BJR Case ReportsPub Date : 2023-10-24eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20230088
Sarah Prescott, Bruce Jarvest, Harry Poole
{"title":"Magnetic resonance imaging burn injury from metal eyelets on patient's clothing.","authors":"Sarah Prescott, Bruce Jarvest, Harry Poole","doi":"10.1259/bjrcr.20230088","DOIUrl":"https://doi.org/10.1259/bjrcr.20230088","url":null,"abstract":"<p><p>This case report describes an incident which occurred following a cardiac MRI scan. The patient was permitted to wear their own jogging bottoms for the scan, which had two metal eyelets on them. The day after the MRI examination the patient called the MRI department to inform them that there was a lesion on their abdomen. The patient was assessed and this was diagnosed as a partial thickness burn. This case report describes the lessons learnt from this incident.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20230088"},"PeriodicalIF":0.6,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487229","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 : 2023-10-24eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20230062
Naomi Jillan V Rodriguez, Jeffrey T Manto, Paula Marie M Sydiongco-Inocencio, Janine Marriah G Dela Cruz, Gabriel Martin S Ilustre, Anna Pamela C Dela Cruz
{"title":"Tracheobronchopathia osteochondroplastica: a case report highlighting the importance of clinico-radiologic correlation.","authors":"Naomi Jillan V Rodriguez, Jeffrey T Manto, Paula Marie M Sydiongco-Inocencio, Janine Marriah G Dela Cruz, Gabriel Martin S Ilustre, Anna Pamela C Dela Cruz","doi":"10.1259/bjrcr.20230062","DOIUrl":"https://doi.org/10.1259/bjrcr.20230062","url":null,"abstract":"<p><p>Tracheobronchopathia osteochondroplastica (TBPO) is a rare and benign idiopathic disease of the tracheobronchial tree, characterized by osseous, and/or cartilaginous submucosal nodules involving the anterior and lateral walls of the airways with sparing of the posterior wall. We present a case of a 51-year-old non-smoker female, presenting with a 2-year history of gradually enlarging anterior neck mass with foreign body sensation, frequent throat clearing, and occasional hoarseness. She was initially diagnosed with recurrent respiratory papillomatosis due to the presence of nodules on flexible laryngoscopy. A plain neck and chest CT then showed irregularity of the tracheal walls with calcified nodules projecting into the lumen, sparing the posterior wall, consistent with TBPO. Fiberoptic bronchoscopy with biopsy was also done which confirmed the inferior extent of the nodules down to the level of the carina, and the presence of fragments of mature bone tissue within the nodules.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20230062"},"PeriodicalIF":0.6,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487232","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":"An unusual complication of acute appendicitis: isolated superior mesenteric venous pylephlebitis.","authors":"Habib Bellamlih, Amine Bentahar, Khalil Chafi, Moncef Salek, Mohammed Es-Said Ramaraoui, Soufiane Belabbes, Brahim Zinoun, Taoufik Africha","doi":"10.1259/bjrcr.20220111","DOIUrl":"https://doi.org/10.1259/bjrcr.20220111","url":null,"abstract":"<p><p>Septic thrombophlebitis of the portal vein or one of its tributaries is referred to as pylephlebitis. It is unusual to have superior mesenteric venous thrombophlebitis. It frequently arises as a result of an infection in the portal venous system's drainage area, such as appendicitis or diverticulitis. Preoperative diagnostic imaging can help in the early diagnosis of acute phase pylephlebitis. A case of acute appendicitis complicated by an intra-abdominal abscess and superior mesenteric venous pylephlebitis is presented. Appendicectomy, abscess drainage, and antibiotic and anticoagulant treatment resulted in a full recovery. After two months, follow-up imaging revealed that the superior mesentric vein had been completely canalised.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20220111"},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487222","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 : 2023-10-18eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20230033
Tze Wei Wilson Yang, Naveen Mayavel, Jan Frank Gerstenmaier, Ahmad Aga, Charles Pilgrim, Helen Kavnoudias
{"title":"A rare case of MRI of myxoid hepatocellular adenoma with gadoxetic acid uptake.","authors":"Tze Wei Wilson Yang, Naveen Mayavel, Jan Frank Gerstenmaier, Ahmad Aga, Charles Pilgrim, Helen Kavnoudias","doi":"10.1259/bjrcr.20230033","DOIUrl":"https://doi.org/10.1259/bjrcr.20230033","url":null,"abstract":"<p><p>This is the first case report of 43-year-old lady with a myxoid hepatic adenoma which demonstrated significant contrast uptake during hepatobiliary phase imaging. This highlights the potential for a missed diagnosis and likely subsequent malignant transformation in a young patient in whom it was initially presumed to be focal nodular hyperplasia with no further surveillance.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20230033"},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487217","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 : 2023-10-18eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20220158
