journal
https://read.qxmd.com/read/38515768/primary-central-nervous-system-post-transplantation-lymphoproliferative-disorder-a-case-report-and-systematic-review-of-imaging-findings
#21
Dylan Hoyt, Jeremy Hughes, John Liu, Hashem Ayyad
Primary central nervous system post-transplant lymphoproliferative disease (PCNS-PTLD) is a rare subset of post-transplant lymphoproliferative disorder (PTLD) isolated to the CNS without nodal or extra-nodal organ involvement [1,2]. PCNS-PTLD occurs primarily in patients following either solid organ transplants or hematopoietic stem cell transplants and tends to be monomorphic DLBCL. The development of PCNS-PTLD is commonly associated with EBV infection [3]. Many intracranial pathologies can resemble the imaging appearance of PCNS-PTLD, including primary CNS lymphoma, glial tumors, metastatic disease, and intracranial abscesses...
June 2024: Radiology Case Reports
https://read.qxmd.com/read/38515767/a-rare-case-of-uterine-rupture-in-the-first-trimester-of-pregnancy-case-report-and-review-of-literature
#22
Chaymae Faraj, Fatima Chait, Yahya Elharras, Nazik Allali, Siham El Haddad, Latifa Chat
Uterine rupture is a serious and potentially life-threatening complication. It is commonly a complication that happens in the third trimester of pregnancy. Its occurrence in early pregnancy is very rare. We report a case of a patient who presented with uterine rupture on a scarred uterus during the termination of pregnancy with misoprostol at 10 weeks' amenorrhea. In this case, we discuss the clinical warning signs, risk factors, and diagnostic methodology, and compare our approach with the literature.
June 2024: Radiology Case Reports
https://read.qxmd.com/read/38515766/fenestration-of-the-posterior-cerebral-artery-p1-p2-junction-a-case-report
#23
Hideki Endo, Hirohiko Nakamura
Fenestration is a rare anatomical variation in the posterior cerebral artery. To the best of our knowledge, there are few reports of fenestrations at the posterior cerebral artery P1-P2 junction. Herein, we report a case of fenestration of the posterior cerebral artery P1-P2 junction diagnosed by 3-T magnetic resonance imaging and magnetic resonance angiography. A 75-year-old woman visited our hospital because of headaches. Magnetic resonance imaging incidentally showed fenestration around the P1-P2 segment of the right posterior cerebral artery...
June 2024: Radiology Case Reports
https://read.qxmd.com/read/38523696/ct-pulmonary-arteriogram-diagnosis-of-macroscopic-fat-embolism-to-the-lung
#24
Robert Murphy, Róisín A Murray, Sven O'hEireamhoin, John G Murray
Pulmonary fat embolism (PFE) is a recognised complication of long bone fractures. The majority of cases represent microscopic embolism and are not detectable at CT pulmonary arteriography (CTPA). CT can be used to detect macroscopic fat based on Hounsfield attenuation. This case describes a case of macroscopic fat embolism to the pulmonary arteries which was confidently diagnosed at CTPA. Distinction from thromboembolism is important as treatment is supportive and may avoid risks of anticoagulation.
