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Gorham-Stout disease: remission with sirolimus therapy. Gorham Stout病：西罗莫司治疗后病情缓解。
IF 0.6
BJR Case Reports Pub Date : 2023-09-12 eCollection Date: 2023-11-01 DOI: 10.1259/bjrcr.20230032
Stefanie W Y Yip, James F Griffith, Cina S L Tong, Maribel D Lacambra, Frankie W T Cheng
{"title":"Gorham-Stout disease: remission with sirolimus therapy.","authors":"Stefanie W Y Yip,&nbsp;James F Griffith,&nbsp;Cina S L Tong,&nbsp;Maribel D Lacambra,&nbsp;Frankie W T Cheng","doi":"10.1259/bjrcr.20230032","DOIUrl":"https://doi.org/10.1259/bjrcr.20230032","url":null,"abstract":"<p><p>Gorham-Stout disease (GSD) is a rare, non-hereditary, bone disease characterised by progressive osteolysis as a result of uncontrolled proliferation of endothelial-lined vessels replacing normal bone. We present a baby-girl with the classic radiological features of GSD and compatible clinical and histological findings, who developed progressive disease for over 2 years despite propranolol treatment. Propranolol treatment was stopped and sirolimus monotherapy started which resulted in near-complete resolution after 1 year, with no recurrence after discontinuation of treatment. This case not only illustrates the typical features of GSD on a variety of imaging modalities, but is also the first report showing stark contrast in response between propranolol and sirolimus treatment for GSD, highlighting how targeting lymphatic, rather than solely angiomatous, proliferation at the vascular endothelial growth factor-level may be a future direction.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20230032"},"PeriodicalIF":0.6,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487227","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
Pancreatitis from posterior gastric wall perforation by ingested metallic wire-case report and review of literature. 摄入金属丝致胃壁后穿孔性胰腺炎1例报告并文献复习。
IF 0.6
BJR Case Reports Pub Date : 2023-09-11 eCollection Date: 2023-10-01 DOI: 10.1259/bjrcr.20230070
Gayatri Senapathy, Sudhakar Vengala, Rohini Muriki, Hardik Rughwani, Rakesh Kalapala
{"title":"Pancreatitis from posterior gastric wall perforation by ingested metallic wire-case report and review of literature.","authors":"Gayatri Senapathy,&nbsp;Sudhakar Vengala,&nbsp;Rohini Muriki,&nbsp;Hardik Rughwani,&nbsp;Rakesh Kalapala","doi":"10.1259/bjrcr.20230070","DOIUrl":"https://doi.org/10.1259/bjrcr.20230070","url":null,"abstract":"<p><p>Gastric and duodenal perforation from ingested organic and inorganic foreign bodies, such as sewing needles, toothpick, metallic wires, fish and chicken bone, are uncommon incidents as most foreign bodies pass in the faeces. The perforated foreign body can at times migrate and either penetrate causing traumatic injury or incite inflammation with formation of abscesses or pseudo-tumours in the adjacent organs such as the liver and pancreas. We report one such case of pancreatitis in a child resulting from a metallic wire perforating the posterior gastric wall and penetrating the pancreas. The findings were detected on CT and the foreign body was extracted endoscopically. We also present review of literature on similar case reports.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 5","pages":"20230070"},"PeriodicalIF":0.6,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137121","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
Aseptic leptomeningitis induced by azathioprine in systemic lupus erythematosus: a rare manifestation. 硫唑嘌呤诱导的系统性红斑狼疮无菌性钩端脑膜炎：一种罕见的表现。
IF 0.6
BJR Case Reports Pub Date : 2023-09-11 eCollection Date: 2023-10-01 DOI: 10.1259/bjrcr.20230063
Mariana Santos, Matheus Alves da Silva, Maria Laura Piassa, Danielly Santos, Alex Machado Baeta, Lázaro Luis Amaral
