{"title":"Ovarian fibrothecoma in a 15-year-old girl: A rare case report","authors":"Abourak Chaimae , El Haddad Siham , Bouljrouf Jaoud , Kisra Mounir , Oukassem Siham , Guennouni Asmae , Bahha Soukaina , Belkouchi Lina , Allali Nazik , Chat Latifa","doi":"10.1016/j.radcr.2025.04.011","DOIUrl":"10.1016/j.radcr.2025.04.011","url":null,"abstract":"<div><div>Ovarian fibrothecomas are rare benign tumors typically found in middle-aged women. This report presents a case of a 15-year-old girl with an irregular menstrual cycle and a left lateral uterine mass, ultimately diagnosed as an ovarian fibrothecoma. This case highlights the diagnostic challenges posed by fibrothecomas in younger patients, as they may mimic malignant ovarian tumors on imaging. Magnetic resonance imaging (MRI) findings, surgical intervention, and pathological examination confirmed the diagnosis. This case emphasizes the importance of accurate imaging and multidisciplinary approaches in managing such ovarian masses in adolescents.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3550-3554"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143904069","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}
{"title":"Bilateral superior cerebellar artery pure arterial malformation masquerading as aneurysms","authors":"Hazem Shoirah MD , Rafique Haynes MD , Gesille Fiallo PA","doi":"10.1016/j.radcr.2025.04.021","DOIUrl":"10.1016/j.radcr.2025.04.021","url":null,"abstract":"<div><div>Pure artery malformation (PAM) is defined as a coil-like dilated and or overlapping appearance of arterial vessels in the absence of a venous component [1]. We report the case of a young adult who presented with a headache and was found to have a pure artery malformation of the bilateral superior cerebellar arteries (SCA), initially masquerading as a basilar tip aneurysm. Given the uncertainty in the diagnosis on noninvasive neuroimaging, a digital subtraction angiography (DSA) was pursued, confirming the diagnosis of PAM. The long-term significance of PAMs remains unknown, but diligent initial evaluation is necessary to rule out alternative diagnoses, especially in an acute setting.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3555-3558"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906199","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}
{"title":"Successful embolization of mesenteric hematoma following blunt trauma: A case report","authors":"Rika Yoshida , Hisatoshi Araki , Yuki Komatsubara , Yuka Ishikura , Mitsunari Maruyama , Shinji Ando , Megumi Nakamura , Takeshi Yoshizako , Akihiko Kidani , Yasushi Kaji","doi":"10.1016/j.radcr.2025.04.015","DOIUrl":"10.1016/j.radcr.2025.04.015","url":null,"abstract":"<div><div>Mesenteric injuries are rare, occurring in approximately 1% of all blunt trauma cases. Herein, we report the case of a man in his 70s who sustained an isolated mesenteric hematoma following blunt abdominal trauma from a detached tire. The hematoma was successfully managed with transcatheter arterial embolization (TAE), avoiding the need for invasive surgery and preventing bowel ischemia. This case highlights the importance of early diagnosis and prompt intervention with TAE in hemodynamically stable patients with mesenteric injuries.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3536-3539"},"PeriodicalIF":0.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898650","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}
Nadia El Mahi, Amal Mojahid, Siham Bhalil, Hamid Ziani, Siham Nasri, Imane Kamaoui, Imane Skiker
{"title":"Adrenal hydatid cyst communicating with a ruptured renal hydatid cyst in the excretory cavities: A rare clinical case","authors":"Nadia El Mahi, Amal Mojahid, Siham Bhalil, Hamid Ziani, Siham Nasri, Imane Kamaoui, Imane Skiker","doi":"10.1016/j.radcr.2025.03.088","DOIUrl":"10.1016/j.radcr.2025.03.088","url":null,"abstract":"<div><div>Simultaneous involvement of the kidney and adrenal gland by a hydatid cyst is an extremely rare condition. This pathology, caused by <em>Echinococcus granulosus</em>, can lead to severe complications, particularly when the cyst ruptures into the excretory cavities (renal pelvis and ureter). Cyst rupture allows the dissemination of parasitic elements into the urinary tract, resulting in symptoms such as low back pain and urinary disturbances. Diagnosis relies on a combination of imaging (ultrasound, CT scan) and serological tests. Treatment is primarily surgical, involving nephrectomy and adrenalectomy when the structures are severely affected, along with postoperative antiparasitic therapy to prevent recurrence. Although rare, this dual involvement of the kidney and adrenal gland presents a significant diagnostic and therapeutic challenge. We present a rare case of simultaneous involvement of the adrenal gland and kidney, complicated by rupture into the excretory cavities, in a 45-year-old man complaining of low back pain.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3547-3549"},"PeriodicalIF":0.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902545","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}
