Radiology Case Reports最新文献

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Primary breast lymphoma: Case report and literature review 原发性乳腺淋巴瘤:病例报告及文献复习
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-17 DOI: 10.1016/j.radcr.2025.12.046
Lana R.A. Pshtiwan MD , Ari M. Abdullah MD , Abdulwahid M. Salih MD , Dana O. Karim MD , Karzan M. Salih MD , Bayar B. Ameen MBChB , Sakar O. Arif MD , Masty Karim Ahmed MBChB , Sara Nasir Ahmed MBChB , Ali D. Saadullah BDS , Fahmi H. Kakamad MD
{"title":"Primary breast lymphoma: Case report and literature review","authors":"Lana R.A. Pshtiwan MD ,&nbsp;Ari M. Abdullah MD ,&nbsp;Abdulwahid M. Salih MD ,&nbsp;Dana O. Karim MD ,&nbsp;Karzan M. Salih MD ,&nbsp;Bayar B. Ameen MBChB ,&nbsp;Sakar O. Arif MD ,&nbsp;Masty Karim Ahmed MBChB ,&nbsp;Sara Nasir Ahmed MBChB ,&nbsp;Ali D. Saadullah BDS ,&nbsp;Fahmi H. Kakamad MD","doi":"10.1016/j.radcr.2025.12.046","DOIUrl":"10.1016/j.radcr.2025.12.046","url":null,"abstract":"<div><div>Primary breast lymphoma (PBL) accounts for a small fraction of breast malignancies and is uncommon in young adults, yet it can lead to significant complications. This report describes a case of PBL in a young female patient. An 18-year-old female presented with a mass in the right breast with fever and sweating. Examination revealed a poorly defined right breast mass. Imaging showed a diffuse infiltrative process, and core biopsy with staining identified the lymphoid origin of the infiltrative disease. Chemotherapy was opted for, and follow-up for months has revealed no complications. Ten cases were reviewed. The mean age was (19.7). The most common symptom was a palpable breast mass(s) (60%). Imaging showed variable signal intensities of the breast masses. Immunohistochemistry and flow cytometry of tissue biopsies were the main methods of diagnosis. Large B-cell non-Hodgkin lymphoma was the most common diagnosis (60%). Chemotherapy was utilized in all of the cases with variations regarding regimens. Death and remission were seen in near equal proportions (40% vs 50%). Young women are not exempt from primary breast lymphoma, and chemotherapy might offer fruitful outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1482-1488"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024606","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
Successful bronchial artery embolization for racemose hemangioma of the right bronchial artery with pulmonary artery dilatation: A case report 支气管动脉栓塞治疗右支气管动脉总状血管瘤伴肺动脉扩张1例
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-17 DOI: 10.1016/j.radcr.2025.12.016
Kodai Fukuda MD, PhD , Tetsuo Sonomura MD, PhD , Nobuyuki Higashino MD, PhD , Takaya Shintani MD , Ryosuke Mimura MD , Shota Ueda MD, PhD , Atsufumi Kamisako MD, PhD , Akira Ikoma MD, PhD , Yuya Funayama RT , Kazuhiro Murotani PhD, RT , Hiroki Minamiguchi MD, PhD
{"title":"Successful bronchial artery embolization for racemose hemangioma of the right bronchial artery with pulmonary artery dilatation: A case report","authors":"Kodai Fukuda MD, PhD ,&nbsp;Tetsuo Sonomura MD, PhD ,&nbsp;Nobuyuki Higashino MD, PhD ,&nbsp;Takaya Shintani MD ,&nbsp;Ryosuke Mimura MD ,&nbsp;Shota Ueda MD, PhD ,&nbsp;Atsufumi Kamisako MD, PhD ,&nbsp;Akira Ikoma MD, PhD ,&nbsp;Yuya Funayama RT ,&nbsp;Kazuhiro Murotani PhD, RT ,&nbsp;Hiroki Minamiguchi MD, PhD","doi":"10.1016/j.radcr.2025.12.016","DOIUrl":"10.1016/j.radcr.2025.12.016","url":null,"abstract":"<div><div>An asymptomatic patient was incidentally found to have a markedly dilated right pulmonary artery A7 (13 mm in diameter) on contrast-enhanced computed tomography (CT) of the chest. Intra-procedural CT aortography revealed that a right bronchial artery arising from the aorta and an ectopic right bronchial artery originating from the right thyrocervical trunk were dilated and tortuous, and communicated with right pulmonary artery A7. A bronchial artery aneurysm was also identified. A diagnosis of racemose hemangioma of the right bronchial artery was made, and coil embolization of the 2 bronchial arteries was performed. Follow-up contrast-enhanced CT at 2 years and 3 months after embolization showed that the dilated pulmonary artery had reduced to 7 mm in diameter. We believe that active therapeutic intervention is important to prevent potentially fatal complications such as aneurysm rupture.