BJR Case ReportsPub Date : 2025-03-22eCollection Date: 2025-03-01DOI: 10.1093/bjrcr/uaaf021
Ruiqian Yan, Junxi Gao
{"title":"Anaplastic thyroid carcinoma with bilateral internal jugular vein tumour thrombus formation: a case report.","authors":"Ruiqian Yan, Junxi Gao","doi":"10.1093/bjrcr/uaaf021","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf021","url":null,"abstract":"<p><p>Anaplastic thyroid carcinoma (ATC) is a highly aggressive thyroid malignancy, comprising 1%-4% of thyroid cancers, with rapid local invasion and distant metastasis. We report a 57-year-old male with ATC presenting with a neck mass, hoarseness, and dysphagia. Imaging showed cancer thrombus in bilateral internal jugular veins, with a biopsy confirming ATC. This case highlights the imaging and pathological features of ATC and emphasizes the importance of ultrasound in evaluating intravascular cancer thrombus, aiding accurate diagnosis and management.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf021"},"PeriodicalIF":0.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11997655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033622","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 case of endovascular treatment for acute portal vein thrombosis following portal vein resection and hepatectomy for hilar cholangiocarcinoma.","authors":"Sukru Oguz, Hakan Küçükaslan, Gokalp Altun, Dilek Basar, Serdar Topaloglu, Adnan Calik","doi":"10.1093/bjrcr/uaaf017","DOIUrl":"10.1093/bjrcr/uaaf017","url":null,"abstract":"<p><p>Currently, portal vein (PV) resection is performed in 10%-40% of liver resections performed for hilar cholangiocarcinoma (HC). The defect is generally repaired with a patch of an autologous vein graft or end-to-end anastomosis after complete separation of the main PV trunk and the left PV. Postoperative PV thrombosis is a severe complication occurring in 2%-9% of patients requiring PV reconstruction. Here in, we presented a 55-year-old man with abdominal pain without hyperbilirubinaemia who was diagnosed with HC. The patient underwent right hepatectomy, extrahepatic biliary resection, and PV resection. The PV defect was repaired with autologous umbilical vein graft. Following the operation, acute PV thrombosis was encountered postoperative day 1. We conducted the treatment of the early acute PV thrombosis by intraportal tPA and PV stenting with endovascular approach.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf017"},"PeriodicalIF":0.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774537","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":"Clinical, imaging, and biofluid correlates of Lyme polyradiculitis in a case report of neuroborreliosis.","authors":"Michael Tran Duong, Manish Shah, Tatsiana Serhiyenia, Rani Pandya, Ashish Subedi, Charishma Bhimineni, Melissa T Duong, Michelle Heayn, Tanya Ibrahim, Gina Stefanelli, Mudita Patel","doi":"10.1093/bjrcr/uaaf022","DOIUrl":"10.1093/bjrcr/uaaf022","url":null,"abstract":"<p><p>Among the causes of ambulatory dysfunction, Lyme polyradiculitis is an uncommon but still essential aetiology to consider given its simple, effective treatment. We present a case of a man with 1 month of worsening bilateral leg paresis, paresthesia, and pain. He recalled no erythema migrans or tick bite. Initial screening showed negative serum Lyme and positive Epstein-Barr Virus testing. At our hospital, MRI revealed polyradiculitis with cauda equina nerve root enhancement. Subsequent serum and cerebrospinal results were positive for Lyme neuroborreliosis. He improved rapidly from a course of doxycycline. This case highlights the importance of timing for Lyme serologies in early neuroborreliosis, as well as converging clinical, radiological, and biofluid testing for diagnosis and management.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf022"},"PeriodicalIF":0.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781508","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":"Soft tissue and intraosseous pneumatosis secondary to diabetic foot ulcer: a severe case of emphysematous osteomyelitis.","authors":"Emmanuel Olayinka Sobamowo, Mirza Shaheer Baig, Sumantra Kumar, Nikhil Rasik Patel","doi":"10.1093/bjrcr/uaaf016","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf016","url":null,"abstract":"<p><p>Emphysematous osteomyelitis (EO) is an uncommon but severe form of osteomyelitis that is characterized by gas formation within the bone. This case report highlights a case of particularly severe EO in an amputated foot, with key imaging findings across modalities emphasizing the diagnostic challenges and the importance of early detection. A 68-year-old male with a history of poorly controlled diabetes and a previous left third to fifth toe amputation for a non-healing ulcer presented to the emergency department with an infective picture and poorly controlled blood glucose levels. After clinical assessment, a focus of infection was found in the left foot and was subsequently assessed with plain radiography, MRI, and CT. The case highlighted the utility of each modality in such a complex presentation, including trabecular bony changes on the plain radiograph, soft tissue changes on MRI and confirmation of intraosseous pneumatosis on CT. This case highlights key imaging features of EO and underscores the need to use CT and MRI to guide timely surgical and medical management. This report adds to the limited literature on EO and presents a useful acronym of \"LEAP\" to describe key features when suspecting EO - lack of cortical destruction, extra-osseous soft tissue gas, associated comorbidities (diabetes, malignancy, etc), and pumice stone sign.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 3","pages":"uaaf016"},"PeriodicalIF":0.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041435","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 : 2025-03-17eCollection Date: 2025-03-01DOI: 10.1093/bjrcr/uaaf014
Miguel Barrio Piqueras, Cristobal Varela, Angel Javier Muñoz Vázquez, Antonio Martinez de la Cuesta
