BJR Case Reports最新文献

{"title":"Diagnosis and imaging in COVID-19 induced myositis.","authors":"Zaynab Abid Sohail,&nbsp;Jawad Naqvi,&nbsp;Leanne Gray","doi":"10.1259/bjrcr.20220134","DOIUrl":"https://doi.org/10.1259/bjrcr.20220134","url":null,"abstract":"<p><p>The case describes how musculoskeletal disease can manifest in coronavirus disease. The most reported symptoms of covid infection are cough, fever and myalgia. Myalgia and myositis are similar conditions in that they both describe muscular pain and fatigue. However, they are distinguishable in that myalgia is usually benign and self-limiting whilst untreated myositis can lead to serious complications often requiring hospital admission. This case report aims to familiarise physicians with atypical presentations of coronavirus disease to prevent delays in diagnosis and treatment. Timely treatment of covid-induced myositis can decrease in-hospital mortality rates and improve patient outcomes.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9621351","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":"Oh nuts, they've got a pelvic kidney - a tricky testicular vein embolisation.","authors":"Sajal Patel,&nbsp;Irfan Ahmed,&nbsp;Benedict Thomson","doi":"10.1259/bjrcr.20220130","DOIUrl":"10.1259/bjrcr.20220130","url":null,"abstract":"<p><p>Testicular vein embolisation for varicocele is a common interventional procedure performed in predominantly young, healthy males. Cross-sectional imaging is rarely performed for treatment planning and is often not available. In this case report, we describe a case of testicular vein embolisation in an ipsilateral pelvic kidney where cross-sectional imaging aided treatment planning resulting in successful embolisation.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42049514","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":"Transverse carpal ligament tear at the trapezial ridge without fracture - the \"trapezial ridge line\" sign: two case reports.","authors":"Saroj K Golay,&nbsp;Ramy Mansour,&nbsp;Nicholas Riley,&nbsp;Yaron Berkowitz","doi":"10.1259/bjrcr.20220041","DOIUrl":"https://doi.org/10.1259/bjrcr.20220041","url":null,"abstract":"<p><p>A tear of the transverse carpal ligament attachment at the trapezial ridge without associated fracture has not been previously described. We present a detailed description of a 16-year-old Caucasian male patient treated at our institution, and a second supporting case of a 15-year-old Caucasian male patient with a similar mechanism of injury and diagnostic findings. It is important to be aware of this ligament tear, as it may affect clinical management, is occult on computed tomography, and only detectable on magnetic resonance imaging, stressing the worth of magnetic resonance imaging in the setting of acute wrist trauma.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9278556","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":"Acute disseminated encephalomyelitis (ADEM)-like illness in a pediatric patient following COVID-19 vaccination.","authors":"Kenneth Brock,&nbsp;Susana Creagh Reyes,&nbsp;Christopher Conner,&nbsp;Natalie Gillson,&nbsp;Michael Weiss,&nbsp;Osama Elfituri,&nbsp;Amir Paydar","doi":"10.1259/bjrcr.20220097","DOIUrl":"https://doi.org/10.1259/bjrcr.20220097","url":null,"abstract":"<p><p>Since the inception of the COVID-19 pandemic, over 60 cases of acute disseminated encephalomyelitis (ADEM) or ADEM-like clinically isolated syndromes have been linked to COVID-19 infection. However, cases linked to COVID-19 vaccination remain exceptionally rare. To the author's knowledge, eight published cases of ADEM or ADEM-like clinically isolated syndrome have been described after patients received COVID-19 vaccinations, all of which occurred in adults. This report details the first documented case of an ADEM-like illness in a pediatric patient, which developed shortly after receiving the Pfizer (Pfizer-BioNTech, Germany) COVID-19 vaccination. The patient made a near complete clinical recovery over 10 days after receiving a 5-day course of intravenous immunoglobulin therapy.