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The use of Sirolimus for an unresectable and refractory venous malformation: A case series 西罗莫司用于不可切除和难治性静脉畸形：一个病例系列
Radiology Case Reports Pub Date : 2025-04-03 DOI: 10.1016/j.radcr.2025.03.016
Daniela Kristina Carolino MD, Keiichi Muramatsu MD, Yasuhiro Tani MD, Hideaki Sugimoto MD, Masaya Ueda MD
{"title":"The use of Sirolimus for an unresectable and refractory venous malformation: A case series","authors":"Daniela Kristina Carolino MD,&nbsp;Keiichi Muramatsu MD,&nbsp;Yasuhiro Tani MD,&nbsp;Hideaki Sugimoto MD,&nbsp;Masaya Ueda MD","doi":"10.1016/j.radcr.2025.03.016","DOIUrl":"10.1016/j.radcr.2025.03.016","url":null,"abstract":"<div><div>Vascular malformations (VM) may become symptomatic and extensive, leading to deranged coagulation and bleeding. Sirolimus®, an antiangiogenic agent, has recently emerged as treatment for VM. We report its short-term outcomes for VMs of the extremities. Case 1: A 47-year-old female reported left forearm pain. MRI confirmed a VM. Lesion shrinkage and pain relief were not achieved despite sclerotherapy. After 5 months on Sirolimus®, improved pain, decreased forearm circumference and decreased lesion size on MRI were observed. Case 2: 62-year-old male reported left knee pain. MRI and biopsy confirmed a VM. After 3 months on Sirolimus®, improved pain, decreased leg circumference, and decreased lesion size on MRI were observed. Our series demonstrates that Sirolimus® is efficacious in downsizing VMs with resultant symptom relief in the short-term. Other series has likewise shown effectivity in extensive and refractory lesions, with benefits outweighing side effects.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3081-3085"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769260","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
Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis 前纵隔去分化脂肪肉瘤：罕见病例及复杂诊断
Radiology Case Reports Pub Date : 2025-04-03 DOI: 10.1016/j.radcr.2025.03.035
Charles K. Crawford BS, Hajra Arshad MD, Elliot K. Fishman MD
{"title":"Dedifferentiated liposarcoma of the anterior mediastinum: An uncommon case presentation and complex diagnosis","authors":"Charles K. Crawford BS,&nbsp;Hajra Arshad MD,&nbsp;Elliot K. Fishman MD","doi":"10.1016/j.radcr.2025.03.035","DOIUrl":"10.1016/j.radcr.2025.03.035","url":null,"abstract":"<div><div>Mediastinal liposarcoma are rare occurrences of liposarcomas, arising from mesenchymal fat cells. They have several histological subtypes including well-differentiated, dedifferentiated, myxoid and pleomorphic. They often present with nonspecific symptoms of mass effect on nearby structures. Surgical resection is the mainstay of treatment, but high recurrence rate remains a challenge. We present the case of a 70-year-old male with a large dedifferentiated anterior mediastinal liposarcoma presenting with compressive symptoms. Coordinated efforts from radiology, histopathology and surgical teams are required for timely and accurate diagnosis and an optimized course of treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3076-3080"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761229","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
An incidental finding of an ectopic intrauterine device (IUD) in the urinary bladder wall in a female presented with missed abortion 意外发现异位宫内节育器（宫内节育器）在膀胱壁的女性提出了漏产
Radiology Case Reports Pub Date : 2025-03-31 DOI: 10.1016/j.radcr.2025.03.030
Mohammad A. Nour , Motaz Daraghma , Abdallah S. Alem , Omar R.S. Khalil , Noor M. AbuBaker , Laila M. Bali , Ali Shakhshir , Jehad Khamaysa , Hisham Qassrawi
