Radiology Case Reports最新文献_第10页

Adult Type II diastematomyelia with tethered cord and associated spinal anomalies: A case report 成人II型脊髓纵裂伴脊髓栓系及相关脊柱异常1例报告

Radiology Case Reports Pub Date : 2025-09-11 DOI: 10.1016/j.radcr.2025.08.036

Sachchu Thapa MBBS, MD , Bijay Kunwar MBBS , Anup Ghimire MBBS , Atul Mainali MBBS , Pujan Pandey MBBS , Jagdish Kunwar MBBS, MD , Roshna Adhikari MBBS, MD

{"title":"Adult Type II diastematomyelia with tethered cord and associated spinal anomalies: A case report","authors":"Sachchu Thapa MBBS, MD , Bijay Kunwar MBBS , Anup Ghimire MBBS , Atul Mainali MBBS , Pujan Pandey MBBS , Jagdish Kunwar MBBS, MD , Roshna Adhikari MBBS, MD","doi":"10.1016/j.radcr.2025.08.036","DOIUrl":"10.1016/j.radcr.2025.08.036","url":null,"abstract":"<div><div>Spinal dysraphism consists a group of congenital anomalies due to defective neural tube closure, among which diastematomyelia or split cord malformation is rare. Split cord malformation is classified into Type I and Type II, with Type II being less common and often asymptomatic. These anomalies may coexist with various spinal anomalies, as tethered cord, neural lipoma, hemimyelocele, and dorsal dermal sinus, forming a complex spectrum. Adult presentations are particularly uncommon and usually incidental. We herein report a 23-year-old male with chronic low back pain and a congenital midline lumbar swelling. Neurological examination and routine investigations were unremarkable. Magnetic resonance imaging revealed Type II diastematomyelia with two hemicords within a single dural sac from L4 to L5, low-lying conus medullaris, hemimyelocele with neural lipoma at L5-S1, tethered cord with filum terminale lipoma extending to S3-S4, and a dorsal dermal sinus tract. Despite the radiological complexity, the patient remained neurologically intact. Neurosurgical intervention was advised; however, the patient chose conservative management with close follow-up. This case highlights a rare adult presentation of complex spinal dysraphism with minimal symptoms. While diastematomyelia Type II is typically diagnosed in childhood, adult cases are infrequent and often delayed. Magnetic resonance imaging is crucial for diagnosis, particularly in asymptomatic individuals with cutaneous markers. Though surgery is generally recommended to prevent neurological decline, conservative management may be appropriate in selected stable cases. This case emphasizes the need to consider spinal anomalies in adults with chronic back pain and the importance of multidisciplinary evaluation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5902-5908"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046709","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

An unusual bezoar: Elastic hair ties triggering small bowel obstruction 一种不寻常的牛黄：有弹性的发带引起小肠梗阻

Radiology Case Reports Pub Date : 2025-09-11 DOI: 10.1016/j.radcr.2025.08.023

Angelo Changas DO , Mena Louis DO , Nathaniel Grabill MD , Nathan Creel MD

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Descending colon volvulus in a patient with persistent left mesocolon: A case report 持续性左结肠系膜患者降结肠扭转1例

Radiology Case Reports Pub Date : 2025-09-09 DOI: 10.1016/j.radcr.2025.08.020

Fabio Laterza MD , Michele Dezio MD , Annachiara Ceccherini MD , Roberta Dattoli MD , Diletta De Lucia MD , Mario Di Diego MD , Federico Cofone MD , Angela Calabrese MD , Roberto Calbi MD

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Retroperitoneal extrarenal Wilms tumor: A diagnostic challenge and kidney-sparing approach 腹膜后肾外肾母细胞瘤：一个诊断挑战和保留肾脏的方法

Radiology Case Reports Pub Date : 2025-09-08 DOI: 10.1016/j.radcr.2025.08.025

Julia G. Debertin MPH , Nathan C. Hull MD , D. Dean Potter Jr. MD , Wendy A. Allen-Rhoades MD, PhD , Nadia N. Laack MD , Stephanie F. Polites MD, MPH

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Leriche syndrome: A closer look at a rare and critical aortoiliac occlusion Leriche综合征：一个罕见的和严重的主动脉髂闭塞

Radiology Case Reports Pub Date : 2025-09-08 DOI: 10.1016/j.radcr.2025.08.018

Oukassem Siham MD, Jabbari Chaimae MD, Khatibi Wafa MD, Moatassim Billah Nabil PhD, Ittimad Nassar PhD, Imrani Kaoutar PhD

