Radiology Case Reports最新文献_第4页

Obturator internus abscess and superior ramus osteomyelitis: A case report in a pediatric patient 小儿闭孔内脓肿及上支骨髓炎1例报告

Radiology Case Reports Pub Date : 2025-09-26 DOI: 10.1016/j.radcr.2025.09.013

Laith Mohammad Al Hseinat MD , Ahmad Khaled Othman MD , Mohammad Adel Al Saaideh MD , Omar Mohammad Al-Qudah MD , Bashar Omer Al Khawaled MD , Karees Khattab MD , Omar Rasmi Al-Tarawneh MD , Faisal Hussein Al Khraisha MD , Alia AlKhlaifat MD

{"title":"Obturator internus abscess and superior ramus osteomyelitis: A case report in a pediatric patient","authors":"Laith Mohammad Al Hseinat MD , Ahmad Khaled Othman MD , Mohammad Adel Al Saaideh MD , Omar Mohammad Al-Qudah MD , Bashar Omer Al Khawaled MD , Karees Khattab MD , Omar Rasmi Al-Tarawneh MD , Faisal Hussein Al Khraisha MD , Alia AlKhlaifat MD","doi":"10.1016/j.radcr.2025.09.013","DOIUrl":"10.1016/j.radcr.2025.09.013","url":null,"abstract":"<div><div>Obturator internus muscle (OIM) abscess associated with pelvic superior ramus osteomyelitis is a rare condition, most often described in children following trauma or strenuous muscular activity. Positive blood cultures, when present, are typically due to <em>Staphylococcus aureus</em>. We report the case of a 12-year-old male who presented to the Emergency Department at Prince Ali Military Hospital, Al-Karak, in March 2024 with fever and right hip pain. Magnetic resonance imaging (MRI) confirmed an OIM abscess with superior ramus osteomyelitis. Culture of drained pus and soft tissue samples grew <em>Staphylococcus aureus</em>. The patient underwent surgical drainage and received intravenous antibiotics, which led to full recovery. This case highlights a rare presentation of OIM abscess with associated pelvic osteomyelitis. Early recognition, timely surgical drainage and debridement, combined with systemic antibiotic therapy, can lead to excellent outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6216-6223"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158721","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

Fatality following tumor Liquefaction and hemorrhage after microwave ablation for pulmonary tumor: A case report 肺部肿瘤微波消融后肿瘤液化出血致病死率1例

Radiology Case Reports Pub Date : 2025-09-26 DOI: 10.1016/j.radcr.2025.09.009

Zhi-Sen Yang, Ya-Jie Sun

引用次数: 0

A rare case of bilateral rectus sheath hematoma due to anticoagulation: An abdominal CT scan revelation 抗凝所致双侧直肌鞘血肿一例：腹部CT显示

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.08.069

Amer Abu-Shanab MD , Forat Alomoush MD , Anmol Multani MD , Zainab Gandhi MD , Doantrang Du MD , Joseph Parambil MD

{"title":"A rare case of bilateral rectus sheath hematoma due to anticoagulation: An abdominal CT scan revelation","authors":"Amer Abu-Shanab MD , Forat Alomoush MD , Anmol Multani MD , Zainab Gandhi MD , Doantrang Du MD , Joseph Parambil MD","doi":"10.1016/j.radcr.2025.08.069","DOIUrl":"10.1016/j.radcr.2025.08.069","url":null,"abstract":"<div><div>Rectus sheath hematoma (RSH) is an uncommon yet clinically significant cause of acute abdominal pain, often overlooked due to its variable presentation and resemblance to other intra-abdominal pathologies. Predisposing factors include anticoagulation therapy, trauma, pregnancy, and strenuous activity, with anticoagulation-associated RSH carrying particularly high morbidity and mortality. We report a case of bilateral RSH in a 68-year-old female with multiple comorbidities, including atrial fibrillation, who was admitted for community-acquired pneumonia. During hospitalization, she developed atrial flutter with rapid ventricular response, necessitating a transition from her home apixaban to therapeutic-dose low molecular weight heparin (LMWH) in anticipation of potential cardioversion or invasive procedures. Later, she experienced sudden-onset severe abdominal pain and distension, accompanied by a marked hemoglobin drop (from 10.2 g/dL to 7.4 g/dL). An emergent abdominal CT scan confirmed bilateral RSH without active extravasation. Given hemodynamic stability, she was managed conservatively with packed red blood cell transfusions, serial hemoglobin monitoring, analgesia, and warm compresses. Her condition improved gradually, with no further bleeding or recurrence of arrhythmia. To our knowledge, this is the second reported case of bilateral RSH linked to LMWH use.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6147-6150"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145121254","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

