Radiology Case Reports

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ISSN / EISSN : 1930-0433 / 1930-0433
Published by: Elsevier BV (10.1016)
Total articles ≅ 3,114
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, Gregory Johnston, Christopher S. Morris
Published: 23 January 2022
Radiology Case Reports, Volume 17, pp 1013-1020; https://doi.org/10.1016/j.radcr.2022.01.013

Abstract:
Pancreatic pseudocyst formation, arterial pseudoaneurysm, and splanchnic vein thrombosis are complications of chronic pancreatitis that account for significant morbidity and mortality in this patient population. While the short-term utility of timely endovascular intervention for treating the vascular complications of chronic pancreatitis have been relatively well documented, there is a paucity of longitudinal follow-up in this patient population, therefore making it difficult to predict the long-term efficacy of these interventions. This report details a case of a gastroduodenal artery pseudoaneurysm embolization followed by symptomatic superior mesenteric vein chronic thrombosis treated by stent dilatation in a patient with chronic pancreatitis, with 7 years clinical and imaging follow-up.
, Patrícia Costa, António Galzerano, Celso Matos, João Lourenço
Published: 22 January 2022
Radiology Case Reports, Volume 17, pp 1008-1012; https://doi.org/10.1016/j.radcr.2021.12.063

Abstract:
Whipple's disease is a rare chronic infectious disease, caused by Tropheryma whipplei. The disease can be challenging to diagnose due to the variable clinical manifestations and the nonspecific laboratory and imaging findings. We report the case of a 75-year-old man, complaining of weight loss and arthralgias with an insidious onset. A thoracic, abdominal and pelvic CT was performed, demonstrating features suggestive of Whipple's disease. Although not specific, the imaging findings of fatty attenuation mesenteric and retroperitoneal enlarged lymph nodes are a common finding in Whipple's disease. Esophagogastroduodenoscopy with duodenal biopsy confirmed the diagnosis through PCR analysis.
Daniel Pacheco-Montoya, , Alexis Malla-Gonzalez, Augusto Jimenez-Sarango
Published: 22 January 2022
Radiology Case Reports, Volume 17, pp 1002-1007; https://doi.org/10.1016/j.radcr.2021.12.047

Abstract:
Spontaneous pneumothorax is an uncommon complication of COVID-19 disease, and may be associated with worse outcomes. This can occur without a pre-existing lung disease or without mechanical ventilation. We present a series of 3 cases of spontaneous pneumothorax with Covid-19 pneumonia. All the cases in our series did not have any pre-existing lung disease. The timely identification of possible complications of COVID-19 is crucial to reduce mortality. Spontaneous pneumothorax should be suspected in all types of patients with SARS-CoV-2 pneumonia who present a sudden deterioration of hypoxia on their first admission to the health centers.
, Michele Aspromonte, , Sebastiano Maria Miano, Annamaria Zagaria, Bruno Galletti, Alfredo Blandino, Giorgio Ascenti, Carmelo Sofia
Published: 20 January 2022
Radiology Case Reports, Volume 17, pp 997-1001; https://doi.org/10.1016/j.radcr.2021.12.052

Abstract:
Concha bullosa is an anatomic variant consisting in an enlargement and pneumatization of the middle nasal turbinate. A fungal ball (FB) localized in this structure is an extremely rare disease. This article describes the unusual case of a young patient with an asymptomatic fungal mass in the concha bullosa, incidentally discovered at computed tomography (CT) scan of the head, which was performed after trauma.
, Mahmut Kusbeci, Faisal Abdi Osoble Osman
Published: 18 January 2022
Radiology Case Reports, Volume 17, pp 959-962; https://doi.org/10.1016/j.radcr.2021.12.057