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38523695/arachnoid-cyst-in-the-quadrigeminal-cistern-a-case-from-afghanistan
#25
Barakatullah Mohammadi, Ahmad Neyazi, Abdul Qadir Qader, Nosaibah Razaqi, Habibah Afzali, Mehrab Neyazi
Arachnoid cysts, fluid-filled lesions within the central nervous system, pose diagnostic challenges. This study examines a unique case of a quadrigeminal arachnoid cyst in a 13-year-old girl, emphasizing accurate identification and treatment. The patient's symptoms of blurred vision and headaches led to the discovery of papilledema and imaging revealing a sizable cyst causing obstructive hydrocephalus. Urgent surgical intervention involved suboccipital craniectomy and infratentorial-supracerebellar cyst drainage, resulting in favorable postoperative outcomes...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38523694/germinoma-of-basal-ganglia
#26
Ho Xuan Tuan, Nguyen-Thi Huyen, Nguyen Duc Son, Nguyen Viet Trung, Nguyen-Thi Hai Anh, Nguyen Duy Hung, Nguyen Minh Duc
Basal ganglia germinomas (BGGs) are rare lesions. Because of the atypical features of early-stage clinical symptoms and imaging characteristics, BGGs are easily misdiagnosed with non-tumorous conditions. This article presented cases of 2 young male patients who came to the hospital due to right arm weakness. Brain Magnetic Resonance Imaging (MRI) images in the first case revealed a lobulated mixed component mass on the left basal ganglia. The solid part showed restricted diffusion on diffusion-weighted imaging, heterogeneous strong enhancement, and no signal of calcification or bleeding...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38523693/a-case-of-percutaneous-deep-pelvic-abscess-drainage-using-ct-fluoroscopic-guided-cranio-caudal-puncture-technique
#27
Kazuki Murai, Ken Kageyama, Akira Yamamoto, Mariko Nakano, Atsushi Jogo, Yukio Miki
A 52-year-old male patient presented with complaints of abdominal and back pain. CT revealed a deep pelvic abscess extending into the anterior sacral space. Since puncture via the conventional transgluteal approach cannot reach a deep abscess, percutaneous pelvic abscess drainage was performed under CT fluoroscopy using the cranio-caudal puncture technique. The cranio-caudal puncture requires needle insertion perpendicular to the CT cross-section. This method advances the CT gantry deeper than the needle tip and follows the CT cross-section with the needle tip...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38523692/-caterpillar-sign-in-corpus-callosum-associated-with-curvilinear-pericallosal-lipoma-in-mri-a-case-report
#28
Kazutoshi Konomatsu, Yosuke Kakisaka, Shiho Sato, Takafumi Kubota, Temma Soga, Kazushi Ukishiro, Kazutaka Jin, Shunji Mugikura, Masashi Aoki, Nobukazu Nakasato
Lipoma of the corpus callosum, also known as pericallosal lipoma, is a rare congenital brain abnormality associated with corpus callosum dysgenesis or agenesis. Two morphological types are described: tubulonodular and curvilinear, with the latter being mostly asymptomatic. We present the case of a 30-year-old woman with epilepsy, whose magnetic resonance imaging revealed a "caterpillar sign" in the corpus callosum associated with a curvilinear pericallosal lipoma. The "caterpillar sign" in the corpus callosum showed low signal intensity on magnetization prepared rapid acquisition with gradient echo, high signal on fluid-attenuated inversion recovery, and low on susceptibility-weighted imaging, possibly indicating abnormal blood vessels penetrating from the ventricle to the posterior callosal vein...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38523691/giant-cementoblastoma-involving-multiple-teeth-a-rare-case-report-and-review-of-differential-diagnoses
#29
Dwi Noviyanti, Atta Kuntara, Eka Marwansyah Oli'i, Hasrayati Agustina
Cementoblastoma, a rare odontogenic benign tumor characterized by calcified cementum-like deposits produced by cementoblasts fused with the tooth root, represents a minute proportion of all odontogenic tumors, with a prevalence ranging from less than 1% to 6.2%. We present a case of a 19-year-old female experiencing pain, progressive swelling, and facial asymmetry in the left lower region over the 1 year ago. Physical examination revealed diffuse swelling in the left mandibular area, demonstrating tenderness and bony hardness on palpation...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449490/seizures-in-the-third-trimester-of-pregnancy-a-rare-case-of-wernicke-s-encephalopathy-mimicking-eclampsia
#30
Badra Bannour, Maroi Baazaoui, Maroi Bannour, Imen Bannour, Hiba Abdellaoui, Khaled Ben Jazia