MRI features of primary pancreatic lymphoma in a young child: a case report 幼儿原发性胰腺淋巴瘤的MRI表现：1例报告

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.09.002

Tsega Hagos Mehari MD , Misiker Gebremariam Waktola MD

{"title":"MRI features of primary pancreatic lymphoma in a young child: a case report","authors":"Tsega Hagos Mehari MD , Misiker Gebremariam Waktola MD","doi":"10.1016/j.radcr.2025.09.002","DOIUrl":"10.1016/j.radcr.2025.09.002","url":null,"abstract":"<div><div>Primary pancreatic lymphoma is a rare type of extranodal lymphoma that originates within the pancreas. It is exceptionally uncommon in the pediatric population and requires a high index of suspicion for timely diagnosis. Differentiating Primary pancreatic lymphoma from other pancreatic tumors is crucial, as it is primarily managed with chemotherapy rather than surgical intervention. Magnetic resonance imaging, with its superior soft-tissue contrast and multiplanar capabilities, plays a pivotal role in identifying characteristic features of lymphoma. These include a well-defined, homogenous hypo-enhancing mass, evidence of diffusion restriction, and the absence of pancreatic ductal dilatation or parenchymal atrophy, all of which can support early and accurate diagnosis. We present a case of pathologically confirmed primary pancreatic lymphoma in a 3-year-old girl who initially presented with a dry cough of 3 weeks' duration. The pancreatic mass was incidentally discovered on a chest CT scan performed to investigate her respiratory symptoms, and an MRI further characterized the lesion before histologic confirmation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6163-6166"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159501","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

Giant ischial osteochondroma causing ischiofemoral impingement and sciatic nerve compression in a pediatric patient with Albright’s hereditary osteodystrophy 巨大坐骨骨软骨瘤引起坐骨股骨撞击和坐骨神经压迫的儿童患者的遗传性骨营养不良

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.08.075

Travis Jebackumar MS , Ryan Johnson MS , Avery Schroeder MD , Claudio Silveri MD , Jan Lesensky MD, PhD , Ana C. Belzarena MD, MPH, MBA

{"title":"Giant ischial osteochondroma causing ischiofemoral impingement and sciatic nerve compression in a pediatric patient with Albright’s hereditary osteodystrophy","authors":"Travis Jebackumar MS , Ryan Johnson MS , Avery Schroeder MD , Claudio Silveri MD , Jan Lesensky MD, PhD , Ana C. Belzarena MD, MPH, MBA","doi":"10.1016/j.radcr.2025.08.075","DOIUrl":"10.1016/j.radcr.2025.08.075","url":null,"abstract":"<div><div>An 8-year-old female with Albright’s hereditary osteodystrophy (AHO) presented with severe right buttock pain, difficulty walking, and a palpable mass in the right ischiofemoral region. Imaging studies demonstrated a large, ossified lesion compressing the sciatic nerve. Surgical resection of the mass resulted in complete resolution of symptoms and restoration of normal gait and function. AHO is a rare genetic disorder caused by mutations in the GNAS1 gene and is characterized by musculoskeletal abnormalities, including a predisposition to subcutaneous ossifications. While osteochondromas are typically asymptomatic, they can cause significant clinical symptoms when they enlarge or impinge on adjacent neurovascular structures. This case illustrates the rare co-occurrence of AHO and a symptomatic giant osteochondroma, underscoring the importance of early recognition and surgical intervention to prevent functional impairment due to neurovascular compression.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6189-6195"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159503","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

Wernicke encephalopathy revealing occult gastric adenocarcinoma: Radiological and clinical insights 揭示隐蔽性胃腺癌的韦尼克脑病：放射学和临床见解

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.08.078

Hind Qajia MD , Chaimaa Jabbari MD , Salma El Kadiri MD , Saleck Choumad MD , Yassine Eddahoumi MD , Omar El Aoufir PHD , Laila Jroundi PHD

