Radiology Case Reports最新文献_第4页

Anomalous origin of the right coronary artery from the pulmonary artery with a right coronary artery to left anterior descending artery fistula: A case report 右冠状动脉异常起源地肺动脉伴右冠状动脉至左前降支瘘1例

Radiology Case Reports Pub Date : 2025-05-13 DOI: 10.1016/j.radcr.2025.04.052

Jose David Sáenz López , Valeria Almeida Bustillo , Gabriel Vergara Vergara , Samuel Barreto De La Hoz , Marcial Trillos Criado , Fernando Orozco Gómez , Cesar Vergara Vergara

{"title":"Anomalous origin of the right coronary artery from the pulmonary artery with a right coronary artery to left anterior descending artery fistula: A case report","authors":"Jose David Sáenz López , Valeria Almeida Bustillo , Gabriel Vergara Vergara , Samuel Barreto De La Hoz , Marcial Trillos Criado , Fernando Orozco Gómez , Cesar Vergara Vergara","doi":"10.1016/j.radcr.2025.04.052","DOIUrl":"10.1016/j.radcr.2025.04.052","url":null,"abstract":"<div><div>A 75-year-old female patient with a history of arterial hypertension presented with oppressive chest pain radiating to the left upper limb, accompanied by dyspnea on mild exertion. Electrocardiogram showed no significant changes, but positive cardiac biomarkers prompted admission to intermediate care and coronary angiography. Findings included a small-caliber vessel originating from the pulmonary artery trunk and extending toward the right atrioventricular groove, an arteriovenous fistula between the left anterior descending artery and the right coronary artery draining into the pulmonary artery, with significant coronary steal, no stenotic lesions in the epicardial coronaries, and preserved left ventricular systolic function. Coronary CT angiography revealed a high coronary calcium score (5339 Agatston), anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA), diffuse coronary dilatation (Markis I), and diffuse nonobstructive coronary atherosclerotic disease (CAD-RADS N). Cardiac catheterization confirmed preserved systolic function (LVEF 65%), with normal intracardiac pressures and pulmonary resistances but with a Qp/Qs ratio of 1.25. Bilateral pulmonary arteriography showed no significant obstructions. Anatomical and hemodynamic findings were discussed in a multidisciplinary medical meeting with an interventional cardiologist, cardiologist, and cardiovascular surgeon, leading to the decision for surgical intervention.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936139","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

Bloomy rind sign in meningeal metastasis of lung adenocarcinoma: A case report 肺腺癌脑膜转移的布卢姆氏征1例

Radiology Case Reports Pub Date : 2025-05-13 DOI: 10.1016/j.radcr.2025.04.032

Sanae El hasnaoui, Sahar Boulehoual, Kaouthar Benyarou, Salwa Harek, Yassine Mebrouk

引用次数: 0

Giant malignant phyllodes tumor: A case report 巨大叶状恶性肿瘤1例

Radiology Case Reports Pub Date : 2025-05-13 DOI: 10.1016/j.radcr.2025.04.078

Daniela Kerguelen Murcia BS , Andrea Tenreiro MD , Jennifer A. Kohlnhofer MD , Celeste Wagner MD , Flavia Posleman Monetto MD

引用次数: 0

Cytomegalovirus meningoencephalitis in an immunocompetent host with evolution of cystic encephalomalacia 伴囊性脑软化进化的免疫正常宿主巨细胞病毒脑膜脑炎

Radiology Case Reports Pub Date : 2025-05-12 DOI: 10.1016/j.radcr.2025.04.053

Derryl J Miller MD , Jade Davis MD , Whitney Gervelis DO , Saurabh Singhal MD , Susan Conrad MD

{"title":"Cytomegalovirus meningoencephalitis in an immunocompetent host with evolution of cystic encephalomalacia","authors":"Derryl J Miller MD , Jade Davis MD , Whitney Gervelis DO , Saurabh Singhal MD , Susan Conrad MD","doi":"10.1016/j.radcr.2025.04.053","DOIUrl":"10.1016/j.radcr.2025.04.053","url":null,"abstract":"<div><div>A previously healthy 2-month-old male presented with fever and seizures. Cerebrospinal fluid (CSF) studies, head computed tomography (CT), and brain magnetic resonance imaging (MRI) studies were unremarkable on admission. After a clinical decline on the second day admission due to cerebral edema a repeat head CT showed loss of gray-white matter differentiation indicative of global anoxic injury. A repeat brain MRI on day 5 revealed diffuse restricted diffusion globally, acute infarction of the right posterior inferior cerebellar artery territory, and left frontoparietal leptomeningitis versus cortical laminar necrosis. A repeat LP was done on day 5 and showed a total nucleated cell count of 42 cells/mm^3 with 39% lymphocytes and 61% monocytes, glucose 52 mg/dL. He made steady clinical improvement with supportive care. CMV was detected on the repeat CSF sample using PCR on day 11 and he was started on ganciclovir for CMV meningoencephalitis. CMV should be considered as an etiology for viral meningoencephalitis even in immunocompetent patients. Our case also shows the classic imaging evolution of CMV meningoencephalitis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3689-3692"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936046","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 rare case of pneumobilia following blunt abdominal trauma in a patient with pneumatosis cystoides intestinalis 钝性腹部创伤致肠囊性肺肿后出现气动症的罕见病例

