Radiology Case Reports最新文献_第2页

Challenging the giant: A case report on a huge sacrococcygeal chordoma and its radiological insights

Radiology Case Reports Pub Date : 2024-12-02 DOI: 10.1016/j.radcr.2024.10.157

Sakshi Dudhe MBBS , Devyansh Nimodia MBBS , Gaurav V. Mishra MD , Pratapsingh H. Parihar MD , Paritosh Bhangale MBBS , Anjali Kumari MBBS , Rishitha Kotla MBBS

{"title":"Challenging the giant: A case report on a huge sacrococcygeal chordoma and its radiological insights","authors":"Sakshi Dudhe MBBS , Devyansh Nimodia MBBS , Gaurav V. Mishra MD , Pratapsingh H. Parihar MD , Paritosh Bhangale MBBS , Anjali Kumari MBBS , Rishitha Kotla MBBS","doi":"10.1016/j.radcr.2024.10.157","DOIUrl":"10.1016/j.radcr.2024.10.157","url":null,"abstract":"<div><div>Sacral chordoma is a rare osseous tumor of malignant origin. Remnants of the notochord in the region of sacrum and coccyx is said to be the origin of these tumors. Patients generally have delayed presentation, which is responsible for larger tumor size. Early detection of sacral chordoma is therefore very important. We present a clinical case on a 56-year-old male patient who presented with chronic lower back pain for 3 years, predominantly in the sacral region. He also had occasional bouts of constipation. Diagnostic imaging modalities used encompass ultrasonography, magnetic resonance imaging, and computed tomography scans. Radiological imaging of this patient revealed a giant mass within the pelvis. The mass was involving the lower sacrum and coccyx region predominantly. Associated local osteolytic changes were also noted, which are a characteristic feature of sacral chordoma. The patient underwent surgical excision of the tumor. Subsequent histopathological analysis gave the diagnosis of chordoma of sacral region.</div><div>Sacral chordoma should be a consideration in differential diagnosis whenever the patient presents with persistent chronic lumbosacral pain, discomfort, and neurological impairments. Surgical excision followed by radiotherapy is useful in improving clinical outcomes for individuals diagnosed with sacral chordoma. This enhances overall patient prognosis and reduces the risk of local recurrence. The diagnosis of sacral chordoma is a challenge for diagnostic radiologists. Quicker identification, assertive surgical intervention, and suitable adjuvant therapies for chordoma are essential for enhancing patient outcomes and effectively managing this uncommon malignancy called chordoma.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1170-1174"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759194","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 soft tissue chondroblastoma of the quadratus femoris muscle: A case report and literature review

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.10.143

Yassine Batou , Amine El Farhaoui , Hamza Margoum , Hicham Hawach , Anass Sefti , Adnane Lachkar , Najib Abdeljaouad , Hicham Yacoubi

引用次数: 0

Mycotic aortic aneurysm secondary to spondylodiscitis: A case report and review

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.10.154

Hicham Benramdane , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker

{"title":"Mycotic aortic aneurysm secondary to spondylodiscitis: A case report and review","authors":"Hicham Benramdane , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker","doi":"10.1016/j.radcr.2024.10.154","DOIUrl":"10.1016/j.radcr.2024.10.154","url":null,"abstract":"<div><div>Mycotic aneurysms are a rare but potentially life-threatening complication of infections, particularly those involving the spine. Spondylodiscitis, a bacterial or fungal infection of the intervertebral disc, is a known risk factor for the development of mycotic aneurysms. Early diagnosis and prompt treatment are crucial for improving patient outcomes. We report the case of a 79-year-old patient with a history of diabetes admitted for chronic back pain refractory to medical treatment. A cervico-thoraco-abdomino-pelvic CT scan showed infectious spondylodiscitis at the lumbar level complicated by a mycotic aneurysm of the infrarenal abdominal aorta. This case highlights the diagnostic challenges associated with mycotic aneurysms, particularly when they arise from a contiguous infectious focus. Imaging modalities, such as computed tomography (CT) and magnetic resonance imaging (MRI), play a pivotal role in identifying these aneurysms and assessing their extent.</div><div>The patient underwent surgical management of the spondylodiscitis and the mycotic aneurysm. A stent was placed to reinforce the weakened aortic wall and prevent rupture. Postoperative management included long-term antibiotic therapy to eradicate the infection. The patient experienced a favorable outcome, with resolution of symptoms and improved quality of life.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1156-1159"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756677","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

First recorded isolation of Mycobacterium kansasii in a nonendemic setting

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.10.151

Jana Dajani MD , Ali Shakhshir MD , Ayham Sawalmeh MD , Ameer Awashra MD , Mo'tasem Dweekat MD , Khaled Al-ali MD , Ahmad Mohammad Adnan fatayer MD

{"title":"First recorded isolation of Mycobacterium kansasii in a nonendemic setting","authors":"Jana Dajani MD , Ali Shakhshir MD , Ayham Sawalmeh MD , Ameer Awashra MD , Mo'tasem Dweekat MD , Khaled Al-ali MD , Ahmad Mohammad Adnan fatayer MD","doi":"10.1016/j.radcr.2024.10.151","DOIUrl":"10.1016/j.radcr.2024.10.151","url":null,"abstract":"<div><div>Nontuberculous mycobacteria (NTM) are a diverse group of environmental mycobacteria found ubiquitously in soil and water, causing infections that typically arise from environmental exposure rather than person-to-person transmission. This case report documents the first known detection of <em>Mycobacterium kansasii</em> in our region, emphasizing the clinical challenges and diagnostic complexities associated with NTM infections. The case involves a 37-year-old male with a significant smoking history who presented with progressively worsening cough, significant weight loss, and bilateral cavitary lung lesions. Initial diagnostic efforts, including tests for tuberculosis and malignancy, were inconclusive. However, subsequent bronchoalveolar lavage confirmed the presence of <em>M. kansasii</em>, leading to a year-long treatment regimen. This report signifies a critical step in recognizing the burden of NTM infections in region, a region where comprehensive epidemiological data are lacking. The rising global incidence of NTM lung disease and its association with underlying lung conditions and immunocompromised states further underscore the importance of this case, particularly given the diagnostic overlap with more common conditions like tuberculosis. This case calls attention to the need for optimized local diagnostic criteria and the potential for NTM to be a causative agent of community-acquired pneumonia.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1135-1140"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746032","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

