{"title":"Multiloculated cystic pelvic mass in a post-menopausal woman: A case of ovarian hydatid cyst mimicking malignancy","authors":"Anamika Jha MD , Abhikanta Khatiwada MD , Sharada Kc MD , Shivali Rao MD","doi":"10.1016/j.radcr.2025.09.027","DOIUrl":"10.1016/j.radcr.2025.09.027","url":null,"abstract":"<div><div>Ovarian hydatid disease is a rare manifestation of echinococcosis and can mimic ovarian malignancy on imaging, leading to diagnostic challenges. We present the case of a 54-year-old postmenopausal female from rural Nepal who presented with lower abdominal pain for several weeks. Initial imaging findings raised suspicion for ovarian malignancy; however, detailed evaluation and correlation with serologic testing confirmed the diagnosis of hydatid disease. This case underscores the importance of considering hydatid disease in the differential diagnosis of cystic pelvic masses, especially in patients from endemic regions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 1","pages":"Pages 33-36"},"PeriodicalIF":0.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223661","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}
{"title":"A rare ovarian tumor in childhood: Juvenile granulosa cell tumor revealed by pelvic pain and ovarian torsion","authors":"Karim Haddar MD, Hicham Benramdane MD, Leila Haddar MD, Hamid Ziani MD, Siham Nasri MD, PhD, Imane Kamaoui MD, PhD, Imane Skiker MD, PhD","doi":"10.1016/j.radcr.2025.08.014","DOIUrl":"10.1016/j.radcr.2025.08.014","url":null,"abstract":"<div><div>We report the case of a 5-year-old girl admitted with a one-month history of pelvic heaviness and acute pelvic pain. Imaging revealed a large heterogeneous pelvic mass involving the genital compartment, with features suggestive of a malignant ovarian tumor. MRI demonstrated a 41 × 57 × 48 mm solid mass with heterogeneous enhancement, restricted diffusion, and areas of necrosis, infiltrating the recto-sigmoid junction. Tumor markers including AFP and beta-hCG were negative, while LDH was mildly elevated. Surgical exploration revealed an encapsulated left ovarian mass with 2 twists of the adnexa, prompting detorsion and partial oophorectomy. Histopathology confirmed a juvenile granulosa cell tumor. Postoperative recovery was uneventful. This case highlights the importance of considering JGCT in the differential diagnosis of ovarian masses in prepubertal girls, the value of advanced imaging for characterization and surgical planning, and the excellent prognosis associated with early surgical management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 1","pages":"Pages 49-53"},"PeriodicalIF":0.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223564","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}
Le Thanh Dung , Vu Tien The , Truong Ngoc Son , Vu Van Tuyen , Nguyen Ngoc Son , Le Dinh Minh , Tran Van Ngoc , Le Tuan Vu , To Tuan Linh , Tran Quang Loc MD
{"title":"Endovascular treatment of a deltoid arteriovenous fistula using a combined approach of endovascular intervention and percutaneous embolization","authors":"Le Thanh Dung , Vu Tien The , Truong Ngoc Son , Vu Van Tuyen , Nguyen Ngoc Son , Le Dinh Minh , Tran Van Ngoc , Le Tuan Vu , To Tuan Linh , Tran Quang Loc MD","doi":"10.1016/j.radcr.2025.09.020","DOIUrl":"10.1016/j.radcr.2025.09.020","url":null,"abstract":"<div><div>Arteriovenous malformations (AVMs) are congenital, high-flow vascular lesions that can result in serious complications. We report the case of a 31-year-old male with an AVM located in the right deltoid muscle, diagnosed using Doppler ultrasound and computed tomography. The patient was successfully treated with a combined approach of endovascular intervention and percutaneous embolization. The procedure utilized NBCA:Histocryl glue to achieve complete occlusion of the nidus, with post-treatment follow-up demonstrating no residual abnormal flow signals. This report highlights the critical role of imaging in diagnosis and the effectiveness of combined therapeutic strategies in the management of peripheral AVMs.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6305-6309"},"PeriodicalIF":0.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221051","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}
{"title":"Imaging-guided diagnosis and treatment of severe deep thigh infection: Key considerations for limb-salvage over disarticulation","authors":"Amine El Farhaoui MD , Ouissal Lekehal MD , Yassine Batou MD , Najib abdeljaouad MD , Hicham Yacoubi MD","doi":"10.1016/j.radcr.2025.09.011","DOIUrl":"10.1016/j.radcr.2025.09.011","url":null,"abstract":"<div><div>Deep thigh infections can rapidly escalate to life-threatening sepsis, necessitating a multidisciplinary treatment approach. While successive debridements are crucial for removing necrotic tissue, in some cases, they may be insufficient, making more aggressive procedures like hip disarticulation a consideration. However, even in severe infections, a conservative approach can sometimes be successful, as demonstrated in our case report. This highlights the importance of not making quick decisions based solely on radiological and biological data; intraoperative findings and the patient's overall condition can significantly influence the outcome, potentially saving both limb and life</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 1","pages":"Pages 54-58"},"PeriodicalIF":0.0,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223658","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}