{"title":"Leriche syndrome: A closer look at a rare and critical aortoiliac occlusion","authors":"Oukassem Siham MD, Jabbari Chaimae MD, Khatibi Wafa MD, Moatassim Billah Nabil PhD, Ittimad Nassar PhD, Imrani Kaoutar PhD","doi":"10.1016/j.radcr.2025.08.018","DOIUrl":"10.1016/j.radcr.2025.08.018","url":null,"abstract":"<div><div>Collateral pathways in aortoiliac occlusive disease play a crucial role in maintaining blood flow to the abdomen, pelvis, and lower limbs. These pathways include systemic-to-systemic, visceral-to-visceral, and systemic-to-visceral connections. CT angiography is the primary imaging modality for diagnosing aortoiliac occlusion, offering detailed visualization of stenotic arteries and collateral pathways, particularly when enhanced by 3D reconstruction. This case report presents a 65-year-old male with poorly controlled hypertension, type 2 diabetes, and a 45-pack-year smoking history, who presented with progressively worsening claudication and rest pain. Imaging revealed thrombotic occlusion of the infrarenal aorta extending into the iliac arteries, with the development of collateral pathways. We also discuss the impact of erectile dysfunction severity and highlight evolving endovascular treatments such as CERAB, which show promising outcomes. This article aims to familiarize radiologists with the common patterns of aortoiliac occlusion and the associated collateral arterial pathways visible on CT angiography.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5851-5854"},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010803","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

A colonic lipoma presenting as intussusception in an elderly patient 老年患者结肠脂肪瘤表现为肠套叠

Radiology Case Reports Pub Date : 2025-09-08 DOI: 10.1016/j.radcr.2025.08.030

Nabil Lahlou MD , Nizar El Bouardi PhD , Zakia Ettylemsany MD , Hajar Ouazzani PhD , Ismail Chaouche PhD , Amal Akammar PhD , Meriem Haloua PhD , Badreeddine Alami PhD , Moulay Youssef Alaoui Lamrani PhD , Meryem Boubbou PhD , Mustapha Maaroufi PhD

引用次数: 0

High-resolution visualization of the heart surface using multi-detector computed tomography: A case study of coronary artery bypass grafting 多探测器计算机断层扫描心脏表面的高分辨率可视化：冠状动脉旁路移植术的案例研究

Radiology Case Reports Pub Date : 2025-09-08 DOI: 10.1016/j.radcr.2025.07.063

Yuichiro Yokoyama MD , Takeshi Emmoto MD , Akira Kurata MD , Hiroshi Higashino MD , Yumiko Abe MD , Hiroyuki Fujieda MD , Mitsunori Abe MD

{"title":"High-resolution visualization of the heart surface using multi-detector computed tomography: A case study of coronary artery bypass grafting","authors":"Yuichiro Yokoyama MD , Takeshi Emmoto MD , Akira Kurata MD , Hiroshi Higashino MD , Yumiko Abe MD , Hiroyuki Fujieda MD , Mitsunori Abe MD","doi":"10.1016/j.radcr.2025.07.063","DOIUrl":"10.1016/j.radcr.2025.07.063","url":null,"abstract":"<div><div>Multi-detector computed tomography is commonly used as a preoperative screening tool for coronary artery bypass grafting. Electrocardiographically gated cardiac computed tomography facilitates accurate identification and assessment of the target coronary artery segment. While cardiac computed tomography can visualize the morphology of coronary arteries, the surgeon’s view of the heart surface may differ considerably because the arteries can be obscured by the myocardium (myocardial bridge), pericardial fat, or parallel-running coronary branches. To address this, we developed a dedicated computed tomography imaging method that incorporates tissue classification based on cardiac anatomy. We present this imaging method in the case of a 77-year-old female patient diagnosed with angina pectoris who underwent coronary artery bypass grafting. This method may help cardiac surgeons navigate cardiac anatomy more accurately, enhance confidence during surgical exploration of the target vessel, and improve communication with imaging professionals.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5861-5865"},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010802","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

A complex case of moyamoya disease mimicking vasculitis: diagnostic challenges and systemic complications in a young adult 模拟血管炎的烟雾病的复杂病例：诊断挑战和系统性并发症在一个年轻的成年人

