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Unusual location of metastatic lymph nodes of hepatocellular carcinoma in the mediastinum: Case report 肝癌转移淋巴结位于纵膈的异常位置：病例报告
Radiology Case Reports Pub Date : 2024-10-25 DOI: 10.1016/j.radcr.2024.10.027
Walid El Ouardi MD , Fatima Zahrae El Mansoury MD , Mustapha Benazzouz PR
{"title":"Unusual location of metastatic lymph nodes of hepatocellular carcinoma in the mediastinum: Case report","authors":"Walid El Ouardi MD ,&nbsp;Fatima Zahrae El Mansoury MD ,&nbsp;Mustapha Benazzouz PR","doi":"10.1016/j.radcr.2024.10.027","DOIUrl":"10.1016/j.radcr.2024.10.027","url":null,"abstract":"<div><div>Hepatocellular carcinoma is an aggressive tumor that typically metastasizes to the lungs, abdominal lymph nodes, and bones. The presence of mediastinal lymph node metastases is a rare and unusual clinical situation, associated with a poor prognosis. We report the case of a patient with cirrhosis secondary to treated hepatitis C, in whom hepatocellular carcinoma was discovered without extrahepatic spread, except for the presence of mediastinal lymphadenopathy. Biopsy of these nodes, performed via endoscopic ultrasound-guided fine needle biopsy through the oesophagus, confirmed that they were indeed metastatic mediastinal lymph node metastases from HCC. This finding shifted the therapeutic approach from curative treatment to systemic therapy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533912","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
Unveiling postpartum pituitary apoplexy through atypical presentation: A case report and review of literature 通过非典型表现揭开产后垂体性脑瘫的神秘面纱：病例报告和文献综述
Radiology Case Reports Pub Date : 2024-10-25 DOI: 10.1016/j.radcr.2024.09.138
Saleh Hamzeh MD , Fathi Milhem MD , Ameer Awashra MD , Husam Hamshary MD , Omar Almur MD , Zaid Sawaftah MD , Omar Naseef MD
{"title":"Unveiling postpartum pituitary apoplexy through atypical presentation: A case report and review of literature","authors":"Saleh Hamzeh MD ,&nbsp;Fathi Milhem MD ,&nbsp;Ameer Awashra MD ,&nbsp;Husam Hamshary MD ,&nbsp;Omar Almur MD ,&nbsp;Zaid Sawaftah MD ,&nbsp;Omar Naseef MD","doi":"10.1016/j.radcr.2024.09.138","DOIUrl":"10.1016/j.radcr.2024.09.138","url":null,"abstract":"<div><div>Our case details the atypical presentation of postpartum pituitary apoplexy in a 20-year-old female, who exhibited general weakness, dizziness, and brief loss of consciousness following an uncomplicated vaginal delivery. Despite normal vital signs except for bradycardia, imaging revealed a pituitary hemorrhage, leading to the diagnosis of pituitary apoplexy. Managed conservatively with IV hydrocortisone and intensive care, the patient experienced persistent bradycardia and severe abdominal pain, requiring transfer to another ICU. This case highlights the diagnostic challenges posed by the rarity and complexity of pituitary apoplexy during pregnancy and the postpartum period, emphasizing the importance of early diagnosis and tailored treatment strategies. The discussion further contrasts this case with existing literature, particularly in the context of postpartum pituitary apoplexy, and explores the broader implications for managing such rare cases, reinforcing the viability of conservative management in the absence of visual field disturbances.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534023","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 co-occurrence of hypertrophic inferior olivary degeneration with infratentorial cavernomatosis and orbital cavernous hemangioma 肥厚性下橄榄核变性与幕下海绵状血管瘤和眼眶海绵状血管瘤同时并发的罕见病例
Radiology Case Reports Pub Date : 2024-10-25 DOI: 10.1016/j.radcr.2024.10.097
Jihane EL Houssni, Salma Malak Ridah, Sanae Jellal, Meryem Edderai, Hassan EN Nouali, Jamal EL Fenni, Tarik Salaheddine
