Radiology Case Reports最新文献

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Cervicofacial cellulitis complicated by a false lingual artery aneurysm: A very rare complication
Radiology Case Reports Pub Date : 2025-02-06 DOI: 10.1016/j.radcr.2025.01.053
Hajar El Bhali MD , Marouane Kaibech MD , Zakaria Bourfoune MD , Wijdane Kourriche MD , Safae Mouhanie MD , Amine Azghari MD
{"title":"Cervicofacial cellulitis complicated by a false lingual artery aneurysm: A very rare complication","authors":"Hajar El Bhali MD ,&nbsp;Marouane Kaibech MD ,&nbsp;Zakaria Bourfoune MD ,&nbsp;Wijdane Kourriche MD ,&nbsp;Safae Mouhanie MD ,&nbsp;Amine Azghari MD","doi":"10.1016/j.radcr.2025.01.053","DOIUrl":"10.1016/j.radcr.2025.01.053","url":null,"abstract":"<div><div>Cervicofacial cellulitis is a soft-tissue infection of the neck and face. It is a serious pathology that can extend to the endocranial region and mediastinum, threatening the life of the often young patient. It is often complicated by pneumonia, mediastinitis and hemodynamic failure. Vascular complications are very rare. We report the case of a 21-year-old patient admitted for severe cervicofacial cellulitis, complicated by a false aneurysm of the lingual artery successfully treated by embolization, who died a few days later following refractory hemorrhagic shock.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2231-2234"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143275643","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
Paralyzing paradox: Spinal cord infarction, a hidden emergency
Radiology Case Reports Pub Date : 2025-02-06 DOI: 10.1016/j.radcr.2025.01.054
Khurram Khaliq Bhinder, Khizer Ahmed Khan, Madiha Saeed Wahla, Amna Mehboob, Abeer Shahid, Alishbah Ziad
{"title":"Paralyzing paradox: Spinal cord infarction, a hidden emergency","authors":"Khurram Khaliq Bhinder,&nbsp;Khizer Ahmed Khan,&nbsp;Madiha Saeed Wahla,&nbsp;Amna Mehboob,&nbsp;Abeer Shahid,&nbsp;Alishbah Ziad","doi":"10.1016/j.radcr.2025.01.054","DOIUrl":"10.1016/j.radcr.2025.01.054","url":null,"abstract":"<div><div>Spinal cord infarction is a rare entity that is encountered less but has a high mortality and morbitiy rate. 43 years old female presented to emergency department with acute lower limb weakness. Urgent MRI was performed that showed long segment intramedullary signal abnormality involving anterior and middle half of cervical spinal cord, showing restricted diffusion and possible questionable faint enhancement. Another smaller similar abnormal signal intensity intramedullary focus at T1-T2 level. No heterogenous signal or abnormal enhancement was noted in adjacent visualized vertebral bodies. Considering restricted diffusion first differential possibility is of anterior spinal cord ischemia/infarct with no fever or trauma history. This is a rare case presentation of spinal infarct in Pakistan presenting acutely.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2235-2238"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143275644","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
Scimitar syndrome: A case report
Radiology Case Reports Pub Date : 2025-02-06 DOI: 10.1016/j.radcr.2025.01.063
Xiang Zhao, Junyang Huang, Junke Yang, Bingkui Cen
{"title":"Scimitar syndrome: A case report","authors":"Xiang Zhao,&nbsp;Junyang Huang,&nbsp;Junke Yang,&nbsp;Bingkui Cen","doi":"10.1016/j.radcr.2025.01.063","DOIUrl":"10.1016/j.radcr.2025.01.063","url":null,"abstract":"<div><div>Scimitar syndrome is a rare vascular malformation characterized by partial or total abnormal flow of the right pulmonary vein into the inferior vena cava, located above or below the diaphragm. Scimitar syndrome is a rare disease has an incidence of approximately 1-3 per 100,000 live births. And it can be divided into infantile type and child/adult type. Infantile patients have more deformities and poor prognosis, so it is urgent to combine multidisciplinary early precision diagnosis and treatment. Most children with childhood/adult forms are asymptomatic or have mild symptoms and can live normally without medical intervention. Here we report a case of a 3 year, 8-month-old girl who was diagnosed with Scimitar syndrome in our hospital. By presenting multiplanar CT images of malformed drainage veins in this patient's lungs and analyzing a series of cardiopulmonary abnormalities resulting from them, we have demonstrated in detail the diagnostic process of this rare disease, Scimitar syndrome. For patients with Scimitar syndrome, whether to take surgical treatment should be determined according to the specific cardiopulmonary function of patients, mild patients can take regular follow-up strategy. For patients with obvious clinical symptoms, surgery can significantly improve the long-term prognosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133582","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
