BJR|Case Reports最新文献

Adrenal gland haemangioma, a rare entity difficult to differentiate from malignancy 肾上腺血管瘤，一种难以与恶性肿瘤区分的罕见实体

BJR|Case Reports Pub Date : 2024-08-08 DOI: 10.1093/bjrcr/uaae027

Paola Lopez Gomez, Miguel Paniagua Gonzalez, Angela Garcia Perez, Luis Alberto Mullor Delgado

{"title":"Adrenal gland haemangioma, a rare entity difficult to differentiate from malignancy","authors":"Paola Lopez Gomez, Miguel Paniagua Gonzalez, Angela Garcia Perez, Luis Alberto Mullor Delgado","doi":"10.1093/bjrcr/uaae027","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae027","url":null,"abstract":"\u0000 Adrenal haemangioma is a rare benign vascular lesion, which is usually asymptomatic and it is typically discovered incidentally on radiographic imaging. Differential diagnosis from other benign or malignant adrenal neoplasms may be challenging, and in many cases, the diagnosis is only possible after surgical resection.\u0000 We present a case of a 39 year-old female with abdominal pain in the upper right quadrant, who was referred to our hospital after incidentally discovering a mass above the right kidney on abdominal ultrasonography. MRI revealed an adrenal mass, with features not indicative of adenoma and suggestive of adrenal haemangioma, without ruling out other possible diagnoses such us phaeochromocytoma and adrenal cortical carcinoma. Biochemical tests did not reveal any endocrine dysfunction. The patient underwent adrenalectomy, and histopathological analysis confirmed a venous haemangioma.\u0000 Adrenal gland haemangioma is an unusual vascular lesion, typically diagnosed incidentally during abdominal imaging. Certain radiologic features may raise suspicion for malignancy, making it difficult to distinguish them from a primary adrenal cortical carcinoma. They may also grow large, compressing surrounding structures and causing abdominal pain, or may rupture, leading to retroperitoneal hemorrhage. For these reasons, some authors recommend excision of all suspected adrenal haemangiomas, and in many cases, the final diagnosis is made only after surgical removal.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"30 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141926882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lemierre’s syndrome presenting with arterial and Central nervous system involvement 表现为动脉和中枢神经系统受累的勒米埃尔综合征

BJR|Case Reports Pub Date : 2024-08-08 DOI: 10.1093/bjrcr/uaae026

Brandon Simons, M. Williams, Laura Hayes, Kanika Gupta, Tushar Chandra

引用次数: 0

Jejunal amyloidosis: Rare case with weight loss & altered bowel habits 空肠淀粉样变性：伴有体重减轻和排便习惯改变的罕见病例

BJR|Case Reports Pub Date : 2024-07-26 DOI: 10.1093/bjrcr/uaae025

Hamid Majeed, Jie Fei Lau, Anna Davenport, Karim Muhammad, Farhat Bano

引用次数: 0

Malignant paraganglioma of the prostate invading the bladder and bilateral seminal vesicles: a case report 侵犯膀胱和双侧精囊的前列腺恶性副神经节瘤：病例报告

BJR|Case Reports Pub Date : 2024-07-15 DOI: 10.1093/bjrcr/uaae024

Jian Tao, Haiyan Ma, Xianchun Zeng

引用次数: 0

A case of atypical meningioma presenting spontaneous infarction: the findings of magnetic resonance imaging, including amide proton transfer-chemical exchange saturation transfer imaging 一例出现自发性脑梗死的非典型脑膜瘤：磁共振成像（包括酰胺质子转移-化学交换饱和转移成像）的发现

BJR|Case Reports Pub Date : 2024-07-09 DOI: 10.1093/bjrcr/uaae023

E. Iida, Atsuo Inoue, M. Tanabe, Naohiko Kamamura, Katsuyoshi Ito

{"title":"A case of atypical meningioma presenting spontaneous infarction: the findings of magnetic resonance imaging, including amide proton transfer-chemical exchange saturation transfer imaging","authors":"E. Iida, Atsuo Inoue, M. Tanabe, Naohiko Kamamura, Katsuyoshi Ito","doi":"10.1093/bjrcr/uaae023","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae023","url":null,"abstract":"\u0000 We report the MRI findings of a patient with an atypical meningioma who presented with spontaneous infarction. A 67-year-old man with histories of recurrent meningioma complained of left ocular protrusion and a subsequent biopsy revealed atypical meningioma. Contrast-enhanced CT showed a uniformly enhancing tumor in the left ethmoid sinus, but MRI 2 days later showed no enhancement on Gd-T1WI and severe diffusion restriction on DWI, indicating spontaneous infarction. APT-CEST imaging showed slight hypointensity in comparison to the normal brain with a mean MTR asymmetry value of 0.48%. Tumor regrowth was confirmed on MRI after 2 months. The recurrent tumor showed moderate diffusion restriction on DWI and hyperintensity with a mean MTR asymmetry value of 2.59% on APT-CEST imaging. The decreased signal on APT-CEST at the time of spontaneous infarction may have been attributed to intratumoral acidosis and loss of viable tumor. APT-CEST imaging is useful for evaluating the intratumoral condition and tumor viability of the infarcted or ischemic tumor.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