{"title":"Endovascular treatment of a pseudoaneurysm in the right inferomedial genicular artery after arthroscopic anterior cruciate ligament reconstruction: a case report.","authors":"Miguel Barrio Piqueras, Cristobal Varela, Angel Javier Muñoz Vázquez, Antonio Martinez de la Cuesta","doi":"10.1093/bjrcr/uaaf014","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf014","url":null,"abstract":"<p><p>Rupture of the anterior cruciate ligament (ACL) is a common knee injury, and reconstruction via arthroscopy is popular for its safety and low complication rate, around 1%. Vascular injuries from this procedure are extremely rare, with an incidence of 0.003%-1%. Pseudoaneurysms following knee arthroscopy are even less frequent. This paper discusses a rare case of pseudoaneurysm after ACL reconstruction in the articular branch of the right inferomedial genicular artery (IMGA), originating from an anterior tibial artery with a high origin. A 47-year-old man with Von Willebrand disease developed a 24 mm pseudoaneurysm 30 days post-ACL reconstruction. CT-angiography showed the pseudoaneurysm near the tibial tunnel screw and an unusually high anterior tibial artery origin. Emergency angiography confirmed this, and embolization using Squid Peri 18 was successful, with no complications. The patient recovered well. Vascular injury is a rare knee arthroscopy complication, but early diagnosis and awareness of anatomical variations are essential. Endovascular treatment for iatrogenic pseudoaneurysms is safe and effective and facilitates rapid recovery.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf014"},"PeriodicalIF":0.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081254","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 : 2025-03-17eCollection Date: 2025-03-01DOI: 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":"<p><p>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.</p>","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}
BJR Case ReportsPub Date : 2025-03-17eCollection Date: 2025-03-01DOI: 10.1093/bjrcr/uaaf015
Ruhaid Khurram, Rashed Al-Khudairi, Parag Jaiswal, Helen Marmery
{"title":"Meniscal tear of the knee causing cystic adventitial disease of popliteal artery: support for the synovial theory.","authors":"Ruhaid Khurram, Rashed Al-Khudairi, Parag Jaiswal, Helen Marmery","doi":"10.1093/bjrcr/uaaf015","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf015","url":null,"abstract":"<p><p>Cystic adventitial disease is a rare cause of calf claudication and is characterized by the development of a mucinous, cystic mass within the outer layer (adventitia) of an artery. The popliteal artery is most commonly affected. Several theories and hypotheses exist regarding the aetiology of this disorder with no clear unifying cause accepted in the literature to date. We describe a case of a 32-year-old female with a one-year history of medial right knee pain and intermittent claudication who was diagnosed with a medial meniscal tear and a large parameniscal cyst communicating with the popliteal artery adventitia. She underwent arthroscopic meniscectomy and cyst decompression and achieved an excellent functional outcome with resolution of the claudication.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf015"},"PeriodicalIF":0.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11992328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052887","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":"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":"<p><p>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.</p>","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}
Khaoula Boumeriem, Iliass Bourekba, Nazik Allali, Latifa Chat, Siham El Haddad
{"title":"A case of a paediatric chondromyxoid fibroma-like osteosarcoma.","authors":"Khaoula Boumeriem, Iliass Bourekba, Nazik Allali, Latifa Chat, Siham El Haddad","doi":"10.1093/bjrcr/uaaf011","DOIUrl":"10.1093/bjrcr/uaaf011","url":null,"abstract":"<p><p>Chondromyxoid fibroma-like osteosarcoma (CMF-OS) is an exceptionally rare and low-grade variant of osteosarcoma, as classified by the World Health Organization. Misdiagnosis is common in CMF-OS, often leading to delays in definitive surgical intervention. CMF-OS exhibits variable imaging features, frequently mimicking chondromyxoid fibroma. It may present as osteolytic, osteogenic, or expansive lesions, often associated with soft tissue invasion, cortical disruption, and occasionally a periosteal reaction. Cases have been reported in diverse anatomical locations, including the craniofacial region and bones of the lower limbs. Histologically, CMF-OS is distinguished by its unique mucoid appearance, characterized by loose aggregates of stellate and spindle-shaped tumour cells embedded within a highly myxoid stroma. Surgical resection remains the cornerstone of treatment for CMF-OS, emphasizing the importance of accurate diagnosis to facilitate timely and appropriate management.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 2","pages":"uaaf011"},"PeriodicalIF":0.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665060","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 : 2025-02-20eCollection Date: 2025-01-01DOI: 10.1093/bjrcr/uaae048
Elisenda Vall, Vicente Araya, Lidia Tortajada, Vanessa Escobedo, Rosa Nogueiras, Javier Del Riego
{"title":"Idiopathic granulomatous mastitis after mRNA vaccination against COVID-19: a possible association?","authors":"Elisenda Vall, Vicente Araya, Lidia Tortajada, Vanessa Escobedo, Rosa Nogueiras, Javier Del Riego","doi":"10.1093/bjrcr/uaae048","DOIUrl":"10.1093/bjrcr/uaae048","url":null,"abstract":"<p><p>Idiopathic granulomatous mastitis (IGM) is an uncommon benign disease thought to have an autoimmune origin. After massive vaccination against COVID-19, mRNA vaccines have been associated with various possible adverse effects. Among those involving the breast, the most common are ipsilateral axillary lymphadenopathies and transient breast oedema. We present the case of a young woman who developed IGM after mRNA vaccination against COVID-19. We describe the clinical and imaging findings and management of this case, discussing the evidence for a possible link between vaccination and the development of this uncommon inflammatory process and underlining the importance of including this entity in the differential diagnosis in this scenario.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaae048"},"PeriodicalIF":0.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494087","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}