Unless otherwise demonstrated, seizures during pregnancy that happen after 20 weeks of gestation are typically caused by eclampsia. In our clinical case we report the diagnostic challenge of Wernicke's encephalopathy occurring at 34 weeks and mimicking an eclamptic attack. This is about a 30-year-old female patient who suffers from hyperemesis gravidarum during her pregnancy. she has no known history of epilepsy .The patient was brought to the emergency room by medical transport at 34 weeks of gestation due to a seizure at home...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449489/duodenal-stump-fistula-managed-with-percutaneous-drainage-percutaneous-transcholecystic-biliary-diversion-and-transduodenal-glue-embolization-a-case-report
#31
Gernot Rott, Frieder Boecker, Simon Schimmack
Duodenal stump insufficiency is an infrequent but potentially devastating complication of upper gastrointestinal surgery. In the era of image-guided interventions, duodenal stump insufficiency is usually treated rather conservatively or with percutaneous interventions than with surgery. Herein, we present a case of a postsurgical duodenal stump fistula successfully treated in a step-by-step manner with percutaneous drainage of a periduodenal abscess-fistula complex, percutaneous transcholecystic biliary drainage for partial biliary diversion and percutaneous transcatheter fistula embolization via the duodenum with n-butyl-cyanoacrylate...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449488/postmortem-computed-tomography-of-barium-peritonitis-due-to-descending-colon-perforation
#32
Norihiro Shinkawa, Mitsuro Yanagita, Nobuhiro Yukawa, Tatsuhiro Nagatomo
We describe herein the findings from postmortem computed tomography (PMCT) of barium peritonitis due to descending colon perforation. The patient was a woman in her 60s who underwent upper gastrointestinal series with barium swallow for the purpose of physical examination. The patient developed abdominal pain the next day and visited a clinic, but was sent home for later follow-up. She was found dead at home 8 days after upper gastrointestinal series. Based on the corpse phenomena and police investigations of the scene of death, the patient was estimated to have died 6 days after the upper gastrointestinal series...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449487/renal-arteriovenous-malformation-treated-using-glue-embolization-under-inflow-and-outflow-control-by-balloon-occlusion
#33
Tensei Suzuki, Hidenori Yamaguchi, Mitsuaki Kojima, Toshiya Kariyasu, Raira Nakamoto, Makiko Nishikawa, Haruhiko Machida, Tomohisa Shoko
A 45-year-old female presented with gross hematuria. Right renal arteriovenous malformation on abdominal contrast-enhanced computed tomography necessitated urgent transcatheter arterial embolization. Right renal digital subtraction angiography revealed a single tortuous and dilated vessel converging to an aneurysmal dilated vein. To selectively embolize the malformation, we closed the arterial side with a microballoon and attempted glue embolization; filling occurred unexpectedly early, and another balloon on the vein side helped control the renal vein blood flow...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449486/asymptomatic-spontaneous-expulsion-of-a-long-foreign-body-through-the-gastrointestinal-tract-a-curious-case-report
#34
Sushan Pokharel, Suraj Kc, Samiksha Lamichhane, Mohir Pokharel, Rajesh P Sah, Sanjaya K Yadav, Amrit Bhusal, Sishir Poudel, Siddhartha K Shah, Moneec Pokharel
Foreign body ingestion and its natural elimination are common in children. However, this is uncommon for long foreign bodies. Here, we report the spontaneous removal of an ingested pencil in an asymptomatic child. To our knowledge, this is the first case report of asymptomatic spontaneous elimination of a normally-sized ingested pencil. A 7-year-old male child presented with a history of ingestion of a pencil 4 hours back, without any complaints. Immediate abdominal radiography revealed a pencil in the stomach with an estimated length of approximately 10 cm and no signs of complications...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449485/laparoscopic-treatment-for-median-arcuate-ligament-syndrome-in-children-a-case-report
#35
Trinh-Nguyen Ha Vi, Tran Thanh Tri, Ho Phi Duy, Phan Tuan Kiet, Nguyen Manh Cuong, Ho Xuan Tuan, Nguyen Minh Duc
