Radiology Case Reports最新文献_第7页

Extra axial medulloblastoma of the cerebellopontine angle: A rare case report 桥小脑角轴外髓母细胞瘤1例

Radiology Case Reports Pub Date : 2025-04-08 DOI: 10.1016/j.radcr.2025.03.034

Ammar Maireche MD , Nazim Lounici MD , Mohammed Rafiq Saadat MD , Ouassim Atik MD , Farouk Boucheffa MD , Elmouiz lidine allah Maireche MD , Houssameddine Mebarki MD , Melissa Benadjel MD , Oumaima Bendjama MD , Karima Seddiki MD

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NK/T-cell bone lymphoma-induced hemophagocytic lymphohistiocytosis: A clinical case report NK/ t细胞骨淋巴瘤诱导的噬血细胞淋巴组织细胞增多症1例临床报告

Radiology Case Reports Pub Date : 2025-04-08 DOI: 10.1016/j.radcr.2025.03.025

Zhanrong Zhang MM, Feng Chen MD

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Management of spontaneous subscapular renal hemorrhage: A multidisciplinary and hybrid approach to Wunderlich syndrome 自发性肩胛下肾出血的治疗：一种多学科和混合的方法来治疗Wunderlich综合征

Radiology Case Reports Pub Date : 2025-04-05 DOI: 10.1016/j.radcr.2025.03.013

Hamza El Abidi , Ahmed Ibrahimi , Adam El Aboudi , Mohamed Ali Mikou , Imad Boualaoui , Zineb Labbi , Omar El Aoufir , Meryem Fikri , Hashem El Sayegh , Yassine Nouini

{"title":"Management of spontaneous subscapular renal hemorrhage: A multidisciplinary and hybrid approach to Wunderlich syndrome","authors":"Hamza El Abidi , Ahmed Ibrahimi , Adam El Aboudi , Mohamed Ali Mikou , Imad Boualaoui , Zineb Labbi , Omar El Aoufir , Meryem Fikri , Hashem El Sayegh , Yassine Nouini","doi":"10.1016/j.radcr.2025.03.013","DOIUrl":"10.1016/j.radcr.2025.03.013","url":null,"abstract":"<div><div>Wunderlich syndrome (WS), or spontaneous renal hemorrhage, is a rare and serious condition that demands prompt diagnosis and management. This report describes a 26-year-old female patient who experienced severe right-sided flank pain and hypovolemic symptoms during hemodialysis. The patient had several comorbidities, including poorly managed diabetes mellitus, diabetic nephropathy, and arterial hypertension. An active bleeding leading to a subcapsular renal hematoma was discovered by imaging. Using interventional radiology, immediate renal arterial embolization was part of the initial therapy. Recurrent bleeding required an emergency hemostatic nephrectomy despite temporary stabilization. This example emphasizes the importance of a hybrid management strategy that combines interventional radiology and surgical competence. It emphasizes how crucial a multidisciplinary team is to customizing interventions that strike a balance between the patient's underlying chronic comorbidities and the urgent requirements of a life-threatening illness. This all-encompassing strategy produced a favorable result.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3106-3110"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777461","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

Ovarian metastasis from lobular breast carcinoma: A case report with review of literature 小叶型乳腺癌卵巢转移1例并文献复习

Radiology Case Reports Pub Date : 2025-04-05 DOI: 10.1016/j.radcr.2025.03.043

Yasameen M. Mohammed , Zuhair D. Hammood , Abdulwahid M. Salih , Hadeel A. Yasseen , Soran H. Tahir , Sami S. Omar , Rebaz Haji Ali , Rawa M. Ali , Belan Mikaeil M. Radha , Ayman M. Mustafa , Fahmi H. Kakamad

