Radiology Case Reports最新文献_第6页

Fat embolism syndrome following femoral shaft fracture: A case report and diagnostic considerations 股骨干骨折后脂肪栓塞综合征：病例报告与诊断考虑

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.126

Morteza Gholipour , Mohsen Salimi , Alireza Motamedi , Fatemeh Abbasi

{"title":"Fat embolism syndrome following femoral shaft fracture: A case report and diagnostic considerations","authors":"Morteza Gholipour , Mohsen Salimi , Alireza Motamedi , Fatemeh Abbasi","doi":"10.1016/j.radcr.2024.10.126","DOIUrl":"10.1016/j.radcr.2024.10.126","url":null,"abstract":"<div><div>Fat embolism syndrome (FES) is a rare but serious complication that can arise after long bone fractures or orthopedic surgeries. This case report presents a 40-year-old male who developed FES following surgical fixation of a femoral shaft fracture using 2 plates. The day after surgery, the patient exhibited tachycardia, respiratory distress, and a fever of 38.5°C, initially raising concerns for pulmonary embolism. A computed tomography (CT) angiography of the lungs showed no evidence of pulmonary thromboembolism, and methylprednisolone was administered due to the suspicion of fat embolism. On the second postoperative day, petechial and purpuric lesions appeared on the neck, chest, and the surgical limb, strengthening the suspicion for FES. The patient fulfilled 2 major and 3 minor criteria for FES according to the Gurd and Wilson criteria, and scored 8 points on the Schonfeld Fat Embolism Index, indicating a high likelihood of FES. Despite these clinical signs, imaging studies did not reveal any embolic events. The patient was treated with supportive care, including oxygen therapy and anticoagulation, and his condition stabilized over the next 24 hours. He was mobilized and discharged in stable condition. This case highlights the critical need for early recognition of fat embolism syndrome (FES) in postorthopedic surgery patients, as timely diagnosis and intervention are key to preventing serious complications. Although clinical signs may not always align with imaging results, vigilant monitoring and prompt supportive care can significantly improve patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 943-948"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700718","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

Bone abnormalities in congenital syphilis: A case report 先天性梅毒患者的骨骼异常：病例报告

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.137

Andrés Hernando Tascón-Barona , Nathalia Sofia Coral-Rivera

引用次数: 0

Unusual hand tumor: A case report 罕见的手部肿瘤病例报告

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.116

H. Msek

引用次数: 0

When back pain masks a pneumothorax: Atypical presentation in a healthy young nonsmoker male 背痛掩盖了气胸：一名健康非吸烟男性青年的非典型表现

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.108

Mustafa Tareq Qader Hussein , Hashim Talib Hashim , Sabrean Farhan Jawad , Ali kareem Jaheed , Sajjad Ghanim Al-Badri , Mustafa almusawi , Mustafa Najah Al-Obaidi , Ahmed Dheyaa Al-Obaidi

引用次数: 0

Rare case of intrauterine device rectal migration revealed by lower GI bleeding: A case report and literature review 下消化道出血显示宫内节育器直肠移位的罕见病例：病例报告和文献综述

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.049

Amal Hassini MD , Ghizlane Kharrasse MD , Kaouthar Rais MD , Maissae Rahaoui MD , Fatima Adamou Mainassara MD , Abdelkrim Zazour MD , Hajar Koulali MD , Ouiam Elmqaddem MD , Zahi Ismaili MD

引用次数: 0

Partial biochemical response of adrenal artery embolization for pheochromocytoma: A case report and review of the literature 肾上腺动脉栓塞治疗嗜铬细胞瘤的部分生化反应：病例报告和文献综述

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.107

Fernando Choque-Chávez MD , Alfredo Páez-Carpio MD, MSc, EDIR, EBIR , Mireia Mora MD, PhD , Silvia Montserrat MD , Alejandro Pascagaza MD, EBIR , Marta Burrel MD, PhD