{"title":"An incidental finding of an ectopic intrauterine device (IUD) in the urinary bladder wall in a female presented with missed abortion","authors":"Mohammad A. Nour ,&nbsp;Motaz Daraghma ,&nbsp;Abdallah S. Alem ,&nbsp;Omar R.S. Khalil ,&nbsp;Noor M. AbuBaker ,&nbsp;Laila M. Bali ,&nbsp;Ali Shakhshir ,&nbsp;Jehad Khamaysa ,&nbsp;Hisham Qassrawi","doi":"10.1016/j.radcr.2025.03.030","DOIUrl":"10.1016/j.radcr.2025.03.030","url":null,"abstract":"<div><div>Uterine perforation and migration of intrauterine devices (IUDs) are rare complications that can present significant clinical challenges. We report the case of a 28-year-old woman who came in with a missed abortion at 11 weeks of gestation and was unexpectedly found to have an IUD embedded in the wall of her urinary bladder. She had a history of 5 pregnancies and a copper IUD was inserted a year ago. Although she presented with mild vaginal bleeding, there were no typical urinary symptoms to suggest a problem. However, imaging revealed the copper IUD had migrated outside the uterus and lodged in the bladder. After managing her pregnancy complications with evacuation and curettage, plans were made for surgical removal of the IUD. This case highlights how important it is to consider IUD migration, even when urinary symptoms are not present, in patients with unexplained pelvic issues. Early detection through imaging and prompt removal of the device are essential to prevent further complications. It also emphasizes the value of regular follow-up and patient education to ensure timely identification of potential issues before they escalate.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3059-3062"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738081","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
Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways 胰腺结核在免疫功能正常的患者中模拟胰腺癌：病例系列和诊断途径
Radiology Case Reports Pub Date : 2025-03-31 DOI: 10.1016/j.radcr.2025.03.015
Fakhrddine Amri , Kaoutar Chahi , Amal Mojahid , Abdelkrim Zazour , Hajar Koulali , Ouiam EL Mqaddem , Imane Skiker , Zahi Ismaili , Ghizlane Kharrasse
{"title":"Pancreatic tuberculosis mimicking pancreatic cancer in immunocompetent patients: Case series and diagnostic pathways","authors":"Fakhrddine Amri ,&nbsp;Kaoutar Chahi ,&nbsp;Amal Mojahid ,&nbsp;Abdelkrim Zazour ,&nbsp;Hajar Koulali ,&nbsp;Ouiam EL Mqaddem ,&nbsp;Imane Skiker ,&nbsp;Zahi Ismaili ,&nbsp;Ghizlane Kharrasse","doi":"10.1016/j.radcr.2025.03.015","DOIUrl":"10.1016/j.radcr.2025.03.015","url":null,"abstract":"<div><div>We retrospectively reviewed the clinical presentations, diagnostic evaluations, imaging findings, and treatment outcomes of 3 patients diagnosed with pancreatic tuberculosis. All 3 patients presented with nonspecific symptoms such as epigastric pain and weight loss. Imaging showed pancreatic masses suggestive of pancreatic cancer. EUS with FNA and subsequent histopathology confirmed tuberculosis through the presence of granulomas with caseous necrosis. All patients received anti-tuberculosis therapy, leading to favorable outcomes, including pain resolution and normalization of follow-up imaging.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3051-3058"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738074","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
Postextubation negative-pressure pulmonary edema after an appendectomy 阑尾切除术后拔管后的负压肺水肿
Radiology Case Reports Pub Date : 2025-03-31 DOI: 10.1016/j.radcr.2025.03.053
Gordon S. Wong MD , Dewayne Campbell DO
{"title":"Postextubation negative-pressure pulmonary edema after an appendectomy","authors":"Gordon S. Wong MD ,&nbsp;Dewayne Campbell DO","doi":"10.1016/j.radcr.2025.03.053","DOIUrl":"10.1016/j.radcr.2025.03.053","url":null,"abstract":"<div><div>Negative pressure pulmonary edema (NPPE) is a rare, underdiagnosed, and potentially dangerous postoperative complication with the prevalence of 0.05%-0.1%. An 18-year-old healthy and athletic male developed a sensation of a lump in the throat, hemoptysis, wheezing, and acute respiratory failure, after an extubation following general anesthesia for an uncomplicated appendectomy. Computed tomography showed extensive bilateral pulmonary edema. He was managed with supplemental oxygen, albuterol, and diuretic. Supplemental oxygen was weaned off on hospital day 3. The hospital course was complicated by presyncope from orthostatic hypotension secondary to over-diuresis. The pathophysiology, diagnosis, management, and outcome of NPPE are illustrated and discussed in this case report. Furthermore, this case highlights that clinicians should balance the benefit of removing fluid from lungs and the risk of hypovolemia with the cautious use of diuretic.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3063-3066"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738080","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