{"title":"Unusual co-occurrence of hypertrophic inferior olivary degeneration with infratentorial cavernomatosis and orbital cavernous hemangioma","authors":"Jihane EL Houssni,&nbsp;Salma Malak Ridah,&nbsp;Sanae Jellal,&nbsp;Meryem Edderai,&nbsp;Hassan EN Nouali,&nbsp;Jamal EL Fenni,&nbsp;Tarik Salaheddine","doi":"10.1016/j.radcr.2024.10.097","DOIUrl":"10.1016/j.radcr.2024.10.097","url":null,"abstract":"<div><div>Hypertrophic olivary degeneration (HOD) is a rare condition resulting from a lesion in the Guillain-Mollaret triangle (GMT), causing transsynaptic degeneration and hypertrophy of the inferior olivary nucleus (ION). The GMT is composed of the dentate nucleus, red nucleus, and ION, and is commonly affected by ischemic and hemorrhagic strokes, vascular malformations, neoplasms, or surgical trauma. Cavernomas are a frequent type of cerebral vascular malformation associated with HOD, while orbital cavernous hemangiomas are another rare vascular malformation. The association of these two malformations is scarcely reported, with only one case previously documented. We report the case of a 26-year-old male presenting with right exophthalmos and palatal myoclonus, where brain MRI demonstrated HOD secondary to infratentorial cavernomatosis, along with a right orbital cavernous hemangioma. This case highlights a rare co-occurrence of infratentorial cavernomatosis and orbital cavernous hemangioma, emphasizing the importance of recognizing vascular malformations as potential causes of HOD.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534024","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
Erdheim Chester disease presenting as bilateral breast dimpling and discoloration 埃尔德海姆-切斯特病表现为双侧乳房凹陷和变色
Radiology Case Reports Pub Date : 2024-10-25 DOI: 10.1016/j.radcr.2024.09.144
Christina Oska DO , Ujas Parikh MD
{"title":"Erdheim Chester disease presenting as bilateral breast dimpling and discoloration","authors":"Christina Oska DO ,&nbsp;Ujas Parikh MD","doi":"10.1016/j.radcr.2024.09.144","DOIUrl":"10.1016/j.radcr.2024.09.144","url":null,"abstract":"<div><div>Erdheim Chester disease is a rare disease characterized by abnormal proliferation of histiocytes. The most commonly affected site is the long bones, while involvement of the breasts is very rare. In patients with breast involvement, a unilateral breast mass is the most common presentation. We present a unique case of Erdheim Chester Disease initially presenting as diffuse, bilateral breast dimpling and erythema in a 45-year-old female. Clinically, the presentation mimicked inflammatory breast carcinoma with diffuse breast dimpling, erythema, and associated breast masses, and differing in that both breasts were involved. Diagnostic breast imaging and histopathology led to a comprehensive multidisciplinary approach to diagnosis and management of Erdheim Chester Disease. Although rare, Erdheim Chester Disease should be considered in the differential diagnosis of atypical breast lesions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534035","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
Mechanical thrombectomy with the ClotTriever System for upper extremity deep vein thrombosis: A case series 使用 ClotTriever 系统对上肢深静脉血栓进行机械取栓术：病例系列
Radiology Case Reports Pub Date : 2024-10-25 DOI: 10.1016/j.radcr.2024.09.145
Prachi J. Patel BS , Raja S. Ramaswamy MD
{"title":"Mechanical thrombectomy with the ClotTriever System for upper extremity deep vein thrombosis: A case series","authors":"Prachi J. Patel BS ,&nbsp;Raja S. Ramaswamy MD","doi":"10.1016/j.radcr.2024.09.145","DOIUrl":"10.1016/j.radcr.2024.09.145","url":null,"abstract":"<div><div>Patients with upper extremity deep vein thrombosis (UEDVT) generally present with similar symptoms including arm swelling, erythema, heaviness, or pain. However, this condition is caused by different factors which can influence management decisions. As a result, UEDVT is categorized by primary or secondary etiology. Primary UEDVT is most commonly a result of anatomical subclavian vein compression, whereas secondary UEDVT is most frequently associated with indwelling catheters. Regardless of etiology, anticoagulation therapy is recommended, and interventional treatment is reserved for more severe cases. This series includes outcome data for 8 heterogenous patients treated for UEDVT with mechanical thrombectomy using the ClotTriever System by an interventional radiologist in a single healthcare system. Herein we present procedural imaging for select cases and discuss treatment characteristics and outcomes based on etiology.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534007","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
