BJR Case ReportsPub Date : 2023-12-13eCollection Date: 2024-01-01DOI: 10.1093/bjrcr/uaad007
Dan Luo, Xinlan Xiao
{"title":"Is arterial spin labelling necessarily low perfusion for cavernous sinus venous malformation? A case of hyperperfusion cavernous sinus venous malformation.","authors":"Dan Luo, Xinlan Xiao","doi":"10.1093/bjrcr/uaad007","DOIUrl":"10.1093/bjrcr/uaad007","url":null,"abstract":"<p><p>Generally, due to the complexity of the skull base structures, it is difficult to differentiate cavernous vascular malformation and meningioma in the cavernous sinus area using conventional imaging studies. Cavernous sinus venous malformation are characterized by increased capillary masses without a direct arterial supply, typically leading to low perfusion. On the other hand, meningiomas receive arterial blood supply to the tumour and often exhibit high perfusion. So, arterial spin labelling (ASL) can be helpful in distinguishing between the 2 tumour types. However, in our specific case of a cavernous sinus venous malformation, the ASL imaging showed hyperperfusion. Further analysis revealed that this hyperperfusion on ASL can occur when cavernous sinus venous malformation is associated with arteriovenous fistula malformation.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 1","pages":"uaad007"},"PeriodicalIF":0.6,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730633","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 : 2023-12-13eCollection Date: 2024-01-01DOI: 10.1093/bjrcr/uaad003
Akihiro Sakai, Toshihide Inagi, Hiroaki Iijima, Koji Ebisumoto, Kenji Okami
{"title":"Two cases of parathyroid carcinoma associated with multiple brown tumours.","authors":"Akihiro Sakai, Toshihide Inagi, Hiroaki Iijima, Koji Ebisumoto, Kenji Okami","doi":"10.1093/bjrcr/uaad003","DOIUrl":"10.1093/bjrcr/uaad003","url":null,"abstract":"<p><p>We present two rare cases of parathyroid carcinomas associated with multiple brown tumours. Plain radiographs, computed tomography, and neck ultrasonography revealed the presence of bone and parathyroid tumours. Despite the use of 99m Tc-methoxy isobutyl isonitrile (99mTc-MIBI) or <sup>18</sup>F-fluorodeoxyglucose-positron emission tomography (18F-FDG PET)/CT, it was difficult to differentiate bone metastases from brown tumours. Parathyroid carcinoma was confirmed by histopathological examination following parathyroidectomy, resulting in spontaneous bone lesion improvement. In patients with parathyroid carcinoma presenting with bone lesions suggestive of metastasis, understanding the potential for brown tumour accumulation through 99mTc-MIBI or 18F-FDG PET/CT is pivotal. With this understanding, it is possible to diagnose brown tumours with parathyroidectomy and follow up for improvement of bone lesion and avoid invasive biopsy or surgery.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 1","pages":"uaad003"},"PeriodicalIF":0.6,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730640","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":"Vertebral anomalies and VACTERL association in pontine tegmental cap dysplasia: a paediatric case report.","authors":"Rachel Jane Klapper, Joshua Strobel, Chance Hebert, Maamannan Venkataraj, Tailong Xu, Octavio Arevalo Espejo","doi":"10.1093/bjrcr/uaad002","DOIUrl":"10.1093/bjrcr/uaad002","url":null,"abstract":"<p><p>This case report highlights vertebral segmental anomalies and the fact that the child presented has a rare neurologic condition called pontine tegmental cap dysplasia. Additionally, this case aims to educate learners in developing a differential diagnosis for vertebral and cardiac anomalies such as VACTERL syndromes and common syndromes associated with butterfly vertebrae in children and adolescents.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 1","pages":"uaad002"},"PeriodicalIF":0.6,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730641","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":"Idiopathic myointimal hyperplasia of mesenteric veins: radiological evaluation using CT angiography.","authors":"Fumio Morimura, Hiromi Edo, Takafumi Niwa, Hiroaki Sugiura, Yohsuke Suyama, Soya Okazaki, Kazuyuki Narimatsu, Hiroki Ohno, Koichi Okamoto, Hideki Ueno, Shinya Yoshimatsu, Kosuke Miyai, Kohei Hamamoto, Hiroshi Shinmoto","doi":"10.1093/bjrcr/uaad009","DOIUrl":"10.1093/bjrcr/uaad009","url":null,"abstract":"<p><p>A 44-year-old man presented with a chief complaint of constipation. Initial contrast-enhanced CT showed extensive bowel wall thickening, mainly in the left colon, with a thin cord-like inferior mesenteric vein (IMV), in contrast to ectatic mesenteric venous branches, suggesting bowel ischaemia owing to venous stasis. One month later, at the time of symptom exacerbation, CT angiography showed a cord-like IMV and ectatic mesenteric venous branches with early enhancement, suggesting the presence of an arteriovenous fistula (AVF). Owing to the progression of bowel ischaemia and necrosis with peritonitis, emergency surgery was performed. Surgical specimens showed focal myointimal hyperplasia of the proximal mesenteric veins in both ischaemic and non-ischaemic lesions of the resected colon, thus leading to the diagnosis of idiopathic myointimal hyperplasia of mesenteric veins (IMHMV) when combined with the clinical and imaging findings. IMHMV is a bowel ischaemic disease caused by non-thrombotic venous obstruction that requires bowel resection and has been suggested to be associated with AVF. Cord-like IMV and AVF in the mesentery are important CT findings that characterize IMHMV. CT angiography is useful in diagnosing IMHMV.