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CT scan guided drainage in anticoagulated patients to avoid laparotomy: A case report CT 扫描引导抗凝患者引流，避免开腹手术：病例报告
Radiology Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.radcr.2024.09.153
Safae Dehbi , Mohamed Youssef EL Mcharfi , Manal Arfaoui , Hamza El Hamzaoui , Hicham Ziani , Bouchra Armel , Mustapha Alilou , Yahya El Harras , Ola Messaoud , Omar El Aoufir , Omar Mkira , Karim Bellarbi , Khawla Bahou , Younes Laroussi , Youness Bakali
{"title":"CT scan guided drainage in anticoagulated patients to avoid laparotomy: A case report","authors":"Safae Dehbi ,&nbsp;Mohamed Youssef EL Mcharfi ,&nbsp;Manal Arfaoui ,&nbsp;Hamza El Hamzaoui ,&nbsp;Hicham Ziani ,&nbsp;Bouchra Armel ,&nbsp;Mustapha Alilou ,&nbsp;Yahya El Harras ,&nbsp;Ola Messaoud ,&nbsp;Omar El Aoufir ,&nbsp;Omar Mkira ,&nbsp;Karim Bellarbi ,&nbsp;Khawla Bahou ,&nbsp;Younes Laroussi ,&nbsp;Youness Bakali","doi":"10.1016/j.radcr.2024.09.153","DOIUrl":"10.1016/j.radcr.2024.09.153","url":null,"abstract":"<div><div>Direct oral anticoagulant use has increased significantly over the last decade. Their perioperative management is always challenging for the anesthesiologist. Interventional radiology offers an interesting alternative nowadays, especially in emergencies. We report the case of a 52-year-old woman who was admitted to our department to manage a septic shock secondary to an abscessed collection in the right iliac fossa. After a multidisciplinary consultation, given that she was taking anticoagulation medications for venous mesenteric ischemia, it was decided to proceed with computed tomography scan-guided drainage of the collection, which resulted in the evacuation of over 500 cc of pus. This case report emphasizes the importance of interventional radiology and its role in avoiding surgical interventions in risky situations, especially for patients on anticoagulants, or at least to be carried out, in a second step, under better conditions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533909","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
A rare case of a breast hamartoma containing a lesion with malignant presentation on radiologic evaluation and benign presentation on pathologic findings: A case report 一例罕见的乳房火腿肠瘤，其病变在放射学评估中表现为恶性，而在病理学结果中表现为良性：病例报告
Radiology Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.radcr.2024.10.037
Kiarash Soltani MD , Mahdi Taghdiri MD , Elham Keshavarz MD , Saloomeh Mohammadi MD
{"title":"A rare case of a breast hamartoma containing a lesion with malignant presentation on radiologic evaluation and benign presentation on pathologic findings: A case report","authors":"Kiarash Soltani MD ,&nbsp;Mahdi Taghdiri MD ,&nbsp;Elham Keshavarz MD ,&nbsp;Saloomeh Mohammadi MD","doi":"10.1016/j.radcr.2024.10.037","DOIUrl":"10.1016/j.radcr.2024.10.037","url":null,"abstract":"<div><div>Mammary hamartomas are rare, benign, and often under-diagnosed breast lesions comprised of glandular, adipose, muscular, and fibrotic encapsulated components which occur more commonly among perimenopausal women. The term hamartoma was initially coined by Arrigoni in 1971 to describe breast lesions with clinical resemblance to fibroadenomas. The proper diagnosis of breast hamartoma is confirmed through using multiple radiologic and pathologic modalities. Hamartomas rarely progress into malignancy with only a few cases reported in the literature. Here, we report a case of a highly suspicious lesion developing within a breast hamartoma in a 46-year-old woman with radiologic features of a malignant lesion with benign pathology.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534034","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
Intrapulmonary cavitating solitary fibrous tumor: A rare case report 肺腔内单发纤维性肿瘤：罕见病例报告
Radiology Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.radcr.2024.09.129
Dyan Wahyu Kusumaningrum , Fierly Hayati