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1478-1481"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024648","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
Collateral anastomosis in Leriche syndrome complicated by presumed mycotic thoracoabdominal aneurysm 侧支吻合在Leriche综合征并发推定真菌性胸腹动脉瘤中的应用
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.radcr.2025.12.054
Alexandros Apostolou MD , Maria Kadditi MD , Ilias G. Koziakas MD , Abdallah Aburub MD , Matthias Eberhard MD
{"title":"Collateral anastomosis in Leriche syndrome complicated by presumed mycotic thoracoabdominal aneurysm","authors":"Alexandros Apostolou MD ,&nbsp;Maria Kadditi MD ,&nbsp;Ilias G. Koziakas MD ,&nbsp;Abdallah Aburub MD ,&nbsp;Matthias Eberhard MD","doi":"10.1016/j.radcr.2025.12.054","DOIUrl":"10.1016/j.radcr.2025.12.054","url":null,"abstract":"<div><div>Leriche syndrome can remain clinically silent when collateral pathways preserve lower-limb perfusion; however, coexistence with infectious aortic pathology poses a considerable diagnostic challenge for the radiologist. We report a rare case of a 49-year-old male who presented with acute back pain and dysphagia; CT imaging demonstrated a chronic aortoiliac occlusion alongside a suspected mycotic thoracoabdominal aortic aneurysm. Notably, perfusion of the lower limbs was entirely dependent on bilateral internal thoracic–epigastric collateral pathways. This unusual combination highlights the broad spectrum of vascular complications associated with intravenous drug abuse and thrombophilia.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1525-1529"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024610","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
Multifocal hepatocellular carcinoma in a noncirrhotic liver: A diagnostic pitfall mimicking cholangiocarcinoma and metastatic disease 非肝硬化肝脏的多灶性肝细胞癌:一个模拟胆管癌和转移性疾病的诊断陷阱
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-15 DOI: 10.1016/j.radcr.2025.12.032
Saber Abdellah Bassel MD, Ouijdane Zamani MD, Issam Ennafaa MD, Rachida Saouab MD, Hassan Ennouali MD, Jamal El Fenni MD, Mohamed Abdellaoui MD
{"title":"Multifocal hepatocellular carcinoma in a noncirrhotic liver: A diagnostic pitfall mimicking cholangiocarcinoma and metastatic disease","authors":"Saber Abdellah Bassel MD,&nbsp;Ouijdane Zamani MD,&nbsp;Issam Ennafaa MD,&nbsp;Rachida Saouab MD,&nbsp;Hassan Ennouali MD,&nbsp;Jamal El Fenni MD,&nbsp;Mohamed Abdellaoui MD","doi":"10.1016/j.radcr.2025.12.032","DOIUrl":"10.1016/j.radcr.2025.12.032","url":null,"abstract":"<div><div>Hepatocellular carcinoma (HCC) usually develops in cirrhotic livers, most often related to viral hepatitis or alcohol use. Its occurrence in noncirrhotic livers is uncommon and can mimic other hepatic malignancies. We report a 50-year-old patient presenting with abdominal discomfort, vomiting, and jaundice. Computed tomography (CT) revealed multiple heterogeneous hepatic lesions with capsular retraction but no cirrhotic features. In the absence of hepatitis or alcohol history, intrahepatic cholangiocarcinoma or metastases were initially suspected. Magnetic resonance imaging (MRI) demonstrated arterial hyperenhancement, washout, and late capsule enhancement, consistent with HCC. Tumor thrombus extended into the right hepatic vein and inferior vena cava. Ultrasound-guided biopsy confirmed HCC. This case highlights the diagnostic challenge of multifocal HCC in a noncirrhotic liver and underscores the importance of MRI and histopathology in achieving diagnostic certainty. Clinicians should maintain awareness of HCC even in the absence of cirrhosis or typical risk factors.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1465-1469"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981672","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
