Radiology Case Reports最新文献_第7页

Silent threat after surgery: subclavian and axillary vein thrombosis following clavicle fixation leading to thoracic outlet syndrome 术后无声威胁：锁骨固定后锁骨下和腋窝静脉血栓形成导致胸廓出口综合征

Radiology Case Reports Pub Date : 2025-09-19 DOI: 10.1016/j.radcr.2025.08.086

Morteza Gholipour MD , Arian Hajiahmadi MD , Mohsen Salimi MD , Mahdi Mohammaditabar MD , Fatemeh Abbasi MD

{"title":"Silent threat after surgery: subclavian and axillary vein thrombosis following clavicle fixation leading to thoracic outlet syndrome","authors":"Morteza Gholipour MD , Arian Hajiahmadi MD , Mohsen Salimi MD , Mahdi Mohammaditabar MD , Fatemeh Abbasi MD","doi":"10.1016/j.radcr.2025.08.086","DOIUrl":"10.1016/j.radcr.2025.08.086","url":null,"abstract":"<div><div>Thoracic outlet syndrome (TOS) is a rare but significant complication that may occur following clavicular fractures, especially after surgical fixation. We present the case of a 32-year-old woman who developed partial thrombosis of the subclavian and axillary veins as a delayed complication after open reduction and internal fixation (ORIF) of a clavicle fracture with an anatomical plate. Approximately 1 month after surgery, the patient began experiencing pain in the axillary region and mid-arm, symptoms that raised suspicion for TOS. Doppler ultrasonography confirmed partial thrombosis of the distal subclavian vein and acute thrombosis extending from the axillary vein to the subclavian junction. Anticoagulation therapy with apixaban (2.5 mg every 12 hours) was initiated, resulting in significant symptomatic improvement within 1 month, although mild axillary discomfort persisted. Long-term follow-up over 11 months revealed complete resolution of symptoms, and repeat Doppler imaging showed full restoration of venous flow with no residual thrombosis. This case emphasizes the need for clinical vigilance regarding vascular complications after clavicular surgery and demonstrates the therapeutic potential of apixaban in managing venous TOS. Early recognition and timely anticoagulation may lead to favorable outcomes in similar postoperative cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6058-6061"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097099","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}

引用次数: 0

Applications of spectral CT calcium suppression for percutaneous bone tumor ablation procedures 光谱CT抑钙技术在经皮骨肿瘤消融中的应用

Radiology Case Reports Pub Date : 2025-09-19 DOI: 10.1016/j.radcr.2025.08.068

Juna Musa MD, MSc , Thomas D. Atwell MD , Daniel A. Adamo MD , Ahmad Parvinian MD , Nathan R. Huber PhD , Setayesh Sotoudehnia Korani , Brian T. Welch MD , Christopher P. Favazza PhD , Rebecca Hibbert MD

引用次数: 0

Simultaneous findings of shunt obliteration and arterial flow restoration during balloon-assisted technique in the management of idiopathic vertebral arteriovenous fistula 球囊辅助技术治疗特发性椎体动静脉瘘的同时发现分流闭塞和动脉血流恢复

Radiology Case Reports Pub Date : 2025-09-18 DOI: 10.1016/j.radcr.2025.08.076

Noriaki Ashida MD, PhD , Atsushi Fujita MD, PhD , Young Ju Kim MD , Shunsuke Yamanishi MD, PhD , Masamitsu Nishihara MD, PhD

{"title":"Simultaneous findings of shunt obliteration and arterial flow restoration during balloon-assisted technique in the management of idiopathic vertebral arteriovenous fistula","authors":"Noriaki Ashida MD, PhD , Atsushi Fujita MD, PhD , Young Ju Kim MD , Shunsuke Yamanishi MD, PhD , Masamitsu Nishihara MD, PhD","doi":"10.1016/j.radcr.2025.08.076","DOIUrl":"10.1016/j.radcr.2025.08.076","url":null,"abstract":"<div><div>The etiology of vertebral arteriovenous fistulas (VAVFs) is diverse, and when selecting an optimal therapeutic strategy, it is important to evaluate the feasibility of preserving the vertebral artery (VA). A 75-year-old woman presented with pulsatile tinnitus, and imaging revealed a high-flow vertebral arteriovenous fistula (VAVF) with a single shunt point at the V2 segment; the distal ipsilateral VA was not visualized, suggesting occlusion or a steal phenomenon. Stepwise balloon adjustment near the shunt site eliminated shunt flow and restored distal VA flow, confirming steal and enabling a successful vessel-preserving treatment. This case demonstrates that controlled modulation of flow near the shunt site using a balloon catheter can effectively predict the potential for restoration of VA flow, and suggests the clinical utility of this technique in planning a strategy that achieves shunt obliteration while preserving the vertebral artery.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6048-6053"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097096","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}

