{"title":"Endoscopic resection of juvenile nasopharyngeal angiofibroma with lateral extension without embolization","authors":"Halwani Chiraz PhD, Ferchichi Sana MD, Awini Ayda MD, Stambouli Nejla MD, Askri Haithem MD, Yazid Yazibene (Professor)","doi":"10.1016/j.radcr.2025.06.029","DOIUrl":"10.1016/j.radcr.2025.06.029","url":null,"abstract":"<div><div>Juvenile nasopharyngeal angiofibroma (JNA) is a benign yet highly vascular and locally aggressive tumor. Surgical excision remains the mainstay of treatment, though it carries multiple risks, particularly related to intraoperative bleeding and tumor extension into deep anatomical spaces. This case report describes a 17-year-old male presented with a congestive, budding nasopharyngeal mass. Imaging findings were suggestive of JNA, with lateral extension into the infratemporal fossa and sphenoid sinus. MRI revealed a vascular blush of early moderate intensity, with intense enhancement and persistence of signal-free punctuation. Endoscopic endonasal surgery was performed without preoperative embolization. Tumor resection was facilitated by bipolar forceps coagulation as exposure progressed. Postoperative endoscopy confirmed complete excision. Histopathological examination confirmed the diagnosis of JNA. The patient was discharged on the first postoperative day. Follow-up at 1 month, 3 months, and 1 year showed no recurrence, with good local healing. This case highlights the advancements in endoscopic endonasal surgery, enabling the complete resection of highly vascularized tumors in deep anatomical locations without the need for preoperative embolization. The findings reinforce the importance of technical developments in improving surgical outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4877-4880"},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588233","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}
{"title":"Successful retrieval of a dislodged left atrial appendage occlusion device using an ONO basket: A case report","authors":"Naaemah Saleem MBBS , Cihan Duran MD","doi":"10.1016/j.radcr.2025.05.033","DOIUrl":"10.1016/j.radcr.2025.05.033","url":null,"abstract":"<div><div>Left atrial appendage occlusion (LAAO) is an alternative to anticoagulation for atrial fibrillation patients at high thromboembolic risk, but device embolization, though rare, can be life-threatening and may require percutaneous retrieval or surgery. We present the case of an 82-year-old male who underwent successful Watchman device implantation for stroke prevention; however, follow-up echocardiography revealed embolization into the left ventricular outflow tract (LVOT), necessitating urgent retrieval. The device was safely removed percutaneously using an ONO basket without complications, and the patient later underwent successful repeat LAA closure with an Amulet device, confirmed by transesophageal echocardiography (TEE). This case highlights the feasibility of percutaneous retrieval using an ONO basket, the importance of early detection of device embolization, and a minimally invasive approach that allows for subsequent successful LAA closure.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4840-4843"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144569791","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}
{"title":"Recurrent abdominal pain: Unique case of SMA-like syndrome","authors":"Mohammed Leknani , Karim Haddar , Mahdi Samet , Hamid Ziani , Siham Nasri , Imane Kamaoui , Imane Skiker","doi":"10.1016/j.radcr.2025.06.003","DOIUrl":"10.1016/j.radcr.2025.06.003","url":null,"abstract":"<div><div>Superior mesenteric artery (SMA) syndrome is a rare condition in which the duodenum is compressed between the SMA and the aorta, causing gastrointestinal symptoms, however SMA-like syndrome is vascular compression by other arterial or venous mesenteric vessels. We present a unique case, nondescribed before, of SMA-like syndrome, involving superior and inferior mesenteric arteries (SMA and IMA). Case report: A 40-year-old man patient with medical history of type 1 diabetes, Crohn's disease (improved and stable), presented with postprandial pain, nausea and early satiety. After biological and imaging investigations, CT scan revealed unusual compression of the third portion of the duodenum between the superior and inferior mesenteric arteries. CT angiography provided vascular mapping and helped to rule out some differential diagnoses. The patient was managed conservatively with dietary modifications and prokinetic agents, which improved symptoms. Conclusion: SMA-like syndrome, although rare, should be considered in patients with similar symptoms. The involvement of both mesenteric arteries in duodenal compression is a unique presentation. The diagnosis confirmation is easy by CT angiography, and conservative treatment can be effective in such cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4817-4819"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144557324","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}
