Here, we report a case that highlights the course of a 68-year-old African American female with a past medical history of hypertension, hyperlipidemia, and poorly controlled diabetes mellitus, who presented with the complaint of a painful right breast abscess with intermittent, purulent drainage. An initial point-of-care ultrasound displayed an area of induration of the right breast as well as soft tissue edema with no identifiable fluid collection. A subsequent CT abdomen and pelvis was obtained given new onset abdominal pain, which demonstrated incidental findings of inflammatory changes and subcutaneous emphysema along with colonic diverticulosis. Surgical intervention was immediately sought for which she underwent debridement and exploration of the right breast with findings that were consistent with necrotizing transformation. The patient was sent back to the OR for an additional surgical debridement the next day. Of note, the patient had post-op atrial fibrillation with rapid ventricular response and had to be admitted to the ICU for conversion to sinus rhythm. She returned to sinus rhythm and was transferred back to medicine before application of a negative pressure wound dressing on discharge. The patient was transitioned from Enoxaparin to Apixaban for anticoagulation control in the setting of atrial fibrillation before being discharged to a Skilled Nursing Facility with long-term antibiotics. This case highlights the difficulty and significance in establishing a prompt diagnosis for necrotizing fasciitis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 2","pages":"20220120"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577724","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":"Unusual case of a gigantic bladder mimicking a large pelvic cystic mass.","authors":"Mohammad Khadeem Rumjaun,&nbsp;Sana Amjed,&nbsp;Muhammad Anas Ghazi,&nbsp;Jason Raw,&nbsp;Sohail Sabir","doi":"10.1259/bjrcr.20220127","DOIUrl":"https://doi.org/10.1259/bjrcr.20220127","url":null,"abstract":"<p><p>Pelvic masses are more common in females compared to the males. Bladder distension secondary to urinary retention can also mimic as a pelvic mass. However, it is rare to see chronic urinary retention with no clinical urinary symptoms. We present a case report of an elderly male who presented with abdominal pain and progressive worsening of breathing, along with abdominal distension. Initially, patient was thought to have a large cystic pelvic mass, causing bilateral renal hydronephrosis due to the ureteric compression. However, urinary cauterization drained 19,000 ml of the urine leading to not only resolution of the symptoms but also clinical improvement of the patient.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 2","pages":"20220127"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9278555","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":"Renal and mediastinal perivascular epithelioid cell tumors (PEComas) in a young child with tuberous sclerosis; a rare case report.","authors":"Kamal H Attia,&nbsp;Ahmad A Al Boukai,&nbsp;Muammar H Mohammed,&nbsp;Maha Arafah","doi":"10.1259/bjrcr.20220105","DOIUrl":"https://doi.org/10.1259/bjrcr.20220105","url":null,"abstract":"<p><p>We describe a unique case of perivascular epithelioid cell tumors occurring as mediastinal and left renal soft tissue masses discovered incidentally in a 5-year-old tuberous sclerosis patient upon presentation to the emergency department for upper respiratory illness. The radiographic features were non-specific. However, the similar CT characteristics of both lesions and background history raised the suspicion of a synchronous mesenchymal tumor, and histopathology confirmed the diagnosis. The rarity of these tumors in the pediatric population and lack of specific diagnostic criteria impose reporting the case and emphasize the need for further research on imaging features of such tumors.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 2","pages":"20220105"},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9278559","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}