Radiology Case Reports最新文献_第8页

Multiple sclerosis following treatment with BCG-PSN for urticaria: A case report 卡介苗-PSN治疗荨麻疹后的多发性硬化：病例报告

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.004

Yike Chai , Miaojing Tian , Hongen Wei

引用次数: 0

Totally implantable venous access port metastasis in a patient with multiple myeloma 一名多发性骨髓瘤患者的完全植入式静脉通路端口转移瘤

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.047

Arianna Gregg MPH , Marco Lin DO , Hira Qadir MD , Morgan Sly MD , David McVinnie MD

{"title":"Totally implantable venous access port metastasis in a patient with multiple myeloma","authors":"Arianna Gregg MPH , Marco Lin DO , Hira Qadir MD , Morgan Sly MD , David McVinnie MD","doi":"10.1016/j.radcr.2024.10.047","DOIUrl":"10.1016/j.radcr.2024.10.047","url":null,"abstract":"<div><div>Multiple myeloma is a hematologic malignancy characterized by the proliferation of monoclonal plasma cells within the bone marrow. Extramedullary plasmacytomas, a rare manifestation of multiple myeloma, occur in a small percentage of patients. These plasmacytomas can develop in the skin, often near venous catheter access sites, posing diagnostic challenges due to their rarity. We report a case of a 63-year-old man with multiple myeloma who presented with a mildly painful, swollen left chest port site. A whole-body FDG PET/CT scan revealed a hypermetabolic soft tissue mass surrounding the port site, suggestive of malignancy. Subsequent surgical excision and histopathological analysis confirmed the presence of a metastatic subcutaneous plasmacytoma, consistent with the patient's known multiple myeloma. Cutaneous extramedullary plasmacytomas at central venous catheter sites are rarely reported. Potential mechanisms for tumor development at trauma sites include local expression of chemokines that attract myeloma cells. This case underscores the importance of recognizing cutaneous plasmacytomas in patients with multiple myeloma and venous access ports to avoid misdiagnosis and unnecessary interventions. It contributes to the broader understanding of extramedullary disease manifestations in multiple myeloma and emphasizes the need for thorough investigation and appropriate management in such cases.</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":"142553853","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

Focal necrotizing Histoplasma capsulatum cervical lymphadenitis without evidence of disseminated disease in an immunocompetent patient 一名免疫功能正常患者的局部坏死性荚膜组织胞浆菌颈淋巴结炎，无播散性疾病证据

Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.09.154

Casey J. Yu, Brandon V. Yu, Daniel W. Bess MD, Victor Y. Yu MD

{"title":"Focal necrotizing Histoplasma capsulatum cervical lymphadenitis without evidence of disseminated disease in an immunocompetent patient","authors":"Casey J. Yu, Brandon V. Yu, Daniel W. Bess MD, Victor Y. Yu MD","doi":"10.1016/j.radcr.2024.09.154","DOIUrl":"10.1016/j.radcr.2024.09.154","url":null,"abstract":"<div><div>Previously healthy Caucasian female in her 30s initially presented for progressively enlarging right-sided cervical lymphadenopathy with associated sore throat. After she completed 2 antibiotic regimens for presumed infection with no relief, a CT Neck with contrast was obtained which demonstrated multiple pathologic lymph nodes, the largest lymph node demonstrating central necrosis. Patient underwent fine needle aspiration with Otolaryngology, as well as core needle biopsy with Interventional Radiology, both of which were nondiagnostic. Subsequently, she underwent excisional lymph node biopsy with Otolaryngology. Pathology reported the presence of numerous budding, oval yeast-like cells in the necrotic areas, diagnostic of <em>Histoplasma capsulatum</em> lymphadenitis. She retrospectively received a CT Chest with contrast to confirm presence of pulmonary or mediastinal disease for disseminated histoplasma infection. Surprisingly, the CT Chest showed no evidence of disseminated disease, indicating a unique case of isolated histoplasma capsulatum cervical lymphadenitis.</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":"142553983","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

Radiologic evaluation in the diagnosis of diplopia due to unilateral accessory extraocular muscle 诊断单侧附属眼外肌引起的复视的放射学评估

Radiology Case Reports Pub Date : 2024-10-29 DOI: 10.1016/j.radcr.2024.09.150

Ryan Nolan BS , Todd Boscarello BS , Robby Boparai MS , Karthik Raghuram MD

引用次数: 0

A case of postgunshot deep femoral artery pseudo-aneurysm managed with coil embolization: A case report and literature review 一例枪伤后股深动脉假性动脉瘤的线圈栓塞治疗：病例报告和文献综述