{"title":"Wernicke encephalopathy revealing occult gastric adenocarcinoma: Radiological and clinical insights","authors":"Hind Qajia MD , Chaimaa Jabbari MD , Salma El Kadiri MD , Saleck Choumad MD , Yassine Eddahoumi MD , Omar El Aoufir PHD , Laila Jroundi PHD","doi":"10.1016/j.radcr.2025.08.078","DOIUrl":"10.1016/j.radcr.2025.08.078","url":null,"abstract":"<div><div>Wernicke’s encephalopathy (WE) is an acute neuropsychiatric disorder caused by thiamine deficiency, often underdiagnosed in non-alcoholic patients. We report a rare case of Wernicke encephalopathy in a 60-year-old male presenting with diplopia, dizziness, and gait instability secondary to prolonged vomiting and malnutrition.</div><div>Contrast-enhanced thoracoabdominal CT revealed irregular wall thickening of the antropyloric region of the stomach with heterogeneous soft-tissue density and multiple hepatic hypodense lesions showing peripheral enhancement, consistent with metastatic spread. Brain MRI demonstrated symmetric FLAIR hyperintensities involving the medial thalami, mammillary bodies, and periaqueductal gray matter, without diffusion restriction, consistent with Wernicke encephalopathy. Lesions measured 3mm in the mammillary bodies. Prompt administration of thiamine led to rapid clinical improvement.</div><div>This case is notable as occult gastric cancer presented primarily through neurological symptoms of WE, highlighting the importance of considering neoplastic causes in non-alcoholic presentations.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6159-6162"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158722","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

Intra-arterial fasudil infusion for symptomatic cerebral vasospasm following clipping of an unruptured middle cerebral artery aneurysm: A case report and literature review 法舒地尔动脉内灌注治疗未破裂的大脑中动脉瘤夹闭后出现的症状性脑血管痉挛：1例报告并文献复习

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.09.010

Noriaki Ashida MD, PhD , Atsushi Fujita MD, PhD , Young Ju Kim MD , Shunsuke Yamanishi MD, PhD , Yusuke Ikeuchi MD, PhD , Kazuhiro Tanaka MD, PhD , Yoichi Uozumi MD, PhD , Masamitsu Nishihara MD, PhD , Kohkichi Hosoda MD, PhD , Takashi Sasayama MD, PhD

{"title":"Intra-arterial fasudil infusion for symptomatic cerebral vasospasm following clipping of an unruptured middle cerebral artery aneurysm: A case report and literature review","authors":"Noriaki Ashida MD, PhD , Atsushi Fujita MD, PhD , Young Ju Kim MD , Shunsuke Yamanishi MD, PhD , Yusuke Ikeuchi MD, PhD , Kazuhiro Tanaka MD, PhD , Yoichi Uozumi MD, PhD , Masamitsu Nishihara MD, PhD , Kohkichi Hosoda MD, PhD , Takashi Sasayama MD, PhD","doi":"10.1016/j.radcr.2025.09.010","DOIUrl":"10.1016/j.radcr.2025.09.010","url":null,"abstract":"<div><div>We report the first known case of symptomatic unruptured intracranial aneurysm-associated cerebral vasospasm (UIA-CVS) following surgical clipping that was successfully treated with intra-arterial fasudil infusion. UIA-CVS is a rare postoperative complication for which no standardized treatment has been established. A 67-year-old woman with a 5-mm saccular aneurysm at the bifurcation of the left middle cerebral artery (MCA) underwent microsurgical clipping via a distal transsylvian approach. On postoperative day 7, she developed motor aphasia. Magnetic resonance angiography and digital subtraction angiography revealed significant vasospasm in the distal MCA territory. An intra-arterial infusion of fasudil hydrochloride 30 mg was administered over 2 consecutive days via a microcatheter. Rapid resolution of vasospasm and complete neurological recovery were achieved. At 5 years postoperatively, the patient has remained neurologically intact without recurrence. This case suggests that intra-arterial fasudil infusion may be a viable treatment for CVS even in the absence of subarachnoid hemorrhage, underscoring the importance of early recognition and timely intervention in postoperative vasospasm.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6151-6158"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159504","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

Persistent hematuria postkidney transplant due to needle biopsy at the time of kidney retrieval: Successful management with selective renal artery embolization 肾移植后因取肾时穿刺活检导致的持续血尿：选择性肾动脉栓塞成功处理

