Radiology Case Reports最新文献_第4页

Endovascular stent grafting for superior mesenteric vein erosion in necrotizing pancreatitis: A lifesaving intervention in a rare complication

Radiology Case Reports Pub Date : 2025-03-27 DOI: 10.1016/j.radcr.2025.02.095

Sophia Humphrey BS , Elias El-Haddad MD , Manasa Veluvolu MD , Zachary Warriner MD , Andrew Bernard MD , Driss Raissi MD

{"title":"Endovascular stent grafting for superior mesenteric vein erosion in necrotizing pancreatitis: A lifesaving intervention in a rare complication","authors":"Sophia Humphrey BS , Elias El-Haddad MD , Manasa Veluvolu MD , Zachary Warriner MD , Andrew Bernard MD , Driss Raissi MD","doi":"10.1016/j.radcr.2025.02.095","DOIUrl":"10.1016/j.radcr.2025.02.095","url":null,"abstract":"<div><div>Vascular complications, though rare, significantly increase the morbidity and mortality associated with necrotizing pancreatitis (NP). While arterial pseudoaneurysms are well-documented, major venous injuries, particularly superior mesenteric vein (SMV) erosion, are exceedingly uncommon, with only 2 cases previously reported in the literature. We describe a 41-year-old male with severe necrotizing pancreatitis complicated by abdominal compartment syndrome, who developed acute, life-threatening hemorrhage due to pancreatic enzyme erosion of the SMV. Surgical attempts to control the bleeding were unsuccessful, and the hemorrhage was ultimately managed with endovascular stent grafting of the SMV. This case underscores the complexity of vascular injuries in pancreatitis and highlights the potential role of endovascular interventions, such as venous stent grafting, as life-saving procedures when conventional surgical techniques fail. Our case adds to the limited but growing body of evidence supporting the use of venous stenting for mesenteric venous injuries in NP.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3000-3004"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705208","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

Fatal interplay between acquired thrombotic thrombocytopenic purpura and posterior reversible encephalopathy syndrome: a case report 获得性血栓性血小板减少性紫癜与后可逆性脑病综合征之间的致命相互作用：一份病例报告

Radiology Case Reports Pub Date : 2025-03-27 DOI: 10.1016/j.radcr.2025.02.094

Prajakta Kakde MBBS , Amol Andhele MD , Abhinav Kadam MD , Gautam Bedi MBBS , Sourya Acharya MD , Sunil Kumar MD

{"title":"Fatal interplay between acquired thrombotic thrombocytopenic purpura and posterior reversible encephalopathy syndrome: a case report","authors":"Prajakta Kakde MBBS , Amol Andhele MD , Abhinav Kadam MD , Gautam Bedi MBBS , Sourya Acharya MD , Sunil Kumar MD","doi":"10.1016/j.radcr.2025.02.094","DOIUrl":"10.1016/j.radcr.2025.02.094","url":null,"abstract":"<div><div>Acquired thrombotic thrombocytopenic purpura (TTP) is a rare haematological emergency characterised by severe ADAMTS13 deficiency, leading to thrombotic microangiopathy and multiorgan dysfunction. Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder associated with endothelial dysfunction, often secondary to uncontrolled hypertension or autoimmune conditions. We present a case of a 22-year-old male who presented with vomiting, headache, and right upper limb weakness, followed by a hypertensive crisis and generalised seizures. Initial investigations revealed severe thrombocytopenia, microangiopathic hemolytic anaemia, and acute kidney injury, raising suspicion for thrombotic microangiopathy. MRI findings confirmed PRES, while the presence of schistocytes and markedly reduced ADAMTS13 activity led to the diagnosis of acquired TTP. The patient was treated with plasma exchange, immunosuppressive therapy, corticosteroids, and antihypertensive agents. Despite aggressive management, the disease progressed to multiorgan failure, and the patient succumbed to the illness. This case highlights the fatal interplay between TTP and PRES, emphasising the need for early recognition and timely intervention. The coexistence of these 2 rare conditions presents a diagnostic and therapeutic challenge, underscoring the importance of prompt plasma exchange and immunosuppressive therapy in such critically ill patients.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2995-2999"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705128","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

