BJR Case Reports最新文献_第6页

Appendiceal diverticulitis: a rare pathology disguised as acute appendicitis. 阑尾憩室炎：一种罕见的病理伪装为急性阑尾炎。

IF 0.5

BJR Case Reports Pub Date : 2024-12-02 eCollection Date: 2025-03-01 DOI: 10.1093/bjrcr/uaae047

John L Chen, Venugopala Kalidindi, Jorge Mayor-Jerez, Timothy J Sadler, Daniel J Bell

引用次数: 0

A case of small intestinal fixation failure. 小肠固定失败1例。

IF 0.5

BJR Case Reports Pub Date : 2024-11-27 eCollection Date: 2024-11-01 DOI: 10.1093/bjrcr/uaae046

Kanako Oyanagi, Yosuke Horii, Hiroyuki Ishikawa, Kazuyasu Takizawa

{"title":"A case of small intestinal fixation failure.","authors":"Kanako Oyanagi, Yosuke Horii, Hiroyuki Ishikawa, Kazuyasu Takizawa","doi":"10.1093/bjrcr/uaae046","DOIUrl":"10.1093/bjrcr/uaae046","url":null,"abstract":"A 77-year-old woman underwent CT to evaluate haematemesis. The images showed that the third part of the duodenum flexed steeply on the right side of the aorta and ran caudally, without crossing anterior to the aorta. The duodenal-jejunal junction and jejunum were located on the patient's right side. Upper gastrointestinal endoscopy revealed a laceration at the gastric cardia, and a diagnosis of Mallory-Weiss syndrome was made. Repeat CT 7 days later revealed that the abnormal positioning of the intestinal tract had resolved spontaneously. Two months later, the patient experienced another episode of haematemesis, and CT revealed repeat deviation of the duodenal-jejunal junction and jejunum to her right side. Upper gastrointestinal endoscopy revealed another laceration at the gastric cardia, as in the previous study. On the basis of the initial CT findings showing the duodenal-jejunal junction in the right hemi-abdomen, intestinal malrotation was suspected. However, because the jejunum deviated repeatedly to the right side but resolved spontaneously, we diagnosed dysplasia of the ligament of Treitz. Laparotomy revealed a formed ligament of Treitz; however, fixation in the upper jejunum was incomplete. Additionally, CT revealed that the anterior pararenal space was loosely fixed and mobile. These factors may have caused the right-sided deviation of the small intestine. In this case, the third part of the duodenum likely flexed on the right side of the aorta, causing an obstruction that resulted in repeat vomiting episodes and Mallory-Weiss syndrome.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 6","pages":"uaae046"},"PeriodicalIF":0.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808223","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

Thoraco-omphalopagus conjoined twins: comprehensive evaluation with sonography and MRI in first trimester-a rare imaging diagnosis. 胸脐连体双胞胎：早期超声和MRI的综合评价-一种罕见的影像学诊断。

IF 0.5

BJR Case Reports Pub Date : 2024-11-23 eCollection Date: 2025-01-01 DOI: 10.1093/bjrcr/uaae045

Harsimran Bhatia, Purnima Aggarwal, Shritik Devkota, Samiksha Lamichhane

引用次数: 0

Torticollis in incomplete Kawasaki disease: a case of atlantoaxial rotatory fixation. 不完全川崎病所致斜颈：寰枢椎旋转固定一例。

IF 0.5

BJR Case Reports Pub Date : 2024-11-22 eCollection Date: 2024-11-01 DOI: 10.1093/bjrcr/uaae044

Keisho Ryu

{"title":"Torticollis in incomplete Kawasaki disease: a case of atlantoaxial rotatory fixation.","authors":"Keisho Ryu","doi":"10.1093/bjrcr/uaae044","DOIUrl":"10.1093/bjrcr/uaae044","url":null,"abstract":"Various respiratory, musculoskeletal, gastrointestinal, neurological, and urinary complications have been reported in Kawasaki disease. Here, we describe a rare case of atlantoaxial rotatory fixation (AARF) associated with incomplete Kawasaki disease. The case is of a healthy 4-year-old Japanese boy who had a high-grade fever, lymphadenopathy, and torticollis diagnosed with incomplete Kawasaki disease. Intravenous high-dose immunoglobulin and oral aspirin quickly resolved his fever and improved his lymphadenopathy, but torticollis remained. On orthopaedic examination, torticollis was observed with a marked restriction of rotation, and an open-mouth anteroposterior cervical radiograph and a CT scan confirmed rotational dislocation at the dens axis (AARF). Cervical collar fixation was immediately started, and the torticollis gradually normalized within a week. AARF is defined as torticollis due to dislocation or subluxation of the atlantoaxial joint. The diagnosis of AARF is difficult with routine plain cervical radiographs in 2 directions alone, and an additional cervical open-mouth anteroposterior radiograph and a CT scan aid the diagnosis. AARF associated with Kawasaki disease is uncommon, and only 24 cases have been reported in the literature. AARF may occur in Kawasaki disease patients with cervical lymphadenopathy. Still, torticollis is often transient and may not be recognized or ignored by family doctors and paediatricians. Reduction of the atlantoaxial joint can often be achieved spontaneously or with conservative treatment such as a collar or neck traction, but treatment is difficult if the diagnosis is delayed. Therefore, family doctors and paediatricians need to suspect the onset of AARF if torticollis is observed during treatment for Kawasaki disease, perform plain cervical radiographs including open-mouth anteroposterior view and a CT scan of the cervical spine, and have orthopaedists immediately intervene to avoid invasive surgery.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 6","pages":"uaae044"},"PeriodicalIF":0.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829965","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