{"title":"Partial biochemical response of adrenal artery embolization for pheochromocytoma: A case report and review of the literature","authors":"Fernando Choque-Chávez MD , Alfredo Páez-Carpio MD, MSc, EDIR, EBIR , Mireia Mora MD, PhD , Silvia Montserrat MD , Alejandro Pascagaza MD, EBIR , Marta Burrel MD, PhD","doi":"10.1016/j.radcr.2024.10.107","DOIUrl":"10.1016/j.radcr.2024.10.107","url":null,"abstract":"<div><div>We present the case of a 22-year-old male with a left adrenal pheochromocytoma, initially diagnosed during a workup for thoracic pain. The patient's tumor was refractory to medical management, and surgical resection was ruled out due to high cardiovascular risk, stemming from cyanotic congenital heart disease, aortic aneurysm, and factor VII deficiency. The patient underwent adrenal artery embolization (AAE) as a salvage treatment. Following the procedure, there was an initial reduction in hypertensive crises and biochemical markers, with plasma normetanephrine levels decreasing from 1490 pg/mL to 313 pg/mL. However, over subsequent months, the patient experienced symptom recurrence, and biochemical relapse occurred, with normetanephrine levels rising to 742 pg/mL by 3 months postprocedure. This case highlights the potential for AAE to provide short-term symptom relief and biochemical response; nevertheless, it may not be an effective long-term curative option. More collaborative and prospective studies are needed to assess its success and efficacy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 924-928"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700104","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

Polycythemia vera with acute coronary syndrome and bleeding as initial presentation: A case report and literature review 以急性冠状动脉综合征和出血为首发症状的多血症：病例报告和文献综述

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.109

Rabia Iqbal MBBS , Aemen Shafqat Bazaz MBBS , Ahmad Taimoor Bajwa MBBS , Hnin Nadi Linn MD , Nyan Linn Htet MD , Sabrin Marowa MD , Asmat Ullah MD

{"title":"Polycythemia vera with acute coronary syndrome and bleeding as initial presentation: A case report and literature review","authors":"Rabia Iqbal MBBS , Aemen Shafqat Bazaz MBBS , Ahmad Taimoor Bajwa MBBS , Hnin Nadi Linn MD , Nyan Linn Htet MD , Sabrin Marowa MD , Asmat Ullah MD","doi":"10.1016/j.radcr.2024.10.109","DOIUrl":"10.1016/j.radcr.2024.10.109","url":null,"abstract":"<div><div>Polycythemia vera (PV) is a chronic myeloproliferative disorder characterized by increased red blood cell mass, leading to a heightened risk for thrombosis and hemorrhage. While thrombotic complications such as stroke, deep vein thrombosis, and pulmonary embolism are commonly associated with PV, coronary artery syndromes, as the initial presentation, are rare. Here, we present the case of a 73-year-old male who presented with severe chest pain and was diagnosed with non-ST–elevation myocardial infarction (NSTEMI). During his hospitalization, the patient experienced spontaneous psoas muscle hemorrhage, which prompted further investigation. Laboratory workup revealed elevated hemoglobin levels and a positive JAK2 V617F mutation, confirming a diagnosis of polycythemia vera. This case highlights the importance of considering myeloproliferative disorders in patients with atypical thrombotic and hemorrhagic events. It emphasizes the need for early diagnosis and appropriate treatment to optimize patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 909-915"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700096","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

Significance of ultrasonography in diagnosing transverse testicular ectopia: A case report 超声波检查在诊断横向睾丸异位症中的意义：病例报告

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.106

Govindarajan B. Rajendran , Sharmeela Sukumar , Raam Ratish Gobinathan

引用次数: 0

Mesenteric desmoid tumor in its cystic form: Case report of a very rare variant 囊性肠系膜脱模瘤：非常罕见的变异病例报告

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.101

Nourrelhouda Bahlouli , Kaouthar Imrani , Esseti Sara , Fatima Chait , Faraj Chaimae , Moatassimbillah Nabil , Ittimad Nassar , Sassi Samia , Derqaoui Sabrine , Bernoussi Zakia , Babana Alaoui Amina , Touhami Ouazzani Youssef , Lahjomri Ismail , Hadj Omar El Malki , Ifrine Lahcen , Belkouchi Abdelkader , Belkouchi Omar

引用次数: 0

Isolated unilateral proximal focal femoral deficiency: A case report and literature review 孤立性单侧股骨近端局灶性缺损：病例报告和文献综述

Radiology Case Reports Pub Date : 2024-11-22 DOI: 10.1016/j.radcr.2024.10.122

Mariam Thalji MD , Hakam Shrouf MD , Fadi Dana MD

引用次数: 0