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 1","pages":"uaad009"},"PeriodicalIF":0.6,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730632","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 : 2023-12-13eCollection Date: 2024-01-01DOI: 10.1093/bjrcr/uaad001
Hajra Idrees, Raza Zarrar, Ceylan A Taslicay, Khaled M Elsayes
{"title":"Retroperitoneal bronchogenic cyst mimicking an adrenal cyst: case report.","authors":"Hajra Idrees, Raza Zarrar, Ceylan A Taslicay, Khaled M Elsayes","doi":"10.1093/bjrcr/uaad001","DOIUrl":"10.1093/bjrcr/uaad001","url":null,"abstract":"<p><p>Bronchogenic cysts are rare lesions that form during early embryogenesis and are commonly located in the mediastinum. Retroperitoneal bronchogenic cysts (RBs) are exceptionally rare, with only a handful of cases reported in the modern literature. Here, we report an RB found incidentally on imaging in a patient with suspected nephrolithiasis. We also review the unique imaging and histopathological findings of this entity and discuss why prophylactic surgery is considered the treatment of choice.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 1","pages":"uaad001"},"PeriodicalIF":0.6,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730637","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 : 2023-12-13eCollection Date: 2024-01-01DOI: 10.1093/bjrcr/uaad005
Jitendra Sharma, Rajesh Malik, Reyaz Ahmed
{"title":"Antenatal diagnosis of congenital pouch colon: a case report from the Indian subcontinent with insights into management.","authors":"Jitendra Sharma, Rajesh Malik, Reyaz Ahmed","doi":"10.1093/bjrcr/uaad005","DOIUrl":"10.1093/bjrcr/uaad005","url":null,"abstract":"<p><p>Congenital pouch colon (CPC) is highly uncommon congenital anorectal malformation where a distended pouch-like structure replaces either some part of the colon or the entire colon and communicates to the genitourinary tract through a fistula. Diagnosis of CPC is usually made after birth when neonate/infant presents with abdominal distension and absence of anal opening. Making antenatal diagnosis of CPC is difficult because of the lack of specific and verifiable signs on sonography. Hence, only a few cases of antenatal diagnosis of CPC have been reported.<sup>1</sup><sup>,</sup><sup>2</sup> In our case, CPC was suspected on a routine antenatal growth scan ultrasound in the late third trimester, showing a hypoechoic tubular-shaped lesion in the pre-sacral region. With this suspicion, we suggested an institutional delivery at a tertiary level centre, and diagnosis of type III CPC was confirmed on post-delivery imaging and emergency primary surgery, done on the day 3 of life (pouch resection, division of fistula, and protective colostomy). The child also underwent further corrective surgeries in a staged manner in second year of life and recovered completely. Beforehand diagnosis prevented any unnecessary delay in operative care, reduced postoperative complications, and improved the overall outcome of this otherwise complex condition.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 1","pages":"uaad005"},"PeriodicalIF":0.6,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730715","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":"The dangers of \"Chasing the dragon\": a fatal case of heroin-induced leukoencephalopathy.","authors":"Iliass Bourekba, Ismail Halfi, Najwa Ech Cherif Kettani, Meryem Fikri, Mohamed Jidane, Firdaous Touarsa","doi":"10.1093/bjrcr/uaad004","DOIUrl":"10.1093/bjrcr/uaad004","url":null,"abstract":"<p><p>Heroin-induced leukoencephalopathy (HLE) is a rare toxic encephalopathy associated primarily with heroin inhalation, commonly referred to as \"chasing the dragon.\" This study presents a clinical case of a 27-year-old polydrug user diagnosed with HLE during hospitalization for rapidly progressive flaccid tetraplegia and aphasia. The clinical manifestations encompassed cerebellar and bulbar dysfunction, coupled with motor impairment and altered consciousness. Based on the clinical data and MRI results, HLE was identified as the most likely cause. This article aims to provide insights into the clinical and radiological aspects of HLE, emphasizing the diagnostic significance of radiological findings. The gold standard examination for diagnosis is MRI, crucial due to the difficulties in obtaining histological confirmation for this rare condition.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 1","pages":"uaad004"},"PeriodicalIF":0.6,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730638","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 : 2023-12-13eCollection Date: 2024-01-01DOI: 10.1093/bjrcr/uaad006