{"title":"Aseptic leptomeningitis induced by azathioprine in systemic lupus erythematosus: a rare manifestation.","authors":"Mariana Santos,&nbsp;Matheus Alves da Silva,&nbsp;Maria Laura Piassa,&nbsp;Danielly Santos,&nbsp;Alex Machado Baeta,&nbsp;Lázaro Luis Amaral","doi":"10.1259/bjrcr.20230063","DOIUrl":"https://doi.org/10.1259/bjrcr.20230063","url":null,"abstract":"<p><p>Systemic lupus erythematosus (SLE) is an autoimmune systemic disease and these patients can have neurological involvement; however, aseptic leptomeningitis is considered to be a very rare feature, observed in 1.4-2.0% of patients. Here, we described a case of a young male with SLE treated with azathioprine with progressive headache, which revealed diffuse posterior fossa leptomeningitis, relatively sparing the supratentorial compartment, that represent an adverse drug reaction - a rare manifestation of central nervous system involvement in SLE. Treatment with azathioprine was interrupted and methylprednisolone was initiated and the patient has significant improvement of his neurological state in 5 days later, demonstrating total involution of the leptomeningeal enhancement on MRI follow-up.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 5","pages":"20230063"},"PeriodicalIF":0.6,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153517","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
Aberrant anatomy angel - a near-miss penetrating neck trauma and a life-saving retropharyngeal right subclavian artery. 异常解剖天使——一个差点穿透颈部的创伤和一条挽救生命的咽后右锁骨下动脉。
IF 0.6
BJR Case Reports Pub Date : 2023-09-11 eCollection Date: 2023-10-01 DOI: 10.1259/bjrcr.20220104
Sanjana Vijayan Menon, Kreyen Ponen, Aman Berry Williams
{"title":"Aberrant anatomy angel - a near-miss penetrating neck trauma and a life-saving retropharyngeal right subclavian artery.","authors":"Sanjana Vijayan Menon,&nbsp;Kreyen Ponen,&nbsp;Aman Berry Williams","doi":"10.1259/bjrcr.20220104","DOIUrl":"https://doi.org/10.1259/bjrcr.20220104","url":null,"abstract":"<p><p>Penetrating neck injuries constitute a relatively rare subset of trauma, which unfortunately carries with it significant morbidity and mortality. In the Emergency Department (ED), rapid clinical decompensation related to haemorrhagic, obstructive or mixed damage to major vessels and airways is typically the primary culprit, which is compounded even further by any intrathoracic involvement. Even rarer, however, is to sustain such an injury with no haemodynamic compromise and follow through with an uneventful clinical course. Here we present a remarkable case of a dirt-bike accident which left a male impaled by a tree branch, and the swift clinical conduct along with the fortuitous variation in his anatomy that saved his life.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 5","pages":"20220104"},"PeriodicalIF":0.6,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153550","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
Pre-operative embolization of a complex systemic to pulmonary vascular malformation. 复杂系统性肺血管畸形的术前栓塞。
IF 0.6
BJR Case Reports Pub Date : 2023-09-11 eCollection Date: 2023-10-01 DOI: 10.1259/bjrcr.20230056
Michael Brassil, Yangmei Li, Michael Ko, Marie E Faughnan, Vikramaditya Prabhudesai
{"title":"Pre-operative embolization of a complex systemic to pulmonary vascular malformation.","authors":"Michael Brassil,&nbsp;Yangmei Li,&nbsp;Michael Ko,&nbsp;Marie E Faughnan,&nbsp;Vikramaditya Prabhudesai","doi":"10.1259/bjrcr.20230056","DOIUrl":"https://doi.org/10.1259/bjrcr.20230056","url":null,"abstract":"<p><p>A 38-year-old male patient presenting with mild exertional dyspnea was noted to have a lingular opacity on chest radiograph. CT of the chest demonstrated an unusual complex inferior lingular vascular malformation with branches arising from the left internal thoracic artery and the left inferior diaphragmatic artery via the celiac artery. There was suspected communication with both pulmonary arterial and venous branches. Following thorough assessment and comprehensive clinical investigation, the patient elected to proceed to definitive surgical management due to potential risk of life-threatening hemoptysis. Interventional radiology performed pre-operative diagnostic angiography and embolization of the systemic feeding arteries. The patient proceeded to have an uncomplicated video-assisted thoracoscopic surgery segmentectomy and was discharged the next day. The patient was asymptomatic at follow-up with complete resolution of the malformation on CT at 6 months. We discuss an uncommon pathology which benefited from multidisciplinary management including successful pre-operative endovascular embolization.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 5","pages":"20230056"},"PeriodicalIF":0.6,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158662","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