Suleyman Fantahun Endris MD , Bereket Girum Beyene MD , Desalegn Fekadu Wadaja MD , Michael Teklehaimanot Abera MD
{"title":"Two congenital intestinal bands, a rare cause of intestinal obstruction in a young adult, a case report","authors":"Suleyman Fantahun Endris MD , Bereket Girum Beyene MD , Desalegn Fekadu Wadaja MD , Michael Teklehaimanot Abera MD","doi":"10.1016/j.radcr.2025.08.096","DOIUrl":"10.1016/j.radcr.2025.08.096","url":null,"abstract":"<div><div>Intestinal bands in a virgin abdomen with no prior surgery and/or chronic inflammation are considered congenital in origin. A category of these bands, also known as anomalous bands, has an unexplained origin and is a very rare cause of intestinal obstruction in adults. It is even rarer to find 2 of these bands in a single patient. To the best of our knowledge, only 1 case has been reported so far. We present the second case of intestinal obstruction in a young female caused by 2 anomalous congenital bands successfully managed by laparotomy and band resection. Our report highlights the imaging features of congenital intestinal bands, as well as the importance of considering them as an underlying cause of obstruction in adults.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6290-6293"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221057","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}
Ibrahim Salum MD , Idd J. Kenedy MD , Michael J. Ephraem MD , Ashley Rafael MD , Glory Mangi MD , Eusebius Maro MD , Godwin Mselle MD , Stephen Gondwe MD , Alex Mremi MD
{"title":"Management of a huge ovarian cyst in a first trimester pregnant woman: A case report","authors":"Ibrahim Salum MD , Idd J. Kenedy MD , Michael J. Ephraem MD , Ashley Rafael MD , Glory Mangi MD , Eusebius Maro MD , Godwin Mselle MD , Stephen Gondwe MD , Alex Mremi MD","doi":"10.1016/j.radcr.2025.09.015","DOIUrl":"10.1016/j.radcr.2025.09.015","url":null,"abstract":"<div><div>Massively huge ovarian cysts during pregnancy are relatively uncommon, and the occurrence of a large ovarian cyst in the first trimester presents diagnostic and therapeutic challenges. Herein, we report a rare case of a huge ovarian cyst identified during the first trimester of pregnancy in a 26-year-old primigravida at 13 weeks of gestation who presented to the antenatal clinic with complaints of abdominal bloating and intermittent lower abdominal pain. Obstetric history was unremarkable. On examination, abdominal distension was noted. A transabdominal ultrasound revealed a large unilocular cystic mass measuring approximately 27 cm × 14 cm, separate from the gestational sac, suggestive of an ovarian origin. The fetus appeared viable with appropriate growth for gestational age. An MRI confirmed a large right ovarian cyst with no solid components or papillary projections, consistent with a benign etiology. Due to increasing abdominal discomfort and risk of torsion, the patient was planned for surgical management. Laparotomy was performed at 13 weeks gestation under general anesthesia. The huge right ovarian cyst was excised. The contralateral ovary was preserved. Histopathological examination confirmed a diagnosis of benign follicular cyst. Postoperative recovery was uneventful. The pregnancy progressed normally. This case highlights the importance of early detection, careful monitoring, and individualized management of large adnexal masses during pregnancy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6294-6298"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221058","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}
{"title":"Unilateral absent pulmonary artery (UAPA) with patent ductus arteriosus (PDA) in a young woman with repeated respiratory infection: A case report","authors":"Abdi Alemayehu Dhuguma MD, Suleyman Fantahun MD, Eyerusalem Getachew MD, Fami Zekeriya MD, Demisu Alemu MPH","doi":"10.1016/j.radcr.2025.08.095","DOIUrl":"10.1016/j.radcr.2025.08.095","url":null,"abstract":"<div><div>Unilateral absent pulmonary artery (UAPA) first introduced in literatures by Oscar Fraentzel in 1898 is a rare vascular anomaly where the main pulmonary artery, rather than bifurcating, gives a solitary pulmonary artery branch to one of the lungs. The other lung, on the affected side, gets blood supply through collateral circulations, frequently through enlarged bronchial arteries. It is seen in 1 in 200,000 live births. It occurs due to the involution of the proximal sixth aortic arch on one side resulting in a unilateral absent pulmonary artery. The diagnosis can be made using contrast-enhanced CT and MRI images. Cases of UAPA can be seen in infants presenting with congestive cardiac failure and pulmonary arterial hypertension (PAH). Undiagnosed cases can result in repeated respiratory infections, complicating with bronchiectasis, pulmonary hypertension, and fibrosis gradually reducing the patient’s quality of life. In adults, the diagnosis is sometimes made with cross-sectional studies when investigating causes of repeated respiratory infection or hemoptysis. We report a case of right-side UAPA with patent ductus arteriosus (PDA) and early signs of PAH in a 24-year-old female patient with a previous history of repeated respiratory infection uncovered during contrast-enhanced chest CT imaging.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6285-6289"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221055","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}