{"title":"Diffuse glioma with FGFR3::TACC3 gene fusion and prominent calcification: A case report","authors":"Masaoki Kusunoki , Osamu Togao , Koji Yamashita , Kazufumi Kikuchi , Daisuke Kuga , Yutaka Fujioka , Shun Akamine , Kousei Ishigami","doi":"10.1016/j.radcr.2025.04.034","DOIUrl":"10.1016/j.radcr.2025.04.034","url":null,"abstract":"<div><div>Diffuse gliomas with fibroblast growth factor receptor 3 (<em>FGFR3</em>) and transforming acidic coiled-coil containing protein 3 (<em>TACC3</em>) gene fusion represent a distinct molecular subtype of isocitrate dehydrogenase (IDH)-wildtype gliomas characterized by unique histopathological features. Although microcalcifications have frequently been reported in histopathological studies, their prevalence and diagnostic significance on radiological imaging remain unclear. We report a case of a 67-year-old woman who presented with a 1-year history of weakness in the left lower limb. Head CT revealed coarse and irregular calcifications in the deep white matter of the right frontal and parietal lobes. At the same time, MRI demonstrated a diffuse gliomatosis cerebri-like growth pattern with infiltration across the corpus callosum and contrast enhancement in distant areas. Histopathological examination confirmed glioblastoma, IDH-wildtype, and subsequent genetic testing revealed <em>FGFR3</em>::<em>TACC3</em> fusion and amplification of <em>FGFR3</em> gene. This case highlights the potential radiological characteristics of diffuse gliomas with <em>FGFR3</em>::<em>TACC3</em> fusion, particularly the presence of coarse calcifications, that may serve as notable imaging features of this tumor. Further research is required to determine whether calcification is a characteristic of this glioma subtype.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3540-3546"},"PeriodicalIF":0.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902546","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}
Ahmed B. Altyeb , Ibrahim A. Khalil , Hosam Tawfik , Nushdan Okasha , Omar Abomarzouk , Abdullah Al Ansari
{"title":"Early encrustation of a ureteric metallic stent managed by robotic assisted extraction and pyeloplasty","authors":"Ahmed B. Altyeb , Ibrahim A. Khalil , Hosam Tawfik , Nushdan Okasha , Omar Abomarzouk , Abdullah Al Ansari","doi":"10.1016/j.radcr.2025.04.017","DOIUrl":"10.1016/j.radcr.2025.04.017","url":null,"abstract":"<div><div>Ureteral obstruction is a commonly encountered condition during daily practice. The mainstay of treatment for ureteral obstruction is drainage and relief of the obstruction, regardless of the etiology. Drainage using the traditional ureteral Double J stent has been recently challenged with new ureteric stent that proposed to have better durability and patient quality of life, particularly in cases that require prolonged insertion. One of these options are the ureteric metallic stents, such as Memokath, although uncommon, encrustation of Memkath can occur, leading to early removal. Here we present a case of 28-year-old gentleman with recurrent right pelviureteric junction obstruction, who had undergone pyeloplasty in childhood, The patient was hesitant to undergo redo pyeloplasty and opted for balloon dilatation with Memokath insertion. however early encrustation occurred leading to worsening of the condition and pain, and he was subsequently managed with robotic assisted laparoscopic Memokath extraction and dismembered pyeloplasty.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3531-3535"},"PeriodicalIF":0.0,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898422","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}
Jana Dibas , Aseel Eid , Somaya Al Kiswani , Zaid Sawaftah , Nader Sarhan , Abdullah Nofal , Omar Sawafta , Jehad Khamaysa
