BJR Case ReportsPub Date : 2025-02-18eCollection Date: 2025-03-01DOI: 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":"<p><p>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.</p>","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}
BJR Case ReportsPub Date : 2025-02-10eCollection Date: 2025-01-01DOI: 10.1093/bjrcr/uaaf004
Vrinda Chandar, Joel Kevin Raj Samuel, Ajay Kumar Singh
{"title":"Ruptured ovarian dermoid causing chemical peritonitis: a case report.","authors":"Vrinda Chandar, Joel Kevin Raj Samuel, Ajay Kumar Singh","doi":"10.1093/bjrcr/uaaf004","DOIUrl":"10.1093/bjrcr/uaaf004","url":null,"abstract":"<p><p>Spontaneous rupture of ovarian dermoid cysts is uncommon. We describe a case of a 32-year-old female who presented to the emergency room with abdominal pain and distension. The patient was discovered to have a ruptured dermoid cyst which caused chemical peritonitis and was managed surgically.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf004"},"PeriodicalIF":0.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434131","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 : 2025-02-10eCollection Date: 2025-01-01DOI: 10.1093/bjrcr/uaaf006
Vitor H Fraga de Abreu, Ricardo Pacheco, Fernando Cunha, Alexandra Borges
{"title":"Giant cell tumour of the larynx-a diagnostic challenge.","authors":"Vitor H Fraga de Abreu, Ricardo Pacheco, Fernando Cunha, Alexandra Borges","doi":"10.1093/bjrcr/uaaf006","DOIUrl":"10.1093/bjrcr/uaaf006","url":null,"abstract":"<p><p>Giant cell tumours (GCTs) of the larynx are extremely rare. The most affected structure is the thyroid cartilage and only 44 cases are reported in the literature.<sup>1</sup> Clinically, their first manifestation is usually a palpable neck mass, often accompanied by hoarseness, dyspnoea, and/or dysphagia depending on size and location. GCTs are benign neoplasms, yet awareness of this entity is crucial as their aggressive local behaviour can cause significant morbidity with airway obstruction and can simulate a malignancy. The differential diagnosis is broad and remains a clinical and radiological challenge. Indeed, the final diagnosis is established by histology postoperatively. Surgery is the preferred treatment but may impair voice quality. For incomplete surgical resections and high surgical risk lesions, denosumab treatment is a valuable option. We share our experience on GCTs in a young adult presenting as a supraglottic mass.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf006"},"PeriodicalIF":0.5,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11828855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434128","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 : 2025-02-07eCollection Date: 2025-03-01DOI: 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":"<p><p>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.</p>","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}
{"title":"Successful resolution of gastric pneumatosis due to a strangulated hiatus hernia and malrotation through non-surgical management: a case report.","authors":"Shiv Hadani, Dhaara Bhatt, Ashish Bhagat, Vivek Malhotra","doi":"10.1093/bjrcr/uaaf007","DOIUrl":"10.1093/bjrcr/uaaf007","url":null,"abstract":"<p><p>Gastric pneumatosis is a rare finding, and clinicians, when under pressure, find it challenging to immediately identify the cause and decide if the patient requires emergency surgery. We present a case where an initial CT scan demonstrated gastric pneumatosis involving only the greater curvature of the antrum caused by a strangulated hiatus hernia and malrotation of the distal stomach. The CT features suggested the patient required immediate surgery; however, a conservative approach was taken, and a follow-up CT scan 4 days after the onset demonstrated complete resolution and no long-term complications.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf007"},"PeriodicalIF":0.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468373","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 : 2025-01-23eCollection Date: 2025-01-01DOI: 10.1093/bjrcr/uaaf003
Matthew Kueh, Ramnik Behar
{"title":"Cranio-cervical hyperpneumatization: a case report.","authors":"Matthew Kueh, Ramnik Behar","doi":"10.1093/bjrcr/uaaf003","DOIUrl":"10.1093/bjrcr/uaaf003","url":null,"abstract":"<p><p>Hyperpneumatization is a rare pathological process where air-filled cavitation form within solid bone architecture occurring at sites where physiological pneumatization is not seen. Extension of this process into the atlanto-occipital region is considered extremely rare and is only quoted several times in the literature. In this case report, we present a 66-year-old man who presented with an 8-month history of a worsening frontal headache and blocked sensation in his left ear. Subsequent CT head evaluation revealed hyperpneumatization affecting C1 vertebra, temporal and occipital bones with extension into the clivus. A rare complication of epidural emphysema was seen. The aetiology of hyperpneumatization is uncertain, although it is thought to be either congenital or acquired. In our case, clinical suggestion of eustachian tube dysfunction and radiological findings of thickened sinus mucosa and a unilateral nasal polyp point to chronic recurrent coryzal illnesses, which may indicate an acquired mechanism. Management is mostly conservative with surgical management reserved for high risk or refractory cases.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf003"},"PeriodicalIF":0.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434080","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 : 2025-01-17eCollection Date: 2025-01-01DOI: 10.1093/bjrcr/uaaf002
Ratna Koyyalamudi, Dominic Ku, Kirk Brown, Morgan Schulze