引用次数: 0

A Serratia marcescens brain abscesses in a preterm infant: An atypical presentation 早产儿粘质沙雷氏菌脑脓肿：不典型表现

Radiology Case Reports Pub Date : 2025-09-16 DOI: 10.1016/j.radcr.2025.08.041

Mohamed Sellouti PhD , Salahiddine Saghir PhD , Anass Ayad PhD , Mehdi Bahouss MD , Rachid Abilkassem PhD

引用次数: 0

Thyroid tuberculosis: Rare case report 甲状腺结核：罕见报告

Radiology Case Reports Pub Date : 2025-09-16 DOI: 10.1016/j.radcr.2025.08.024

Chaimae Abourak MD , Siham Oukassem MD , Wadie Zouita MD , kenza Bentalha MD , Meriem Boubekri PhD , Zakia Bernoussi PhD , Kaoutar Znati PhD , taha yassine Aaboudech PhD , Wafae Elaamadi PhD , soumaya Elyoussoufi MD , Abdellah Achir PhD , Bilal Motassim billah PhD , Ittimade Nassar PhD , Kaoutar Imrani PhD

引用次数: 0

“Rapid progression of gallbladder cancer from stage I to stage IV in 4-months: A case highlighting the critical need for timely intervention” “胆囊癌在4个月内从I期迅速发展到IV期：一例强调及时干预的迫切需要”

Radiology Case Reports Pub Date : 2025-09-16 DOI: 10.1016/j.radcr.2025.08.049

Victor Mhezi MD, MMed , Hassan Lumbe MD, MMed , Godfrey Malangwa MD, MMed , Maurus Ndomba AMO, Rad , Lincleth Gingo Rad , Rehema Simba Rad , Moza Chitta Rad

{"title":"“Rapid progression of gallbladder cancer from stage I to stage IV in 4-months: A case highlighting the critical need for timely intervention”","authors":"Victor Mhezi MD, MMed , Hassan Lumbe MD, MMed , Godfrey Malangwa MD, MMed , Maurus Ndomba AMO, Rad , Lincleth Gingo Rad , Rehema Simba Rad , Moza Chitta Rad","doi":"10.1016/j.radcr.2025.08.049","DOIUrl":"10.1016/j.radcr.2025.08.049","url":null,"abstract":"<div><div>Gallbladder cancer is the most common biliary tract malignancy, primarily affects older women and strongly associated with cholelithiasis. Early detection is critical, as prognosis worsens significantly with disease progression. This case involves a 68-year-old male, who presented with abdominal pain, jaundice, and cachexia. Imaging initially revealed a stage I gallbladder cancer with associated cholelithiasis. Despite recommendations for prompt surgical, histopathological and oncological referral, patient’s socioeconomic barriers delayed intervention. Within 4 months, the cancer progressed to stage IV, with direct invasion of the liver and duodenum, vascular thrombosis, and metastatic lymphadenopathy, ultimately leading to the patient's death. This case highlights the devastating impact of delayed care for gallbladder cancer, underscoring the need for improved access to early diagnosis, timely referrals, strengthening specialized medical services at regional level and coordinated multidisciplinary management of aggressive malignancies.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6025-6030"},"PeriodicalIF":0.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097087","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}

引用次数: 0

Aortoiliac calcification hindering cardiac interventions: A case for intravascular lithotripsy 主动脉髂钙化阻碍心脏介入：血管内碎石1例

Radiology Case Reports Pub Date : 2025-09-16 DOI: 10.1016/j.radcr.2025.08.054

Inderjeet Bharaj MD , Ei Ei Thwe MD , Inderbir Padda MD , Ravi Mann MD , Baljeet Uppal MD , Merick Kirshner MD

{"title":"Aortoiliac calcification hindering cardiac interventions: A case for intravascular lithotripsy","authors":"Inderjeet Bharaj MD , Ei Ei Thwe MD , Inderbir Padda MD , Ravi Mann MD , Baljeet Uppal MD , Merick Kirshner MD","doi":"10.1016/j.radcr.2025.08.054","DOIUrl":"10.1016/j.radcr.2025.08.054","url":null,"abstract":"<div><div>Aortic calcification is associated with an increased risk of major adverse cardiovascular events, and while cases have been reported for its management, no expert consensus or guidelines currently exist. An 81-year-old male presented with recurrent falls and was diagnosed with severe symptomatic aortic stenosis (AS) and coronary artery disease (CAD) requiring high-risk percutaneous coronary intervention (PCI) and transcatheter aortic valve replacement (TAVR). Severe aortoiliac calcifications complicated clinical decision-making, posing a challenge to large-bore sheath placement. After heart-team review, shockwave intravascular lithotripsy (IVL) with bilateral 7×60 mm balloons was utilized to deliver sonic pressure waves at low inflation pressures to selectively fracture intimal and medial calcium. Improved vessel compliance facilitated Impella-assisted PCI and staged TAVR. This case demonstrates that IVL may be a viable option for aortic calcification when alternative approaches are limited. Its familiar balloon-based design and low-pressure inflation enhance its appeal. While procedural vascular risks do exist, they remain low and can be minimized with proper device sizing and technique.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6036-6041"},"PeriodicalIF":0.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097089","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}

