Radiology Case Reports最新文献_第10页

Percutaneous endoscopy-guided gallbladder lumen-apposing metal stent retrieval, lithotripsy, and cholecystoduodenal stenting in a patient with acute cholecystitis

Radiology Case Reports Pub Date : 2025-01-15 DOI: 10.1016/j.radcr.2024.12.019

Shahaan Shafi BS, Ali Husnain MD, Ahsun Riaz MD

引用次数: 0

Double whammy: Acute suppurative appendicitis on top of Meckel's diverticulum

Radiology Case Reports Pub Date : 2025-01-15 DOI: 10.1016/j.radcr.2024.12.031

Hosam Amir , Hadeer Hafez , Tibyan Basheer , Mohamed Abdelsalam

引用次数: 0

Microvascular dysfunction causing myocardial ischemia in obstructive hypertrophic cardiomyopathy

Radiology Case Reports Pub Date : 2025-01-15 DOI: 10.1016/j.radcr.2024.12.048

Nonthikorn Theerasuwipakorn MD, MSc , Sakolwat Montrivade MD, MSc , Paisit Kosum MD, MSc , Pairoj Chattranukulchai MD, MSc

{"title":"Microvascular dysfunction causing myocardial ischemia in obstructive hypertrophic cardiomyopathy","authors":"Nonthikorn Theerasuwipakorn MD, MSc , Sakolwat Montrivade MD, MSc , Paisit Kosum MD, MSc , Pairoj Chattranukulchai MD, MSc","doi":"10.1016/j.radcr.2024.12.048","DOIUrl":"10.1016/j.radcr.2024.12.048","url":null,"abstract":"<div><div>Hypertrophic cardiomyopathy (HCM) is characterized by myocardial hypertrophy and can lead to significant complications including left ventricular outflow tract obstruction (LVOTO) and myocardial ischemia. Microvascular dysfunction (MVD) is a less recognized but crucial cause of myocardial ischemia in HCM, contributing to myocardial injury in the absence of obstructive coronary artery disease. We presented a case of a 48-year-old male with retrosternal chest tightness radiating to the left arm for 3 h. Electrocardiography revealed left ventricular (LV) hypertrophy with ST-segment depression and T wave inversion. High-sensitivity troponin T levels were elevated. Echocardiography showed marked LV wall thickness, predominantly at the basal septum, with systolic anterior motion of anterior mitral valve leaflet causing LVOTO. Adenosine stress cardiac magnetic resonance imaging demonstrated faint patchy scars in the hypertrophied ventricular septum and significant stress-induced perfusion defects beyond the area of myocardial scarring. Coronary angiography showed normal epicardial arteries, suggesting MVD as the underlying cause of ischemia. The patient was treated with nebivolol and verapamil, leading to symptom relief and a reduction in the pressure gradient of LVOTO at follow-up. This case highlights the role of MVD in causing myocardial ischemia in patients with HCM. Effective management of HCM with MVD includes pharmacological therapy to alleviate outflow obstruction and improve myocardial perfusion. Comprehensive diagnostic and treatment approaches are essential for optimizing outcomes in patients with this complex condition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1854-1857"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082153","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

Radiologic findings of polypoid pyeloureteritis: a case report

Radiology Case Reports Pub Date : 2025-01-15 DOI: 10.1016/j.radcr.2025.01.008

Michael Phillipi BA , Cassidy Tung BA , Thomas Duong MD , Ryan O'Connell MD , Roozbeh Houshyar MD

{"title":"Radiologic findings of polypoid pyeloureteritis: a case report","authors":"Michael Phillipi BA , Cassidy Tung BA , Thomas Duong MD , Ryan O'Connell MD , Roozbeh Houshyar MD","doi":"10.1016/j.radcr.2025.01.008","DOIUrl":"10.1016/j.radcr.2025.01.008","url":null,"abstract":"<div><div>Polypoid pyeloureteritis is a rare benign exophytic mucosal lesion of the renal pelvis and ureter caused by recurrent inflammation. Risk factors include a history of radiation therapy, colovesical fistulas, or calculi. To our knowledge, we present the first documented case of polypoid pyeloureteritis with radiologic, pathologic, and clinical correlation. A 74-year-old male with a history of right papillary renal cell carcinoma status-post nephrectomy and recurrent nephrolithiasis presented for computed tomography urography for carcinoma surveillance. Computed tomography urography revealed urothelial thickening at the left renal pelvis along with small polypoid filling defects in the left renal collecting system at the ureteropelvic junction, as well as a 3mm nonobstructing stone. Biopsy of the lesion confirmed the diagnosis of polypoid pyelitis with ureteritis. Lithotripsy for stone removal was administered at the time of biopsy, and fulguration of the mass was performed. At the time of 1-year follow-up the patient denied any complaints, including urinary symptoms. Imaging was once again remarkable for extensive urothelial thickening of the left renal pelvis and proximal ureter that demonstrated subtle nodularity, consistent with known polypoid pyeloureteritis. Clinical context and pathologic findings should be considered to differentiate benign polypoid lesions from urothelial neoplasms after observing urothelial thickening and filling defects on computed tomography urography. If the lesion is non-neoplastic, fulguration combined with removal of the irritant may serve as an alternative management for surgical excision.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1827-1830"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082166","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

Torsion of a large pedunculated subserosal fibroid led to ovarian torsion and ipsilateral hydroureteronephrosis