{"title":"Traumatic pseudoaneurysm of the facial artery: Underrecognized vascular entity","authors":"Zahra Sayad MD , Mohammed Abid MD , Nejwa Belhaj MD","doi":"10.1016/j.radcr.2025.06.034","DOIUrl":"10.1016/j.radcr.2025.06.034","url":null,"abstract":"<div><div>Facial artery pseudoaneurysm, although rare, is a serious condition caused by rupture of artery with extravasation of blood. The compressed perivascular tissue forms the wall of aneurysmal sac, typically presents as a pulsatile swelling. Diagnosis is confirmed through computed tomography (CT), angiography, or ultrasound. Treatment options vary depending on the size and symptoms and include observation, compression, surgical resection, vessel ligation, embolization, and intralesional sclerotherapy. A 42-year-old male with no significant past medical history, presented with a painless, pulsatile, firm mass measuring 2 × 1.5 cm in the left jugal peribuccal region that had progressively grown over 2 months. Ultrasound and computed tomography imaging revealed a pseudoaneurysm of facial artery. Under local anesthesia and intravenous sedation, we performed a surgical resection of the mass with ligation of the vessels, highlighting the importance of early diagnosis and appropriate surgical intervention.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4812-4816"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144557326","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}
Le Thi My MD , Tran Thi Hoang Anh MD , Nguyen Thi Thanh Hien MD , Vu Mai Quynh MD , Ngo Thi Thanh Tu MD , Pham Vu Hiep MD , Ngo Van Doan PhD , Duong Manh Cuong MD , Thieu Thi Tra My MD
{"title":"Thyroid nodule rupture and hyperthyroidism following radiofrequency ablation: A case report","authors":"Le Thi My MD , Tran Thi Hoang Anh MD , Nguyen Thi Thanh Hien MD , Vu Mai Quynh MD , Ngo Thi Thanh Tu MD , Pham Vu Hiep MD , Ngo Van Doan PhD , Duong Manh Cuong MD , Thieu Thi Tra My MD","doi":"10.1016/j.radcr.2025.06.020","DOIUrl":"10.1016/j.radcr.2025.06.020","url":null,"abstract":"<div><div>Radiofrequency ablation (RFA) plays a crucial role in the treatment of benign thyroid nodules by offering a minimally invasive alternative to surgical interventions. Nodule rupture is an uncommon complication of RFA. We present a case of nodule rupture and hyperthyroidism after RFA 41 days in a 45-year-old male patient. The neck ultrasound revealed the disruption of the thyroid nodule capsule and a mass adjacent to the thyroid nodule. Thyroid function tests suggested of hyperthyroidism. The patient was received conservative treatment. Follow-up, the biochemical tests showed TSH and FT4 returned to normal limits 2 weeks later. Five months after radiofrequency ablation shows the thyroid nodule was decrease 92% volume compared to the volume immediately postablation and the soft tissue lesion in the right neck region was completely regressed.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4807-4811"},"PeriodicalIF":0.0,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144557327","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}
{"title":"A rare case of appendiceal adenocarcinoma mimicking urinary tract symptoms","authors":"Rajeev Shamsuddin Perisamy , Anas Tharek","doi":"10.1016/j.radcr.2025.06.005","DOIUrl":"10.1016/j.radcr.2025.06.005","url":null,"abstract":"<div><div>Primary appendiceal carcinoma is a rare malignancy that presents with a spectrum of clinical symptoms, primarily gastrointestinal in nature. Rarely, it invades the urinary bladder, leading to urinary tract symptoms. We report a case of a 63-year-old female with a 1-year history of hematuria and recurrent urinary tract infections (UTIs) initially treated as simple UTIs. Further investigations, prompted by the failure of medical treatment and symptom recurrence, revealed appendiceal adenocarcinoma invading the urinary bladder. This case highlights the potential for appendiceal malignancy to masquerade as urinary symptoms and underscores the importance of thorough investigation in cases of recurrent urinary tract symptoms, particularly when conventional treatment fails.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4794-4796"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144548494","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}
Zahin Alam BS , Tausif Ahmed Siddiqui BS , Mohammed Usman Syed BS , Pavan K. Kottamasu MD , Tushar Nag , Akm Rahman MD, DO
{"title":"Arteritic anterior ischemic optic neuropathy secondary to immune checkpoint inhibitors: A case report","authors":"Zahin Alam BS , Tausif Ahmed Siddiqui BS , Mohammed Usman Syed BS , Pavan K. Kottamasu MD , Tushar Nag , Akm Rahman MD, DO","doi":"10.1016/j.radcr.2025.06.014","DOIUrl":"10.1016/j.radcr.2025.06.014","url":null,"abstract":"<div><div>Ischemic optic neuropathy (ION) occurs due to insufficient blood supply to the optic nerve, with anterior ischemic optic neuropathy (AION) commonly associated with giant cell arteritis (GCA). Immune checkpoint inhibitors (ICIs), used in cancer therapy, have been linked to neuro-ophthalmic immune-related adverse events (irAEs), though the development of arteritic anterior ischemic optic neuropathy (AAION) due to ICI therapy is exceptionally rare. This case report describes a 77-year-old male with metastatic renal cell carcinoma on ICI therapy who presented with bilateral vision loss and was diagnosed with AAION. MRI findings supported GCA-AAION with orbital involvement, and the patient showed immediate but partial improvement with corticosteroids, despite a nonconfirmatory temporal artery biopsy. This case underscores the need for heightened clinical awareness of ICI-associated ocular complications and highlights the challenges in diagnosing and managing ICI-induced AAION, emphasizing the need for further research into treatment strategies to mitigate irreversible vision loss.