{"title":"Intrapulmonary cavitating solitary fibrous tumor: A rare case report","authors":"Dyan Wahyu Kusumaningrum ,&nbsp;Fierly Hayati","doi":"10.1016/j.radcr.2024.09.129","DOIUrl":"10.1016/j.radcr.2024.09.129","url":null,"abstract":"<div><div>Solitary fibrous tumor (SFT) is a rare mesenchymal tumor that affects most commonly in the sixth or seventh decade of life. They account for less than 2% of all soft tissue tumors. In the thoracic region, it primarily appears in the pleura and rarely in the intrapulmonary. SFT typically presents as well-defined, oval or round, hyperdense masses. We report male 66-year-old complaint of cough, intermittent shortness of breath, and a lump in the lower right chest which has gradually increased in size. From chest MSCT results, there were cavitating lesions with solid and cystic components. FNAB and core biopsy examinations were performed. To establish a definitive diagnosis, an open biopsy followed by immunohistochemical analysis was conducted, confirming the presence of a solitary fibrous tumor (SFT).</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533905","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
Silicone deposition and adverse pulmonary events secondary to breast implant rupture 硅胶沉积和继发于乳房植入物破裂的肺部不良事件
Radiology Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.radcr.2024.09.127
Sean Pace, Jessica Barbara, Elizabeth Grech, Michael Pace Bardon
{"title":"Silicone deposition and adverse pulmonary events secondary to breast implant rupture","authors":"Sean Pace,&nbsp;Jessica Barbara,&nbsp;Elizabeth Grech,&nbsp;Michael Pace Bardon","doi":"10.1016/j.radcr.2024.09.127","DOIUrl":"10.1016/j.radcr.2024.09.127","url":null,"abstract":"<div><div>Silicone breast implants are common but may be associated with a number of complications including implant rupture. This case reports a 38-year-old woman with bilateral breast implants who presented with breast unevenness, triggering a cascade of investigations that identified implant rupture. A computed tomography scan of the thorax showed subpleural enhancing nodules in the left lung of equal density as the implants, repeat computed tomography thorax months later showed no interval changes. In this case, extracapsular rupture causing deposits of silicone via the lymphatic system into the lungs resulted in nodules visible on imaging. Reassuring radiological findings and lack of red flag symptoms led to radiological follow-up and avoided the need for invasive procedures such as biopsy. The authors aim to remind clinicians of the importance of maintaining a high index of clinical suspicion for implant-related pathology and to add to current literature regarding this rare complication.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533906","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
The breast cancer that wasn't: Breast abscess mimicking malignancy 不是乳腺癌的乳腺癌：模仿恶性肿瘤的乳腺脓肿
Radiology Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.radcr.2024.09.120
Bhavana Devanabanda MD, Ashani Shah BS, Mirette Shafeek DO, Magdalena Salvador MD
{"title":"The breast cancer that wasn't: Breast abscess mimicking malignancy","authors":"Bhavana Devanabanda MD,&nbsp;Ashani Shah BS,&nbsp;Mirette Shafeek DO,&nbsp;Magdalena Salvador MD","doi":"10.1016/j.radcr.2024.09.120","DOIUrl":"10.1016/j.radcr.2024.09.120","url":null,"abstract":"<div><div>Mastitis, or inflammation of breast tissue, typically presents in lactating women but may be seen across all ages and in both genders. Infection is the most common etiology underlying this condition, although noninfectious inflammation is also possible. Timely diagnosis and treatment can prevent complications including breast abscess. Mastitis and breast abscess are both characterized by pain and may result in misdiagnosis and delayed treatment of more serious conditions such as inflammatory breast cancer (IBC). Conversely, imaging may result in misdiagnosis of breast abscesses due to the similarity to lesions suspicious for malignancy. We present the case of a 52-year-old female with imaging studies suspicious for IBC who was eventually diagnosed with breast abscess via pathological confirmation. We discuss the overlap and differences between breast abscess and breast malignancy regarding patient presentation, population, risk factors, and imaging findings for diagnostic purposes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534033","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