Radiology Case Reports Pub Date : 2025-01-15 DOI: 10.1016/j.radcr.2024.12.014

Siham Oukassem , Wafae Khatibi , Chaimae Abourak , Siham El Haddad , Allali Nazik , Latifa Chat , Salma Tahri , Khalid Fathi , Fatima Elhassouni

引用次数: 0

Large retroperitoneal mass: A case of an undifferentiated pleomorphic sarcoma

Radiology Case Reports Pub Date : 2025-01-15 DOI: 10.1016/j.radcr.2024.09.141

Millennie J. Chen BS , Shafieh Makehei MD , Isaac Chen MD , Simona De Michele MD, Shiv Bhanu MD, Justin Wei MD

{"title":"Large retroperitoneal mass: A case of an undifferentiated pleomorphic sarcoma","authors":"Millennie J. Chen BS , Shafieh Makehei MD , Isaac Chen MD , Simona De Michele MD, Shiv Bhanu MD, Justin Wei MD","doi":"10.1016/j.radcr.2024.09.141","DOIUrl":"10.1016/j.radcr.2024.09.141","url":null,"abstract":"<div><div>Soft tissue sarcomas (STS) are a group of rare malignant tumors arising from mesenchymal stem cells. There are more than 60 different types of neoplasms that fall under the umbrella of STS, including tumors that originate from cartilage, adipose tissue, skeletal muscle, or connective tissue, among many other tissue types. One particular type of high-grade aggressive STS is the undifferentiated pleomorphic sarcoma (UPS), formerly known as the malignant fibrous histiocytoma (MFH). There has historically been much debate about the classification and differentiation of UPS from other types of sarcomas, which has only recently been characterized by novel methods of immunohistochemistry markers and sophisticated cytogenetics. This has left much of the literature regarding UPS largely irrelevant in context of our current classification standards.</div><div>A recent retrospective analysis of 100 UPS cases revealed an incidence of only 9% for UPS originating in the retroperitoneum. We present a case of UPS originating in the retroperitoneum. In this case, a patient suffering from a large right-sided intra-abdominal mass underwent complete surgical resection. We also demonstrate some of the complexities involved in the diagnosis and treatment of a rare retroperitoneal form of UPS.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1850-1853"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11783216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082150","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

Predominant visceral involvement and heterotopic ossification in Klippel-Trenaunay syndrome

Radiology Case Reports Pub Date : 2025-01-15 DOI: 10.1016/j.radcr.2024.12.053

Yodit Abraham Yaynishet MD , Michael Teklehaimanot Abera MD , Kidist Amare Hagos MD , Woubedel Kiflu Aklilu MD , Nebyou Seyoum Abebe MD , Samuel Sisay Hailu MD

引用次数: 0

An uncommon cardiac lymphangioma in hypertrophic cardiomyopathy

Radiology Case Reports Pub Date : 2025-01-14 DOI: 10.1016/j.radcr.2024.12.051

Ana Rita Teixeira MD , Isabel Cardoso MD , Vera Vaz Ferreira MD , Carolina Rodrigues MD , Rui Rodrigues MD , Sílvia Aguiar Rosa PhD , Boban Thomas MD , Rui Cruz Ferreira MD

引用次数: 0

Wandering spleen with torsion in pelvic: A case report and literature review

Radiology Case Reports Pub Date : 2025-01-14 DOI: 10.1016/j.radcr.2024.12.047

Nguyen Xuan Truong , Le Thanh Dung , Nguyen Van Thu , Hoang Truong Giang , Nguyen Van Hieu , Nguyen Van Hung , Ngo Vinh Hoai , Nguyen Huu Chung , Tran Quang Loc

{"title":"Wandering spleen with torsion in pelvic: A case report and literature review","authors":"Nguyen Xuan Truong , Le Thanh Dung , Nguyen Van Thu , Hoang Truong Giang , Nguyen Van Hieu , Nguyen Van Hung , Ngo Vinh Hoai , Nguyen Huu Chung , Tran Quang Loc","doi":"10.1016/j.radcr.2024.12.047","DOIUrl":"10.1016/j.radcr.2024.12.047","url":null,"abstract":"<div><div>Wandering spleen, caused by elongation or maldevelopment of the splenic ligaments, is a rare developmental disorder with a prevalence of 0.2 %. It occurs primarily in children under one year or adult women of reproductive age. Clinical manifestations are highly variable, ranging from asymptomatic cases to acute abdominal symptoms such as persistent abdominal pain and vomiting, often due to splenic torsion. Because clinical symptoms are nonspecific, diagnostic imaging is crucial, with computed tomography key to confirming the diagnosis. Conventional treatment involves spleen fixation unless there is splenic infarction, in which case splenectomy should be considered.</div><div>We report the case of a 13-year-old female patient who was admitted to the hospital with acute abdominal pain, accompanied by vomiting and fever, without signs of shock. Ultrasound and computed tomography revealed splenic torsion, which was confirmed during laparoscopic surgery, and the patient subsequently underwent splenectomy. One week after surgery, the patient was discharged from the hospital in stable condition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1791-1794"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082179","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

Mycophenolate-associated colitis in an orthotopic heart transplant patient- an unusual case presentation

Radiology Case Reports Pub Date : 2025-01-14 DOI: 10.1016/j.radcr.2024.12.041

Hajra Arshad MD , Mohammad Yasrab MD , Alejandra Blanco MD , Jacqueline E Birkness-Gartman MD , Elliot K. Fishman MD

引用次数: 0