{"title":"Unmasking an idiopathic reno-caval fistula: A rare etiology of right-sided high-output heart failure","authors":"Wissarut Sakulpaptong MD , Choutchung Tinakorn Na Ayudhya MD , Luxica Jarutasnangkul MD , Sittinop Titichoatrattana MD , Suphot Srimahachota MD , Pairoj Chattranukulchai MD","doi":"10.1016/j.radcr.2025.09.017","DOIUrl":"10.1016/j.radcr.2025.09.017","url":null,"abstract":"<div><div>An aortocaval fistula is a rare vascular connection between the aorta and inferior vena cava, often caused by abdominal aortic aneurysm, trauma, or infection. It can result in high-output heart failure due to increased venous return and reduced systemic vascular resistance, typically presenting with right-sided symptoms. Renal arteriovenous and reno-caval fistulas are even rarer, with no prior reports of spontaneous idiopathic reno-caval fistulas. A 67-year-old man with hypertension and paroxysmal atrial fibrillation presented with 10 months of generalized edema and exertional dyspnea. He had no history of abdominal trauma or surgery. Examination revealed signs of congestive heart failure and a central abdominal bruit. Echocardiography showed chamber dilation and pulmonary hypertension. Computed tomographic angiography identified a right reno-caval fistula between the right renal artery and inferior vena cava, with associated right renal infarction. The patient underwent successful endovascular embolization using a vascular plug, with gradual resolution of symptoms and improved echocardiographic findings. In cases of high-output heart failure with right-sided symptoms, arteriovenous fistula should be considered, as specific interventions can be highly effective. This rare case underscores the value of a multimodal diagnostic approach combining clinical evaluation and imaging to ensure accurate diagnosis and successful treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6299-6304"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221054","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}
Samiksha Lamichhane MD , Suraj KC MS , Shritik Devkota MD , Bed Prakash Sah MS , Suresh Prasad Sah MS
{"title":"Solid pseudopapillary epithelial neoplasm of the pancreatic head: A case report of an atypical site for a rare tumor","authors":"Samiksha Lamichhane MD , Suraj KC MS , Shritik Devkota MD , Bed Prakash Sah MS , Suresh Prasad Sah MS","doi":"10.1016/j.radcr.2025.08.091","DOIUrl":"10.1016/j.radcr.2025.08.091","url":null,"abstract":"<div><div>Solid pseudopapillary epithelial neoplasms (SPENs) are rare pancreatic tumors, primarily affecting young women and typically located in the pancreatic tail. Occurrence in the pancreatic head is uncommon. Clinical presentation is often asymptomatic, though some patients may develop vague abdominal pain or a gradually enlarging abdominal mass. In head lesions, obstructive jaundice may also occur. SPENs are considered low-grade malignant tumors with potential for local invasion and distant metastasis, most commonly to the liver and omentum. As they lack specific tumor markers, cross-sectional imaging is crucial for diagnosis and surgical planning. Resection remains the mainstay of treatment, with excellent outcomes and 5-year survival rates approaching 97%. We present a rare case of SPEN arising in the pancreatic head, successfully treated with a Whipple’s procedure.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6269-6273"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221059","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}
{"title":"Sigmoid sinus dural arteriovenous fistula presenting with pulsatile tinnitus in the postpartum period: A case report","authors":"Yoshinobu Kamio MD, PhD, Hiroaki Neki MD, PhD, Tomohiro Yamasaki MD, PhD, Tomoya Oishi MD, PhD, Yudai Yamashiro MD, Shinnosuke Fukami MD, Sayaka Ito MD, Kazuhiko Kurozumi MD, PhD","doi":"10.1016/j.radcr.2025.08.052","DOIUrl":"10.1016/j.radcr.2025.08.052","url":null,"abstract":"<div><div>Pregnancy and the postpartum period are acknowledged as potential risk factors for cerebrovascular disease. Nonetheless, dural arteriovenous fistulas (DAVFs) identified during the postpartum period have been infrequently documented. A 31-year-old woman with no prior medical history experienced sudden-onset pulsatile tinnitus in the left ear immediately following childbirth. Time-of-flight magnetic resonance angiography revealed a high-signal intensity lesion surrounding the left sigmoid sinus. Subsequent cerebral angiography demonstrated a left-sided sigmoid sinus dural arteriovenous fistula draining into the left sigmoid sinus, with antegrade venous flow and retrograde reflux into the contralateral transverse sinus, but without cortical venous reflux. Transarterial embolization was successfully performed, resulting in complete resolution of the tinnitus. We propose that hormonal fluctuations and hemodynamic changes, including elevated venous pressure associated with pregnancy and the postpartum period, may contribute to the development of DAVFs.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6257-6261"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145221015","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}