Harini Seshadri, Rashmi Saraf, Satyam Barchha
{"title":"Radiological findings and endovascular management of internal carotid artery pseudoaneurysm in the setting of mucormycosis and COVID-19.","authors":"Harini Seshadri, Rashmi Saraf, Satyam Barchha","doi":"10.1093/bjrcr/uaad006","DOIUrl":"10.1093/bjrcr/uaad006","url":null,"abstract":"<p><p>The coronavirus pandemic is now a public health emergency and has spread to nearly 206 countries across the globe. This novel disease has shaken the psycho-social, economic, and medical infrastructure of India. This has become even more challenging, considering the country's huge population. With the increase in the number of coronavirus disease (COVID) cases, our country has seen an unforeseen, unprecedented rise in a potential life and organ-threatening disease-mucormycosis. Mucormycosis is a deadly, extremely morbid, possibly life-threatening, and most feared complication of the coronavirus, caused by environmental molds belonging to the order Mucorales. Here, we report 2 cases of massive epistaxis due to internal carotid artery (ICA) pseudoaneurysm secondary to mucormycosis, post-COVID-19 pneumonia, which was managed by the endovascular route. To the best of our knowledge, there is very sparse literature available describing endovascular treatment of intracranial ICA pseudoaneurysm in a patient with COVID-induced mucormycosis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"10 1","pages":"uaad006"},"PeriodicalIF":0.6,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10860580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730636","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 percutaneous transhepatic portal vein stenting without using iodinated contrast media for post pancreatectomy portal vein obstruction.","authors":"Hinano Anaba, Sota Oguro, Hideki Ota, Satoru Yanagaki, Tomomi Sato, Kei Nakagawa, Michiaki Unno, Kei Takase","doi":"10.1259/bjrcr.20220116","DOIUrl":"https://doi.org/10.1259/bjrcr.20220116","url":null,"abstract":"<p><p>Postoperative portal vein obstruction could occur as a complication of portal vein reconstruction during hepatic lobectomy or pancreaticoduodenectomy. We report a case of patient with postoperative portal vein obstruction treated with percutaneous transhepatic portal vein stenting without using iodinated contrast media owing to a history of severe allergic reactions. Under ultrasound guidance, carbon dioxide angiography, and appropriate device selection, successful stenting was achieved without serious adverse events. After the operation, portal vein blood flow and clinical symptoms improved, enabling adjuvant chemotherapy. To the best of our knowledge, this is the first case report wherein percutaneous transhepatic portal vein stenting was successfully performed in a patient with an iodine allergy.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20220116"},"PeriodicalIF":0.6,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491255","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 : 2023-10-26eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20230065
Akram Al-Ibraheem, Dhuha Ali Al-Adhami, Ahmed Saad Abdlkadir, Issa Mohamad, Hamza Ghatasheh, Monther Qandeel
{"title":"FDG PET/CT reveals bone marrow oligometastasis in laryngeal squamous carcinoma: a case report with favorable outcome.","authors":"Akram Al-Ibraheem, Dhuha Ali Al-Adhami, Ahmed Saad Abdlkadir, Issa Mohamad, Hamza Ghatasheh, Monther Qandeel","doi":"10.1259/bjrcr.20230065","DOIUrl":"https://doi.org/10.1259/bjrcr.20230065","url":null,"abstract":"<p><p>Laryngeal carcinoma is the most common head and neck cancer. The vast majority of laryngeal carcinomas are of squamous-cell histologic type. Metastasis of laryngeal cancer typically occurs within the cervical lymph nodes and seldom in other regions. Although a small percentage of patients experience distant metastases, bone marrow metastasis from laryngeal cancer is among the least common metastatic sites. Previous literature has suggested that bone marrow carcinomatosis is aggressive and has a poor outcome, particularly in patients with supraglottic tumors. Ante-mortem diagnosis of this metastatic pattern has been limited. To our knowledge, this case report highlights the first documented occurrence wherein the utilization of 18-fluorine fludeoxyglucose positron emission tomography/CT imaging played a pivotal role in the early detection of bone marrow metastasis in a patient diagnosed with transglottic laryngeal cancer. A solitary metastatic distant bone marrow lesion was identified early during follow-up. As a consequence, the patient exhibited a remarkable and unforeseen favorable clinical outcome.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20230065"},"PeriodicalIF":0.6,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487225","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}