Radiology Case Reports Pub Date : 2025-05-12 DOI: 10.1016/j.radcr.2025.04.035

Leila Haddar, Karim Haddar, Asmae Kasimi, Rabilou Saley, Leknani Mohammed, Hamid Ziani, Siham Nasri, Imane Kamaoui, Imane Skiker

引用次数: 0

A unique case of extra-cerebral diffuse glioneuronal tumor with oligodendroglioma-like features and nuclear clusters 具有少突胶质细胞瘤样特征和核团簇的脑外弥漫性胶质细胞瘤的独特病例

Radiology Case Reports Pub Date : 2025-05-12 DOI: 10.1016/j.radcr.2025.04.067

Wu Maurice MD , Naderian Ashkun MD , Iyengar Krishnan MBBS, MD, DNB, FRCPA , Coulthard Alan FRCSEd, FRCR, FRANZCR, GAICD , Jeffree Rosalind MBBS, MSc, FRACS, MHE

{"title":"A unique case of extra-cerebral diffuse glioneuronal tumor with oligodendroglioma-like features and nuclear clusters","authors":"Wu Maurice MD , Naderian Ashkun MD , Iyengar Krishnan MBBS, MD, DNB, FRCPA , Coulthard Alan FRCSEd, FRCR, FRANZCR, GAICD , Jeffree Rosalind MBBS, MSc, FRACS, MHE","doi":"10.1016/j.radcr.2025.04.067","DOIUrl":"10.1016/j.radcr.2025.04.067","url":null,"abstract":"<div><div>Diffuse glioneuronal tumor with oligodendroglioma-like features and nuclear clusters (DGONC) is a newly recognized provisional entity in the fifth edition of the WHO Classification of Central Nervous System Tumors, typically found in pediatric patients with supratentorial disease. We describe a male in his forties who presented with recurrent seizures and was found to have a heavily calcified lesion in the left temporal lobe and an additional lesion in the sacral region of the thecal sac; tissue biopsy of the sacral lesion demonstrated an oligodendroglioma-like morphology, strong synaptophysin and OLIG2 expression, and absent widespread GFAP staining, consistent with DGONC. This represents an unusual occurrence of DGONC outside the supratentorial region, with imaging findings that mimicked a chronic inflammatory process. Radiologists should be aware of the potential for DGONC to present in atypical locations and should consider it in the differential diagnosis of apparently non-neoplastic lesions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3698-3702"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936047","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

Dural Arteriovenous Fistula with Bilateral Agenesia of Intracranial Venous Sinuses: A Case Report 硬脑膜动静脉瘘伴双侧颅内静脉窦缺失1例

Radiology Case Reports Pub Date : 2025-05-12 DOI: 10.1016/j.radcr.2025.04.056

Fernando Orozco , José Sáenz , Valeria Almeida , Jose Ospino , Ginna De La Rosa , Rafael Almeida

{"title":"Dural Arteriovenous Fistula with Bilateral Agenesia of Intracranial Venous Sinuses: A Case Report","authors":"Fernando Orozco , José Sáenz , Valeria Almeida , Jose Ospino , Ginna De La Rosa , Rafael Almeida","doi":"10.1016/j.radcr.2025.04.056","DOIUrl":"10.1016/j.radcr.2025.04.056","url":null,"abstract":"<div><div>A 27-year-old male patient presented with a history of long-standing headaches, progressive head circumference growth, and a ventriculoperitoneal shunt valve placement in 2018. He was referred for consultation and underwent endovascular neurosurgery in 2019 due to MRI findings suggestive of a cerebral arteriovenous malformation. A neurosurgical board was convened to discuss findings from cerebral panangiography and endovascular treatment options. Cerebral panangiography revealed a Cognard type IV dural arteriovenous fistula, leading to the recommendation of endovascular treatment with Phil embolizing liquid material and a triaxial balloon to reduce venous hypertension. Catheterization was performed through a posterior branch of the right meningeal artery directly afferent to the fistula. A second intervention was performed 6 months later, again utilizing endovascular therapy with Phil embolizing liquid material and balloon via the right femoral artery. The intervention revealed a remnant of the dural arteriovenous fistula with a venous aneurysm in the right sinus. Over a period of several years, 3 additional interventions were performed at intervals of approximately 7 months, achieving partial occlusion. During the fifth intervention, the patient exhibited neurological deterioration, prompting further imaging studies to assess thrombosis of the longitudinal sinus. Endovascular treatment with embolizing liquid material and corticosteroid therapy was administered.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3693-3697"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936141","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

