Radiology Case Reports最新文献_第6页

Complicated diverticulitis: Diagnostic precision and surgical solutions in a patient with chronic kidney disease 复杂性憩室炎：慢性肾病患者的诊断精度和手术解决方案

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.039

Sharon L. Hsieh MD, MPH , Nathaniel Grabill MD , Mena Louis DO , Bradley Kuhn MD

{"title":"Complicated diverticulitis: Diagnostic precision and surgical solutions in a patient with chronic kidney disease","authors":"Sharon L. Hsieh MD, MPH , Nathaniel Grabill MD , Mena Louis DO , Bradley Kuhn MD","doi":"10.1016/j.radcr.2024.10.039","DOIUrl":"10.1016/j.radcr.2024.10.039","url":null,"abstract":"<div><div>Diverticulitis, an inflammation of diverticula in the colon, can lead to severe complications such as perforation and abscess formation. A 42-year-old female with polycystic kidney disease and chronic kidney disease stage III presented with severe abdominal pain, fever, and inability to tolerate oral intake. The patient was a previous smoker who smoked 0.5 packs per day for 25 years. Initial evaluation revealed leukocytosis and elevated creatinine. A CT scan identified pneumoperitoneum and mild sigmoid diverticulitis, suggesting a perforated viscus. She underwent urgent exploratory laparotomy, which confirmed the CT findings and resulted in an appendectomy, sigmoid colon resection, and ostomy creation. Postoperatively, the patient faced complications, including recurrent pneumoperitoneum and subcutaneous emphysema, detected through follow-up CT scans, leading to further surgical interventions. CT imaging was pivotal in diagnosing, monitoring, and guiding treatment, with noncontrast CT being beneficial given her renal impairment. Early diagnosis and CT imaging are crucial in managing complicated diverticulitis. Postoperative monitoring with CT scans is essential for detecting complications. Follow-up care should include regular colonoscopies to assess diverticular disease and dietary modifications to prevent recurrence. Combining clinical, surgical, and radiologic data ensures effective management and improves patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553979","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

Diagnostic challenges of hiatal hernia Type IV: An imaging perspective 食管裂孔疝 IV 型的诊断难题：影像学视角

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.09.147

Harry Galuh Nugraha , Maria Agustina , Heda Melinda Nataprawira

引用次数: 0

Armored brain as a late complication of CSF overshunting: A rare case report 装甲脑是 CSF 过度分流的晚期并发症：罕见病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.020

Bereket Girum Beyene MD , Michael Teklehaimanot Abera MD , Tesfaye Abebe Zeleka MD , Abdi Alemayehu Dhuguma MD

引用次数: 0

Cerebral adrenoleukodystrophy presenting as status epilepticus: Unveiling the neurological maze 表现为癫痫状态的脑肾上腺白质营养不良症：揭开神经迷宫的面纱

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.018

Saket Satyasham Toshniwal MD , S. Jiwan Kinkar DNB, MD , Sunil Kumar PhD, MD , Sourya Acharya PhD, DNB

{"title":"Cerebral adrenoleukodystrophy presenting as status epilepticus: Unveiling the neurological maze","authors":"Saket Satyasham Toshniwal MD , S. Jiwan Kinkar DNB, MD , Sunil Kumar PhD, MD , Sourya Acharya PhD, DNB","doi":"10.1016/j.radcr.2024.10.018","DOIUrl":"10.1016/j.radcr.2024.10.018","url":null,"abstract":"<div><div>We describe the case of a 7-year-old boy who had repeated episodes of prolonged seizures without recovery of consciousness when he arrived at a rural tertiary care teaching institute hospital in Wardha, India. Detailed history of the patient revealed that the child's symptoms began with left exotropia and visual acuity changes, progressing over 6 months to cognitive decline, hearing impairment, pseudobulbar affect, and motor issues, eventually leading to school dropout. Social isolation and difficulty walking also developed as the disease advanced. MRI brain revealed diffuse white matter lesions bilaterally with raised serum ACTH levels of 5 times the normal range associated with raised levels of tetracosanoic acid (C24) and hexacosanoic acid (C26), along with elevated C24/C22 and C26/C22 ratios. The patient was provisionally diagnosed as X linked cerebral adrenoleukodystrophy. Post treatment and stabilization, the patient was seizure-free on antiepileptic medications, however, patient developed blindness, lost mobility, became bedridden, and progressed to a vegetative state within 6 months. Adrenoleukodystrophy (ALD) is a rare X-linked genetic disorder that primarily affects men. It is caused by mutations in the ABCD 1 gene and is characterized by an abnormal build-up of very long-chain fatty acids (VLCFA) in various body tissues, which affect the spinal cord, white matter, and adrenal glands, causing progressive damage and dysfunction at each location. This case highlights the importance of early diagnosis and intervention to slow down disease progression in order to improve outcome. Also, increased awareness among healthcare professionals to help early detect the signs of this disease is of great importance.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553850","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

Survival case of cardiac strangulation from epicardial pacemaker leads in an adult: A case report 成人心外起搏器导联致心脏绞窄的存活病例：病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.019

Sajjad Haider MD , Fawaz Mohammed MBBS , Ayesha Mahnoor Arab BS , Sameer Saleem MD , Jacqueline Dawson Dowe MD , Akhtar Amin MD , Aniruddha Singh MD , Muhammad Shoaib Akbar MD , Mohammed Kazimuddin MD , Mohammed Abdul-Waheed MD