Mihir Rao, Jina Pakpoor, Douglas Pendse, Conrad von Stempel
{"title":"Severe emphysematous pyelonephritis as a complication of klebsiella pneumonia and uncontrolled diabetes mellitus.","authors":"Mihir Rao, Jina Pakpoor, Douglas Pendse, Conrad von Stempel","doi":"10.1259/bjrcr.20220158","DOIUrl":"https://doi.org/10.1259/bjrcr.20220158","url":null,"abstract":"<p><p>A female in her 40s, with poorly controlled Type I diabetes mellitus, was brought to our tertiary hospital by ambulance after being found drowsy. Six days prior, she had self-discharged from the Intensive Care Unit whilst being treated for a Klebsiella pneumonia. At re-admission, she had an acute kidney injury with abdominal pain and clinical features of sepsis. Her presentation was attributed to ongoing <i>Klebsiella pneumoniae</i> infection; however, a chest radiograph showed marked improvement of pulmonary consolidations and an unusual subdiaphragmatic gas pattern. A CT scan demonstrated severe bilateral emphysematous pyelonephritis. The patient was unfit for bilateral nephrectomy and was medically managed in the Intensive Care Unit for 41 days, before transfer to a specialist renal unit for life-long haemodialysis. This case highlights the importance of considering emphysematous pyelonephritis in patients presenting with uncontrolled diabetes mellitus and acute kidney injury and/or infection, the role of imaging in its diagnosis, and the challenges of complex social circumstances in health management.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20220158"},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487231","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":"Management for iatrogenic femoral pseudoaneurysms by embolisation of the aneurysmal neck from the contralateral femoral artery: A report of five cases.","authors":"Kenichi Kato, Tomohiro Suzuki, Makoto Hamano, Eisuke Mukaida, Kazuya Kawashima, Kunihiro Yoshioka","doi":"10.1259/bjrcr.20230016","DOIUrl":"https://doi.org/10.1259/bjrcr.20230016","url":null,"abstract":"<p><p>Femoral pseudoaneurysms are typically associated with femoral arterial catheterisation. Treating iatrogenic morbidity requires curing the disease, without causing any additional complications. Occlusion of the aneurysmal neck is ideal to seal post-catheterised pseudoaneurysms along with maintaining the femoral arterial flow. However, few reports have suggested neck embolisation for post-catheterised pseudoaneurysms. We describe five cases of iatrogenic femoral pseudoaneurysms in patients successfully treated with embolisation through the aneurysmal neck. This technique may be an alternative therapeutic option in managing femoral pseudoaneurysms.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20230016"},"PeriodicalIF":0.6,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487230","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 : 2023-10-09eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20230048
Dr Daniel Borg, Dr Matthew Crockett
{"title":"Common carotid artery dissection from sportive choking.","authors":"Dr Daniel Borg, Dr Matthew Crockett","doi":"10.1259/bjrcr.20230048","DOIUrl":"https://doi.org/10.1259/bjrcr.20230048","url":null,"abstract":"<p><p>Tandem occlusions of the anterior circulation refer to the simultaneous presence of a cervical carotid artery occlusion or high-grade stenosis and an ipsilateral large vessel occlusion involving the intracranial internal carotid artery, M1 or proximal M2 middle cerebral artery. Whilst carotid occlusion usually results from progressive atherosclerotic disease, in younger individuals it may arise secondary to a dissection for which there are multiple aetiologies, with trauma being an important cause in patients having a relevant history. We present a rare case of traumatic left common carotid artery dissection in a young professional Jiu-Jitsu fighter presenting with delayed stroke symptoms and angiographic findings of a tandem occlusion. This case was successfully managed with endovascular clot retrieval and antiplatelet medication.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20230048"},"PeriodicalIF":0.6,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487223","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 : 2023-09-28eCollection Date: 2023-11-01DOI: 10.1259/bjrcr.20220089
Rafat Chowdhury, Myuri Moorthy, Lorna Smith, Christoph A Mueller, Fiona Gong, Harriet J Rogers, Marianthi-Vasiliki Papoutsaki, Tom Syer, Giorgio Brembilla, Saurabh Singh, Adam Retter, Thomas Parry, Joey Clemente, Lucy Caselton, Hassan Jeraj, Max Bullock, Manju Mathew, Teng Teng Chung, Scott Akker, Paul Chapple, Grace A Salsbury, Alan Bainbridge, David Atkinson, David G Gadian, Umasuthan Srirangalingam, Shonit Punwani