Non-ketotic hyperglycaemia-induced hemichorea-hemiballism may represent glioma-like pattern on multimodal magnetic resonance imaging: can ¹H spectroscopy help in the differentiation? 非酮症性高血糖诱导的偏血-偏瘫在多模态磁共振成像上可能表现为胶质瘤样模式：1H波谱能帮助鉴别吗？

IF 0.5

BJR Case Reports Pub Date : 2024-11-20 eCollection Date: 2024-11-01 DOI: 10.1093/bjrcr/uaae043

Yu Lin, Xiaoxiao Zhang, Xin Yue, Jinan Wang

{"title":"Non-ketotic hyperglycaemia-induced hemichorea-hemiballism may represent glioma-like pattern on multimodal magnetic resonance imaging: can 1H spectroscopy help in the differentiation?","authors":"Yu Lin, Xiaoxiao Zhang, Xin Yue, Jinan Wang","doi":"10.1093/bjrcr/uaae043","DOIUrl":"10.1093/bjrcr/uaae043","url":null,"abstract":"Non-ketotic hyperglycaemia (NKH)-induced hemichorea-hemiballismus (HC-HB) is an infrequent reversible condition observed in individuals with poorly controlled diabetes. In this report, we present a case of NKH-induced HC-HB exhibiting distinctive morphological and functional alterations on conventional magnetic resonance imaging (MRI), diffusion-weighted imaging (DWI), and 1H magnetic resonance spectroscopy (MRS), followed by subsequent monitoring. A 70-year-old male with a 20-year history of diabetes presented with severe unilateral involuntary movement. Computer tomography revealed heightened attenuation in the left putamen and caudate nucleus. The conventional MRI revealed the presence of focal T2-hyperintensity, noticeable mass effect, and ring-like enhancement, which are indicative of glioma. Additionally, the DWI showed unrestricted diffusion of water molecules within the lesion. MRS analysis further demonstrated significantly elevated lactate (Lac) and lipids (Lip), minimal increased choline (Cho), basically stable creatine (Cr), and modest decreased N-acetylaspartate (NAA) levels (which remained larger than both Cho and Cr peaks), leading to a diagnosis of NKH-induced HC-HB. This report emphasizes the significance of acknowledging that NKH-induced HC-HB can manifest with imaging features that bear resemblance to those of glioma. The presence of a slightly elevated Cho/NAA ratio alongside a notable increase in Lac/Lip peak on MRS may aid in ruling out neoplastic conditions.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 6","pages":"uaae043"},"PeriodicalIF":0.5,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808246","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

Multiple delayed-onset metachronous ileal stenoses after transcatheter arterial embolization using N-butyl-2-cyanoacrylate for upper gastrointestinal bleeding: factors of complication and importance of plain CT evaluations. 使用 N-丁基-2-氰基丙烯酸酯经导管动脉栓塞治疗上消化道出血后多发迟发性回肠狭窄：并发症因素和 CT 平扫评估的重要性。

IF 0.5

BJR Case Reports Pub Date : 2024-11-04 eCollection Date: 2024-11-01 DOI: 10.1093/bjrcr/uaae042

