Radiology Case Reports最新文献_第2页

An esophageal stent placement in a narrow distal esophagus stricture: A case report 食管支架置入食管远端狭窄1例报告

Radiology Case Reports Pub Date : 2025-07-29 DOI: 10.1016/j.radcr.2025.06.091

A.K. Eppy Buchori , Pramiadi , Aditia Nugraha , Harry Galuh Nugraha , Hilman , Leni Santiana , Dian Komala Dewi

引用次数: 0

Case report: Accessory cavitated uterine malformation: A diagnostic dilemma 病例报告：附件空腔子宫畸形：诊断困境

Radiology Case Reports Pub Date : 2025-07-29 DOI: 10.1016/j.radcr.2025.06.120

Karma Tenzing Bhutia, Ruchi Gupta, Ragunath Ponnusamy

引用次数: 0

A case report from osteosarcoma to SEF: A diagnostic pitfall with a rare metastatic pattern 从骨肉瘤到SEF的病例报告：具有罕见转移模式的诊断缺陷

Radiology Case Reports Pub Date : 2025-07-29 DOI: 10.1016/j.radcr.2025.06.116

Somaya Al Kiswani , Omar Daas , Mira Al Jabi , Mo’ath Shamiah , Abdullah Nofal , Yazan Dibas

{"title":"A case report from osteosarcoma to SEF: A diagnostic pitfall with a rare metastatic pattern","authors":"Somaya Al Kiswani , Omar Daas , Mira Al Jabi , Mo’ath Shamiah , Abdullah Nofal , Yazan Dibas","doi":"10.1016/j.radcr.2025.06.116","DOIUrl":"10.1016/j.radcr.2025.06.116","url":null,"abstract":"<div><div>Sclerosing epithelioid fibrosarcoma (SEF) is a rare and aggressive variant of fibrosarcoma with a deceptively bland histologic appearance but high metastatic potential, often leading to misdiagnosis and delayed treatment. We present a case of a 21-year-old male initially diagnosed with osteosarcoma due to progressive right proximal thigh pain and swelling. He was treated with perioperative chemotherapy (cisplatin and doxorubicin) and underwent limb-salvage surgery, but postoperative molecular testing revealed an Ewing Sarcoma Receptor 1 (EWSR1) gene rearrangement, confirming SEF. Despite surgery and systemic chemotherapy, the patient developed metastatic disease involving the lungs, adrenal glands, and spine. Aggressive treatments including multiple surgeries, radiotherapy, and chemotherapy (gemcitabine-docetaxel, ifosfamide) failed to halt disease progression. The patient transitioned to palliative care and eventually passed away. SEF is known for its slow progression, high metastatic potential, and resistance to conventional therapies. This case highlights the diagnostic challenges of SEF, the importance of molecular testing for accurate diagnosis, and the need for novel treatment strategies, as SEF remains highly resistant to current therapeutic options.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5216-5224"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722717","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}

引用次数: 0

Diagnostic challenge in isolated Neurosarcoidosis: A case report 孤立性神经结节病的诊断挑战：1例报告

Radiology Case Reports Pub Date : 2025-07-29 DOI: 10.1016/j.radcr.2025.06.110

Md. Deluwar Hussen MBBS , Zahin Shahriar MBBS , Zareen Tabassum MBBS

{"title":"Diagnostic challenge in isolated Neurosarcoidosis: A case report","authors":"Md. Deluwar Hussen MBBS , Zahin Shahriar MBBS , Zareen Tabassum MBBS","doi":"10.1016/j.radcr.2025.06.110","DOIUrl":"10.1016/j.radcr.2025.06.110","url":null,"abstract":"<div><div>Neuro-sarcoidosis is one of the uncommon manifestations of sarcoidosis that presents with diagnostic difficulties, particularly when the patient does not show any signs of extra-neural disease. We report an 18-year-old female with an initial manifestation of neck pain, vomiting, seizures and cranial nerves palsies. The first MRI showed the T2 Flair hyperintensity, cortical T1 hyperintensity, nodular leptomeningeal enhancement and small focus of restricted diffusion, which is an isolated finding in the neuro-sarcoidosis. Peripheral nerve biopsy showed the presence of a non-caseating granuloma. This case brings out the challenges of diagnosing neuro-sarcoidosis due to the diverse forms of neurological manifestation of the disease and its mimicry of other diseases such as multiple sclerosis. Sarcoidosis manifestations do not have strong systematic features, and hence, requires sophisticated clinical, radiological and CSF analysis for a provisional diagnosis. This case points to the diagnostic significance of neuro-sarcoidosis in patients developing the neurological manifestations, as well as the necessity for the multiple-disciplinary approach to the management of the disease.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5233-5238"},"PeriodicalIF":0.0,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723878","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}

引用次数: 0

Cardiac lipoma-induced neonatal hypoxemia: a case report underscoring radiological diagnosis and a literature review 心脏脂肪瘤引起的新生儿低氧血症：一个病例报告强调放射诊断和文献复习

Radiology Case Reports Pub Date : 2025-07-28 DOI: 10.1016/j.radcr.2025.06.098

Ahmad Al-Bitar , Ahmad Al Malla , Lana Redan , Israa Tellawi , Hussien Al Helbawi MD , Alwaleed Al-Dairy MD

引用次数: 0

Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRI 4D血流MRI对Budd-Chiari综合征血流动力学变化的一瞥识别

Radiology Case Reports Pub Date : 2025-07-28 DOI: 10.1016/j.radcr.2025.06.082

Minami Kinjo MD , Nanae Tsuchiya MD, PhD , Hitoshi Inafuku MD, PhD , Tatsuya Maeda MD , Yukari Tomori MD, PhD , Akihiro Nishie MD, PhD

