Radiology Case Reports最新文献_第7页

When life-saving measures lead to trauma: Subcapsular hepatic hematoma after CPR 当救生措施导致创伤时：心肺复苏后的肝囊下血肿

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.006

Jay Narula MD , Mena Louis DO , Nathaniel Grabill MD , Sarah Kyle DO , Bradley Kuhn MD

{"title":"When life-saving measures lead to trauma: Subcapsular hepatic hematoma after CPR","authors":"Jay Narula MD , Mena Louis DO , Nathaniel Grabill MD , Sarah Kyle DO , Bradley Kuhn MD","doi":"10.1016/j.radcr.2024.10.006","DOIUrl":"10.1016/j.radcr.2024.10.006","url":null,"abstract":"<div><div>Cardiopulmonary resuscitation (CPR) is a critical intervention for cardiac arrest but can result in significant internal injuries due to the force of chest compressions. Among these, subcapsular hepatic hematoma is a rare and serious complication. Here we present a 55-year-old male with a history of alcohol abuse presented with a severe ischemic stroke and subsequently required CPR due to pulseless ventricular tachycardia. Following resuscitation, the patient developed a subcapsular hepatic hematoma, likely caused by the trauma of chest compressions. The patient also had a complex clinical course involving hemorrhagic conversion of the stroke and the need for anticoagulation due to bilateral pulmonary emboli, which further complicated the management of the hepatic hematoma. The identification of the hematoma was achieved through contrast-enhanced CT imaging after the patient exhibited worsening abdominal discomfort and signs of internal bleeding. The management focused on balancing the need for anticoagulation with the risks of further bleeding from the hematoma. A multidisciplinary approach was essential, involving close monitoring, potential surgical intervention, and careful adjustment of anticoagulant therapy. This case emphasizes the importance of recognizing the potential for internal injuries following CPR, especially in patients requiring anticoagulation. Early detection through imaging and a coordinated, multidisciplinary approach are crucial in managing such complications and improving 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":"142553908","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

Navigating complexity and sealing the threat: Ultrasound and CT guided percutaneous glue embolization of bronchial artery pseudoaneurysm with challenging anatomy 驾驭复杂性，封堵威胁：超声和 CT 引导下经皮胶水栓塞解剖结构复杂的支气管动脉假性动脉瘤

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.064

Andrew Patton MBBS, Annabel Hylands MB BCh BAO, MSc, Ravi Muli Jogi MBBS, FRANZCR, EBIR

{"title":"Navigating complexity and sealing the threat: Ultrasound and CT guided percutaneous glue embolization of bronchial artery pseudoaneurysm with challenging anatomy","authors":"Andrew Patton MBBS, Annabel Hylands MB BCh BAO, MSc, Ravi Muli Jogi MBBS, FRANZCR, EBIR","doi":"10.1016/j.radcr.2024.10.064","DOIUrl":"10.1016/j.radcr.2024.10.064","url":null,"abstract":"<div><div>Bronchial artery aneurysms are a rare vascular pathology, however bronchial artery pseudoaneurysms are even less commonly observed with minimal cases available in the literature. They are often associated with conditions such as lung infections or malignancies and are typically managed with endovascular embolization. However, complex vascular anatomy may render endovascular approaches unsuitable. Both pathologies require prompt diagnosis and management due to the risk of rupture and subsequent bleeding. This case report aims to describe the diagnosis and successful percutaneous treatment of a bronchial artery pseudoaneurysm of a 59-year-old female patient who presented with hemoptysis on the background of cavitating lung disease secondary to aspergillus colonization. The patient underwent successful percutaneous glue embolization opposed to the typical endovascular approach due to difficult anatomy, leading to complete resolution of the hemoptysis. This case report highlights the importance of US-guided direct percutaneous embolization of a bronchial artery pseudoaneurysm with the use of n-butyl-2-cyanoacrylate as a safe and effective treatment option when endovascular therapy cannot be performed.</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":"142553834","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

Common femoral artery occlusion following suture-mediated vascular closure device: A case report 缝合血管闭合装置导致股总动脉闭塞：病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.046

Kai Dick David Leung

引用次数: 0

Double superior vena cava incidentally found during permanent catheter placement: A case report and literature review 置入永久导管时意外发现双上腔静脉：病例报告和文献综述

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.051

Ali Shakhshir , Hamza A. Abdul-Hafez , Muhammad Takhman , Hala Qasrawi , Mahdi Kittaneh , Sultan Saada

引用次数: 0

Favorable evolution of a pseudoaneurysm of the aortic arch in Behçet's disease under medical treatment: A case report 贝赫切特病主动脉弓假性动脉瘤在药物治疗下的良好发展：病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.041