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577721","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":"Unusual case of a gigantic bladder mimicking a large pelvic cystic mass.","authors":"Mohammad Khadeem Rumjaun,&nbsp;Sana Amjed,&nbsp;Muhammad Anas Ghazi,&nbsp;Jason Raw,&nbsp;Sohail Sabir","doi":"10.1259/bjrcr.20220127","DOIUrl":"https://doi.org/10.1259/bjrcr.20220127","url":null,"abstract":"<p><p>Pelvic masses are more common in females compared to the males. Bladder distension secondary to urinary retention can also mimic as a pelvic mass. However, it is rare to see chronic urinary retention with no clinical urinary symptoms. We present a case report of an elderly male who presented with abdominal pain and progressive worsening of breathing, along with abdominal distension. Initially, patient was thought to have a large cystic pelvic mass, causing bilateral renal hydronephrosis due to the ureteric compression. However, urinary cauterization drained 19,000 ml of the urine leading to not only resolution of the symptoms but also clinical improvement of the patient.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9278555","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":"Renal and mediastinal perivascular epithelioid cell tumors (PEComas) in a young child with tuberous sclerosis; a rare case report.","authors":"Kamal H Attia,&nbsp;Ahmad A Al Boukai,&nbsp;Muammar H Mohammed,&nbsp;Maha Arafah","doi":"10.1259/bjrcr.20220105","DOIUrl":"https://doi.org/10.1259/bjrcr.20220105","url":null,"abstract":"<p><p>We describe a unique case of perivascular epithelioid cell tumors occurring as mediastinal and left renal soft tissue masses discovered incidentally in a 5-year-old tuberous sclerosis patient upon presentation to the emergency department for upper respiratory illness. The radiographic features were non-specific. However, the similar CT characteristics of both lesions and background history raised the suspicion of a synchronous mesenchymal tumor, and histopathology confirmed the diagnosis. The rarity of these tumors in the pediatric population and lack of specific diagnostic criteria impose reporting the case and emphasize the need for further research on imaging features of such tumors.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9278559","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 near-miss diagnosis of necrotizing breast fasciitis complicated by atrial fibrillation secondary to septic focus: a case report and brief review of literature.","authors":"Rachel Jane Klapper,&nbsp;Benjamin Joseph Michael Horn,&nbsp;Benedict Amalraj,&nbsp;Maamannan Venkataraj,&nbsp;Mohammad Abdurrehman Sheikh,&nbsp;Dominika Pullmann,&nbsp;Kiran Malikayil,&nbsp;Jeffrey Wooliscroft","doi":"10.1259/bjrcr.20220120","DOIUrl":"https://doi.org/10.1259/bjrcr.20220120","url":null,"abstract":"<p><p>Necrotizing fasciitis of the breast is a rare, life-threatening entity characterized by a rapidly aggressive infection of the soft tissue. There are few literature reports on necrotizing fasciitis at the level of the breast tissue as the most common locations are within the abdominal wall or extremities, but this entity can lead to sepsis and systemic multiorgan failure if not adequately managed. Here, we report a case that highlights the course of a 68-year-old African American female with a past medical history of hypertension, hyperlipidemia, and poorly controlled diabetes mellitus, who presented with the complaint of a painful right breast abscess with intermittent, purulent drainage. An initial point-of-care ultrasound displayed an area of induration of the right breast as well as soft tissue edema with no identifiable fluid collection. A subsequent CT abdomen and pelvis was obtained given new onset abdominal pain, which demonstrated incidental findings of inflammatory changes and subcutaneous emphysema along with colonic diverticulosis. Surgical intervention was immediately sought for which she underwent debridement and exploration of the right breast with findings that were consistent with necrotizing transformation. The patient was sent back to the OR for an additional surgical debridement the next day. Of note, the patient had post-op atrial fibrillation with rapid ventricular response and had to be admitted to the ICU for conversion to sinus rhythm. She returned to sinus rhythm and was transferred back to medicine before application of a negative pressure wound dressing on discharge. The patient was transitioned from Enoxaparin to Apixaban for anticoagulation control in the setting of