Radiology Case Reports最新文献_第10页

Embolization management of post-traumatic hepatic pseudoaneurysm: A compelling case report

Radiology Case Reports Pub Date : 2025-03-09 DOI: 10.1016/j.radcr.2025.01.050

Hiba Ben Hassine , Ahmed Hadj Tayeb , Maissa Jalleli , Sadek Ben Jabra , Jamel Saad , Faouzi Noomen

{"title":"Embolization management of post-traumatic hepatic pseudoaneurysm: A compelling case report","authors":"Hiba Ben Hassine , Ahmed Hadj Tayeb , Maissa Jalleli , Sadek Ben Jabra , Jamel Saad , Faouzi Noomen","doi":"10.1016/j.radcr.2025.01.050","DOIUrl":"10.1016/j.radcr.2025.01.050","url":null,"abstract":"<div><div>Pseudoaneurysm of the hepatic artery, first described by Sandblom in 1948, is an uncommon complication of hepatic trauma. Since then, numerous cases have been documented. Post-traumatic hepatic pseudoaneurysm of the hepatic artery is a rare complication, occurring in approximately 1.2% of patients with traumatic liver injury.</div><div>We report the case of a 25-year-old patient with a history of Behçet's disease, treated with colchicine, who sustained a traffic accident resulting in hepatic contusion and rib fractures. The patient developed right hypochondriac pain, jaundice, and gastrointestinal hemorrhage, consistent with Quincke's triad, suggesting pseudoaneurysm rupture. The diagnosis was confirmed by computed tomography (CT), and the patient underwent successful percutaneous embolization.</div><div>Despite established guidelines for managing blunt abdominal trauma, the approach to post-traumatic hepatic pseudoaneurysm remains controversial. While some advocate for prophylactic angiographic embolization to prevent bleeding, others favor conservative management due to the potential for spontaneous resolution. Currently, minimally invasive percutaneous embolization is the primary treatment modality. In cases where embolization fails, a transhepatic approach may serve as an alternative. The angioscan is a reliable diagnostic tool. Management is now predominantly minimally invasive, guided by radiological imaging. When conventional angiographic treatment fails, the transhepatic approach can be considered.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 5","pages":"Pages 2615-2618"},"PeriodicalIF":0.0,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577915","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}

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Imaging features of juvenile dermatomyositis complicated by pyomyositis in a 12-year-old boy: A case report

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.02.010

Leul Adane , Michael A. Negussie , Dagmawit Fikire

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Rare severe hereditary maxillary hypoplasia associated with multiple agenesis of the permanent teeth in 2 brothers: A report of 2 cases

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.02.013

El Mehdi Hariri , Intissar El Idrissi , Mohamed Sellouti , Hind Ramdi

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IgG4-related disease revealed by acute pancreatitis: A case report and literature review

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.01.078

Salma El Aouadi, Kaoutar Imrani, Amine Naggar, Soukaina Bahha, Nabil Moatassim Billah, Ittimade Nassar

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Hepatic angiosarcoma: A challenging diagnosis

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.01.084

Charles K. Crawford BS, Hajra Arshad MD, Linda C. Chu MD, Elliot K. Fishman MD

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Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.01.098

Mohamed Zayati , Mohamed Ali Chaouch , Salem Mokni , Mohamed Maaref , Mehdi Abdelwahed , Hafeth Daly , Asma Ladib , Fethi Jebali , Aymen Kawech

{"title":"Acute rupture of a huge liver hydatid cysts in the peritoneal cavity causing an anaphylactic shock: A case report","authors":"Mohamed Zayati , Mohamed Ali Chaouch , Salem Mokni , Mohamed Maaref , Mehdi Abdelwahed , Hafeth Daly , Asma Ladib , Fethi Jebali , Aymen Kawech","doi":"10.1016/j.radcr.2025.01.098","DOIUrl":"10.1016/j.radcr.2025.01.098","url":null,"abstract":"<div><div>The rupture of hepatic hydatid cysts into the peritoneal cavity is an uncommon but life-threatening condition that can result in complications such as peritonitis and anaphylactic shock. This report describes the case of a 39-year-old diabetic male who presented with acute epigastric pain, fever (39°C), and abdominal rigidity. Imaging studies revealed pneumoperitoneum and the rupture of a large hepatic hydatid cyst measuring 20 × 30 cm located in the right lobe of the liver. Emergency laparotomy confirmed the rupture, and surgical management involved peritoneal lavage and initiation of antiparasitic therapy. The patient recovered fully and was discharged 23 days after surgery. Rupture of hepatic hydatid cysts occurs in only 1%-2% of cases and is often associated with large cyst size (>10 cm) and superficial location. Early imaging, particularly with CT, is crucial for diagnosis, while surgical intervention aims to manage the rupture, prevent further complications, and address residual cysts. This case highlights the significance of prompt diagnosis and management to avoid severe outcomes such as secondary peritoneal hydatidosis and anaphylactic shock.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 5","pages":"Pages 2428-2431"},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577918","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}