Pancreatic schwannoma: a rare differential diagnosis for a pancreatic mass. 胰腺神经鞘瘤:胰腺肿块的罕见鉴别诊断。
IF 0.6
BJR Case Reports Pub Date : 2023-08-01 DOI: 10.1259/bjrcr.20230029
Dana AlNuaimi, Shareefa Abdulghaffar, Giuseppe Iuppa, Ahmad AlDuaij, Noor Badrawi, Numan Cem Balci
{"title":"Pancreatic schwannoma: a rare differential diagnosis for a pancreatic mass.","authors":"Dana AlNuaimi,&nbsp;Shareefa Abdulghaffar,&nbsp;Giuseppe Iuppa,&nbsp;Ahmad AlDuaij,&nbsp;Noor Badrawi,&nbsp;Numan Cem Balci","doi":"10.1259/bjrcr.20230029","DOIUrl":"https://doi.org/10.1259/bjrcr.20230029","url":null,"abstract":"<p><p>Pancreatic schwannomas are rare benign tumors with low malignant potential and are often difficult to diagnose due to their non-specific presenting symptoms and overlapping radiological imaging characteristics. Cross-sectional imaging plays an important role in the initial diagnosis and in delineating the extent of the lesion. However, biopsy and histopathological examination remains the gold-standard for a definite diagnosis. The management of pancreatic schwannomas includes surgical resection often yielding excellent clinical outcomes with low recurrence rates. We present a case of a 33-year-old female patient with a history of a recurrent vague upper abdominal pain where CT of the upper abdomen showed a hypodense pancreatic mass. Robotic subtotal pancreatectomy was done with histopathology showing spindled Schwann cells indicative of a pancreatic schwannoma.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20230029"},"PeriodicalIF":0.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001054","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
Pneumatosis cystoides intestinalis presenting as pneumoperitoneum in a patient with chronic obstructive pulmonary disease. 慢性阻塞性肺疾病患者肠囊性肺肿表现为气腹。
IF 0.6
BJR Case Reports Pub Date : 2023-08-01 DOI: 10.1259/bjrcr.20230020
Genna Logue, Mubeen Chaudhry
{"title":"Pneumatosis cystoides intestinalis presenting as pneumoperitoneum in a patient with chronic obstructive pulmonary disease.","authors":"Genna Logue,&nbsp;Mubeen Chaudhry","doi":"10.1259/bjrcr.20230020","DOIUrl":"https://doi.org/10.1259/bjrcr.20230020","url":null,"abstract":"<p><p>Pneumatosis is always an alarming sign that may result from life-threatening bowel ischaemia and infarction; however, benign intramural gas can also result from a variety of secondary conditions including chronic obstructive pulmonary disease (COPD). Pneumoperitoneum and pneumoretroperitoneum can be seen with both entities. Therefore, thorough discussions with the referring clinicians regarding the patient's medical history, clinical examination and laboratory results are mandatory. Benign causes can be managed conservatively, however, emergency exploratory laparotomy is often required in suspected life-threatening conditions. Misinterpretation of this finding can lead to incorrect diagnosis and unnecessary surgery.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20230020"},"PeriodicalIF":0.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9998974","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
Skin metastases from prostate cancer successfully treated with radiation therapy. 放射疗法成功治疗了前列腺癌的皮肤转移。
IF 0.6
BJR Case Reports Pub Date : 2023-08-01 DOI: 10.1259/bjrcr.20200142
Francesco Marampon, Martina Parisi, Piero Rodolfo Cicco, Maria Serpone, Miriam Tomaciello, Daniela Musio, Francesca De Felice, Vincenzo Tombolini