In median arcuate ligament syndrome (MALS), the median arcuate ligament compresses the celiac trunk and surrounding nerves leading to chronic functional abdominal pain and vague gastrointestinal symptoms. MALS can be effectively treated by dividing the arcuate ligament through open surgery or laparoscopy. This is a rare vascular condition and mostly encountered in adult patients. We hereby report a case of a pediatric patient diagnosed with MALS and treated successfully by laparoscopic approach. An 11-year-old girl presented with severe abdominal cramps for 3 months, accompanied by nonbilious vomiting...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449484/abdominal-distention-immunopositivity-and-aggressive-nature-a-rare-ewing-s-sarcoma-of-the-adrenal-gland
#36
Anam Ali, Usman Shahbaz, Arsalan Nadeem, Sumayya Umar, Abdullah Ahmed
This case report describes a 32-year-old Pakistani male patient with an Ewing sarcoma (ES) of the adrenal gland. Presenting complaints were abdominal distention, pain, low-grade fever, and weight loss. Initial studies, including imaging and tumor markers, ruled out any other possible origins of the mass. A percutaneous biopsy verified the tumor's neuroendocrine origin. Extensive involvement of nearby anatomical structures was discovered through exploratory laparotomy, rendering total resection difficult. Based on the presence of malignant, round, blue cells that were positive for specific immunostaining markers, the histopathology report supported the diagnosis of an ES with a staging of T3N0M0...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449483/aqueductal-developmental-venous-anomaly-causing-obstructive-hydrocephalus-a-case-report-and-review-of-the-literature
#37
Takuya Hayashi, Akira Uchino, Kazuo Tokushige, Yasutaka Baba
A developmental venous anomaly (DVA) is a venous drainage of the associated parenchyma that is normally asymptomatic. However, a DVA located adjacent to the aqueduct can cause obstructive hydrocephalus by blocking the flow of cerebrospinal fluid. We describe a rare case of obstructive hydrocephalus due to aqueductal stenosis secondary to a DVA. A 43-year-old man presented with sudden bilateral temporal pain during weight training. Using a 3-Tesla scanner, cranial magnetic resonance imaging (MRI) was performed, and hydrocephalus was found with mild enlargement of the lateral and third ventricles...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449482/intestinal-perforation-in-a-patient-with-peritoneal-carcinomatosis-from-colon-cancer-treated-with-regorafenib-description-of-a-case-and-review-of-the-literature
#38
Maria Alessandra Bellia, Carmelo Sofia, Maria Adele Marino, Carmelo Mazzeo, Santino Antonio Biondo, Eugenio Cucinotta, Francesco Fleres
Regorafenib is a multikinase inhibitor approved for treatment of patients with metastatic Colo-Rectal Cancer (mCRC) and Gastro-Intestinal Stromal Tumor (GIST) progression after the administration of other tyrosine-kinase inhibitors such as imatinib and sunitinib. Only a handful of severe side effects such as intestinal perforations and fistulas have been described in the literature in patients undergoing multikinase inhibitor treatment. We report a case of a patient with peritoneal mCRC who experienced an intestinal perforation during the administration of Regorafenib and review the literature...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38449481/endovascular-intervention-with-high-flow-priapism-a-case-report
#39
Le Thanh Dung, Tran Quang Loc, Pham Huu Khuyen, Dao Xuan Hai, Ho Xuan Tuan, Nguyen Minh Duc
High-flow priapism is a rare condition in the form of priapism unrelated to sexual stimulation. The disease causes a decline in quality of life and has the risk of causing long-term erectile dysfunction if not treated promptly. We report a case of a 48-year-old male patient with prolonged high-flow erection after trauma who received endovascular intervention with n-butyl-2 cyanoacrylate biological glue. Results after 40 days of intervention and use of sildenafil 25 mg/day, the patient has an erection and has normal sexual activity...
May 2024: Radiology Case Reports
https://read.qxmd.com/read/38444599/colpocephaly-in-an-adult-a-rare-case-report
#40
Arushi Sangwan, Ranjana Meena
Colpocephaly is the disproportionate enlargement of the occipital horns of the lateral ventricles. It is usually diagnosed in the neonatal period or early childhood due to symptom severity. Adult cases of colpocephaly are rarely reported and often incidentally diagnosed. We report a case of colpocephaly with partial agenesis of the corpus callosum in a 30-year-old female with no past medical history. The patient presented after a syncopal episode with associated complaints of dizziness, vomiting, and chronic intermittent headaches...
May 2024: Radiology Case Reports
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