T-cell lymphoblastic lymphoma/leukemia involving bilateral breast: a case report 累及双侧乳房的 T 细胞淋巴细胞淋巴瘤/白血病：病例报告

BJR|Case Reports Pub Date : 2024-04-25 DOI: 10.1093/bjrcr/uaae013

Jing Zhou, Mingxing Li, Ling Liao

引用次数: 0

MRI Findings in 1 Case of Primary Gallbladder Lymphoma 1 例原发性胆囊淋巴瘤的磁共振成像结果

BJR|Case Reports Pub Date : 2024-04-18 DOI: 10.1093/bjrcr/uaae011

Xiaoxuan Wang, Min Sun, Liqing Kang

引用次数: 0

Adenoma Mimicking Intraductal Papillary Neoplasm of the Bile Duct Arising in an Intrahepatic Biliary Duplication Cyst 肝内胆管重复囊肿中出现的胆管腺瘤模拟导管内乳头状肿瘤

BJR|Case Reports Pub Date : 2024-04-10 DOI: 10.1093/bjrcr/uaae012

Yuichi Tsuji, Shimada Kotaro, Hiroyoshi Isoda, Takamichi Ishii, Yasuhide Takeuchi, Yuji Nakamoto

{"title":"Adenoma Mimicking Intraductal Papillary Neoplasm of the Bile Duct Arising in an Intrahepatic Biliary Duplication Cyst","authors":"Yuichi Tsuji, Shimada Kotaro, Hiroyoshi Isoda, Takamichi Ishii, Yasuhide Takeuchi, Yuji Nakamoto","doi":"10.1093/bjrcr/uaae012","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae012","url":null,"abstract":"\u0000 We report a case of a cystic liver tumour in a 47-year-old man with Peutz-Jeghers syndrome (PJS) who had undergone sclerotherapy at another hospital for a cyst in hepatic segment IV (S4) 7 years earlier. Based on the preoperative imaging findings, the patient was diagnosed with an intraductal papillary neoplasm of the bile duct. Percutaneous transhepatic portal vein embolization was performed to increase the residual liver volume, followed by resection of the three right hepatic lobes and the caudate lobe, biliary reconstruction, and portal vein reconstruction. Pathological examination revealed an adenoma arising in an intrahepatic biliary duplication cyst. Retrospectively, the preoperative diagnosis was difficult, but it aligned with previous reports of biliary duplication cysts due to its continuity with the bile duct. Additionally, intrahepatic biliary duplication cysts with tumour lesions or cases in which 18F-fluorodeoxyglucose positron emission tomography was performed have not been previously reported. Therefore, preoperatively listing this disease as a differential diagnosis was difficult. PJS and chronic inflammation associated with cyst sclerotherapy may have contributed to tumour development in the intrahepatic biliary duplication cyst.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140720401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perforated amyand's hernia with an adenocarcinoma tumour presenting as a groin abscess 腹股沟脓肿伴有腺癌肿瘤的阿米安氏疝穿孔

BJR|Case Reports Pub Date : 2024-03-06 DOI: 10.1093/bjrcr/uaae008

Emmanuel Gbegli, Ahmad Miremadi, Eva Mendes Serrao, Timothy J. Sadler

{"title":"Perforated amyand's hernia with an adenocarcinoma tumour presenting as a groin abscess","authors":"Emmanuel Gbegli, Ahmad Miremadi, Eva Mendes Serrao, Timothy J. Sadler","doi":"10.1093/bjrcr/uaae008","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae008","url":null,"abstract":"\u0000 An Amyand’s hernia is an incarcerated inguinal hernia containing the appendix with or without appendicitis. This is a rare form of inguinal hernia, making up approximately 0.4—1% of all cases 1. As with any hernia, this may become strangulated at any time, leading to the loss of blood supply and further development of gangrene and complications. Clinically, this can present in a manner indistinguishable from other types of inguinal hernias. In addition, the appendix can be affected by its own set of pathological processes, such as infection, inflammation and malignancy. Not uncommonly both hernial and appendiceal complications coexist.\u0000 The clinical diagnosis of an Amyand’s hernia remains challenging due to its low incidence and indistinct clinical presentation. At present, surgery is usually diagnostic and therapeutic. However, there is a growing number of recent reports showing the invaluable role of imaging on the diagnosis of Amyand’s hernias and associated complications 2 3. The correct and timely recognition of their imaging features including complications can optimise and expedite patient care by guiding diagnosis, treatment and prognosis.\u0000 Here, we report for the first time the radiological and pathological findings of a patient with a unique complicated Amyand’s hernia, which posed a diagnostic challenge for the clinical and radiological teams.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"3 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endovascular intervention to treat spontaneous carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome with an access site anatomical variant 用血管内介入疗法治疗一名艾勒斯-丹洛斯综合征患者的自发性颈动脉-海绵状静脉瘘，该患者的入路部位存在解剖学变异

BJR|Case Reports Pub Date : 2024-02-09 DOI: 10.1093/bjrcr/uaae006

Austin Jin Xian See, Abhishekh Hulegar Ashok, Yogish Joshi, Mathew Guilfoyle, T. C. See

引用次数: 0