Chronic rhinosinusitis revealing a nasal sarcoidosis: A case report

Radiology Case Reports Pub Date : 2025-03-27 DOI: 10.1016/j.radcr.2025.01.088

Abdelmonim Belkacemi , Saad Bouchlarhem , Achraf Amine Sbai , Drissia Belfadil , Azeddine Lachkar , Fahd El Ayoubi El Idrissi

{"title":"Chronic rhinosinusitis revealing a nasal sarcoidosis: A case report","authors":"Abdelmonim Belkacemi , Saad Bouchlarhem , Achraf Amine Sbai , Drissia Belfadil , Azeddine Lachkar , Fahd El Ayoubi El Idrissi","doi":"10.1016/j.radcr.2025.01.088","DOIUrl":"10.1016/j.radcr.2025.01.088","url":null,"abstract":"<div><div>Sarcoidosis is a systemic inflammatory disease characterized by the formation of noncaseating granulomas. While commonly affecting the lungs and lymph nodes, nasosinusal involvement is rare, accounting for less than 1% of cases. When the nasosinusal region is affected, clinical manifestations may include persistent nasal obstruction, epistaxis, anosmia, and facial. Diagnosis relies on imaging studies, which may reveal mucosal thickening or destructive lesions, and histopathological confirmation through biopsy. Management typically involves systemic corticosteroids, with immunosuppressive agents reserved for refractory cases. This uncommon localization can mimic other inflammatory or infectious conditions, underscoring the importance of accurate diagnosis for appropriate treatment. We report the case of a 55-year-old female patient with a history of chronic rhinosinusitis persisting for 2 years despite conventional treatment, who presented to our facility with a clinical picture of chronic nasal obstruction rhinorrhea and anosmia. Clinical, laboratory, and imaging investigations confirmed the diagnosis of nasosinusal sarcoidosis. Given the rarity of this condition, maintaining a high index of clinical suspicion is crucial to prevent misdiagnosis and delays in initiating appropriate treatment, which is essential for optimizing the patient's outcome.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2984-2987"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705202","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

Insights into hepatic angiomyolipoma: A case report highlighting scannographic findings

Radiology Case Reports Pub Date : 2025-03-27 DOI: 10.1016/j.radcr.2025.02.083

Fatima Zohra EL Yaagoubi MD, Said Adnor MD, Adam Hajjine MD, Soukaina Wakrim

{"title":"Insights into hepatic angiomyolipoma: A case report highlighting scannographic findings","authors":"Fatima Zohra EL Yaagoubi MD, Said Adnor MD, Adam Hajjine MD, Soukaina Wakrim","doi":"10.1016/j.radcr.2025.02.083","DOIUrl":"10.1016/j.radcr.2025.02.083","url":null,"abstract":"<div><div>Hepatic angiomyolipoma (HAML) is a rare, benign tumor characterized by a mixture of fat, smooth muscle, and blood vessels. We present the case of a 37-year-old male with a history of tuberous sclerosis complex who underwent a CT scan to evaluate abdominal manifestations of the disease. The imaging was performed with and without contrast enhancement and analyzed across arterial, venous, and delayed phases. CT imaging revealed hepatomegaly with a large, ill-defined, nonencapsulated heterogeneous mass composed of both fatty and soft tissue components. Postcontrast enhancement demonstrated a heterogeneous pattern with arterial-phase vascular structures (branches of the hepatic artery) and venous-phase elements (branches of the portal vein network). The lesion extended to the superior, inferior, anterior, and posterior liver borders while preserving the biliary hilum. These imaging findings were consistent with hepatic angiomyolipoma; however, no biopsy was performed for histopathological confirmation. This study aims to highlight the CT characteristics of hepatic angiomyolipoma.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3005-3009"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715057","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

Successful coil embolization of 3 pulmonary arteriovenous malformations using a gadolinium contrast agent in a patient with severe iodine allergy: A case report

Radiology Case Reports Pub Date : 2025-03-26 DOI: 10.1016/j.radcr.2025.02.106

Atsufumi Kamisako MD, PhD , Akira Ikoma MD, PhD , Tetsuo Sonomura MD, PhD , Takahiro Naka MD , Yuichi Miyake MD , Ryosuke Mimura MD , Kurumi Tamai MD , Kazuhiro Murotani PhD , Hiroki Minamiguchi MD, PhD