Early-onset Fahr's disease with atypical presentation of hypoglycemia and headache and fatal outcome in a 16-year-old male: A case report 一名 16 岁男性早发型法尔氏病，伴有低血糖和头痛的非典型表现及致命结局：病例报告
Radiology Case Reports Pub Date : 2024-10-25 DOI: 10.1016/j.radcr.2024.10.008
Deluwar Hussen MBBS , Zahin Shahriar MBBS , Afia Zahin MBBS , Zareen Tabassum MBBS , Afefa khanam Mohona MBBS , Kajal Sarker MBBS
{"title":"Early-onset Fahr's disease with atypical presentation of hypoglycemia and headache and fatal outcome in a 16-year-old male: A case report","authors":"Deluwar Hussen MBBS ,&nbsp;Zahin Shahriar MBBS ,&nbsp;Afia Zahin MBBS ,&nbsp;Zareen Tabassum MBBS ,&nbsp;Afefa khanam Mohona MBBS ,&nbsp;Kajal Sarker MBBS","doi":"10.1016/j.radcr.2024.10.008","DOIUrl":"10.1016/j.radcr.2024.10.008","url":null,"abstract":"<div><div>Fahr's disease, also known as primary familial brain calcification, is a progressive neurological disorder that follows an autosomal dominant inheritance pattern, characterized by calcifications primarily located within the basal ganglia of the brain. This condition typically affects middle-aged individuals, who present with a combination of neurological and psychiatric symptoms; however, this case report discusses a 16-year-old male patient. The patient initially exhibited general signs of infection, including fever and jaundice, before developing specific neurological symptoms, which progressed to systemic encephalopathy characterized by altered consciousness, seizures, and hypoglycemia, necessitating his admission to the ICU. Tragically, despite receiving intensive medical treatment, the patient succumbed to the disease, highlighting the challenges associated with diagnosing and managing Fahr's disease, particularly in younger patients.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534022","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
Unveiling the enigma: Pulmonary hypertension in marginal zone non-Hodgkin's lymphoma: A singular case illuminating an obscure nexus 揭开谜底：边缘区非霍奇金淋巴瘤肺动脉高压：一个特殊病例揭示了一个模糊的联系
Radiology Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.radcr.2024.09.156
Sudeep Acharya MD, Umesh Manchandani MD, Varun Mehta MD, Sakura Thapa MD, Mahreen Anwar BS, Shamsuddin Anwar MD
{"title":"Unveiling the enigma: Pulmonary hypertension in marginal zone non-Hodgkin's lymphoma: A singular case illuminating an obscure nexus","authors":"Sudeep Acharya MD,&nbsp;Umesh Manchandani MD,&nbsp;Varun Mehta MD,&nbsp;Sakura Thapa MD,&nbsp;Mahreen Anwar BS,&nbsp;Shamsuddin Anwar MD","doi":"10.1016/j.radcr.2024.09.156","DOIUrl":"10.1016/j.radcr.2024.09.156","url":null,"abstract":"<div><div>The diagnosis of pulmonary hypertension in non-Hodgkin's lymphoma confers a relatively poor prognosis, emphasizing the critical need for early recognition and tailored management strategies. Standard pulmonary hypertension treatments may yield suboptimal responses due to the underlying neoplastic origin, highlighting the importance of prompt initiation of chemotherapy. We present a unique case of pulmonary hypertension in marginal zone lymphoma along with a comprehensive review of reported non-Hodgkin's lymphoma cases associated with pulmonary hypertension, shedding light on the diagnostic and therapeutic challenges encountered in clinical practice.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534026","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
Fibrodysplasia ossificans progressiva associated with osteochondromatosis: A case report 伴有骨软骨瘤病的纤维增生性肌病：病例报告
Radiology Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.radcr.2024.09.152
Jihane El Houssni, Sanae Jellal, Fariss Dehayni, Ismail Neftah, Siham El Haddad, Nazik Allali, Latifa Chat