引用次数: 0

Endovascular management of a ruptured pancreaticoduodenal artery aneurysm in a patient with median arcuate ligament syndrome 中弓状韧带综合征患者胰十二指肠动脉瘤破裂的血管内治疗

Radiology Case Reports Pub Date : 2025-09-16 DOI: 10.1016/j.radcr.2025.08.063

Quach Van Kien , Than Van Sy , Nguyen Tra My , Pham Quang Thai , Pham Huu Khuyen

{"title":"Endovascular management of a ruptured pancreaticoduodenal artery aneurysm in a patient with median arcuate ligament syndrome","authors":"Quach Van Kien , Than Van Sy , Nguyen Tra My , Pham Quang Thai , Pham Huu Khuyen","doi":"10.1016/j.radcr.2025.08.063","DOIUrl":"10.1016/j.radcr.2025.08.063","url":null,"abstract":"<div><div>Pancreaticoduodenal artery aneurysm is an uncommon vascular entity within the visceral circulation, yet it carries a high risk of rupture and life-threatening hemorrhage, even when the aneurysm is small. We report a case of a 57-year-old male who presented with acute epigastric pain and signs of hypovolemic anemia. Contrast-enhanced computed tomography revealed a large retroperitoneal hematoma associated with multiple aneurysms arising from the pancreaticoduodenal arteries. Notably, the celiac artery demonstrated characteristic compression by the median arcuate ligament, consistent with median arcuate ligament syndrome (MALS). The patient underwent emergency endovascular embolization using a combination of fibered coils and N-butyl cyanoacrylate–Lipiodol mixture, resulting in complete occlusion of the aneurysmal segments and rapid clinical stabilization. This case underscores the pivotal role of cross-sectional imaging in identifying underlying vascular anomalies such as MALS and highlights the efficacy and safety of selective endovascular embolization in managing complex visceral aneurysms. Long-term follow-up is essential to detect potential recurrence or organ ischemia related to altered mesenteric hemodynamics.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 6031-6035"},"PeriodicalIF":0.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097091","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}

引用次数: 0

Recurrent catheter-related right atrial thrombosis in a hemodialysis patient: A case report and literature review 血液透析患者导管相关性右心房血栓复发1例报告并文献复习

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.073

Lu Li , Huaying Fu , Tienan Chen , Lihua Wang

引用次数: 0

Coronary stenting after aortic root replacement 主动脉根置换术后冠状动脉支架植入术

Radiology Case Reports Pub Date : 2025-09-15 DOI: 10.1016/j.radcr.2025.08.056

Alexey Viktorovich Kudrinskiy MD, PhD , Artem Vladimirovich Snitsar MD , Marat Amayakovich Sedgaryan MD, PhD , Maxim Valentinovich Patlachuk MD

{"title":"Coronary stenting after aortic root replacement","authors":"Alexey Viktorovich Kudrinskiy MD, PhD , Artem Vladimirovich Snitsar MD , Marat Amayakovich Sedgaryan MD, PhD , Maxim Valentinovich Patlachuk MD","doi":"10.1016/j.radcr.2025.08.056","DOIUrl":"10.1016/j.radcr.2025.08.056","url":null,"abstract":"<div><div>We describe a case of severe coronary artery stenosis in a 29-year-old male 1 month after aortic root replacement (ARR). The patient presented with exertional chest pain that progressed to prolonged resting angina and ventricular arrhythmia. Electrocardiography showed ischemic changes suggestive of left coronary artery involvement, and multislice computed tomography angiography confirmed subtotal stenosis at the left main (LM) bifurcation. Urgent percutaneous coronary intervention (PCI) with drug-eluting stent implantation from the LM to the left anterior descending artery was performed using a provisional technique, resulting in improvement of left ventricular ejection fraction from 23% to 55%. The patient was discharged without complications and remained event-free at 6-month follow-up. This case highlights a rare but potentially life-threatening coronary complication after ARR, which may be related to perfusion cannula placement, technical factors during coronary ostial reimplantation, or proliferative reactions to the aortic prosthesis or gelatin–resorcinol–formaldehyde glue. It underscores the need for early recognition and vigilance for coronary ischemia after ARR − even in young patients without prior coronary artery disease − and emphasizes the efficacy of emergency PCI. A multidisciplinary approach is recommended to optimize outcomes in complex postsurgical cardiovascular patients.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5994-6002"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061153","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}

引用次数: 0