{"title":"Skin metastases from prostate cancer successfully treated with radiation therapy.","authors":"Francesco Marampon,&nbsp;Martina Parisi,&nbsp;Piero Rodolfo Cicco,&nbsp;Maria Serpone,&nbsp;Miriam Tomaciello,&nbsp;Daniela Musio,&nbsp;Francesca De Felice,&nbsp;Vincenzo Tombolini","doi":"10.1259/bjrcr.20200142","DOIUrl":"https://doi.org/10.1259/bjrcr.20200142","url":null,"abstract":"<p><p>Skin metastases from prostate cancer (PCa) are rare, cause considerable discomfort, and usually indicate advanced disease and a poor prognosis. To date, literature accounts for no more than 88 cases of skin metastasis from PCa, and radiation therapy (RT) is not considered a standard treatment option. Here, we have described a rare case of skin localization of castration-resistant metastatic PCa, which occurred in a 75-year-old male previously treated with RT for PCa, 11 years earlier. The skin lesions, which progressively appeared in different areas of the chest wall, were successfully treated with electron beam RT (900 cGy, for 3 consecutive days). Five months after irradiating skin metastases, the patient showed general fair conditions and no longer developed other skin lesions in the areas already treated or elsewhere. This report describes a scarce case of cutaneous metastases from PCa, underlying the crucial role of RT as a definitive palliative treatment that should be used to limit systemic chemotherapy-related toxicity.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20200142"},"PeriodicalIF":0.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9998979","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
Case series of perianal and pelvic MRI imaging findings in monkeypox. 猴痘的肛周及盆腔MRI影像表现。
IF 0.6
BJR Case Reports Pub Date : 2023-08-01 DOI: 10.1259/bjrcr.20220109
Jason Gan, Janki Patel, Eleanor Ainsworth, Aatish Patel, Geraldine O'Hara, Ahmed Elowaidy
{"title":"Case series of perianal and pelvic MRI imaging findings in monkeypox.","authors":"Jason Gan,&nbsp;Janki Patel,&nbsp;Eleanor Ainsworth,&nbsp;Aatish Patel,&nbsp;Geraldine O'Hara,&nbsp;Ahmed Elowaidy","doi":"10.1259/bjrcr.20220109","DOIUrl":"https://doi.org/10.1259/bjrcr.20220109","url":null,"abstract":"<p><p>Monkeypox is a viral infection historically rarely seen in humans, but currently the focus of international attention due to a multi-country outbreak outside endemic countries of Central and West Africa, where cases are typically confined. Perianal pain and lesions have recently been recognised as a feature of monkeypox. We present a case series of the imaging findings of patients with monkeypox, including active proctitis, anal canal inflammation, and perianal inflammation. The aim is to increase awareness of perianal and rectal monkeypox MRI imaging features during this current outbreak.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20220109"},"PeriodicalIF":0.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052828","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: 3
Surveillance imaging of type II endoleak with contrast-enhanced ultrasound. ⅱ型内漏的超声造影监测成像。
IF 0.6
BJR Case Reports Pub Date : 2023-08-01 DOI: 10.1259/bjrcr.20230053
Filip Jelenak, Jaspreet Hira, Rachita Khot
{"title":"Surveillance imaging of type II endoleak with contrast-enhanced ultrasound.","authors":"Filip Jelenak,&nbsp;Jaspreet Hira,&nbsp;Rachita Khot","doi":"10.1259/bjrcr.20230053","DOIUrl":"https://doi.org/10.1259/bjrcr.20230053","url":null,"abstract":"<p><p>Type II endoleak is the most common type of endoleak after endovascular repair of abdominal aortic aneurysm and has been reported in up to 20-50% of patients. Patients undergo lifelong surveillance of aortic graft stents to monitor for endoleak. Contrast-enhanced ultrasound can be an adjunct to CT angiography (CTA) which is the preferred imaging modality for surveillance. However, CT angiography introduces challenges of recurring cost, exposure to ionizing radiation, and the need for iodinated contrast dye. We report a case using CEUS for the detection of type II endoleak.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 4","pages":"20230053"},"PeriodicalIF":0.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10412912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001056","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
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