{"title":"Fibrodysplasia ossificans progressiva associated with osteochondromatosis: A case report","authors":"Jihane El Houssni,&nbsp;Sanae Jellal,&nbsp;Fariss Dehayni,&nbsp;Ismail Neftah,&nbsp;Siham El Haddad,&nbsp;Nazik Allali,&nbsp;Latifa Chat","doi":"10.1016/j.radcr.2024.09.152","DOIUrl":"10.1016/j.radcr.2024.09.152","url":null,"abstract":"<div><div>Fibrodysplasia ossificans progressiva is a rare and severely debilitating genetic disorder affecting approximately 1 in 2 million people. It is characterized by progressive heterotopic ossification of soft tissues, leading to the formation of ectopic bone in extraskeletal areas, as well as congenital malformations of the great toes. FOP can also be considered a disorder of osteochondrogenesis, with most musculoskeletal abnormalities related to dysregulated chondrogenesis, such as heterotopic endochondral ossification, abnormal cartilage formation, growth plate dysplasia, osteochondroma formation, and early arthropathy. The frequent lack of awareness of this disease often results in diagnostic errors, delays in diagnosis, and unnecessary interventions, sometimes with irreversible consequences. We report the case of a 2-year-old girl with no significant medical or family history, presenting with bilateral hallux valgus and firm subcutaneous nodules on the back and lower limbs. A thoracoabdominal and lower limb computed tomography scan revealed muscular ossifications and osteochondromatosis, confirming the diagnosis of fibrodysplasia ossificans progressiva.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534029","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
Remote rupture of ovarian dermoid cyst: A curious case report 卵巢皮样囊肿远处破裂：一个奇特的病例报告
Radiology Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.radcr.2024.09.142
Abhikanta Khatiwada MD , Anamika Jha MD , Kundan Marasini MD , Aalok Kumar Yadav MD , Rajiv Paudel MS , Sharada KC MD
{"title":"Remote rupture of ovarian dermoid cyst: A curious case report","authors":"Abhikanta Khatiwada MD ,&nbsp;Anamika Jha MD ,&nbsp;Kundan Marasini MD ,&nbsp;Aalok Kumar Yadav MD ,&nbsp;Rajiv Paudel MS ,&nbsp;Sharada KC MD","doi":"10.1016/j.radcr.2024.09.142","DOIUrl":"10.1016/j.radcr.2024.09.142","url":null,"abstract":"<div><div>Ovarian dermoid cysts are usually asymptomatic and detected incidentally. However, they can have variable presentation especially when they are associated with complications. Spontaneous rupture of ovarian dermoid cyst is a rarely encountered complication as dermoid cyst usually have a thick capsule. Here we present a mysterious case of a postmenopausal female who had a remote iatrogenic rupture of ovarian dermoid cyst with multiple peritoneal and liver surface implants. Clinical history, classical imaging findings with correlated histopathological reports made it possible to reach the final diagnosis in this case. This case highlights one of those rare occurrences of remote rupture of dermoid cyst with patient remaining asymptomatic for a long period of time.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534032","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
Marchiafava-Bignami disease with typical imaging findings: A case report 具有典型影像学发现的 Marchiafava-Bignami 病：病例报告
Radiology Case Reports Pub Date : 2024-10-24 DOI: 10.1016/j.radcr.2024.09.132
Noura Boukricha MD, Wadii Bnouhanna PhD, Mounia Rahmani PhD, Maria Benabdeljlil PhD, Saadia Aidi PhD
{"title":"Marchiafava-Bignami disease with typical imaging findings: A case report","authors":"Noura Boukricha MD,&nbsp;Wadii Bnouhanna PhD,&nbsp;Mounia Rahmani PhD,&nbsp;Maria Benabdeljlil PhD,&nbsp;Saadia Aidi PhD","doi":"10.1016/j.radcr.2024.09.132","DOIUrl":"10.1016/j.radcr.2024.09.132","url":null,"abstract":"<div><div>Marchiafava-Bignami disease is a rare neurological condition characterized by necrosis and demyelination of the corpus callosum, typically associated with chronic alcoholism and/or malnutrition. The clinical manifestations of Marchiafava-Bignami disease are diverse and often nonspecific. Diagnosis of Marchiafava-Bignami disease relies on magnetic resonance imaging findings, which reveal significant and symmetrical involvement of the corpus callosum. We report the case of a 48-year-old man with chronic alcoholism who has been experiencing symptoms of confusion, stupor, difficulties in using and manipulating objects, and balance disorders for the past 10 days. Brain magnetic resonance imaging revealed diffuse and complete involvement of the corpus callosum, characteristic of a severe form of Marchiafava-Bignami disease.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142534010","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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