{"title":"A journey with Maffucci syndrome: From skull base chondrosarcoma to multiorgan management: A case report and literature review","authors":"Jana Dibas , Aseel Eid , Somaya Al Kiswani , Zaid Sawaftah , Nader Sarhan , Abdullah Nofal , Omar Sawafta , Jehad Khamaysa","doi":"10.1016/j.radcr.2025.04.027","DOIUrl":"10.1016/j.radcr.2025.04.027","url":null,"abstract":"<div><div>Maffucci syndrome is a very infrequently occurring genetic disorder. The 2 classic findings are enchondromas and hemangiomas with a high propensity to become malignant, leading to the formation of chondrosarcomas. In this study, we present the case of a 30-year-old male patient diagnosed with chondrosarcoma at the base of the skull related to Maffucci syndrome who presented with disturbances in visual perception and a palsy of the cranial nerve VI. His imaging studies confirmed the diagnosis; treatment included subtotal resection followed by radiation therapy. The following is the case that epitomizes the dreaded complications of Maffucci syndrome and the need for multidisciplinary, attentive follow-up to find early signs of malignant transformation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3515-3520"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898488","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}
Mustafa Shehzad MD , Beenish Sabir MBBS , Dawood Shehzad MD , Haris Mumtaz Malik MBBS , Anurag Jha MBBS , Muhammad Nabeel Saddique MBBS , Javed Iqbal RN, Ph.D
{"title":"Pulmonary lymphangioleiomyomatosis (LAM) having no extra-pulmonary manifestations with chemical and mechanical pleurodesis: A case report and review of literature","authors":"Mustafa Shehzad MD , Beenish Sabir MBBS , Dawood Shehzad MD , Haris Mumtaz Malik MBBS , Anurag Jha MBBS , Muhammad Nabeel Saddique MBBS , Javed Iqbal RN, Ph.D","doi":"10.1016/j.radcr.2025.02.103","DOIUrl":"10.1016/j.radcr.2025.02.103","url":null,"abstract":"<div><div>Lymphangioleiomyomatosis (LAM) is a rare, progressive lung disease characterized by abnormal smooth muscle proliferation, leading to cystic destruction of the lung parenchyma. We present the case of a female in her early 40s who presented with intermittent chest pain for 1 month. Imaging revealed left hydropneumothorax with multiple bilateral pulmonary parenchymal cysts, and a subsequent lung biopsy confirmed the diagnosis of pulmonary LAM. The patient underwent video-assisted thoracoscopic surgery (VATS) with mechanical and chemical pleurodesis. Given her stable condition, no immediate sirolimus therapy was initiated, and close follow-up with serial imaging was planned. This case highlights the diagnostic challenges of LAM, especially with low VEGF-D levels, and underscores the role of pleurodesis as a management option in select patients. Early recognition and tailored management are essential to optimize patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3510-3514"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898421","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}
Eric Michel Charlemagne Kessi Junior , Kaoutar Maslouhi , Gray Delors Tsioukaka , Papys Mendes , Lina Belkouchi , Nazik Allali , Latifa Chat , Siham El Haddad
{"title":"A typical case of ovarian fibrothecoma in a paucisymptomatic postmenopausal woman","authors":"Eric Michel Charlemagne Kessi Junior , Kaoutar Maslouhi , Gray Delors Tsioukaka , Papys Mendes , Lina Belkouchi , Nazik Allali , Latifa Chat , Siham El Haddad","doi":"10.1016/j.radcr.2025.03.086","DOIUrl":"10.1016/j.radcr.2025.03.086","url":null,"abstract":"<div><div>Ovarian fibrothecomas are a rare type of gonadal stromal cell tumor. They are mostly benign and unilateral in 90% of cases and mainly affect postmenopausal women. The clinical presentation and radiological features are vague. As a result, they may be misdiagnosed or confused with other entities. The definitive diagnosis is made by histology. We present a case of ovarian fibrothecoma in a 65-year-old woman with a history of thyroid neoplasia who presented only with frustrating abdominal pain with no other associated signs.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3501-3504"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894755","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}
Mark A. Colantonio MD, Katherine Shepherd MD, Brooke Shannon DO
{"title":"Syphilis and HIV co-infection presenting with a pituitary abscess: A rare case presentation","authors":"Mark A. Colantonio MD, Katherine Shepherd MD, Brooke Shannon DO","doi":"10.1016/j.radcr.2025.04.026","DOIUrl":"10.1016/j.radcr.2025.04.026","url":null,"abstract":"<div><div>Syphilis is a common sexually transmitted disease that increases the risk of co-infection with other sexually transmitted diseases, including HIV. Early diagnosis and treatment, especially for those localized to a rural environment, is paramount. Pituitary abscess is a rare pathology with less than 500 cases described to-date. We present a case of a newly diagnosed syphilis and HIV co-infection with an incidentally discovered pituitary abscess in a rural setting, highlighting the importance of early detection and management in this population, as well as the role of radiographic imaging to diagnose this rare pathology.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3526-3530"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898419","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}