{"title":"Successful coil embolization of 3 pulmonary arteriovenous malformations using a gadolinium contrast agent in a patient with severe iodine allergy: A case report","authors":"Atsufumi Kamisako MD, PhD , Akira Ikoma MD, PhD , Tetsuo Sonomura MD, PhD , Takahiro Naka MD , Yuichi Miyake MD , Ryosuke Mimura MD , Kurumi Tamai MD , Kazuhiro Murotani PhD , Hiroki Minamiguchi MD, PhD","doi":"10.1016/j.radcr.2025.02.106","DOIUrl":"10.1016/j.radcr.2025.02.106","url":null,"abstract":"<div><div>We report the first successful coil embolization using a gadolinium contrast agent (GCA) of 3 pulmonary arteriovenous malformations (PAVMs) in a patient with severe iodine allergy. The patient was a female in her 40s with hereditary hemorrhagic telangiectasia. The 3 PAVMs had sacs with diameters of up to 20 mm and pulmonary feeding arteries with diameters of up to 5 mm. The PAVMs were located in segment (S) 8 and S9 of the right lung, and S8 of the left lung. Embolization was planned after administration of steroids and antihistamines. However, the procedure was stopped because preoperative pulmonary arteriography using an iodine contrast agent caused pharyngeal itching, coughing, and decreased percutaneous oxygen saturation. Because surgical resection is highly invasive, embolization using a GCA was selected as an alternative treatment strategy. After obtaining approval from our hospital's ethical review board, embolization with a GCA was planned. Embolization was performed in 3 separate sessions. The catheter's position was monitored and adjusted under angiography with manual injection of a GCA and low-dose computed tomography (CT) using an interventional radiology-CT system. The GCA was visible on angiography and coil embolization of the PAVM sacs and feeding arteries was performed. A small amount of GCA was used (7‒9 mL). The patient experienced no allergic reactions during the procedure. Although there are many reports of endovascular treatment using GCA for dialysis shunt stenosis and cerebrovascular disease in patients with iodine allergy, this is the first report describing the use of GCA during PAVM embolization.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2974-2979"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705207","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 symptomatic pelvic digit with surgical and pathological correlation

Radiology Case Reports Pub Date : 2025-03-26 DOI: 10.1016/j.radcr.2025.02.104

Romain Auger MD , Maxime Gouguet MD , Jean-Philippe Cottier MD, PhD , Valentin Lefevre MD

引用次数: 0

Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility

Radiology Case Reports Pub Date : 2025-03-26 DOI: 10.1016/j.radcr.2025.03.012

Zeyad F. Elias BSc , Stefanie Y. Lee MD, FRCPC

{"title":"Contrast-enhanced ultrasound for differentiation of gallbladder sludge from polyp: A case report demonstrating clinical utility","authors":"Zeyad F. Elias BSc , Stefanie Y. Lee MD, FRCPC","doi":"10.1016/j.radcr.2025.03.012","DOIUrl":"10.1016/j.radcr.2025.03.012","url":null,"abstract":"<div><div>Gallbladder lesion characterization remains a common diagnostic dilemma in abdominal imaging, particularly when differentiating between polyps and organized sludge. Findings on conventional gray-scale ultrasound may be equivocal, especially when typical imaging features such as mobility are absent. We present a case of a 65-year-old patient who presented with a concerning nonmobile 3.7 cm gallbladder lesion on initial ultrasound assessment. Due to the superior sensitivity of contrast-enhanced ultrasound (CEUS) for blood flow compared to other imaging modalities, CEUS was able to demonstrate complete absence of enhancement within the lesion, consistent with tumefactive sludge rather than solid tissue, and averting the need for additional cross-sectional imaging. Surgical pathology following cholecystectomy confirmed these findings. This case highlights the utility of CEUS as a valuable tool in gallbladder imaging, potentially reducing healthcare costs and expediting appropriate patient care while avoiding the risks associated with other contrast-enhanced imaging modalities.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2980-2983"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705204","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

Endovascular removal of intra-cardiac fractured port catheters due to pinch off syndrome: Report of 3 cases

