BJR Case Reports最新文献_第6页

Imaging of Urachal Adenocarcinoma: A Case Report. 尿管腺癌影像学1例报告。

IF 0.5

BJR Case Reports Pub Date : 2025-12-05 eCollection Date: 2026-01-01 DOI: 10.1093/bjrcr/uaaf064

V Pramod, S C Sanjay, R Dheepika

引用次数: 0

Navigating technical hurdles: implementing a tailored Vac-Lok prone pillow technique to optimize radiotherapy in a case of large pendulous breast. 克服技术障碍：实施量身定制的Vac-Lok俯卧枕技术以优化大下垂乳房的放射治疗。

IF 0.5

BJR Case Reports Pub Date : 2025-12-03 eCollection Date: 2025-11-01 DOI: 10.1093/bjrcr/uaaf059

Pranav Nair, Ajay Sasidharan, Sruthi Kalavagunta, Prasath Bhaskaran, Alma Peter, Annex Edapattu Haridas, Debnarayan Dutta

{"title":"Navigating technical hurdles: implementing a tailored Vac-Lok prone pillow technique to optimize radiotherapy in a case of large pendulous breast.","authors":"Pranav Nair, Ajay Sasidharan, Sruthi Kalavagunta, Prasath Bhaskaran, Alma Peter, Annex Edapattu Haridas, Debnarayan Dutta","doi":"10.1093/bjrcr/uaaf059","DOIUrl":"10.1093/bjrcr/uaaf059","url":null,"abstract":"Breast radiotherapy, typically administered using tangential fields in the supine position, employs various strategies to improve dose uniformity and minimize radiation exposure to sensitive organs. However, managing patients with large or pendulous breasts presents technical challenges, leading to the investigation of prone position radiotherapy, which has shown benefits in reducing skin reactions and lung radiation dose. Herein, we present a technical note detailing the implementation of a customized Vac-Lok prone pillow setup for adjuvant radiotherapy in a patient with extremely large pendulous breasts. The use of polystyrene foam slabs of 7 cm each and a Vac-Lok over it with a groove to place the ipsilateral breast hanging down and away from the midline and arms extended overhead on a customized prone pillow, enabled a comfortable position for the patient. Compared to the plan generated in the supine position, the prone plan showed a significant reduction in radiation dose to the ipsilateral lung.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 6","pages":"uaaf059"},"PeriodicalIF":0.5,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12714379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805784","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

Colonic Epstein-Barr virus mucocutaneous ulcer mimicking metastatic cancer: a diagnostic pitfall on PET/CT in immunosuppressed patients. 结肠eb病毒粘膜皮肤溃疡模拟转移癌：免疫抑制患者的PET/CT诊断缺陷

IF 0.5

BJR Case Reports Pub Date : 2025-12-02 eCollection Date: 2025-11-01 DOI: 10.1093/bjrcr/uaaf058

Nathan Truong, Christopher Henderson, Michael Lin

{"title":"Colonic Epstein-Barr virus mucocutaneous ulcer mimicking metastatic cancer: a diagnostic pitfall on PET/CT in immunosuppressed patients.","authors":"Nathan Truong, Christopher Henderson, Michael Lin","doi":"10.1093/bjrcr/uaaf058","DOIUrl":"10.1093/bjrcr/uaaf058","url":null,"abstract":"Epstein-Barr Virus-positive mucocutaneous ulcers (EBVMCU) are a rare disease entity that causes mucocutaneous ulcerations in the gastrointestinal tract, oropharynx, and skin. Typically associated with immunosuppressed patients, individuals may present with nonspecific symptoms and scan findings similar to those of malignancies. Treatment usually responds favourably to conservative management or withdrawal of immunosuppression, although rarely patients require more aggressive therapies including surgery, immuno-, chemo-, or radio-therapy. We encountered an unusual case of a patient with EBVMCU who presented with cough, dysphagia, and weight loss. Imaging features on [18F]-FDG PET/CT as well as initial biopsy results were nonspecific. The colonoscopic features were highly concerning for malignancy, with the diagnosis only finally being confirmed following surgical resection. To our knowledge, this is the first case report to describe the FDG PET/CT findings of EBVMCU within the bowel, and readers should consider this as a differential to avoid potential misdiagnosis and unnecessary intervention.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 6","pages":"uaaf058"},"PeriodicalIF":0.5,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145775354","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

Spondylodiscitis associated with recurrent E. coli bacteraemia in an elderly patient: a case report highlighting uncommon pathogen presentation. 脊柱椎间盘炎伴复发性大肠杆菌血症1例老年患者：突出罕见病原体表现的病例报告。

IF 0.5

BJR Case Reports Pub Date : 2025-12-02 eCollection Date: 2025-11-01 DOI: 10.1093/bjrcr/uaaf057