{"title":"Ovarian metastasis from lobular breast carcinoma: A case report with review of literature","authors":"Yasameen M. Mohammed , Zuhair D. Hammood , Abdulwahid M. Salih , Hadeel A. Yasseen , Soran H. Tahir , Sami S. Omar , Rebaz Haji Ali , Rawa M. Ali , Belan Mikaeil M. Radha , Ayman M. Mustafa , Fahmi H. Kakamad","doi":"10.1016/j.radcr.2025.03.043","DOIUrl":"10.1016/j.radcr.2025.03.043","url":null,"abstract":"<div><div>Although breast cancer can metastasize to various sites, involvement of the ovaries is infrequent. The current study aims to report a case of ovarian cancer originating from the breast along with an in-depth analysis of the literature. A 58-year-old woman with a history of invasive lobular carcinoma underwent surgery followed by adjuvant chemo-radiotherapy. During regular follow-up, a suspicious ovarian mass was detected, later confirmed to be metastasis from the breast cancer. A review of 25 studies on Google Scholar and PubMed identified 7185 ovarian metastasis patients, with 1253 cases originating from breast cancer, accounting for approximately 17.4% of all metastatic ovarian cancers. Bilateral ovarian involvement was noted in 75% of cases, with right-side involvement in 5.7% and left-side in 19.3%. Only 13 studies documented menopausal status, showing 53.6% were premenopausal. Controversies persist in distinguishing primary ovarian cancer from metastasis using clinical signs, serum markers, and imaging. Metastasis of breast cancer to the ovaries is an uncommon event, even after utilizing various therapeutic approaches. Surgery is the treatment of choice for these cases. This case highlights the importance of long-term surveillance in breast cancer patients and emphasizes the role of surgery in managing ovarian metastases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776454","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

Rare uro-genital manifestations of von Recklinghausen disease: Scrotal, penile, and intrapelvic involvement with bladder and spermatic cord extension: A case report von Recklinghausen病的罕见泌尿生殖表现：阴囊、阴茎和盆腔内累及膀胱和精索延伸1例报告

Radiology Case Reports Pub Date : 2025-04-05 DOI: 10.1016/j.radcr.2025.03.008

Nadia El Mahi, Amal Mojahid, Hajar Siouri, Hamid Ziani, Siham Nasri, Imane Kamaoui, Imane Skiker

引用次数: 0

Invasive lobular carcinoma with metastasis to the pectoralis muscle 胸肌转移的浸润性小叶癌

Radiology Case Reports Pub Date : 2025-04-05 DOI: 10.1016/j.radcr.2025.03.051

Odai El-Samawi MD , Alexander M. Satei MBBS , Patricia A. Miller MD

引用次数: 0

A case of spinal arteriovenous fistula complicated with congenital spinal lipoma and successfully treated with endovascular therapy 脊髓动静脉瘘合并先天性脊柱脂肪瘤1例，经血管内治疗成功

Radiology Case Reports Pub Date : 2025-04-05 DOI: 10.1016/j.radcr.2025.03.060

Masaaki Kubota MD, PhD , Yosuke Tajima MD, PhD , Yoshinori Higuchi MD, PhD

{"title":"A case of spinal arteriovenous fistula complicated with congenital spinal lipoma and successfully treated with endovascular therapy","authors":"Masaaki Kubota MD, PhD , Yosuke Tajima MD, PhD , Yoshinori Higuchi MD, PhD","doi":"10.1016/j.radcr.2025.03.060","DOIUrl":"10.1016/j.radcr.2025.03.060","url":null,"abstract":"<div><div>Spinal cord lipomas concurrent with spinal arteriovenous fistulas (SAVFs) are rare, and their natural history and optimal treatment remain unclear. We report the case of a 44-year-old woman with a history of surgical intervention at 2 months of age for myelomeningocele, with the possibility of lipmyelomingocele based on the surgical history, who presented with progressive paralysis and paresthesia in both lower extremities over 3 years. She was diagnosed with an SAVF concurrent with a congenital spinal lipoma, and transarterial embolization was performed after confirming the absence of neurological symptoms during a provocation test. Postoperative imaging showed reduced T2-weighted high-intensity signals in the spinal cord, and 3 months after the procedure, her neurological symptoms improved significantly, allowing her to transition from nonambulatory wheelchair dependence to ambulation with a double cane. This case highlights the need for detailed imaging and vascular evaluation in patients with spinal lipomas and SAVFs, especially in cases involving the filum terminale type, which is closely associated with the anterior spinal artery. Proximal occlusion may occur if feeders have multiple branches or a long distance to the drainer, increasing the risk of incomplete treatment. A provocation test before embolization can enhance both safety and efficacy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3120-3128"},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777463","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

Superselective transcatheter arterial embolization in the treatment of intra-abdominal extralobar pulmonary sequestration 超选择性经导管动脉栓塞治疗腹内肺叶外肺隔离

Radiology Case Reports Pub Date : 2025-04-05 DOI: 10.1016/j.radcr.2025.03.019

Túlio Fabiano de Oliveira Leite MD, PhD , Vivalde Faria Lobato Neto MD

引用次数: 0

Giant cellulitis-like Sweet syndrome with myofasciitis: Multimodality imaging findings and streptococcal trigger 巨大蜂窝织炎样Sweet综合征合并肌筋膜炎：多模态影像学表现和链球菌触发