When hyperthyroidism goes unchecked: A rare case of cardiac tamponade induced by acute pericarditis in Graves’ disease 当甲状腺功能亢进症得不到控制时：巴塞杜氏病急性心包炎诱发心脏填塞的罕见病例
Radiology Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.radcr.2024.09.126
Meryem Jabri , Nabila Ismaili , Noha El Ouafi , Zakaria Bazid
{"title":"When hyperthyroidism goes unchecked: A rare case of cardiac tamponade induced by acute pericarditis in Graves’ disease","authors":"Meryem Jabri ,&nbsp;Nabila Ismaili ,&nbsp;Noha El Ouafi ,&nbsp;Zakaria Bazid","doi":"10.1016/j.radcr.2024.09.126","DOIUrl":"10.1016/j.radcr.2024.09.126","url":null,"abstract":"<div><div>Graves’ disease, the most prevalent cause of hyperthyroidism, is an autoimmune disorder associated with several cardiovascular complications. The occurrence of acute pericarditis within the context of Graves’ disease, is very rare. We present an uncommon case of cardiac tamponade in a patient diagnosed with Graves’ disease. A female patient, was admitted with symptoms of dyspnea and palpitations. Clinical examination revealed Beck's triad. Transthoracic echocardiography showed a large pericardial effusion with significative respiratory variations, indicating an urgent pericardiocentesis. Thyroid function tests revealed hyperthyroidism with positive TSH-receptor antibodies, and elevated anti-TPO antibodies. Cardiac tamponade, induced by acute pericarditis in Graves’ disease is an uncommon entity. Typically, the diagnosis is established on a detailed history and physical examination, supported by specific investigations, including suppressed levels of TSH along with elevated free T4 levels and thyroid receptor antibodies. Pericardiocentesis, NSAIDs, betablockers, associated with antithyroid medications constitute the mainstay of treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533903","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
Nontraumatic intrathoracic liver incarceration 非创伤性胸腔内肝脏嵌顿
Radiology Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.radcr.2024.09.130
Andrius Meskauskas MD, Claire Goumard MD, PhD
{"title":"Nontraumatic intrathoracic liver incarceration","authors":"Andrius Meskauskas MD,&nbsp;Claire Goumard MD, PhD","doi":"10.1016/j.radcr.2024.09.130","DOIUrl":"10.1016/j.radcr.2024.09.130","url":null,"abstract":"<div><div>Diaphragmatic hernias are a rare finding in adult population, especially in urgent settings. Nevertheless, the acute symptoms can be life-threatening and may require urgent surgical intervention. We report a rare case of a nontraumatic diaphragmatic hernia in a young adult with a history of laparotomy at the age of 1, suggesting a pre-existing malformation. The clinical presentation was dominated by respiratory symptoms and biological signs of hepatic ischemia, with no abdominal pain. Computed tomography demonstrated protrusion of the entire liver into the thoracic cavity. In this context, an emergency laparotomy was performed. The liver was reintroduced to the abdominal cavity, and the diaphragmatic defect repaired using a synthetic mesh, resulting in resolution of symptoms and a smooth postoperative recovery. Our case highlights the need for efficient diagnosis of the diaphragmatic hernias in adults, even without the context of trauma. A prompt and adequate repair of the defect, usually interposing a synthetic mesh, allows for complete and relatively fast recovery.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533911","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
CT and MR imaging of a huge retroperitoneal synovial sarcoma: A case report 巨大腹膜后滑膜肉瘤的 CT 和 MR 成像：病例报告
Radiology Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.radcr.2024.09.151
Adam Sqalli Houssaini MD, Rachida Saouab PhD, Sara Essetti MD, Hassan En-nouali PhD, Jamal El Fenni PhD, Meriem Boui MD