Spinal dural arteriovenous fistula presenting with lower extremity weakness and intracranial hemorrhage: A case report 脊髓硬脑膜动静脉瘘表现为下肢无力和颅内出血1例
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-16 DOI: 10.1016/j.radcr.2025.12.036
Fang Yu MD , Sangharsha Thapa MD , Ilya Frid MD , Gurmeen Kaur MD , Feliks Koyfman MD
{"title":"Spinal dural arteriovenous fistula presenting with lower extremity weakness and intracranial hemorrhage: A case report","authors":"Fang Yu MD ,&nbsp;Sangharsha Thapa MD ,&nbsp;Ilya Frid MD ,&nbsp;Gurmeen Kaur MD ,&nbsp;Feliks Koyfman MD","doi":"10.1016/j.radcr.2025.12.036","DOIUrl":"10.1016/j.radcr.2025.12.036","url":null,"abstract":"<div><div>Spinal dural arteriovenous fistulas (AVFs) are uncommon vascular malformations that typically present with progressive myelopathy and are rarely associated with intracranial hemorrhage. We describe a 76-year-old male who initially had a normal noncontrast head CT, followed by rapid development of a large right cortical intraparenchymal hemorrhage with bilateral subarachnoid hemorrhage (SAH) on repeat CT performed three hours later. Subsequent spine MRI demonstrated extensive dilated perimedullary vessels and diffuse thoracic spinal cord T2 hyperintensity, raising concern for a spinal vascular malformation. Spinal angiography confirmed a spinal dural AVF arising from the right L2 segmental artery with early venous drainage into a congested spinal venous network, which was successfully treated with trans arterial embolization. This case uniquely captured the dynamic radiologic evolution of intracranial hemorrhage temporally associated with a spinal dural AVF and highlights the importance of considering spinal vascular etiologies when intracranial imaging findings do not explain the clinical presentation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1470-1473"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981679","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
Malignant hepatic perivascular epithelioid cell tumor: A case report and literature review 恶性肝血管周围上皮样细胞瘤1例报告并文献复习
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-13 DOI: 10.1016/j.radcr.2025.12.029
Feng Li MMed, Yizhong Wu MD
{"title":"Malignant hepatic perivascular epithelioid cell tumor: A case report and literature review","authors":"Feng Li MMed,&nbsp;Yizhong Wu MD","doi":"10.1016/j.radcr.2025.12.029","DOIUrl":"10.1016/j.radcr.2025.12.029","url":null,"abstract":"<div><div>Perivascular epithelioid cell tumors (PEComas) comprise a rare group of mesenchymal neoplasms, which can arise from almost any location in the body, but cases of primary hepatic PEComa are extremely rare. Here we report a hepatic PEComa in a 30-year-old man with abdominal pain . An extended left hepatectomy was proceeded and the results showed negative margins. Histologically, the tumor cells presented an epithelioid morphology with polymorphic nuclei and abundant eosinophilic cytoplasm and focal vascular infiltration. Necrotic tissue was present, closely resembling hepatocellular carcinoma. Immunohistochemistry demonstrated strong expression of HMB-45, CD34 and Ki67. Imaging findings and molecular analysis supported the malignant hepatic PEComa. Additionally, surgical resection is the first line treatment, and targeted therapy offers a viable therapeutic approach for individuals with inoperable malignant tumors and for those in the postoperative period.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1433-1436"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981769","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