An unusual mediastinal giant parathyroid adenoma: A rare case report
Radiology Case Reports Pub Date : 2025-02-06 DOI: 10.1016/j.radcr.2025.01.068
Ahmad Huneity , Yaman M. Alahmad , Issam Al Bozom , Abdelkareem Alhyari , Ayoub Alaoud , Rajendra Kumar
{"title":"An unusual mediastinal giant parathyroid adenoma: A rare case report","authors":"Ahmad Huneity ,&nbsp;Yaman M. Alahmad ,&nbsp;Issam Al Bozom ,&nbsp;Abdelkareem Alhyari ,&nbsp;Ayoub Alaoud ,&nbsp;Rajendra Kumar","doi":"10.1016/j.radcr.2025.01.068","DOIUrl":"10.1016/j.radcr.2025.01.068","url":null,"abstract":"<div><div>Parathyroid adenoma is the most common cause of primary hyperparathyroidism. Giant parathyroid adenoma is considered a rare subtype of parathyroid adenomas that weigh more than 3.5 grams and cause a small number of adenoma related hyperparathyroidism. We present a case of 68-year-old asymptomatic male patient who had hypercalcemia and markedly high parathyroid hormone level on routine blood testing. Radiological investigations demonstrated a large mediastinal mass that showed peripheral high uptake on sestamibi scan. Histopathology confirmed the diagnosis of giant parathyroid adenoma. Giant parathyroid adenomas can have an atypical radiological appearance and present as a mediastinal mass that resembles other mediastinal masses, making it important to include in the list of possible diagnoses.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2213-2217"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143275642","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
Spontaneous ureteral rupture: A rare case report and review of literature
Radiology Case Reports Pub Date : 2025-02-06 DOI: 10.1016/j.radcr.2025.01.044
Anass El Alaoui MD, Abdelghani Ouraghi MD, Hemdellah Debbe Salem MD, Anouar El Moudane MD, Ali Barki MD
{"title":"Spontaneous ureteral rupture: A rare case report and review of literature","authors":"Anass El Alaoui MD,&nbsp;Abdelghani Ouraghi MD,&nbsp;Hemdellah Debbe Salem MD,&nbsp;Anouar El Moudane MD,&nbsp;Ali Barki MD","doi":"10.1016/j.radcr.2025.01.044","DOIUrl":"10.1016/j.radcr.2025.01.044","url":null,"abstract":"<div><div>Spontaneous rupture of the ureter is a very rare condition from ureteral obstruction especially if it is a small stone located distally. A 67-year-old man with abdominal pain associated with vomiting, Caused by a ureteral rupture due to a 5 mm obstructing stone at the vesicoureteral junction. The diagnosis was confirmed by CT imaging. The treatment involved antibiotics and double-J stenting. This case demonstrates that spontaneous ureteral rupture should be suspected in urolothiasis patients presenting for a severe pain even if the calculus is small and the laboratory markers are normal. An immediate management is required to prevent further complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133689","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
Percutaneous vacuum-assisted tumor thrombectomy using angiovac and penumbra lightning 12 aspiration systems
Radiology Case Reports Pub Date : 2025-02-04 DOI: 10.1016/j.radcr.2025.01.058
Murtaza Jafri BSc , Brittany Stojak MD , Owen Mooney MD , Andrew Macdiarmid MD , Ian W. Gibson MD , Surinder Dhaliwal MD
{"title":"Percutaneous vacuum-assisted tumor thrombectomy using angiovac and penumbra lightning 12 aspiration systems","authors":"Murtaza Jafri BSc ,&nbsp;Brittany Stojak MD ,&nbsp;Owen Mooney MD ,&nbsp;Andrew Macdiarmid MD ,&nbsp;Ian W. Gibson MD ,&nbsp;Surinder Dhaliwal MD","doi":"10.1016/j.radcr.2025.01.058","DOIUrl":"10.1016/j.radcr.2025.01.058","url":null,"abstract":"<div><div>A 19-year-old female presented with a 2-month history of abdominal discomfort and palpable abdominal mass; a computer tomography scan revealed a large retroperitoneal mass as well as high suspicion of thrombus in her inferior vena cava. Right kidney core biopsy showed diagnostic features of synovial sarcoma. While awaiting workup for her mass she was placed on anticoagulants. However, she re-presented to hospital 3 weeks later