{"title":"Rare complications of ERCP-pancreatitis, panniculitis, and polyarthritis syndromeand multifocal osteomyelitis.","authors":"Ratna Koyyalamudi, Dominic Ku, Kirk Brown, Morgan Schulze","doi":"10.1093/bjrcr/uaaf002","DOIUrl":"10.1093/bjrcr/uaaf002","url":null,"abstract":"<p><p>Severe pancreatitis following retrograde cholangiopancreatography (ERCP) is an infrequent occurrence. Even rarer are the additional non-pancreatic symptoms that can emerge after ERCP-induced pancreatitis, such as panniculitis and polyarthritis. This combination of symptoms is recognized as the pancreatitis, panniculitis, and polyarthritis syndrome (PPPS). PPPS typically manifests as reddish subcutaneous nodules, primarily in the lower extremities. In some cases, the condition may progress into the bones, causing intramedullary fat necrosis/bone infarcts. Joint complications involve polyarthritis and affect both small and large joints. PPPS tends to develop 3-6 weeks after the peak of clinical pancreatitis. In this report, we present a case of PPPS that occurred as a complication following ERCP. This particular case became further complicated by the presence of bacteraemia and fungaemia, leading to the subsequent development of multi-focal osteomyelitis. The medical imaging included in this report provides a comprehensive overview of the entire clinical course, starting from the initial post-procedural complication and pancreatitis, followed by multi-modal imaging depicting panniculitis using ultrasound and MRI, and finally illustrating the development of multi-focal osteomyelitis. This case serves as an opportunity to explore and understand 2 rare complications associated with pancreatitis: PPPS and multi-focal osteomyelitis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf002"},"PeriodicalIF":0.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080774","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 : 2025-01-16eCollection Date: 2025-01-01DOI: 10.1093/bjrcr/uaaf001
Zaid A Sowaity, Ammar A Zamareh, Tayseer N Sabooh, Amjed T Sowaity, Yazan F Khdour, Mutaz A A Atmeza
{"title":"Unusual presentation of <i>Ascaris lumbricoides</i> in the urinary tract: a case report.","authors":"Zaid A Sowaity, Ammar A Zamareh, Tayseer N Sabooh, Amjed T Sowaity, Yazan F Khdour, Mutaz A A Atmeza","doi":"10.1093/bjrcr/uaaf001","DOIUrl":"10.1093/bjrcr/uaaf001","url":null,"abstract":"<p><p><i>Ascaris lumbricoides</i> is one of the most well-known helminthic parasites affecting humans. Ascariasis is prevalent in developing countries where inadequate water, sanitation, and hygiene facilitate human-to-human transmission. In this report, we present a case of a 20-year-old male who arrived at the emergency room with severe right flank pain, high-grade fever, and recurrent vomiting. Diagnostic evaluations were conducted, including a complete blood count test, urinalysis, stool analysis, abdominal ultrasound, and CT scan. The final diagnosis was <i>A lumbricoides</i> found in the distal part of the ureter. A ureteroscopy procedure confirmed the diagnosis and extracted the worm, which measured 6 cm in length, had a brown colour, and exhibited a tight elastic consistency. While Ascaris is commonly found in the gastrointestinal tract, its occurrence in the urinary tract is an extremely rare phenomenon. In our case, the most likely explanation is that the Ascaris accessed the distal ureter through retrograde migration, wherein the worm traverses from the bladder into the ureter.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaaf001"},"PeriodicalIF":0.5,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11849953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494088","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":"Right coronary ostial atresia as a cause of arrhythmia and cardiogenic shock in a young woman: a case report.","authors":"Velio Ascenti, Silvia Tresoldi, Caterina B Monti, Stefano Lucreziotti, Simone Soldi, Maurizio Cariati, Gianpaolo Carrafiello","doi":"10.1093/bjrcr/uaae049","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae049","url":null,"abstract":"<p><p>A 19-year-old woman presented to the emergency department with arrhythmia and signs of cardiogenic shock. After a 12-lead electrocardiogram ruled out acute myocardial infarction, and cardiac magnetic resonance showed no sign of cardiomyopathy, cardiac computed tomography angiography (CCTA) was performed, displaying ostial atresia of the right coronary artery. She was thus referred to a specialist centre for congenital cardiovascular disease, where an electrophysiological study observed an arrhythmogenic focus on the posteromedial papillary muscle, which was ablated, and she has been asymptomatic since. When dealing with patients presenting with arrhythmias or cardiogenic shock, and no signs of myocardial infarction or cardiomyopathy, performing CCTA to study the anatomy of the coronary arteries is vital.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaae049"},"PeriodicalIF":0.5,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013849","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 : 2024-12-17eCollection Date: 2025-01-01DOI: 10.1093/bjrcr/uaae050
Dana AlNuaimi, Shareefa Abdulghaffar, Reem AlKetbi, Badreya Khadim, Khalid Ibrahim
{"title":"Desmoid fibromatosis post-cervical spine surgical intervention.","authors":"Dana AlNuaimi, Shareefa Abdulghaffar, Reem AlKetbi, Badreya Khadim, Khalid Ibrahim","doi":"10.1093/bjrcr/uaae050","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae050","url":null,"abstract":"<p><p>Desmoid tumours are rare benign tumours that show locally aggressive and invasive features leading to potential complications. They can be quite challenging for the treating surgeon if they occur adjacent to neurovascular structures. The aetiology of these tumours is still unclear, but the incidence is higher in females and in patients with a history of trauma or surgical procedures, raising the possibility of genetic and hormonal factors as well as post-traumatic or post-operative inflammatory changes promoting the formation of desmoid fibromatosis. We report a case of a 34-year-old Asian female who presented to our hospital with a history of difficulty in swallowing due to an enlarging lump on the left side of her neck. Patient had a past medical history of previous cervical spinal disc surgery due to a herniated disc. Diagnostic imaging showed a large soft tissue mass centred between the left common carotid artery and the cervical vertebrae displacing the trachea and oesophagus to the right side. A biopsy was obtained, and histopathological examination was suggestive of a desmoid tumour. The patient underwent surgical resection of the tumour but returned later with recurrence and had to undergo the surgery again to achieve full cure.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 1","pages":"uaae050"},"PeriodicalIF":0.5,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933078","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}