Asma Jdar , Mehdi Lekehal , Tarik Bakkali , Ayoub Bounssir , Brahim Lekehal

{"title":"Favorable evolution of a pseudoaneurysm of the aortic arch in Behçet's disease under medical treatment: A case report","authors":"Asma Jdar , Mehdi Lekehal , Tarik Bakkali , Ayoub Bounssir , Brahim Lekehal","doi":"10.1016/j.radcr.2024.10.041","DOIUrl":"10.1016/j.radcr.2024.10.041","url":null,"abstract":"<div><div>Behçet's disease is a multisystem vasculitis of undefined etiology. Aneurysms or pseudoaneurysms of the aortic arch constitute one of the major complications during the course of Behçet's disease. We report the case of a patient who presented for a consultation due to chest pain. The diagnosis of Behçet's disease was made based on clinical arguments, the pathergic test, and was confirmed by a thoracic angioscanner that revealed a 30 mm pseudoaneurysm of the aortic arch. Given the urgency of the treatment, a 3-day bolus of Solu-Medrol was administered, followed by oral treatment. After 12 months of follow-up, the patient reported a marked clinical improvement. The control angioscanner indicated an almost complete disappearance of the pseudoaneurysm of the aortic arch. The thoracic involvement of angio-Behçet is severe and poses a risk to vital prognosis; the choice between surgical treatment and medical monitoring is very difficult. In this article, we present a rare and significant evolution that opens up a substantial discussion on the role of immunosuppressive treatment in the management of pseudoaneurysms revealed by Behçet's disease.</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":"142553976","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

Persistent primary vitreous: A report on 2 rare pediatric cases 顽固性原发性玻璃体：2 例罕见儿科病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.045

Sanae Jellal, Jihane El Houssni, Sara Ez-Zaky, Rachida Chehrastane, Fatima Zohra Benbrahim, Siham El Haddad, Latifa Chat, Nazik Allali

引用次数: 0

Pseudotumoral portal cavernoma: A rare case that challenges diagnosis 假瘤门海绵状瘤：挑战诊断的罕见病例

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.09.136

Fadwa Jaheddine MD, Kaoutar Imrani PhD, Hiba Zahi MD, Nabil Moatassim Billah PhD, Ittimade Nassar PhD

引用次数: 0

Imaging of duodenal lipoma, case report of a rare tumor of the gastro intestinal tract 十二指肠脂肪瘤的成像，胃肠道罕见肿瘤的病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.010

Adam Sqalli Houssaini MD, Chaimaa Kassimi MD, Hassan En-nouali PhD, Jamal El Fenni PhD, Meriem Boui MD

引用次数: 0

Bilateral plunging ranula: A case report 双侧柱状瘤：病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.040

Hilman Syawaluddin MD , Enggar Hestu Waseso MD , Kalia Labitta Yudhasoka MD , Anglita Yantisetiasti MD

引用次数: 0

Replaced unclassified right hepatic artery arising from the celiac trunk: A case report 腹腔干引起的未分类右肝动脉置换：病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.028

Bahaa Osman MD , Daniel Kazan MD , Carla Tohme-Noun MD , Ghassan Chakhtoura MD , Roger Noun MD

{"title":"Replaced unclassified right hepatic artery arising from the celiac trunk: A case report","authors":"Bahaa Osman MD , Daniel Kazan MD , Carla Tohme-Noun MD , Ghassan Chakhtoura MD , Roger Noun MD","doi":"10.1016/j.radcr.2024.10.028","DOIUrl":"10.1016/j.radcr.2024.10.028","url":null,"abstract":"<div><div>Anatomical variations in hepatic arteries are both common and diverse. According to the classic classification systems, a replaced right hepatic artery typically originates from the superior mesenteric artery, supplying blood to the right liver lobe in the absence of the right branch of the proper hepatic artery. This article reports 2 cases of a rare variation, a replaced right hepatic artery arising directly from the celiac trunk. In these cases, the artery courses posterior to the common hepatic artery and then behind the portal vein within the hepatoduodenal ligament. The first case, involving a 62-year-old male with intraductal papillary mucinous neoplasm (IPMN) of the pancreas, was identified intraoperatively during a pancreaticoduodenectomy. The second case, involving a 58-year-old female with chronic sclerosing cholangitis, was detected through contrast-enhanced computed tomography angiography. Identification of such variations is critical in hepatobiliary and pancreatic surgeries to prevent serious postoperative complications. Injury to a replaced right hepatic artery can lead to biliary-enteric anastomosis dehiscence after pancreaticoduodenectomy or ischemic liver complications. While hepatic arteries display numerous anatomical variations, classic classification systems fail to encompass all these anomalies. A more comprehensive classification system, such as CRL and ex-CRL classification, is necessary to ensure safer surgical 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":"142553981","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