BJR Case Reports最新文献_第4页

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

IF 0.6

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 0.6

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":"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":0.6,"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 0.6

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":"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":0.6,"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 0.6

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":0.6,"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 0.6

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":0.6,"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 0.6

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":"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":0.6,"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

Transient perivascular inflammation of the carotid artery syndrome: diagnostic value of unenhanced MRI and ultrasonography. 短暂性颈动脉周围炎症综合征：MRI和超声的诊断价值。

IF 0.6

BJR Case Reports Pub Date : 2026-01-25 eCollection Date: 2026-01-01 DOI: 10.1093/bjrcr/uaag002

Yoshisuke Kadoya, Koji Nobata, Yuzo Shimode, Daisuke Kita, Seiko Miura, Yuka Nishino, Satoshi Shibata, Tamaki Kondo, Kiyotaka Ohta, Takafumi Mochizuki, Naoto Watanabe, Koshi Shimanaka, Tetsuya Minami

{"title":"Transient perivascular inflammation of the carotid artery syndrome: diagnostic value of unenhanced MRI and ultrasonography.","authors":"Yoshisuke Kadoya, Koji Nobata, Yuzo Shimode, Daisuke Kita, Seiko Miura, Yuka Nishino, Satoshi Shibata, Tamaki Kondo, Kiyotaka Ohta, Takafumi Mochizuki, Naoto Watanabe, Koshi Shimanaka, Tetsuya Minami","doi":"10.1093/bjrcr/uaag002","DOIUrl":"10.1093/bjrcr/uaag002","url":null,"abstract":"Transient perivascular inflammation of the carotid artery (TIPIC) syndrome, formerly known as carotidynia, is a rare and benign condition characterized by acute unilateral neck pain and perivascular inflammation in the absence of arterial dissection or stenosis. We describe a woman in her 70s who presented with a 4-day history of right-sided neck and pharyngeal pain. Ultrasonography of the neck revealed eccentric wall thickening of the right common carotid artery with surrounding hypoechoic soft tissue, but without luminal narrowing. Because of her history of asthma, unenhanced magnetic resonance imaging was performed instead of contrast-enhanced computed tomography. Magnetic resonance angiography showed no stenosis or dissection. Fat-suppressed T2-weighted imaging demonstrated high signal intensity around the right common carotid artery, consistent with perivascular oedema, which was not present on imaging performed 7 months earlier; diffusion-weighted imaging revealed no restricted diffusion, supporting an inflammatory rather than ischaemic process. TIPIC syndrome was diagnosed based on her clinical symptoms and imaging findings. She was managed conservatively, and her symptoms resolved spontaneously within 1 week. Follow-up ultrasonography demonstrated complete resolution of the vascular wall thickening and perivascular changes. This case highlights the characteristic imaging features of TIPIC syndrome and emphasizes the importance of considering this entity in patients with unilateral neck pain.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 1","pages":"uaag002"},"PeriodicalIF":0.6,"publicationDate":"2026-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12937583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327705","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

Necrotizing fasciitis of the neck and emphysematous osteomyelitis of sternoclavicular joint: a rare case and peculiar imaging findings. 颈部坏死性筋膜炎及胸锁关节肺气肿性骨髓炎：罕见病例及特殊影像学表现。

IF 0.5

BJR Case Reports Pub Date : 2026-01-19 eCollection Date: 2026-01-01 DOI: 10.1093/bjrcr/uaag001

Marwah Algodi, Anas Al Zubaidi, Ida Azizkhanian, Huda Al Jadiry

{"title":"Necrotizing fasciitis of the neck and emphysematous osteomyelitis of sternoclavicular joint: a rare case and peculiar imaging findings.","authors":"Marwah Algodi, Anas Al Zubaidi, Ida Azizkhanian, Huda Al Jadiry","doi":"10.1093/bjrcr/uaag001","DOIUrl":"10.1093/bjrcr/uaag001","url":null,"abstract":"Emphysematous osteomyelitis accompanied by necrotizing fasciitis (NF) is a rare life-threatening condition requiring immediate recognition and aggressive management. We report a case of a 47-year-old male who initially presented to the Emergency Department (ED) with fever, shoulder pain, and leukocytosis. The patient was discharged with analgesics for presumed musculoskeletal pain after an unremarkable chest radiograph. Over the following days, he developed a progressive chest and neck erythema, prompting his return to the ED. Bloodwork revealed a progression of leukocytosis. Contrast-enhanced CT identified emphysematous osteomyelitis of the first rib with sternoclavicular joint infection, accompanied by extensive NF of the upper mediastinum and lower neck, necessitating multiple emergent surgical interventions. This case underscores the importance of early cross-sectional imaging in suspected osseous and deep soft tissue infections, as plain radiography may appear deceptively normal. It also highlights the radiology's pivotal role in assessing disease severity and guiding timely, potentially life-saving intervention.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"12 1","pages":"uaag001"},"PeriodicalIF":0.5,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107679","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

Ureter and bladder malakoplakia: a case report. 输尿管及膀胱斑疹1例。

IF 0.5

BJR Case Reports Pub Date : 2026-01-19 eCollection Date: 2026-01-01 DOI: 10.1093/bjrcr/uaag003

Yu-Ping Ma, Jian-Guo Zhu, Qian-Ye Yong, Qiong Wang, Hai-Ge Li

引用次数: 0

Chronic expanding haematoma in the kidney following long-term hydronephrosis. 长期肾积水后肾脏慢性扩张血肿。

IF 0.5

BJR Case Reports Pub Date : 2025-12-29 eCollection Date: 2026-01-01 DOI: 10.1093/bjrcr/uaaf069

Kenta Nishimura, Yasuji Ryu, Natsuki Sugimori, Keisuke Ichimatsu, Takahiko Nakajima, Masatoshi Imamura

引用次数: 0