Radiology Case Reports Pub Date : 2025-03-26 DOI: 10.1016/j.radcr.2025.02.101

Salih Çokpınar , Emir Hüseyin Nevai , Ahmet Tanyeri , Mustafa Gök

{"title":"Endovascular removal of intra-cardiac fractured port catheters due to pinch off syndrome: Report of 3 cases","authors":"Salih Çokpınar , Emir Hüseyin Nevai , Ahmet Tanyeri , Mustafa Gök","doi":"10.1016/j.radcr.2025.02.101","DOIUrl":"10.1016/j.radcr.2025.02.101","url":null,"abstract":"<div><div>Port catheters are widely used today due to increase in oncology cases, while they offer ease of use, they also bring various complications. These complications can range from simple issues to life-threatening ones. Port catheter fractures are rare complications, occurring in less than 1% of patients. The most common complaint in the present study was pain at the site of the subclavian vein puncture when fluid was administered from the port hub. Simple imaging such as chest X-rays can reveal the presence of the catheter fracture and migration. Pinch-off syndrome (POS) is one of the most significant causes of this condition. It is characterized by the catheter fracture compressed between the clavicle and the first rib. The incidence of POS ranges from 0.4% to 5%, with the clinical presentation varying widely from asymptomatic cases to serious complications such as cardiac arrhythmias, pulmonary embolism, or septic embolization. Early diagnosis is critical in preventing the life-threatening outcomes of POS. Diagnosis is usually made through imaging techniques such as chest X-rays, fluoroscopy, and thoracic computerized tomography (CT). Treatment of fracture due to POS typically involves the removal of catheter fragments using an endovascular technique, which offers lower morbidity compared to surgical methods. Prevention strategies include preferring internal jugular vein access over the subclavian vein, placing the subclavian entry point laterally, and performing regular imaging to detect POS symptoms early in the postprocedure period. This case series addresses case-based experiences where fractured port catheter fragments were successfully removed using endovascular methods also discussing the diagnostic and treatment process.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2962-2969"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705206","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

Gastrointestinal lymphoma in a patient on long-term azathioprine therapy: A case report with imaging features mimicking Crohn's disease

Radiology Case Reports Pub Date : 2025-03-25 DOI: 10.1016/j.radcr.2025.02.107

Trang Truong Hoang Nguyen MD , Huyen Duy Mai Le MD , Duc Tan Vo MD, PhD , Duy Thanh Nguyen MD , Tien Minh Bui MD , Thuy Thi Vu MD

{"title":"Gastrointestinal lymphoma in a patient on long-term azathioprine therapy: A case report with imaging features mimicking Crohn's disease","authors":"Trang Truong Hoang Nguyen MD , Huyen Duy Mai Le MD , Duc Tan Vo MD, PhD , Duy Thanh Nguyen MD , Tien Minh Bui MD , Thuy Thi Vu MD","doi":"10.1016/j.radcr.2025.02.107","DOIUrl":"10.1016/j.radcr.2025.02.107","url":null,"abstract":"<div><div>A 43-year-old female was admitted with a 1-month history of recurrent periumbilical abdominal pain and nausea. The patient had a 7-year history of Azathioprine use for the management of myasthenia gravis with AChR antibodies. The initial abdominal ultrasound revealed thickened small bowel walls at multiple sites. Abdominal CT enterography (CTE) raised suspicion for Crohn's disease or lymphoma. Upper gastrointestinal endoscopy revealed multiple ulcers in the gastric body and antrum, with biopsy samples taken from the lesions. Histopathological analysis confirmed a diagnosis of B-cell lymphoma in the stomach. However, the imaging characteristics of the small bowel lesions on CTE were inconclusive in distinguishing between Crohn's disease and lymphoma. After a multidisciplinary discussion, the patient was indicated for chemotherapy based on the confirmed diagnosis of gastric lymphoma. While awaiting the scheduled chemotherapy session, the patient developed sudden right iliac fossa pain, which subsequently spread across the abdomen. CT imaging revealed a perforation of the small intestine in the right iliac fossa. The patient underwent surgical resection of the affected small bowel segment, and pathological examination confirmed B-cell lymphoma in the small intestine.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 2956-2961"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143688021","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

Thoracic SMARCA4-deficient undifferentiated tumor

Radiology Case Reports Pub Date : 2025-03-24 DOI: 10.1016/j.radcr.2025.02.109

Yukina Izumi , Yuko Sano , Kaori Yamada , Yusuke Ichijo , Mariko Yoshida , Yuka Nishioka , Natsuki Imoto , Tatsuya Imabayashi , Kazuki Jinno , Yoji Urata , Katsumi Hayakawa

引用次数: 0