Radiology Case Reports Pub Date : 2025-09-08 DOI: 10.1016/j.radcr.2025.08.029

Majd A. AbuAlrob MD , Abdullah Al Qazakzeh MD , Najla Al-Eshaq MD , Ali Aqel MD , Salma Faisal MD , Wanis H Ibrahim MD

引用次数: 0

Facial pain as a presenting symptom of a left maxillary sinus cyst: Case report and literature review 左侧上颌窦囊肿以面部疼痛为主要症状：病例报告及文献复习

Radiology Case Reports Pub Date : 2025-09-08 DOI: 10.1016/j.radcr.2025.08.032

Drissia Benfadil MD, PhD , Youssef Azouaghe MD , Achraf Amine Sbai MD, PhD , Azeddine Lachkar MD, PhD , Fahd El Ayoubi El Idrissi MD, PhD

{"title":"Facial pain as a presenting symptom of a left maxillary sinus cyst: Case report and literature review","authors":"Drissia Benfadil MD, PhD , Youssef Azouaghe MD , Achraf Amine Sbai MD, PhD , Azeddine Lachkar MD, PhD , Fahd El Ayoubi El Idrissi MD, PhD","doi":"10.1016/j.radcr.2025.08.032","DOIUrl":"10.1016/j.radcr.2025.08.032","url":null,"abstract":"<div><div>Maxillary sinus retention cysts are typically benign, asymptomatic lesions that are discovered incidentally and rarely require intervention. We report a rare case of a 52-year-old male with a history of alcohol and tobacco use who presented with isolated, persistent midfacial pain without rhinologic, dental, or neurologic signs. Imaging revealed a large, expansile cystic lesion of the left maxillary sinus with extensive erosion of the sinus walls and extension into the infratemporal fossa, radiologically mimicking aggressive pathology such as mucocele, aneurysmal bone cyst, or malignancy. The patient underwent successful marsupialization via a modified Caldwell-Luc approach, with complete symptom resolution and no recurrence at 6 months. This case underscores the diagnostic challenges posed by atypical presentations of maxillary sinus retention cysts and highlights the importance of including such lesions in the differential diagnosis of destructive sinonasal masses, particularly when clinical and imaging features suggest a more aggressive process.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5855-5860"},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010805","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

Successful treatment of a recurrent dissecting aneurysm with flow diverter placement following occipital artery–posterior inferior cerebellar artery bypass 枕动脉-小脑后下动脉搭桥术后置放分流器成功治疗复发性夹层动脉瘤

Radiology Case Reports Pub Date : 2025-09-08 DOI: 10.1016/j.radcr.2025.08.027

Kei Yanai MD, PhD , Satoshi Koizumi MD, PhD , Genta Fujii MD , Nozomi Otsuka MD , Masaaki Shojima MD, PhD , Gakushi Yoshikawa MD, PhD

{"title":"Successful treatment of a recurrent dissecting aneurysm with flow diverter placement following occipital artery–posterior inferior cerebellar artery bypass","authors":"Kei Yanai MD, PhD , Satoshi Koizumi MD, PhD , Genta Fujii MD , Nozomi Otsuka MD , Masaaki Shojima MD, PhD , Gakushi Yoshikawa MD, PhD","doi":"10.1016/j.radcr.2025.08.027","DOIUrl":"10.1016/j.radcr.2025.08.027","url":null,"abstract":"<div><div>Branch involvement can serve as a predicting factor of incomplete occlusion after flow diverter (FD) treatment, including pipeline embolization device. This study reports a case of subarachnoid hemorrhage owing to bilateral vertebral artery dissection with parent artery occlusion to the left side and stent-assisted coiling to the right side. However, a marked enlargement of the dissected lesion was observed at the right dissecting aneurysm at 6 months. Considering that the posterior inferior cerebellar artery (PICA) originating from the aneurysm could prevent aneurysm occlusion after the FD, we first conducted open surgery to perform a bypass from the occipital artery to the PICA and occluded the PICA origin to eliminate blood flow from the dissection site. Subsequently, we placed a pipeline embolization device at the same location. Complete occlusion of the aneurysm was confirmed after 6 months. Thus far, only one case report of a recurrent middle cerebral artery aneurysm treated with an FD following bypass has been reported. This is the first report of a similar procedure applied to the posterior circulation and dissecting aneurysm. This report highlights the potential for successful outcomes when branches arising from an aneurysm are occluded via bypass prior to the placement of an FD.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5876-5880"},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010806","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