complaining of 3 days of shortness of breath. A repeat computer tomography scan revealed extensive thrombus burden with tumor thrombus involving the inferior vena cava, a large right atrial intracardiac thrombus, multiple segmental right pulmonary emboli, and a large embolus causing total occlusion of the left main pulmonary artery with findings suggestive of associated lung infarction. The patient's disease was not amenable to surgical resection and thrombolytic therapy was contraindicated due to associated intratumor hemorrhage, thus prompting consideration of thrombectomy under emergency approval from Health Canada. The patient underwent an overall successful total aspiration thrombectomy of the intracardiac tumor thrombus with subsequent resolution of her right heart strain, using the extracorporeal AngioVac aspiration system and partial aspiration of the extensive pulmonary emboli using the Penumbra Indigo Lightning 12 system. She was transferred to the intensive care unit and extubated 2 days later and was discharged from hospital shortly after without supplemental oxygen.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2194-2202"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133697","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
18F-FDG PET/CT findings of erythema induratum
Radiology Case Reports Pub Date : 2025-02-04 DOI: 10.1016/j.radcr.2025.01.067
KyungAh Chun MD, PhD
{"title":"18F-FDG PET/CT findings of erythema induratum","authors":"KyungAh Chun MD, PhD","doi":"10.1016/j.radcr.2025.01.067","DOIUrl":"10.1016/j.radcr.2025.01.067","url":null,"abstract":"<div><div><sup>18</sup>F-FDG (fluorodeoxyglucose) accumulates in malignant tissues but also at the sites of infection and inflammation and in autoimmune and granulomatous diseases by the overexpression of distinct facultative glucose transporter (GLUT) isotypes (mainly GLUT-1 and GLUT-3) in cancer cells and inflammatory cells.</div><div>A 75-year-old female with a history of skin rash with tenderness for 1 month underwent <sup>18</sup>F-FDG positron emission tomography/computed tomography (PET/CT) to determine the presence of an underlying disease including malignant tumor. The <sup>18</sup>F-FDG PET/CT showed hypermetabolic nodules at subcutaneous tissue (right upper arm, bilateral lower back and buttock, both thigh). She was diagnosed with erythema induratum on biopsy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2207-2209"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133692","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
Symptomatic mesothelial cyst of the diaphragm misdiagnosed as a hepatic hydatid cyst
Radiology Case Reports Pub Date : 2025-02-04 DOI: 10.1016/j.radcr.2025.01.049
Imen Ben Ismail MD , Mouna Mlika MD , Marwen Sghaier MD , Mohamed Boujemaa MD , Hakim Zenaidi MD , Saber Rebii MD , Ayoub Zoghlami MD
{"title":"Symptomatic mesothelial cyst of the diaphragm misdiagnosed as a hepatic hydatid cyst","authors":"Imen Ben Ismail MD ,&nbsp;Mouna Mlika MD ,&nbsp;Marwen Sghaier MD ,&nbsp;Mohamed Boujemaa MD ,&nbsp;Hakim Zenaidi MD ,&nbsp;Saber Rebii MD ,&nbsp;Ayoub Zoghlami MD","doi":"10.1016/j.radcr.2025.01.049","DOIUrl":"10.1016/j.radcr.2025.01.049","url":null,"abstract":"<div><div>Mesothelial cysts of the diaphragm are uncommon congenital lesions that can be easily misdiagnosed due to their resemblance to other cystic formations, particularly hepatic hydatid cysts. We present the case of a 19-year-old male with no significant past medical history who complained of dull, heavy pain in the right costovertebral region persisting for several weeks. Initial laboratory tests were within normal limits. A contrast-enhanced CT scan revealed a retrohepatic cystic lesion measuring 45 mm, closely associated with the right hemidiaphragm and liver, which was suggestive of a hydatid cyst. However, negative hydatid serology ruled out this diagnosis, leading to the decision for surgical intervention. During surgery via a right subcostal approach, a 4 cm cystic lesion was found tightly adherent to the diaphragm. Complete excision of the cyst along with repair of the diaphragmatic defect was performed without complications. Histopathological examination confirmed the diagnosis of a mesothelial cyst of the diaphragm, a rare benign entity. The patient had an uneventful postoperative course and was discharged on the third day. Follow-up over one year showed no recurrence of symptoms or lesions. This case highlights the diagnostic challenges associated with mesothelial cysts and emphasizes the importance of surgical excision for definitive diagnosis and symptom relief.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2218-2221"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133805","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
Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature
Radiology Case Reports Pub Date : 2025-02-04 DOI: 10.1016/j.radcr.2025.01.057
Muataz Kashbour MBChB , Maaly Abuhlaiga MBChB , Muhammed Asim Awan MD , Khalid Gashoot MD
{"title":"Emergency radiological evaluation of wandering spleen volvulus and infarction: A case report and review of literature","authors":"Muataz Kashbour MBChB ,&nbsp;Maaly Abuhlaiga MBChB ,&nbsp;Muhammed Asim Awan MD ,&nbsp;Khalid Gashoot MD","doi":"10.1016/j.radcr.2025.01.057","DOIUrl":"10.1016/j.radcr.2025.01.057","url":null,"abstract":"<div><div>Wandering spleen (WS) is exceedingly rare and is attributed to the absence or maldevelopment of the spleen's anchoring ligaments. The diagnosis of WS in the emergency department poses a particular clinical challenge as the clinical presentation is highly variable from acute abdomen requiring immediate surgery to chronic indolent pain extending over years. Herein, we report the case of a 34-year-old nulliparous lady, who presented to the emergency department with left iliac fossa pain associated with vomiting, successfully diagnosed preoperatively using computerized tomography. A splenectomy was performed, and the patient achieved full recovery. Timely use of imaging aids emergency physicians in the early detection of wandering spleen. Early diagnosis allows spleen-preserving strategies and therefore prevents the life-threatening complications of postsplenectomy sepsis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2203-2206"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133868","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
Behçet's disease and factor V Leiden: A thrombogenic synergy causing budd-chiari syndrome behet病和Leiden因子:引起布-恰里综合征的血栓形成协同作用。
Radiology Case Reports Pub Date : 2025-02-01 DOI: 10.1016/j.radcr.2024.11.041
Ameer Awashra , Zaid Sawaftah , Salsabeel Bishawi , Aseel Eid , Aya Milhem , Dawoud Hamdan , Ali Bani Odah , Ahmad Sawafta , Jehad Khamaysa , Yazan Ghannam , Hadi Rabee
{"title":"Behçet's disease and factor V Leiden: A thrombogenic synergy causing budd-chiari syndrome","authors":"Ameer Awashra ,&nbsp;Zaid Sawaftah ,&nbsp;Salsabeel Bishawi ,&nbsp;Aseel Eid ,&nbsp;Aya Milhem ,&nbsp;Dawoud Hamdan ,&nbsp;Ali Bani Odah ,&nbsp;Ahmad Sawafta ,&nbsp;Jehad Khamaysa ,&nbsp;Yazan Ghannam ,&nbsp;Hadi Rabee","doi":"10.1016/j.radcr.2024.11.041","DOIUrl":"10.1016/j.radcr.2024.11.041","url":null,"abstract":"<div><div>Behçet's Disease (BD) is a multisystem inflammatory disorder that can lead to severe vascular complications, including Budd-Chiari Syndrome (BCS), a rare but life-threatening condition characterized by hepatic vein obstruction. The co-occurrence of BD and inherited thrombophilia, such as Factor V Leiden mutation, significantly increases the risk of thrombosis, complicating the clinical management of affected individuals. In this case, a 16-year-old female initially presented with nonspecific symptoms of generalized fatigue and bone pain, which later progressed to abdominal distension and significant hepatosplenomegaly. Imaging and further diagnostic evaluation confirmed BCS as the initial manifestation of BD, a rare but severe complication. Genetic testing revealed a heterozygous mutation for Factor V Leiden and the presence of the HLA-B51 allele, highlighting a thrombogenic synergy between BD and inherited thrombophilia. Aggressive anticoagulation therapy was initiated, resulting in partial recanalization of the hepatic veins and stabilization of the patient's condition. This case emphasizes the need for early consideration of BCS in BD patients, especially in those with concurrent prothrombotic disorders, as timely intervention is crucial for improving clinical outcomes. The interplay of autoimmune and genetic factors in this case provides valuable insights into the complex pathophysiology and management of BCS associated with BD.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1257-1262"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883600","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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