Radiology Case Reports Pub Date : 2024-10-28 DOI: 10.1016/j.radcr.2024.09.155

Hamza A. Abdul-Hafez , Ali Shakhshir , Laith Daraghmeh , Hala Qasrawi , Mohammed Khader , Sultan Saada

{"title":"A case of postgunshot deep femoral artery pseudo-aneurysm managed with coil embolization: A case report and literature review","authors":"Hamza A. Abdul-Hafez , Ali Shakhshir , Laith Daraghmeh , Hala Qasrawi , Mohammed Khader , Sultan Saada","doi":"10.1016/j.radcr.2024.09.155","DOIUrl":"10.1016/j.radcr.2024.09.155","url":null,"abstract":"<div><div>In this case, the patient sustained a gunshot injury to the thigh and underwent surgery to treat a comminuted fracture. Six weeks after discharge, the patient presented with upper-thigh pain. Doppler ultrasound showed a deep femoral artery pseudoaneurysm, confirmed with computerized tomography (CT). We used coil embolization, a newly used method worldwide in recent years, to occlude the pseudoaneurysm. This reflects the complex, unknown mechanisms that contribute to such rare findings and draws attention to cases that require more extensive studies to understand potential pathological processes, leading to better management and improved outcomes. Furthermore, this case includes figures and images that illustrate the findings both pre- and postintervention, significantly enhancing the visual appeal of the procedure. Additionally, it provides a comprehensive review of other related cases, each with detailed presentations. Finally, this case illuminates the innovative application of embolization techniques in developing nations, which has resulted in lifesaving, cost-effectiveness, and a reduction in complications compared to other techniques.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534031","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

Cardiac manifestations of prolonged seizure: A case report on reverse takotsubo syndrome and neurogenic stunned myocardium 癫痫长期发作的心脏表现：反向 Takotsubo 综合征和神经源性心肌骤停病例报告

Radiology Case Reports Pub Date : 2024-10-28 DOI: 10.1016/j.radcr.2024.09.004

Atef Akoum , Jamil Nasrallah , Rima Chaddad , Ibrahim Sabra , Mohamad ElKasty , Walaa El Charif , Rana Ibrahim

{"title":"Cardiac manifestations of prolonged seizure: A case report on reverse takotsubo syndrome and neurogenic stunned myocardium","authors":"Atef Akoum , Jamil Nasrallah , Rima Chaddad , Ibrahim Sabra , Mohamad ElKasty , Walaa El Charif , Rana Ibrahim","doi":"10.1016/j.radcr.2024.09.004","DOIUrl":"10.1016/j.radcr.2024.09.004","url":null,"abstract":"<div><div>Seizures, characterized by excessive electrical discharges in the brain, can lead to severe complications, including cardiac arrhythmias and Takotsubo syndrome, a form of stress-induced cardiomyopathy mimicking acute coronary syndrome. We present a case of a 66-year-old female with epilepsy and postcerebrovascular accident status who experienced a 45-minute seizure resulting in elevated troponin levels and ECG changes. Echocardiography revealed severe hypokinesia and hyperkinesia with a left ventricular ejection fraction of 30%-35%, and coronary angiography was normal, leading to the diagnosis of a variant of Takotsubo syndrome characterized by basal rather than apical dysfunction. The patient showed significant improvement after 96 hours in the coronary care unit following adjusted anti-seizure medications and supportive cardiac care. This case highlights the importance of recognizing and managing cardiac complications such as Takotsubo syndrome in patients with neurological events, emphasizing the need for close collaboration between neurology and cardiology to improve patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533904","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 triad of anomalous biliary anatomy (pancreaticobiliary maljunction), choledochal cyst and cholangiocarcinoma in a 45-year-old white male: A case report 一名 45 岁的白人男性罕见地同时患有胆道解剖异常（胰胆连接异常）、胆总管囊肿和胆管癌：病例报告

Radiology Case Reports Pub Date : 2024-10-26 DOI: 10.1016/j.radcr.2024.10.032

Brian Markovich MD , Cara Lombard MD , Brian A. Boone MD , Shyam Thakkar MD , Nicholas A. Puleo DO , Subtain Ali MD