atrial fibrillation before being discharged to a Skilled Nursing Facility with long-term antibiotics. This case highlights the difficulty and significance in establishing a prompt diagnosis for necrotizing fasciitis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577724","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":"Tumoral calcinosis of unusual location in a chronic hemodialysis patient.","authors":"Youssef Sakhy,&nbsp;Reda Taoussi,&nbsp;Vianney Ndayishimiye,&nbsp;Mouna Sabiri,&nbsp;Mohammed Labied,&nbsp;Ghizlane Lembarki,&nbsp;Samia El Manjra,&nbsp;Samira Lezar,&nbsp;Fatiha Essodegui","doi":"10.1259/bjrcr.20220083","DOIUrl":"https://doi.org/10.1259/bjrcr.20220083","url":null,"abstract":"<p><p>Tumoral calcinosis is a rare cause of intratissular calcifications in hemodialysis patients with chronic renal failure. Its frequency is estimated between 0.5 and 7% of patients. We illustrate through a case of unusual localization diagnosed in Ibn Rochd University Hospital, Casablanca, Morocco, the radiographic and scannographic aspect of this little known entity. A 40-year-old man, followed for hypertensive cardiopathy, in chronic renal failure for 12 years under hemodialysis, consulted for bilateral inguinal swellings evolving in a progressive and painless way. Biological investigations revealed hyperparathyroidism with increased phosphocalcic product. He was referred to us for radiological evaluation which revealed lesions in favor of bilateral puboinguinal tumor calcinosis. Tumoral calcinosis is a rare cause of intratissular calcifications in chronic renal failure patients undergoing hemodialysis. Pubic localization with infiltration and osteolysis of the symphysis pubis is very rare. Its main risk factors are the existence of hyperparathyroidism, an increase in phosphocalcic product and probably local traumatic factors. Tumoral calcinosis has a typical appearance on radiographs: amorphous, cystic and multilobulated calcifications of periarticular distribution. The CT scan allows a better delineation of the calcified mass. Its treatment remains controversial. The knowledge of osteoarticular manifestations of chronic hemodialysis patients, especially tumoral calcinosis by radiologists, allows to easily make the diagnosis and thus avoid invasive complementary explorations for the patient and to quickly institute an effective treatment.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9278558","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":"Grade 3 invasive breast cancer masquerading as a haematoma - the importance of concordance in the clinical and imaging pathway.","authors":"Ramona Menezes,&nbsp;Daniella Kostic,&nbsp;Penelope Moyle","doi":"10.1259/bjrcr.20220156","DOIUrl":"https://doi.org/10.1259/bjrcr.20220156","url":null,"abstract":"<p><p>Cystic lesions of the breast are an everyday encounter in the symptomatic breast clinic. While the vast majority of cystic lesions are benign, it is important to be aware of the imaging manifestations that indicate a sinister pathology and the pitfalls of biopsy in a complex cystic lesion which make the diagnosis challenging. We present a case of cystic Grade 3 breast cancer and highlight the imaging characteristics and clinicoradiological concordance that achieved the correct diagnosis.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577725","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":"Scrotal kidney: a gross case of \"nephroptosis\".","authors":"Elmuiz A Hsabo,&nbsp;Ikenna Anderson Aneke,&nbsp;Jonathan Tuck,&nbsp;Seshikanth Middela","doi":"10.1259/bjrcr.20220054","DOIUrl":"https://doi.org/10.1259/bjrcr.20220054","url":null,"abstract":"<p><p>We radiologically illustrate a case of nephroptosis in an 82-year-old male whose right kidney had progressively descended into the right hemiscrotum. This was detected upon a recent visit to the accident and emergency department (A&E) where a computed tomography (CT) scan demonstrated the right kidney within the scrotum with a degree of hydronephrosis yet a stable renal function. The patient was managed conservatively as per the multidisciplinary team (MDT) meeting advice.</p>","PeriodicalId":45216,"journal":{"name":"BJR Case Reports","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9577723","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}