引用次数: 0

Testicular varicocele embolization using CO2, gadolinium and lipiodol as contrast agents in a patient with an iodinated contrast allergy 碘造影剂过敏患者的睾丸精索静脉曲张栓塞使用CO2，钆和脂醇作为造影剂

Radiology Case Reports Pub Date : 2025-07-28 DOI: 10.1016/j.radcr.2025.06.107

Virjen Patel BSc (Hons), MBChB (Hons), FRCR , Benedict Thomson MBChB, MRCP, FRCR , Bisher Ghazal-Aswad MBBS, BSc (Hons) , Gregory C Makris MD, PhD, FRCR , Athanasios Diamantopoulos MD, PhD, EBIR, FCIRSE

{"title":"Testicular varicocele embolization using CO2, gadolinium and lipiodol as contrast agents in a patient with an iodinated contrast allergy","authors":"Virjen Patel BSc (Hons), MBChB (Hons), FRCR , Benedict Thomson MBChB, MRCP, FRCR , Bisher Ghazal-Aswad MBBS, BSc (Hons) , Gregory C Makris MD, PhD, FRCR , Athanasios Diamantopoulos MD, PhD, EBIR, FCIRSE","doi":"10.1016/j.radcr.2025.06.107","DOIUrl":"10.1016/j.radcr.2025.06.107","url":null,"abstract":"<div><div>A 44-year-old gentleman was referred to IR for varicocele embolization (VE) by the fertility clinic following investigation for oligospermia. A testicular ultrasound identified a left grade II varicocele. The patient had known anaphylaxis to water-soluble iodinated contrast. We planned to perform VE with a combination of alternative contrast agents. The procedure was performed under general anesthetic to mitigate the pain related to carbon dioxide angiography. Following standard venous access techniques of the right internal jugular vein, carbon dioxide was used as the main contrast agent with digital subtraction venogram, to confirm catheter selection of left testicular vein. This demonstrated a large varicocele. After coil deployment the gadolinium-based contrast agent Dotarem, was injected and venography used to confirm occlusion of the left testicular vein. Then a combination of 4 mL of 3% Fibro vein and 2 mL of Lipiodol was injected to achieve embolization of the testicular vein collaterals. The patient made an uneventful recovery. This is the first reported case of both carbon dioxide angiography and gadolinium being used in VE. It appears safe and effective. The use of alternative contrast media appears safe and effective in VE in those patients with contraindications to ionic agents. Due to their different properties, a combination of alternative contrast agents can be more effective than a single agent. We provide a pictorial review of the case and an educational summary on the indications and practical uses of various alternative contrast agents in IR procedures in a patient with a water-soluble iodinated contrast allergy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5205-5209"},"PeriodicalIF":0.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722715","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}

引用次数: 0

A case of invasive lobular carcinoma, highlighting the emerging role of 18F-Fluoroestradiol PET 侵袭性小叶癌1例，强调18f -氟雌二醇PET的新作用

Radiology Case Reports Pub Date : 2025-07-28 DOI: 10.1016/j.radcr.2025.06.105

Michael Wallace MMS, MS , Anahita Tavana MD , Amie Leon DO , Santo Maimone MD , Haley Letter MD

引用次数: 0

Spontaneous intramural hematoma of the small bowel in anticoagulated patients—Insights into management: A case report 抗凝患者自发性小肠壁内血肿的处理：1例报告

Radiology Case Reports Pub Date : 2025-07-28 DOI: 10.1016/j.radcr.2025.06.079

Ali Hajihashemi MD , Hadi Khanifar MD , Mahsa Geravandi MD

{"title":"Spontaneous intramural hematoma of the small bowel in anticoagulated patients—Insights into management: A case report","authors":"Ali Hajihashemi MD , Hadi Khanifar MD , Mahsa Geravandi MD","doi":"10.1016/j.radcr.2025.06.079","DOIUrl":"10.1016/j.radcr.2025.06.079","url":null,"abstract":"<div><div>Intramural hematoma of the small bowel is a rare but potentially life-threatening complication of anticoagulation therapy, most commonly associated with warfarin use. This report presents two cases highlighting the clinical presentation and management of this condition. The first case involved a 72-year-old male with a history of heart valve replacement who presented with severe abdominal pain, nausea, and vomiting; imaging revealed a jejunal intramural hematoma and a significantly elevated INR. The second case involved a 51-year-old female with atrial fibrillation who experienced acute abdominal pain and partial bowel obstruction; CT imaging showed an intramural hematoma in the ileum with associated hemoperitoneum. Both patients were treated conservatively through cessation of warfarin, administration of vitamin K, and transfusion of fresh-frozen plasma, with one requiring surgical exploration but no bowel resection. Full recovery was achieved in both cases, and patients were safely transitioned to direct oral anticoagulants with no recurrence. These cases underscore the need for prompt diagnosis and multidisciplinary management in anticoagulated patients presenting with abdominal symptoms to prevent serious complications and improve outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 10","pages":"Pages 5189-5195"},"PeriodicalIF":0.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144716119","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}

引用次数: 0

Postpartum red degeneration of uterine leiomyoma: A diagnostic dilemma—A case report 子宫平滑肌瘤产后红色变性：一个诊断困境- 1例报告

Radiology Case Reports Pub Date : 2025-07-28 DOI: 10.1016/j.radcr.2025.06.103

Shivali Rao MD , Anamika Jha MD , Bishal Panthi MD , Abhikanta Khatiwada MD

引用次数: 0