引用次数: 0

Swallowed drug-filled packet impaction and appendiceal neoplasm: Two rare causes of bowel obstruction detected in the same patient 吞咽药物填充包塞入和阑尾肿瘤：在同一患者身上发现的两种罕见肠梗阻病因

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.09.146

Eduard Sanchis-Querol MD , Ana-Liz Briceño-Andino MD , Teresa Álvarez-Petraglia MD , Alejandro Grinfeld MD , Samanta Landini MD , Gustavo Maida MD , Diana Velásquez MD

引用次数: 0

Vascular lesions: Hemangioma or venous malformation? 血管病变：血管瘤还是静脉畸形？

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.069

Brandon Thinh Duc Dang MD, Alan Victor Krauthamer MD

引用次数: 0

One artery to rule them all: A case of single coronary artery arising from the right sinus of Valsalva 一条动脉定乾坤瓦尔萨尔瓦右窦单支冠状动脉病例

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.005

Nikolaos S. Ioakeimidis MD, MSc , Panagiotis Pepis MD, MSc , Konstantina Mitrousi MD , Dimitrios Valasiadis MD

{"title":"One artery to rule them all: A case of single coronary artery arising from the right sinus of Valsalva","authors":"Nikolaos S. Ioakeimidis MD, MSc , Panagiotis Pepis MD, MSc , Konstantina Mitrousi MD , Dimitrios Valasiadis MD","doi":"10.1016/j.radcr.2024.10.005","DOIUrl":"10.1016/j.radcr.2024.10.005","url":null,"abstract":"<div><div>A single coronary artery (SCA) is a rare congenital anomaly with an incidence of 0.024 - 0.066% in angiographies and potential implications for adverse events depending on the course of the anomalous artery. We present a unique case of a single coronary artery arising from the right sinus of Valsalva. A 77-year-old female presented to the emergency department with an ongoing 3-hour episode of palpitations and intermittent atypical chest pain over 1 week. Her medical history included hypertension and dyslipidemia. Electrocardiography revealed atrial fibrillation with rapid ventricular response, which was successfully managed with intravenous amiodarone and the diagnostic workup ruled out life threatening thoracic pathology including cardiac ischemia. A CT coronary angiography was performed due to the moderate pretest probability of coronary artery disease. The scan identified a single coronary artery with a common origin of the left main coronary artery (LMCA) and the right coronary artery (RCA), from the right sinus of Valsalva, classified as Lipton Type RII-A which is a benign variant. This case highlights the importance of identifying CAAs, which are often incidental but may have clinical relevance depending on the anatomical course and associated risk factors. Early and accurate diagnosis through advanced imaging techniques is crucial to guide appropriate management and ensure optimal outcomes for the patient.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553905","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 rare case: Transcatheter coil embolization in a patient with cystic duct stump injury following cholecystectomy 罕见病例：胆囊切除术后囊管残端损伤患者的经导管线圈栓塞术

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.024

Furkan Özdem MD

引用次数: 0

Haemangioma of the breast: The added value of contrast enhanced ultra-sound (CEUS) in the vascularity assessment of a rare mesenchymal lesion 乳腺血管瘤：造影剂增强超声（CEUS）在评估罕见间质病变血管性方面的附加值

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.013

Cristiana Boldrini MD , Valerio Di Paola MD , Simone Palma MD , Valentina Longo MD , Silvia Amodeo MD , Micol Bottalico , Roberta Dattoli MD , Angelica Marra MD , Vincenza Pignatelli

{"title":"Haemangioma of the breast: The added value of contrast enhanced ultra-sound (CEUS) in the vascularity assessment of a rare mesenchymal lesion","authors":"Cristiana Boldrini MD , Valerio Di Paola MD , Simone Palma MD , Valentina Longo MD , Silvia Amodeo MD , Micol Bottalico , Roberta Dattoli MD , Angelica Marra MD , Vincenza Pignatelli","doi":"10.1016/j.radcr.2024.10.013","DOIUrl":"10.1016/j.radcr.2024.10.013","url":null,"abstract":"<div><div>Haemangiomas have been described in many anatomic locations, but occur quite rarely in the breast; although unfrequent, they are the most common benign vascular tumors of the breast. They are comprised in the cathegory of mesenchymal lesions, a spectrum of lesions that arise in the stroma of the breast as defined by WHO.</div><div>Here we present the case of a breast haemangioma in a 40-years-old woman, with history of a palpable lump in the left breast slowly increasing in size over time. The lesion first underwent diagnostic biopsy in 2018; after a 5-years follow-up with conventional ultrasound, it was studied in 2023 by our group using Contrast Enhanced Ultra-Sound (CEUS) in order to evaluate its vascularization. Basing on our experience, we conclude that in carefully selected cases of histologically proven breast haemangioma, a conservative management with follow-up imaging is safe; CEUS represents a noninvasive method for studying haemangiomas, superior than traditional US thanks to its ability to provide information about vascularity. In those cases with atypical imaging or clinical pathological suspicious characteristics, a complete surgical resection of the vascular tumor is mandatory–in order to exclude the possibility of an underlying angiosarcoma, especially when the lesion measures more than 2 cm.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553903","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