Management of enterocutaneous (jejunocutaneous) fistulas with NBCA glue injection: A case report NBCA胶注射治疗肠皮瘘1例

Radiology Case Reports Pub Date : 2025-05-12 DOI: 10.1016/j.radcr.2025.04.038

Paria Bolourinejad MD , Ghazal Zandieh MD , Pardis Tavallaeinejad MD , Mohammad Saleh Jafarpisheh MD

{"title":"Management of enterocutaneous (jejunocutaneous) fistulas with NBCA glue injection: A case report","authors":"Paria Bolourinejad MD , Ghazal Zandieh MD , Pardis Tavallaeinejad MD , Mohammad Saleh Jafarpisheh MD","doi":"10.1016/j.radcr.2025.04.038","DOIUrl":"10.1016/j.radcr.2025.04.038","url":null,"abstract":"<div><div>This case report highlights a minimally invasive approach to the management of enterocutaneous fistulas (ECFs), specifically jejunocutaneous fistulas (JCFs), using n-butyl cyanoacrylate (NBCA) glue. The patient, a 77-year-old female with Crohn's disease, presented with abdominal pain, fever, chills, and persistent discharge from the JCF site. Conventional treatment options for ECFs, ranging from conservative management to surgical intervention, are often associated with morbidity and prolonged recovery periods. This case demonstrates the successful closure of a JCF using NBCA glue injection, resulting in complete symptom resolution and sustained fistula closure at 18 months follow-up. The application of NBCA glue represents a promising alternative to traditional approaches, offering reduced procedural risks and shorter recovery times. This report highlights the role of minimally invasive techniques in the management of ECFs and highlights the need for further studies to establish standardized protocols and expand the clinical use of this approach.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3675-3679"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936571","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

Case series: Occlusion using gelatin sponge in modified coil-assisted retrograde transvenous obliteration (Og-CARTO) for the treatment of portal hypertensive varices 病例系列：明胶海绵在改良卷辅助逆行经静脉闭塞术（Og-CARTO）中闭塞治疗门脉高压静脉曲张

Radiology Case Reports Pub Date : 2025-05-12 DOI: 10.1016/j.radcr.2025.04.073

Shin Chibana, Hiroyuki Sakakibara, Sota Oguro, Takuma Usuzaki, Hiroki Kamada, Hiromitsu Tannai, Kei Takase

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Adenoid cystic carcinoma of the larynx: Case report and review of literature 喉腺样囊性癌：1例报告及文献复习

Radiology Case Reports Pub Date : 2025-05-12 DOI: 10.1016/j.radcr.2025.04.071

Fatima Zahra Es-Sahli , Achraf Amine Sbai , Anass Haloui , Drissia Benfadil , Amal Bennani , Azzedine Lachkar , Adil ABDNBI Tsen , Fahd El Ayoubi

{"title":"Adenoid cystic carcinoma of the larynx: Case report and review of literature","authors":"Fatima Zahra Es-Sahli , Achraf Amine Sbai , Anass Haloui , Drissia Benfadil , Amal Bennani , Azzedine Lachkar , Adil ABDNBI Tsen , Fahd El Ayoubi","doi":"10.1016/j.radcr.2025.04.071","DOIUrl":"10.1016/j.radcr.2025.04.071","url":null,"abstract":"<div><div>Adenoid cystic carcinoma (ACC) is a rare malignant neoplasm arising in both major and minor salivary glands. It represents approximately 1% of all head and neck cancers and about 10% of salivary gland tumors. Laryngeal adenoid cystic carcinoma (LACC) is a rare entity that most frequently arises in the subglottic region. It is characterized by slow progression, perineuronal invasion, frequent local recurrences and delayed distant metastasis. Surgical resection remains the gold standard for the treatment of ACC; however, the role of adjuvant radiotherapy and prophylactic neck dissection remains uncertain and is widely debated in the literature.</div><div>This case report describes a 60-year-old male patient who presented with progressive dysphagia and worsening dyspnea. Clinical evaluation, including computed tomography (CT), revealed a lesion involving the left glottic and supraglottic regions. Biopsy obtained via direct laryngoscopy confirmed the diagnosis of laryngeal adenoid cystic carcinoma (LACC). The patient subsequently underwent total laryngectomy with adjuvant radiotherapy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3710-3714"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936049","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