WEBINO: A unique neuro-ophthalmological manifestation of the unilateral mid-brain cerebrovascular event

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.10.135

Avinash Parepalli MD , Saket Satyasham Toshniwal MD , Jiwan Kinkar S DM , Sourya Acharya PhD , Nikhil Reddy B MD

{"title":"WEBINO: A unique neuro-ophthalmological manifestation of the unilateral mid-brain cerebrovascular event","authors":"Avinash Parepalli MD , Saket Satyasham Toshniwal MD , Jiwan Kinkar S DM , Sourya Acharya PhD , Nikhil Reddy B MD","doi":"10.1016/j.radcr.2024.10.135","DOIUrl":"10.1016/j.radcr.2024.10.135","url":null,"abstract":"<div><div>WEBINO (wall eye intranuclear ophthalmoplegia) is a specific type of neuroophthalmological condition that occurs due to a lesion in the MLF (medial longitudinal fasciculus), which causes unique symptoms characterized by bilateral adduction (inward movement of the eyes) impairment. Still, the abduction (outward movement of the eyes) may be preserved, and nystagmus during abduction is seen along with severe exotropia (outward movement of the eyes). In this case report, we report a 65-year-old male with a sudden onset of double vision, which he noticed while watching television, associated with a certain degree of vision loss and right-sided weakness of the body. Upon investigation, his imaging revealed an ischemic lesion in the unilateral midbrain involving his MLF. Lessons learned from this case are: This case spotlights the need for recognizing the WEBINO in cases of cerebrovascular events. It points out that for early diagnosis and proper treatment of WEBINO to achieve better results, there is a low incidence of stroke as the cause, more research is required, or better prognosis and treatment strategies in patients of WEBINO. It also underlines the need of comprehensive treatment measures, such as risk factor reduction and rehabilitation, for improving recovery and preventing future cerebrovascular episodes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1160-1164"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756679","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

Corrigendum to “A rare case: Transcatheter coil embolization in a patient with cystic duct stump injury following cholecystectomy” [Radiol Case Rep J. 2025;1(20) 406–409]

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.11.003

Furkan Özdem MD, Saffet Ozturk MD, Umut Asfuroğlu MD, Sadik Ahmet Uyanik MD

引用次数: 0

Atypical presentation of spontaneous urinoma: A case report

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.10.145

Shivali Rao, Abhikanta Khatiwada, Bikram Thapa, Pradeep Raj Regmi, Ajit Thapa

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Endovascular occlusion of vertebro-vertebral arteriovenous fistula using detachable balloons: A case report

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.11.017

Linh Hoang Duong MD , Giang Luu Nguyen MD , Tran Tran Nguyen MD , Thang Minh Le MD , Luan Minh Bao Tran PhD

{"title":"Endovascular occlusion of vertebro-vertebral arteriovenous fistula using detachable balloons: A case report","authors":"Linh Hoang Duong MD , Giang Luu Nguyen MD , Tran Tran Nguyen MD , Thang Minh Le MD , Luan Minh Bao Tran PhD","doi":"10.1016/j.radcr.2024.11.017","DOIUrl":"10.1016/j.radcr.2024.11.017","url":null,"abstract":"<div><div>Vertebro-vertebral arteriovenous fistula (VV-AVF) is an uncommon vascular disorder characterized by an abnormal direct connection between the extracranial vertebral artery (VA), as well as the first and second branches of subclavian arteries, and the draining veins of the paravertebral venous plexus. Endovascular occlusion or surgical ligation of the high-flow arteriovenous fistula is the main goal of treatment for VV-AVF, but there are no guidelines for the best treatment to date. Endovascular treatment is the primary treatment procedure due to its safety, effectiveness, and simplicity. We reported a rare clinical case of the endovascular approach used for occlusion of VV-AVF. A 52-year-old female patient with no history of trauma was presented with right neck pain for a month. Diagnostic angiography demonstrated a high-flow VV-AVF at C3-C4 level. After endovascular occlusion with detachable-balloon embolization, the fistula was completely obliterated. To our knowledge, endovascular occlusion for VV-AVF patients is safe and effective. Detachable balloon embolization can be considered a well-tolerated treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1151-1155"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756678","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

Spontaneous cervical and mediastinal hematoma due to rupture of inferior thyroid artery

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.11.014

Takayuki Yamada MD, PhD , Satoru Yanagaki MD, PhD , Nozomi Satani MD, PhD , Yuriko Kagaya MD , Tomoni Sato MD, PhD , Tomonori Matsuura MD, PhD , Teruyuki Sato MD, PhD , Naoya Noguchi MD, PhD , Nobuo Ohta MD, PhD

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Beyond the pelvis: A case of umbilical endometriosis

Radiology Case Reports Pub Date : 2024-11-30 DOI: 10.1016/j.radcr.2024.10.146

Hicham Benramdane , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker

引用次数: 0