Yu Lelt Win, Arpan Banerjee, Inderjeet Nagra

引用次数: 0

Stomach blowout post binge-eating episode: a case report. 暴食后胃爆：一例报告。

IF 0.6

BJR Case Reports Pub Date : 2025-11-26 eCollection Date: 2025-11-01 DOI: 10.1093/bjrcr/uaaf052

Rutger J Lensing, Peter-Paul Teunisse, Annemarie C M Bellegem, Karin Horsthuis

{"title":"Stomach blowout post binge-eating episode: a case report.","authors":"Rutger J Lensing, Peter-Paul Teunisse, Annemarie C M Bellegem, Karin Horsthuis","doi":"10.1093/bjrcr/uaaf052","DOIUrl":"10.1093/bjrcr/uaaf052","url":null,"abstract":"Acute gastric dilatation is a rare but serious condition that can lead to ischemia, necrosis, and perforation of the stomach. This case report describes a 21-year-old female patient with an eating disorder who developed acute gastric necrosis and perforation following a binge-eating episode. A 21-year-old female with a history of eating disorder not otherwise specified presented to the referring hospital with severe abdominal pain, and on physical examination, the suspicion of subcutaneous emphysema. Chest radiography showed the subcutaneous emphysema and also revealed a pneumothorax and a possible pneumomediastinum. Her condition deteriorated, prompting a CT scan that showed extensive pneumomediastinum, subcutaneous emphysema, a massively distended stomach, and portal venous air. The patient was transferred to our hospital, where further imaging confirmed these findings. After further deterioration and a suspected perforation, a second CT scan was performed, confirming a gastric perforation with extensive free fluid in the abdomen. An exploratory laparotomy revealed gastric perforation with necrosis and peritonitis, necessitating a sleeve gastrectomy. The patient underwent successful surgery with resection of necrotic gastric tissue and sleeve gastrectomy. Postoperative recovery was uncomplicated, and follow-up showed no further complications. Early surgical intervention was crucial in managing this life-threatening condition. Acute gastric dilatation and subsequent necrosis are rare but potentially fatal complications in patients with eating disorders. Prompt recognition and surgical intervention are essential to reduce morbidity and mortality.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 6","pages":"uaaf052"},"PeriodicalIF":0.6,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12964113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379104","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

Myxoid liposarcoma of the leg: a case report. 腿部黏液样脂肪肉瘤1例。

IF 0.6

BJR Case Reports Pub Date : 2025-11-18 eCollection Date: 2026-03-01 DOI: 10.1093/bjrcr/uaaf055

Angelo Montana, Gabriele Mirabella, Giambattista Privitera, Stefano Bastoni, Antonina Parafioriti, Placido Romeo

引用次数: 0

Perinephric myxoid tumour of fat and IgG4-related disease: when retroperitoneal fat conceals two truths. A case report of a tricky diagnosis. 肾周黏液瘤的脂肪与igg4相关疾病：当腹膜后脂肪隐藏了两个真相。一个疑难诊断的病例报告。

IF 0.5

BJR Case Reports Pub Date : 2025-11-18 eCollection Date: 2025-11-01 DOI: 10.1093/bjrcr/uaaf054

Maria-Chiara Ambrosetti, Federica Omboni, Francesco Pollastri, Anna Caliò, Giovanni Puppini

{"title":"Perinephric myxoid tumour of fat and IgG4-related disease: when retroperitoneal fat conceals two truths. A case report of a tricky diagnosis.","authors":"Maria-Chiara Ambrosetti, Federica Omboni, Francesco Pollastri, Anna Caliò, Giovanni Puppini","doi":"10.1093/bjrcr/uaaf054","DOIUrl":"10.1093/bjrcr/uaaf054","url":null,"abstract":"The perinephric space is a retroperitoneal compartment that can harbour various types of lesions. Among these, fat-containing lesions represent a specific subset that narrows the differential diagnosis. Perinephric myxoid pseudotumor of fat (PMPFT) is a rare and less-known entity within this category; its imaging features may overlap with other conditions such as well-differentiated liposarcoma and IgG4-related disease. We report the case of a 73-year-old man in whom bilateral perinephric fat-containing lesions were incidentally discovered during an abdominal ultrasound. Further imaging with CT and MRI was performed to better characterise the lesions. Two biopsies were subsequently undertaken; only the second one, performed laparoscopically, yielded diagnostic material, leading to a diagnosis of PMPFT. However, one year later, follow-up CT revealed an increase in size of the left perinephric mass, which also contained more evident soft tissue foci. The patient underwent a third biopsy that demonstrated an IgG4-positive plasma cell infiltrate, introducing a diagnostic dilemma.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 6","pages":"uaaf054"},"PeriodicalIF":0.5,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12680074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702481","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