Coexistence of primary diffuse large B-cell lymphoma and papillary thyroid carcinoma in a patient with Hashimoto's thyroiditis: A case report 桥本甲状腺炎并发原发性弥漫性大b细胞淋巴瘤和甲状腺乳头状癌1例
Radiology Case Reports Pub Date : 2025-03-31 DOI: 10.1016/j.radcr.2025.03.029
Tingkun Hou, Fang Nie
{"title":"Coexistence of primary diffuse large B-cell lymphoma and papillary thyroid carcinoma in a patient with Hashimoto's thyroiditis: A case report","authors":"Tingkun Hou,&nbsp;Fang Nie","doi":"10.1016/j.radcr.2025.03.029","DOIUrl":"10.1016/j.radcr.2025.03.029","url":null,"abstract":"<div><div>This article presents a rare case of a patient with Hashimoto's thyroiditis (HT) complicated by primary diffuse large B-cell lymphoma (DLBCL) and papillary thyroid carcinoma (PTC). The patient was admitted to the Department of Thyroid Surgery at the Second Hospital of Lanzhou University. After a total thyroidectomy, the patient recovered well and was discharged. No significant abnormalities were observed during a 2-year follow-up. The coexistence of primary DLBCL of the thyroid with HT is uncommon, and the concurrent presence of PTC is exceptionally rare. Only one similar case was found in the reviewed literature. This article reports this unique case and highlights the diagnostic efficacy of ultrasound in such conditions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3047-3050"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738082","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
A rare and life-threatening case of spontaneous hemopneumothorax presenting with severe hemodynamic instability 一个罕见且危及生命的自发性血气胸病例，表现为严重的血流动力学不稳定
Radiology Case Reports Pub Date : 2025-03-30 DOI: 10.1016/j.radcr.2025.03.010
Nagihan Orhun MD , Islam Rajab MD , Rouba Isshak MD , Utku Ekin MD , Mazhar Mustafa MD , Ismail Medhat MD
{"title":"A rare and life-threatening case of spontaneous hemopneumothorax presenting with severe hemodynamic instability","authors":"Nagihan Orhun MD ,&nbsp;Islam Rajab MD ,&nbsp;Rouba Isshak MD ,&nbsp;Utku Ekin MD ,&nbsp;Mazhar Mustafa MD ,&nbsp;Ismail Medhat MD","doi":"10.1016/j.radcr.2025.03.010","DOIUrl":"10.1016/j.radcr.2025.03.010","url":null,"abstract":"<div><div>Spontaneous hemopneumothorax is a rare but potentially life-threatening condition requiring urgent intervention. We report the case of a 58-year-old male who presented with acute right-sided chest pain, dyspnea, and hemodynamic instability without a history of trauma. Imaging confirmed a tension hemopneumothorax, which was initially managed with chest tube placement, leading to stabilization and partial lung re-expansion. However, persistent air leaks and incomplete re-expansion necessitated further intervention, including the placement of a second chest tube and transfer for video-assisted thoracoscopic surgery. This case highlights the importance of prompt diagnosis and a multidisciplinary approach to managing spontaneous hemopneumothorax to prevent life-threatening complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3041-3046"},"PeriodicalIF":0.0,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735228","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
Undiagnosed complex neurological malformation in a geriatric patient presenting with seizures 以癫痫发作为表现的老年患者的未确诊的复杂神经畸形
Radiology Case Reports Pub Date : 2025-03-29 DOI: 10.1016/j.radcr.2025.02.105
Prasad Desale MBBS, Rajasbala Dhande Phd, MD, MBBS, Pratapsingh Parihar Phd, MD, MBBS, Gaurav Mishra Phd, MD, MBBS, Shubhi Gaur MBBS