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4774-4777"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144516411","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}
{"title":"A diagnostic challenge: The unusual combination of Kommerell’s diverticulum and pulmonary sequestration due to type 1 congenital pulmonary airway malformation in a young patient","authors":"Andre-Alonso Taco-Masias MD , Luz-Marina Pajares-Goicochea MD","doi":"10.1016/j.radcr.2025.05.109","DOIUrl":"10.1016/j.radcr.2025.05.109","url":null,"abstract":"<div><div>The simultaneous occurrence of Kommerell's diverticulum (KD), pulmonary sequestration (PS), and congenital pulmonary airway malformation type 1 (CPAM-1) represents an exceptionally rare clinical scenario. We present the first documented case of this triad in a young patient. We present a 14-year-old female with chronic cough and dysphagia underwent to thoracic CT and CT angiography revealing: 34 mm KD with aberrant left subclavian artery, Intralobar PS associated to CPAM-type1 features in the same pulmonary segment, mostly related to hybrid CPAM-sequestration lesion. This unique association suggests a shared embryological origin between vascular and pulmonary developmental anomalies. Imaging findings and multidisciplinary management are crucial given potential complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4785-4789"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144516409","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}
{"title":"A case of shoulder tuberculosis: Diagnostic challenges and insights","authors":"Oukassem Siham, Laasri Ihssane, Abourak Chaimae, Ennouili Hassan, El Fenni Jamal","doi":"10.1016/j.radcr.2025.05.076","DOIUrl":"10.1016/j.radcr.2025.05.076","url":null,"abstract":"<div><div>This case report presents a middle-aged male patient who presented with worsening left shoulder pain and restricted movement. Clinical examination revealed moderate restriction of shoulder motion. Laboratory tests showed elevated ESR and lymphocytosis. MRI of the shoulder revealed bony abnormalities, synovial thickening, and joint effusion. Histological examination revealed granulomatous inflammation with caseation, and although culture results were negative, Mycobacterium tuberculosis was confirmed by Myco-3 PCR. The patient was initiated on antitubercular therapy and showed a positive response. Extrapulmonary tuberculosis, especially musculoskeletal involvement, can be difficult to diagnose, but MRI plays a crucial role in detecting bone tuberculosis. A multidrug treatment regimen is essential for managing osteoarticular tuberculosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4790-4793"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144516410","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}
{"title":"Gorlin-Goltz syndrome: Multidisciplinary approach for early diagnosis of rare disease for better patient outcome","authors":"Abdi Alemayehu MD , Suleyman Fantahun MD , Gelana Garoma DMD , Matewos Amare DMD , Firaol Birhanu BSc","doi":"10.1016/j.radcr.2025.06.012","DOIUrl":"10.1016/j.radcr.2025.06.012","url":null,"abstract":"<div><div>Gorlin-Goltz syndrome, also known as nevoid basal cell carcinoma syndrome (NBCCS), is an infrequent, autosomal dominant, multi-systemic disease characterized by odontogenic keratocysts (OKC) in the jaw, multiple basal cell carcinomas (BCC), ectopic calcifications of the falx and tentorium, and various other skeletal abnormalities. The syndrome can be recognized early in life during dental and dermatology visits or on routine radiographic studies, opening the door for further screening and follow-up of affected individuals and their offspring. We report a case of Gorlin syndrome diagnosed in a 37-year-old female patient with features of hypertelorism after presenting with jaw swelling of 6 months. The diagnosis was made after identifying multiple OKCs, bilamellar calcification of falx and tentorium, bifid spinous process, and bridging sella seen on head computed tomography (CT) scan, fulfilling the diagnostic criteria set for the syndrome. This case highlights the important role radiology has in diagnosing NBCCS and the importance of a multidisciplinary approach to provide a better prognosis for the patient.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 9","pages":"Pages 4768-4773"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511084","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}