Unveiling the intermediate tumour: a case report of uterine smooth muscle tumour of uncertain malignant potential and review of magnetic resonance imaging features. 揭示中间肿瘤：恶性潜能不确定的子宫平滑肌肿瘤1例及磁共振成像特点复习。

IF 0.5

BJR Case Reports Pub Date : 2025-11-09 eCollection Date: 2025-11-01 DOI: 10.1093/bjrcr/uaaf053

Phoebe Hay Pui Yeung, Siu Chun Wong, Ting Wong, Yuen Fun Mak, Ka Yu Cheng, Yat Yee Shizuka Chan, Tsz Man Mimi Fung

{"title":"Unveiling the intermediate tumour: a case report of uterine smooth muscle tumour of uncertain malignant potential and review of magnetic resonance imaging features.","authors":"Phoebe Hay Pui Yeung, Siu Chun Wong, Ting Wong, Yuen Fun Mak, Ka Yu Cheng, Yat Yee Shizuka Chan, Tsz Man Mimi Fung","doi":"10.1093/bjrcr/uaaf053","DOIUrl":"https://doi.org/10.1093/bjrcr/uaaf053","url":null,"abstract":"Uterine smooth muscle tumour of uncertain malignant potential (STUMP) is a rare and diagnostically challenging entity, lying on the spectrum between benign leiomyomas and malignant leiomyosarcomas. Its unpredictable biological behaviour and potential for metastasis and progression to leiomyosarcoma necessitate surgical removal and long-term surveillance for late recurrence and malignant transformation. We present a case of uterine STUMP in a 49-year-old woman with a large uterine mass exhibiting suspicious magnetic resonance imaging (MRI) features preoperatively. She underwent a hysterectomy with histological confirmation of STUMP. Through radiologic-pathologic correlation, we highlight key MRI features that can suggest the diagnosis of STUMP and aid in differentiating it from benign leiomyomas. While differentiating STUMP from leiomyosarcoma on imaging remains challenging due to its rarity and overlapping imaging characteristics, imaging plays a crucial role in detecting complications and guiding follow-up. Multidisciplinary management in tertiary centres with gynaecologic oncology expertise is essential for comprehensive patient care.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 6","pages":"uaaf053"},"PeriodicalIF":0.5,"publicationDate":"2025-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12648055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641109","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

Bilateral renal lymphangiectasia mimicking renal cystic disease and literature review. 双侧肾淋巴管扩张模拟肾囊性疾病及文献回顾。

IF 0.5

BJR Case Reports Pub Date : 2025-10-27 eCollection Date: 2025-11-01 DOI: 10.1093/bjrcr/uaaf051

Celal Tacyildiz, Suna Yergin Tacyildiz

{"title":"Bilateral renal lymphangiectasia mimicking renal cystic disease and literature review.","authors":"Celal Tacyildiz, Suna Yergin Tacyildiz","doi":"10.1093/bjrcr/uaaf051","DOIUrl":"10.1093/bjrcr/uaaf051","url":null,"abstract":"Bilateral renal lymphangiectasia is a rare, benign lymphatic disorder that causes the perirenal, parapelvic, and intrarenal lymphatic channels to dilate. Because it is rare and has varying radiologic appearances, it might be confused with other cystic renal illnesses, such as polycystic kidney disease, which can lead to misdiagnosis and unnecessary treatments. In this case review, a 51-year-old female patient who presented with abdominal pain was diagnosed with bilateral renal lymphangiectasia based on imaging findings. Ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI) revealed bilateral intrarenal and perirenal cysts. We comprehensively reviewed 56 cases of bilateral renal lymphangiectasia in adults published in the literature until June 2025. Conservative treatment was the preferred approach in about half of the cases. In cases where there were symptoms or complications, treatments such as percutaneous drainage, marsupialization, or nephrectomy were done. While aggressive treatment methods such as nephrectomy were commonly used in the 1980s, percutaneous interventional procedures and conservative treatments began to be used more frequently starting in the 1990s. Haematuria, ascites, hypertension, polycythaemia, pleural effusion, and renal vein thrombosis are rare complications reported. The aim of this case and literature review is to improve diagnostic accuracy by highlighting the clinical spectrum and imaging findings of bilateral renal lymphangiectasia. Accurate diagnosis based on imaging modalities is important to avoid unnecessary interventional and surgical procedures.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"11 6","pages":"uaaf051"},"PeriodicalIF":0.5,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565870","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

Severe cytomegalovirus encephalitis in an immunocompetent man: a case report. 免疫功能正常男性严重巨细胞病毒脑炎1例报告。

IF 0.5

BJR Case Reports Pub Date : 2025-10-10 eCollection Date: 2025-11-01 DOI: 10.1093/bjrcr/uaaf050

Fatima Chait, Nourrelhouda Bahlouli, Adam Sqalli Houssaini, Ihssane Lahlou, Meryem Edderai, Jamal El Fenni

引用次数: 0