Zenjiro Sekikawa, Hiroyuki Kamide, Yusuke Kobayashi, Miki Terauchi

{"title":"Multiple delayed-onset metachronous ileal stenoses after transcatheter arterial embolization using N-butyl-2-cyanoacrylate for upper gastrointestinal bleeding: factors of complication and importance of plain CT evaluations.","authors":"Zenjiro Sekikawa, Hiroyuki Kamide, Yusuke Kobayashi, Miki Terauchi","doi":"10.1093/bjrcr/uaae042","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae042","url":null,"abstract":"A 63-year-old man underwent transcatheter arterial embolization (TAE) using a mixture of N-butyl-2-cyanoacrylate (NBCA) and iodized oil to treat acute gastrointestinal (GI) bleeding. The procedure was initially successful; however, the patient developed ileus >1 month later and subsequently underwent several surgeries to treat the multiple metachronous ileal stenoses. The flux of a small amount of off-target glue was the primary cause of these complications. As the patient had few symptoms in the first month post-TAE, however, affirming the diagnosis took time. A detailed review of plain CT scans was a decisive factor in achieving the final diagnosis. This case demonstrates that TAE using an NBCA-iodized oil mixture effectively treats acute GI bleeding. However, a complication such as off-target embolization is likelier to occur because of a combination of certain factors such as vascular anatomy, complexity of the procedure, and NBCA dilution. Close observation using plain CT should be performed for the identification of off-target embolization occurrence even in cases of successful TAE.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 6","pages":"uaae042"},"PeriodicalIF":0.5,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628842","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

Delayed onset autoimmune cholangitis in a patient treated with pembrolizumab. 一名接受过彭博利珠单抗治疗的患者出现了迟发性自身免疫性胆管炎。

IF 0.5

BJR Case Reports Pub Date : 2024-11-01 DOI: 10.1093/bjrcr/uaae040

Joshua Newington, Daniel Patterson, Pilar Sanchez

引用次数: 0

A challenging discrimination of an intensely [¹⁸F]PSMA-1007-avid solitary lesion at the skull base in a patient with biochemical recurrence of prostate cancer. 一名前列腺癌生化复发患者颅底的[18F]PSMA-1007睿智单发病灶的高难度鉴别。

IF 0.5

BJR Case Reports Pub Date : 2024-11-01 DOI: 10.1093/bjrcr/uaae041

Emil Novruzov, Günter Niegisch, David Pauck, Dominik Schmitt, Julian Kuhlmann, Kerim Beseoglu, Gerald Antoch, Lars Schimmöller, Frederik L Giesel, Eduards Mamlins

{"title":"A challenging discrimination of an intensely [18F]PSMA-1007-avid solitary lesion at the skull base in a patient with biochemical recurrence of prostate cancer.","authors":"Emil Novruzov, Günter Niegisch, David Pauck, Dominik Schmitt, Julian Kuhlmann, Kerim Beseoglu, Gerald Antoch, Lars Schimmöller, Frederik L Giesel, Eduards Mamlins","doi":"10.1093/bjrcr/uaae041","DOIUrl":"10.1093/bjrcr/uaae041","url":null,"abstract":"Prostate adenocarcinoma metastasis to brain has been reported to occur only up to 0.6% of patients and these are mostly diagnosed in autopsy series. In the setting of biochemical recurrence of prostate cancer, a suspected PSMA-avid (prostate-specific membrane antigen) lesion in the brain is still strongly suggestive of an intracranial metastasis of prostate cancer. This needs, however, a thoroughly recurrency work-up due to other potentially PSMA-avid cranial lesions, as PSMA initially was developed for the imaging of primary CNS tumours. We report of a challenging clinical case of a 71-year-old-patient with a strongly PSMA-avid lesion at the skull base. Given the medical history of a meningioma at the skull base, the further diagnostic work-up with MRI could still not rule out a malignancy, so that the patient needed to undergo a surgical excision of the tumour mass. The histological and immunohistochemical examinations revealed a relapsed CNS WHO grade 1 meningioma. From the aspect of molecular imaging and critical analysis of regular clinical care in a third-level university hospital, we consider this result very intriguing. Hence, we analyse the decision-making process and clinical course of this case in the light of molecular imaging findings.","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 6","pages":"uaae041"},"PeriodicalIF":0.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649266","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

Arterial spin labelling could detect the occlusion of inferior petrosal sinus for cavernous sinus dural arteriovenous fistula. 动脉自旋标记可检测出海绵窦硬脑膜动静脉瘘的下底窦闭塞情况。

IF 0.5

BJR Case Reports Pub Date : 2024-10-25 eCollection Date: 2024-11-01 DOI: 10.1093/bjrcr/uaae039

Shota Yoshimura, Yoichi Morofuji, Ryotaro Takahira, Tsuyoshi Izumo, Takayuki Matsuo

引用次数: 0

Quality assessment in bone densitometry: a case of incorrect hip analysis. 骨密度测量的质量评估：一个错误的髋关节分析案例。

IF 0.5

BJR Case Reports Pub Date : 2024-10-22 eCollection Date: 2024-11-01 DOI: 10.1093/bjrcr/uaae038

Hongmin Xu, Medhat Sam Gabriel, Judy Rose James

引用次数: 0