{"title":"Rare triad of anomalous biliary anatomy (pancreaticobiliary maljunction), choledochal cyst and cholangiocarcinoma in a 45-year-old white male: A case report","authors":"Brian Markovich MD , Cara Lombard MD , Brian A. Boone MD , Shyam Thakkar MD , Nicholas A. Puleo DO , Subtain Ali MD","doi":"10.1016/j.radcr.2024.10.032","DOIUrl":"10.1016/j.radcr.2024.10.032","url":null,"abstract":"<div><div>Pancreaticobiliary maljunction (PBM) is a congenital anomaly where the pancreatic and bile ducts join outside the duodenal wall, resulting in formation of an elongated common channel. In normal physiology, the sphincter of Oddi regulates the junction between the pancreatic and bile ducts. Individuals with PBM lack this regulatory mechanism resulting in reflux of pancreatic juices into the biliary tract. Activated pancreatic enzymes result in chronic inflammation of biliary tract resulting in choledochal cysts which places patients at risk for eventual development of cholangiocarcinoma.</div><div>A 45-year-old white male presented with jaundice and dark urine. Laboratory tests showed elevated liver enzymes and bilirubin. Diagnostic imaging revealed anomalous biliary anatomy, a Type 1A choledochal cyst, and a mass in the common hepatic duct. Extrahepatic cholangiocarcinoma was confirmed by ERCP and biopsy, with PET/CT indicating localized disease without distant metastases.</div><div>Treatment included a biliary sphincterotomy, stone drainage, and stenting. The patient underwent a robotic-assisted bile duct resection, cholecystectomy, hepatic lobectomy, and Roux-en-Y hepaticojejunostomy. The surgical specimen showed an invasive, poorly differentiated adenosquamous carcinoma with perineural invasion, but no regional lymph node involvement.</div><div>PBM is a rare condition, and its diagnosis and management necessitate a multidisciplinary team, including pancreaticobiliary surgeons, endoscopists, and radiologists. Accurate diagnosis hinges on the team's expertise. Radiologists must be aware of PBM and have a thorough understanding of the associated anatomy and imaging characteristics that may indicate high-risk dysplasia or malignancy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533913","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

Unusual appearance of spontaneous spinal intradural hematoma mimicking a meningioma 模仿脑膜瘤的脊髓硬膜内自发性血肿的异常表现

Radiology Case Reports Pub Date : 2024-10-26 DOI: 10.1016/j.radcr.2024.10.038

Akeel A. Alali MD, FRCPC, ABR , Ali H. Alassiri MD, FRCPC

引用次数: 0

Can a breast hematoma lead to hemorrhagic shock in elderly trauma patients with multiple comorbidities and reduced physiological reserve? Examining the risks and management strategies 对于患有多种并发症和生理储备功能降低的老年创伤患者，乳房血肿会导致失血性休克吗？研究风险和管理策略

Radiology Case Reports Pub Date : 2024-10-26 DOI: 10.1016/j.radcr.2024.10.011

Oluwasemilore Okunlola MD , Mena Louis DO , Nathaniel Grabill MD , Priscilla Strom MD , Brian Gibson MD

{"title":"Can a breast hematoma lead to hemorrhagic shock in elderly trauma patients with multiple comorbidities and reduced physiological reserve? Examining the risks and management strategies","authors":"Oluwasemilore Okunlola MD , Mena Louis DO , Nathaniel Grabill MD , Priscilla Strom MD , Brian Gibson MD","doi":"10.1016/j.radcr.2024.10.011","DOIUrl":"10.1016/j.radcr.2024.10.011","url":null,"abstract":"<div><div>Breast trauma in elderly patients with multiple comorbidities can result in severe complications such as hemorrhagic shock due to the highly vascular nature of breast tissue. This case involves a 65-year-old female with a history of rheumatoid arthritis and prior breast cancer who developed a significant breast hematoma following a motor vehicle accident. Initially stable, she rapidly deteriorated with hypotension and altered mental status after imaging revealed a large hematoma with active hemorrhage. Immediate intervention, including blood transfusion and intubation, was essential for stabilization. While spontaneous cessation of bleeding and hematoma stabilization can negate the need for further intervention, persistent bleeding requires prompt action. Options include surgical exploration, hematoma evacuation, vessel ligation, interventional radiology for embolization, additional blood transfusions, and pharmacological hemostatic agents. Breast hematoma can lead to hemorrhagic shock if severe enough in elderly patients with reduced physiological reserve.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534036","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

Pulmonary artery pseudoaneurysm secondary to right heart catheterization during placement of a left atrial appendage closure device 在放置左心房阑尾闭合器时进行右心导管手术，继发肺动脉假性动脉瘤

Radiology Case Reports Pub Date : 2024-10-26 DOI: 10.1016/j.radcr.2024.10.012

Luke Son MD , Mitchell Couldwell MS, MBA , Keshav Anand MD , Ziga Cizman MD, MPH , Tyler Smith MD

引用次数: 0