{"title":"First-in-human in-vivo depiction of paraganglioma metabolism by hyperpolarised <sup>13</sup>C-magnetic resonance.","authors":"Rafat Chowdhury, Myuri Moorthy, Lorna Smith, Christoph A Mueller, Fiona Gong, Harriet J Rogers, Marianthi-Vasiliki Papoutsaki, Tom Syer, Giorgio Brembilla, Saurabh Singh, Adam Retter, Thomas Parry, Joey Clemente, Lucy Caselton, Hassan Jeraj, Max Bullock, Manju Mathew, Teng Teng Chung, Scott Akker, Paul Chapple, Grace A Salsbury, Alan Bainbridge, David Atkinson, David G Gadian, Umasuthan Srirangalingam, Shonit Punwani","doi":"10.1259/bjrcr.20220089","DOIUrl":"10.1259/bjrcr.20220089","url":null,"abstract":"<p><p>Phaeochromocytomas (PCC) and paragangliomas (PGL), cumulatively referred to as PPGLs, are neuroendocrine tumours arising from neural crest-derived cells in the sympathetic and parasympathetic nervous systems. Predicting future tumour behaviour and the likelihood of metastatic disease remains problematic as genotype-phenotype correlations are limited, the disease has variable penetrance and, to date, no reliable molecular, cellular or histological markers have emerged. Tumour metabolism quantification can be considered as a method to delineating tumour aggressiveness by utilising hyperpolarised <sup>13</sup> C-MR (HP-MR). The technique may provide an opportunity to non-invasively characterise disease behaviour. Here, we present the first instance of the analysis of PPGL metabolism via HP-MR in a single case.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 6","pages":"20220089"},"PeriodicalIF":0.5,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487226","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 : 2023-09-12eCollection Date: 2023-10-01DOI: 10.1259/bjrcr.20220160
Eman A Almohawes, Yasser Zakareia, Zainab A Dumiati, Wael A Zaki, Khalid M Alfudhili
{"title":"A rarely described Kimura's disease of the breast.","authors":"Eman A Almohawes, Yasser Zakareia, Zainab A Dumiati, Wael A Zaki, Khalid M Alfudhili","doi":"10.1259/bjrcr.20220160","DOIUrl":"https://doi.org/10.1259/bjrcr.20220160","url":null,"abstract":"<p><p>Kimura's disease is a rare chronic inflammatory disease of unknown aetiology. The majority of cases are reported in middle-aged Asian males and rarely seen in other ethnicities. Patients classically present with chronic single or multiple painless subcutaneous masses, lymphadenopathies, hypereosinophilia and elevated serum immunoglobulin E. The disease usually affects the head and neck area, however, rare involvement of other locations such as axilla, upper limbs, popliteal region and abdomen has been reported. Here, we report a rarely encountered Kimura's disease of the breast and axillary lymph nodes in a middle-aged female. In this report, we will describe the main clinical, radiological and pathological features to raise the awareness about this indolent disease.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 5","pages":"20220160"},"PeriodicalIF":0.6,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41177248","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 : 2023-09-12eCollection Date: 2023-10-01DOI: 10.1259/bjrcr.20220149
Ryo Aoki, Shingo Kato, Kento Nakajima, Jun Sakai, Kenichi Yoshida, Hidenori Masui, Shin Ikeda, Jun Yoshigi, Daisuke Utsunomiya
{"title":"Superior mesenteric artery embolism associated with Cisplatin-induced aortic thrombosis.","authors":"Ryo Aoki, Shingo Kato, Kento Nakajima, Jun Sakai, Kenichi Yoshida, Hidenori Masui, Shin Ikeda, Jun Yoshigi, Daisuke Utsunomiya","doi":"10.1259/bjrcr.20220149","DOIUrl":"https://doi.org/10.1259/bjrcr.20220149","url":null,"abstract":"<p><p>Cardiovascular complications of cancer therapy are among the most important factors affecting cancer prognosis. Cisplatin-induced aortic thrombosis is rare but can be life-threatening in the event of peripheral embolism. In this report, we describe a case of superior mesenteric artery (SMA) embolism associated with cisplatin-induced aortic thrombosis. A 66-year-old male, diagnosed with esophageal cancer, initiated systemic chemotherapy with a regimen consisting of 5-fluorouracil and cisplatin, combined with radiotherapy. After 7 days of chemoradiotherapy, the patient developed a floating thrombus in the ascending aorta and an SMA embolism; chemoradiotherapy was then discontinued. Laparoscopy revealed an ischemic small intestine that required resection; intravenous unfractionated heparin was initiated 3 days after. Computed tomography showed disappearance of the floating aortic thrombus and reduce SMA thrombus size. Early detection of cisplatin-induced aortic thrombosis may prevent fatal outcomes in symptomatic peripheral embolisms, such as SMA embolism, considering anticoagulation, and discontinuation of cisplatin-based chemotherapy may cause resolution of thrombus events.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":"9 5","pages":"20220149"},"PeriodicalIF":0.6,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146854","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}