{"title":"Undiagnosed complex neurological malformation in a geriatric patient presenting with seizures","authors":"Prasad Desale MBBS,&nbsp;Rajasbala Dhande Phd, MD, MBBS,&nbsp;Pratapsingh Parihar Phd, MD, MBBS,&nbsp;Gaurav Mishra Phd, MD, MBBS,&nbsp;Shubhi Gaur MBBS","doi":"10.1016/j.radcr.2025.02.105","DOIUrl":"10.1016/j.radcr.2025.02.105","url":null,"abstract":"<div><div>Atretic cephaloceles, grey matter heterotopia, and septo-optic dysplasia are uncommon congenital cerebral malformations commonly diagnosed in children. The case is a rare one in which atretic parietal cephalocele, grey matter heterotopia, and septo-optic dysplasia are seen concurrently and diagnosed in a 60-year-old man with a history of focal onset seizures. In contrast to their congenital origin, the patient never experienced antecedent neurodevelopmental delay or significant endocrine disturbances. The case requires the consideration of the role of MRI in identifying unsuspected congenital cerebral malformations in adult patients with seizures and performing a complete neurological and ophthalmological examination in these patients.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3037-3040"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726235","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
Asymptomatic oesophageal stent fracture 21 months after insertion 食管支架置入21个月后无症状骨折
Radiology Case Reports Pub Date : 2025-03-29 DOI: 10.1016/j.radcr.2025.03.020
Islam Noaman MD, MSc, PhD, MRCS , John Gilmour MD , Andrew Baird MD
{"title":"Asymptomatic oesophageal stent fracture 21 months after insertion","authors":"Islam Noaman MD, MSc, PhD, MRCS ,&nbsp;John Gilmour MD ,&nbsp;Andrew Baird MD","doi":"10.1016/j.radcr.2025.03.020","DOIUrl":"10.1016/j.radcr.2025.03.020","url":null,"abstract":"<div><div>Oesophageal stenting is frequently used as a measure of palliative treatment in oesophageal cancer for the relief of dysphagia . With the advent of new modalities of immunotherapy used concurrently with conventional chemotherapy, the survival of patients with oesophageal cancer being treated with palliative intent has lengthened considerably. Consequently, there is higher likelihood of these patients experiencing stent related complications and surviving with them for longer periods of time. In this case report, we discuss a patient who was diagnosed with stent fracture 21 months after initial stent insertion.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3031-3036"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726233","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
Esophageal neuroendocrine carcinoma: A clinical perspective on a rare and challenging disease 食道神经内分泌癌：一种罕见且具有挑战性的疾病的临床观点
Radiology Case Reports Pub Date : 2025-03-29 DOI: 10.1016/j.radcr.2025.03.002
Benayad Aourarh , Aziz Aourarh , Lina Belkouchi , Rachida Saouab , Mohamed Amine Essaoudi
{"title":"Esophageal neuroendocrine carcinoma: A clinical perspective on a rare and challenging disease","authors":"Benayad Aourarh ,&nbsp;Aziz Aourarh ,&nbsp;Lina Belkouchi ,&nbsp;Rachida Saouab ,&nbsp;Mohamed Amine Essaoudi","doi":"10.1016/j.radcr.2025.03.002","DOIUrl":"10.1016/j.radcr.2025.03.002","url":null,"abstract":"<div><div>Neuroendocrine carcinomas (NECs) of the esophagus are exceptionally rare, comprising only 0.04% of all neuroendocrine tumors. These malignancies can remain asymptomatic or manifest through digestive symptoms such as dysphagia and abdominal discomfort. Due to their rarity, limited studies exist, resulting in insufficient knowledge about their prognosis and treatment, with conflicting data in the literature.</div><div>This report presents the case of a 62-year-old male chronic smoker with chronic dysphagia. Diagnostic evaluations, including gastroscopy and CT, revealed a circumferential lesion in the lower esophagus. Histopathological analysis confirmed a diagnosis of poorly differentiated large-cell neuroendocrine carcinoma.</div><div>Esophageal NECs are aggressive and poorly understood tumors. Tumor size, lymph node involvement, and metastatic status are critical factors influencing treatment decisions. However, there are no established guidelines for their management. Extensive research is urgently needed to develop standardized treatment approaches and improve the prognosis of patients with high-grade esophageal NECs.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3021-3023"},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143726234","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
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