{"title":"CT and MR imaging of a huge retroperitoneal synovial sarcoma: A case report","authors":"Adam Sqalli Houssaini MD,&nbsp;Rachida Saouab PhD,&nbsp;Sara Essetti MD,&nbsp;Hassan En-nouali PhD,&nbsp;Jamal El Fenni PhD,&nbsp;Meriem Boui MD","doi":"10.1016/j.radcr.2024.09.151","DOIUrl":"10.1016/j.radcr.2024.09.151","url":null,"abstract":"<div><div>Retroperitoneal synovial sarcoma is extremely rare, with only a few cases reported in the literature. The diagnosis is often made late, due to anatomical considerations, with common symptoms including low back pain and weight loss. Imaging is critical for diagnosis, often revealing a heterogenous mass with the “triple sign” and calcifications. The main differential diagnoses include liposarcoma, undifferentiated pleomorphic sarcoma and leiomyosarcoma. Surgical resection remains the treatment of choice, though it is not always feasible, which contributes to the poor prognosis. The presented case is a retroperitoneal synovial sarcoma in a 29 years old man with findings from ultrasound, computed tomography and magnetic resonance imaging.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533908","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
Acute necrotizing encephalopathy in an infant: A case report 婴儿急性坏死性脑病：病例报告
Radiology Case Reports Pub Date : 2024-10-23 DOI: 10.1016/j.radcr.2024.09.149
Elisamia Ngowi , Zeenat Juneja , Jacqueline Gabone , Maria Bulimba , Mohamedraza Ebrahim , Yaser Abdallah
{"title":"Acute necrotizing encephalopathy in an infant: A case report","authors":"Elisamia Ngowi ,&nbsp;Zeenat Juneja ,&nbsp;Jacqueline Gabone ,&nbsp;Maria Bulimba ,&nbsp;Mohamedraza Ebrahim ,&nbsp;Yaser Abdallah","doi":"10.1016/j.radcr.2024.09.149","DOIUrl":"10.1016/j.radcr.2024.09.149","url":null,"abstract":"<div><div>Acute necrotizing encephalopathy is a rare, severe neurological condition, characterized by symmetrical necrotic brain lesions affecting the thalamus, cerebral white matter, brain stem, and cerebellum. Diagnosis relies on characteristic clinical and radiological features. We describe a 10-month-old female infant presenting with multiple seizures following a brief febrile upper respiratory illness. MRI of the brain showed bilateral symmetrical abnormal signal intensities involving both thalami and caudate nucleus, consistent with ANE. Management of ANE is symptom-related but high-dose steroids and IVIG have been used. This case highlights the importance of recognizing ANE beyond its usual geographic distribution. Early recognition and prompt management help improve outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534028","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
Subcutaneous anterior abdominal wall myositis ossificans 皮下前腹壁骨化性肌炎
Radiology Case Reports Pub Date : 2024-10-21 DOI: 10.1016/j.radcr.2024.09.139
Nouran W. Molla MBBS, MSc, DABR, FRCPC
{"title":"Subcutaneous anterior abdominal wall myositis ossificans","authors":"Nouran W. Molla MBBS, MSc, DABR, FRCPC","doi":"10.1016/j.radcr.2024.09.139","DOIUrl":"10.1016/j.radcr.2024.09.139","url":null,"abstract":"<div><div>The differential diagnosis of abdominal wall lesions is broad and includes Myositis ossificans (MO). MO primarily arises in skeletal muscles, but can also occur around adjacent structures. It typically appears as a soft tissue lesion with peripheral rim of calcification. The Presented case is of 21-year-old woman with a right lower quadrant mass without a history of trauma but with a positive history of excessive exercise. Radiological images were nonspecific, and tissue biopsy showed features consistent with myositis ossificans. Follow up images revealed findings consistent with the histopathological diagnosis. This case highlights the nonspecific Imaging findings of MO in the early stages and that MO early stage can be prolonged.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533907","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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