Corrigendum to “Mature cystic ovarian teratoma without intracystic fat: Case report with the ‘fat within the wall’ sign” [Radiol Case Rep 2020; 15: 367–370] “无囊内脂肪的成熟囊性卵巢畸胎瘤:有“壁内脂肪”征象的病例报告”的更正[Radiol Case Rep 2020;15: 367 - 370)
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-02-05 DOI: 10.1016/j.radcr.2025.03.017
Maram Alghamdi MBBS , Badr Al-Mutairi MBBS , Abdulaziz Al-Osaimi MBBS , Afaf Felemban MBBS , Mauth Alyahya MBBS
{"title":"Corrigendum to “Mature cystic ovarian teratoma without intracystic fat: Case report with the ‘fat within the wall’ sign” [Radiol Case Rep 2020; 15: 367–370]","authors":"Maram Alghamdi MBBS ,&nbsp;Badr Al-Mutairi MBBS ,&nbsp;Abdulaziz Al-Osaimi MBBS ,&nbsp;Afaf Felemban MBBS ,&nbsp;Mauth Alyahya MBBS","doi":"10.1016/j.radcr.2025.03.017","DOIUrl":"10.1016/j.radcr.2025.03.017","url":null,"abstract":"","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Page 1728"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146174015","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
Indications and opportunities for transsplenic access to treat portal venous and portosystemic pathology: A report of 2 cases and review of the literature 经脾入路治疗门静脉及门静脉系统病理的适应证及时机:附2例报告及文献复习
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-24 DOI: 10.1016/j.radcr.2025.12.053
Trinity Puno BS , Joshua Levy MD , Daniel Villegas MD , Marvi Moreno MD , Ryan Rimer MD , Brandon Chen MD
{"title":"Indications and opportunities for transsplenic access to treat portal venous and portosystemic pathology: A report of 2 cases and review of the literature","authors":"Trinity Puno BS ,&nbsp;Joshua Levy MD ,&nbsp;Daniel Villegas MD ,&nbsp;Marvi Moreno MD ,&nbsp;Ryan Rimer MD ,&nbsp;Brandon Chen MD","doi":"10.1016/j.radcr.2025.12.053","DOIUrl":"10.1016/j.radcr.2025.12.053","url":null,"abstract":"<div><div>Transsplenic access has emerged as a valuable technique for portal venous interventions when conventional transjugular or transhepatic approaches are challenging due to prohibitive anatomy. We briefly summarize the literature on how transsplenic access came to be and present 2 unique cases that highlight the importance of transsplenic access in facilitating transjugular intrahepatic portosystemic shunt creation in complex portal venous disease. The first case describes a 68-year-old male cirrhotic patient with extensive acute-on-chronic portal vein thromboses in whom transsplenic access enabled portal vein thrombectomy and successful portosystemic shunt placement. The second case involves a 60-year-old female patient with chronic portal vein thrombosis and cavernous transformation, where a combined transsplenic–transhepatic “body floss” technique allowed recanalization and subsequent portosystemic shunt creation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1564-1569"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079276","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
Accelerated brain atrophy in sickle cell anemia despite chronic exchange transfusion therapy—A case report 慢性换血治疗后镰状细胞性贫血加速脑萎缩1例报告
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-31 DOI: 10.1016/j.radcr.2025.12.044
Tales Santini PhD , Jinghang Li , Jr-Jiun Liou PhD , Sossena Wood PhD , Howard J. Aizenstein MD, PhD , Joseph Mettenburg MD, PhD , Enrico M. Novelli MD, MS , Tamer S. Ibrahim PhD , Olubusola Oluwole MD, MS