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Peutz-Jeghers syndrome revealed by CT finding of acute small bowel intussusception: A case report

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.02.041

Paola Milillo MD, PhD, Gianluca Prencipe MD, Stefano Piscone MD, Sara Saccone MD, Luca Cappucci MD, Maria Grazia Scarale MD, Roberta Vinci MD, Luca Macarini MD, Luca Pio Stoppino MD, PhD

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Unveiling the enigma: A rare case of eosinophilic granuloma

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.02.026

Paschyanti Kasat , Shivali Kashikar , Pratapsingh Parihar , Pratiksha Sachani , Utkarsh Pradeep

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Ultrasound-guided thoracentesis for diagnosing Nocardia beijingensis-related empyema in a patient with systemic lupus erythematosus: A rare case report

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.01.077

Ngoc Duong-Minh MD , Khoa Nguyen-Dang MD , Thanh Duong-Thi MD , Nam Vu-Hoai MD, PhD

{"title":"Ultrasound-guided thoracentesis for diagnosing Nocardia beijingensis-related empyema in a patient with systemic lupus erythematosus: A rare case report","authors":"Ngoc Duong-Minh MD , Khoa Nguyen-Dang MD , Thanh Duong-Thi MD , Nam Vu-Hoai MD, PhD","doi":"10.1016/j.radcr.2025.01.077","DOIUrl":"10.1016/j.radcr.2025.01.077","url":null,"abstract":"<div><div>Infections caused by <em>Nocardia</em> species are relatively rare and primarily affect immunocompromised patients. There are few reported cases of <em>Nocardia beijingensis</em> causing empyema in patients with systemic lupus erythematosus (SLE). We present a case of a 49-year-old female patient with SLE on immunosuppressive therapy (corticosteroids and azathioprine), admitted with dyspnea and left-sided pleuritic chest pain. A diagnosis of large parapneumonic left pleural effusion was established based on blood tests, blind thoracentesis findings, and bronchoalveolar lavage results. The patient received empirical intravenous antibiotic therapy with imipenem/cilastatin and vancomycin without isolating the causative organism for 10 days. Three weeks postdischarge, the patient's left pleuritic chest pain worsened, prompting chest computed tomography that revealed multiple loculated pleural-abdominal wall fluid collections. Ultrasound-guided aspiration of these areas yielded pus cultured positive for N<em>. beijingensis</em>. The patient showed improvement following treatment with imipenem/cilastatin and trimethoprim/sulfamethoxazole. This case represents a rare manifestation of N<em>. beijingensis</em> causing pleural and abdominal wall empyema. Ultrasound-guided aspiration, targeting the loculated and encapsulated effusion, played a crucial role in confirming the diagnosis. Empirical treatment with imipenem/cilastatin combined with long-term oral trimethoprim/sulfamethoxazole was found to be effective.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 5","pages":"Pages 2309-2314"},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577808","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}

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Pediatric eosinophilic granulomatosis with polyangiitis presenting as a mediastinal mass in a 6-year-old boy

Radiology Case Reports Pub Date : 2025-03-08 DOI: 10.1016/j.radcr.2025.01.060

Sagar Bishowkarma , Suraj Shrestha , Roshan Aryal , Bikash Mishra , Kundan Kumar Yadav , Anuradha Twayana , Isha Amatya , Pradeep Raj Regmi

{"title":"Pediatric eosinophilic granulomatosis with polyangiitis presenting as a mediastinal mass in a 6-year-old boy","authors":"Sagar Bishowkarma , Suraj Shrestha , Roshan Aryal , Bikash Mishra , Kundan Kumar Yadav , Anuradha Twayana , Isha Amatya , Pradeep Raj Regmi","doi":"10.1016/j.radcr.2025.01.060","DOIUrl":"10.1016/j.radcr.2025.01.060","url":null,"abstract":"<div><div>Eosinophilic granulomatosis with polyangiitis (EGPA) is a small vessel vasculitis characterized by asthma, eosinophilia, and small vessel necrotizing granulomatosis with annual incidence of 0.5-4.2 cases per million. EGPA is uncommon in childhood and only a handful of pediatric cases have been reported in the literature making it difficult to diagnose. EGPA in the pediatric population presenting with mediastinal mass is extremely rare. Here, we present a rare case of pediatric EGPA with unique presentation i.e. mediastinal lymphadenopathy in a 6-year-old boy who presented with recurrent episodes of cough and shortness of breath. On further evaluation, patient was found to have mediastinal lymphadenopathy and the diagnosis of pediatric EGPA was confirmed by histopathology of the mass. High dose steroid was started at 1mg/kg/day and then gradually tapered to maintenance dose and weaned off after remission. Diagnosis of EGPA in pediatric population is challenging and requires careful differentiation under mimicking conditions. Though uncommon, EGPA can cause mediastinal lymphadenopathy and should be considered a differential diagnosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 5","pages":"Pages 2258-2262"},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577813","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}

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