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.08.071

Haytham Araibi MD, Msc, MRCSI, MBBS

引用次数: 0

Median arcuate ligament syndrome presenting as acute mesenteric hemorrhage: A case report 以急性肠系膜出血为表现的正中弓状韧带综合征1例

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.09.008

Salim Gnabode MD, MS , Dina Medhani Asfaha MD , Travis E. Meyer MD , Sharon Siegel MD

{"title":"Median arcuate ligament syndrome presenting as acute mesenteric hemorrhage: A case report","authors":"Salim Gnabode MD, MS , Dina Medhani Asfaha MD , Travis E. Meyer MD , Sharon Siegel MD","doi":"10.1016/j.radcr.2025.09.008","DOIUrl":"10.1016/j.radcr.2025.09.008","url":null,"abstract":"<div><div>Median arcuate ligament syndrome (MALS) is a relatively common, yet under-recognized condition caused by external compression of the celiac artery by the median arcuate ligament. Although often asymptomatic, MALS may present with chronic gastrointestinal symptoms, and rarely, with acute complications due to collateral vessel rupture.</div><div>We present the case of a 59-year-old woman who arrived at a rural emergency department with acute left flank pain and emesis, ultimately diagnosed with intra-abdominal hemorrhage from a ruptured pseudoaneurysm. In chronic celiac artery stenosis, collateral pathways, particularly the Arc of Bühler and the pancreaticoduodenal arcade can become hypertrophied and predisposed to pseudoaneurysm formation. Rupture of these pseudoaneurysms may mimic other causes of acute mesenteric bleeding, such as hemorrhagic pancreatitis, and carry high mortality if not promptly identified.</div><div>This case underscores the importance of recognizing splanchnic arterial collaterals as potential sources of hemorrhage in MALS and highlights the need for early imaging, especially in resource-limited settings. Prompt angiographic assessment and embolization can be lifesaving.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6167-6170"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159511","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

Paroxysmal nocturnal hemoglobinuria revealed by atypical thromboses: A case of cerebral, hepatic, and portal vein involvement leading to cirrhosis 由不典型血栓引起的阵发性夜间血红蛋白尿：脑、肝和门静脉受累导致肝硬化的一例

Radiology Case Reports Pub Date : 2025-09-24 DOI: 10.1016/j.radcr.2025.09.004

Majda Malghi MD , Mehdi Zouaoui MD , Ibtissam Bamaarouf MD , Sara Messaoudi MD , Youssef Hnach MD , Mbarek Azouaoui MD , Nourdin Aqodad MD

{"title":"Paroxysmal nocturnal hemoglobinuria revealed by atypical thromboses: A case of cerebral, hepatic, and portal vein involvement leading to cirrhosis","authors":"Majda Malghi MD , Mehdi Zouaoui MD , Ibtissam Bamaarouf MD , Sara Messaoudi MD , Youssef Hnach MD , Mbarek Azouaoui MD , Nourdin Aqodad MD","doi":"10.1016/j.radcr.2025.09.004","DOIUrl":"10.1016/j.radcr.2025.09.004","url":null,"abstract":"<div><div>Paroxysmal nocturnal hemoglobinuria is a rare clonal stem cell disorder characterized by ongoing intravascular hemolysis, frequent bone marrow dysfunction, and a markedly elevated risk of thrombosis. Unlike typical thrombotic conditions, Paroxysmal nocturnal hemoglobinuria often causes clots in atypical locations such as the cerebral venous sinuses and intra-abdominal vessels, including the portal, mesenteric, and hepatic veins. These thrombotic events can compromise hepatic outflow and portal circulation, leading to complications such as Budd-Chiari syndrome and progressive liver damage, which may ultimately result in cirrhosis. The coexistence of hemolysis, thrombophilia, and visceral organ dysfunction in Paroxysmal nocturnal hemoglobinuria poses a significant diagnostic and therapeutic challenge. Here, we report the case of a patient in whom combined hepatic and portal vein thrombosis, along with cerebral venous thrombophlebitis, led to the diagnosis of Paroxysmal nocturnal hemoglobinuria, which subsequently progressed to hepatic cirrhosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6178-6182"},"PeriodicalIF":0.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159512","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