{"title":"Accelerated brain atrophy in sickle cell anemia despite chronic exchange transfusion therapy—A case report","authors":"Tales Santini PhD ,&nbsp;Jinghang Li ,&nbsp;Jr-Jiun Liou PhD ,&nbsp;Sossena Wood PhD ,&nbsp;Howard J. Aizenstein MD, PhD ,&nbsp;Joseph Mettenburg MD, PhD ,&nbsp;Enrico M. Novelli MD, MS ,&nbsp;Tamer S. Ibrahim PhD ,&nbsp;Olubusola Oluwole MD, MS","doi":"10.1016/j.radcr.2025.12.044","DOIUrl":"10.1016/j.radcr.2025.12.044","url":null,"abstract":"<div><div>Neurovascular complications are a common and major cause of morbidity and mortality in patients with sickle cell anemia (SCA). Prior studies have demonstrated cortical thinning as well as reduced cerebral volume in children with SCA when compared to age-matched controls, but data in adults are scarce. Chronic transfusion regimens have been shown to be neuroprotective in children with SCA, but their efficacy in adults is less clear. Automated erythrocytapheresis (red blood cell exchange transfusion) is the most aggressive disease modifying-treatment in SCA, by rapidly diluting sickle hemoglobin and replacing it with normal hemoglobin. Recently, 7 Tesla (7T) MRI have allowed for precise definition and quantitation of brain structures, specifically the delineation between gray and white matter, thereby facilitating the assessment of neurodegeneration in SCA. We hereby present a case of a woman in her late 30s (at the baseline) who was monitored for a period of 6 years (baseline + 2 time points) with 7T structural imaging. The patient has SCA and a remote history of right hemispheric stroke. Despite adherence to a chronic exchange transfusion program, the patient developed accelerated gray matter with a volume loss of 1.15% per year, on average, during the 6-year period. Our case report underscores the severity of accelerated brain atrophy in SCA.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1642-1646"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079273","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 parasitic leiomyoma: A rare cause of acute appendicitis and bowel injury 巨大寄生虫平滑肌瘤:一种罕见的急性阑尾炎和肠损伤的原因
Radiology Case Reports Pub Date : 2026-04-01 Epub Date: 2026-01-19 DOI: 10.1016/j.radcr.2025.12.037
Ali Ghaffar MBBS , Hafiz Danish Ali Khan MBBS , Yasir Mehmood MBBS , Hafiz Mirza Talha Omer MBBS , Hammad Asghar MBBS , Fahad Irshaad Siddiqui MBBS , Shahroze Ahmed MBBS
{"title":"Giant parasitic leiomyoma: A rare cause of acute appendicitis and bowel injury","authors":"Ali Ghaffar MBBS ,&nbsp;Hafiz Danish Ali Khan MBBS ,&nbsp;Yasir Mehmood MBBS ,&nbsp;Hafiz Mirza Talha Omer MBBS ,&nbsp;Hammad Asghar MBBS ,&nbsp;Fahad Irshaad Siddiqui MBBS ,&nbsp;Shahroze Ahmed MBBS","doi":"10.1016/j.radcr.2025.12.037","DOIUrl":"10.1016/j.radcr.2025.12.037","url":null,"abstract":"<div><div>Parasitic fibroids are an uncommon subtype of leiomyomas that can implant on peritoneal surfaces such as the omentum or bowel serosa and may mimic malignancy on imaging. While typically asymptomatic, they can occasionally present with acute abdominal complications. We describe the case of a 37-year-old woman who presented with abdominal pain and a palpable mass. Imaging revealed a large, heterogeneously enhancing lesion with central necrosis, raising concern for malignancy. Surgical exploration identified a 17.5 × 15 cm parasitic leiomyoma adherent to the bowel and appendix, resulting in acute appendicitis and bowel injury, both of which required surgical management. Histopathological analysis confirmed a benign leiomyoma with myxoid degeneration and acute suppurative appendicitis. This case highlights the importance of considering parasitic fibroids in the differential diagnosis of abdominopelvic masses and acute abdomen, particularly in women with a history of pelvic surgery. Given their potential to mimic malignancy and cause secondary inflammatory complications, close collaboration between radiologists and surgeons is essential for accurate diagnosis and effective treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1509-1514"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024649","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
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