Radiology Case Reports Pub Date : 2025-04-05 DOI: 10.1016/j.radcr.2025.03.039

Zi-Ning Choo , Verena Isak , Elisha M. Singer , Joanna Harp , Alison Schonberger , Michael L. Miller , Cynthia Magro , Roger J. Bartolotta

{"title":"Giant cellulitis-like Sweet syndrome with myofasciitis: Multimodality imaging findings and streptococcal trigger","authors":"Zi-Ning Choo , Verena Isak , Elisha M. Singer , Joanna Harp , Alison Schonberger , Michael L. Miller , Cynthia Magro , Roger J. Bartolotta","doi":"10.1016/j.radcr.2025.03.039","DOIUrl":"10.1016/j.radcr.2025.03.039","url":null,"abstract":"<div><div>Sweet syndrome is a rare neutrophilic dermatosis that can mimic infectious cellulitis. In this case, a 34-year-old woman presented to the emergency department with fever, leukocytosis, and painful erythematous right thigh plaque. She was initially started on broad-spectrum antibiotics for presumed cellulitis, but worsening systemic symptoms (including hypotension) and right thigh MR findings of myofasciitis raised concern for necrotizing soft tissue infection with systemic inflammatory response syndrome. Right thigh fasciotomy was performed, but all tissue sampling and cultures remained negative for infection. Subsequent CT and ultrasound of the right thigh revealed early myonecrosis in the setting of inflammatory myofasciitis. Skin biopsy showed papillary dermal edema and extensive interstitial neutrophilia with leukocytoclasia without microbial pathogens, consistent with a diagnosis of giant cellulitis-like Sweet syndrome. Treatment with high dose intravenous corticosteroids produced rapid clinical improvement. This case describes a rare presentation of Sweet syndrome with muscle involvement, outlines diagnostic features in the multimodality imaging of neutrophilic myofasciitis, and underscores the importance of considering Sweet syndrome in soft tissue inflammation that is unresponsive to antimicrobial therapy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776453","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

Percutaneous transhepatic vascular embolization for a mesenteric arteriovenous malformation leading to decreased portal pressure in a patient with alcoholic liver cirrhosis: A case report 经皮经肝血管栓塞治疗肠系膜动静脉畸形导致酒精性肝硬化患者门静脉压力下降1例报告

Radiology Case Reports Pub Date : 2025-04-05 DOI: 10.1016/j.radcr.2025.03.037

Ken Shigeyama , Yasuyuki Ono , Shuji Kariya , Miyuki Nakatani , Takuji Maruyama , Yuki Tanaka , Takayuki Matsumoto , Hiroyuki Fujita , Noboru Tanigawa

{"title":"Percutaneous transhepatic vascular embolization for a mesenteric arteriovenous malformation leading to decreased portal pressure in a patient with alcoholic liver cirrhosis: A case report","authors":"Ken Shigeyama , Yasuyuki Ono , Shuji Kariya , Miyuki Nakatani , Takuji Maruyama , Yuki Tanaka , Takayuki Matsumoto , Hiroyuki Fujita , Noboru Tanigawa","doi":"10.1016/j.radcr.2025.03.037","DOIUrl":"10.1016/j.radcr.2025.03.037","url":null,"abstract":"<div><div>Arteriovenous malformations in the abdominal region are rare, and they are known to occasionally cause portal hypertension. A 66-year-old man with a chief complaint of fatigue and blood tests showing hepatic dysfunction was seen for a more detailed examination. Abdominal contrast-enhanced computed tomography showed an anastomosis of the ileal artery and ileal vein via a nidus within the mesentery. In addition to alcoholic cirrhosis from a history of high alcohol intake, the patient was diagnosed with portal hypertension from increased portal pressure due to an arteriovenous malformation in the mesentery. Vascular embolization with a percutaneous transhepatic approach was performed for the mesenteric arteriovenous malformation. The ileal vein, which was the dominant outflow vein, was embolized, and the blood flow in the arteriovenous malformation disappeared. A decrease in portal pressure of 29% was confirmed. There were no complications from the embolization. In cases of mesenteric arteriovenous malformations that contribute to portal hypertension, treatment of the malformations can be expected to decrease portal pressure. Compared with surgical intestinal resection, endovascular treatment that can be done with low invasiveness is thought to be a possible option.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776455","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