Abstract:
Necrotizing fasciitis and/or Fournier's Gangrene is a rare, life-threatening soft tissue infection that, if not treated promptly, can immediately develop into systemic toxicity. It affects the genital, perineal, and perineal tissues, predominantly affecting men but can be seen in women. The diagnosis is often made clinically but radiologic examinations are helpful to determine the extent of the infection and can aid preoperative planning. Treatment consists of immediate and aggressive surgical debridement of necrotized tissue, broad-spectrum antibiotics, and early resuscitation. Here, we present a 56-year-old male patient with Fournier's gangrene and describe the physical examination, bedside sonographic, and computed tomography findings. These findings can aid in the evaluation of patients with worrying symptoms so that antibiotics can be administered immediately and specialists can be consulted as needed.
Maria Gladkikh,
Published: 18 January 2022
Radiology Case Reports, Volume 17, pp 991-996; https://doi.org/10.1016/j.radcr.2021.12.065

Abstract:
This case report describes a neonate with an antenatally diagnosed vascular anomaly of the liver. Ultrasound at birth confirmed an arterioportal fistula communicating the left hepatic artery and an anterior branch of the right portal vein. Computer tomography angiography on day 7 of life redemonstrated the arterioportal fistula and defined the vascular anatomy for potential treatment. Transarterial embolization of the arterioportal fistula was performed at 3 weeks of life using an MVP Microvascular Plug System 3Q (Reverse Medical Corp, Irvine, CA, USA). Intra-procedural angiography showed successful occlusion of the fistula, patency of the portal vein with hepatopetal flow, and patency of the hepatic artery with no signs of arterial or venous thrombosis. There were no intra- or post-procedure complications. Multiple follow-up ultrasounds at 1-13 months showed stable occlusion of the embolized fistula with no evidence of recanalization, with the patient having a normal life and no sequelae. This case illustrates a successful novel approach to manage the rare condition of a solitary hepatic arterioportal fistula in a neonate using the MVP system. Current literature on congenital arterioportal fistulas and the MVP system is reviewed.
Firmantya Hadi Pranata, Yudhistira Pradnyan Kloping,
Published: 18 January 2022
Radiology Case Reports, Volume 17, pp 974-977; https://doi.org/10.1016/j.radcr.2022.01.010

Abstract:
A foreign body of the urinary bladder can be caused by several factors. Several patients deliberately insert foreign bodies via the urethra due to psychiatric issues to achieve sexual pleasure. Self-inserted urinary bladder foreign bodies remain a significant challenge in the urology field regarding diagnosis and management as patients may be late in seeking medical assistance due to guilt and embarrassment. We aimed to report a 37-year-old man who inserted a two-meter nylon string into his urethra for sexual gratification.
, Kais Maamri, Ines Cherif, Ghassen Elkahla, Mehdi Darmoul
Published: 18 January 2022
Radiology Case Reports, Volume 17, pp 967-969; https://doi.org/10.1016/j.radcr.2021.12.044

Abstract:
Hypoglossal Schwannomas are extremely rare benign slow-growing neoplasms, which originate from the 12th cranial nerve. To date, and to the best of our knowledge, only 40 cases of dumbbell-shaped Hypoglossal Swchannomas have been published in the world literature. We report our experience with a 66 years old male patient, who was diagnosed with a solido-cystic lesion at the right cerebello-pontine angle arising from XIIth cranial nerve. He was treated with surgery via midline suboccipital approach which led to sub-total removal of the tumor and improvement of the symptoms within 3 months. This case highlights the importance of an accurate suspicion diagnosis of hypoglossal schwannoma as well as the treatment options including surgery and radiosurgery.
Tran Thanh Tri, Pham Ngoc Thach, Ho Phi Duy, Bui Hai Trung, ,
Published: 18 January 2022
Radiology Case Reports, Volume 17, pp 987-990; https://doi.org/10.1016/j.radcr.2022.01.007

Abstract:
Pancreaticopleural fistula is an extremely rare complication of pancreatic duct injury. The reported treatments include conservative approaches, such as pleural drainage, and interventional approaches, such as sphincter stenting via endoscopic retrograde cholangiopancreatography and surgery. However, no specific consensus treatment has been defined. We present 2 cases of pediatric patients with pancreaticopleural fistulas due to pancreatic trauma and pancreatitis that were successfully treated surgically. The most prominent symptom in both cases was dyspnea caused by pleural effusion. Thoracoabdominal computed tomography scans showed large pleural effusions and visible fistulas from the pancreatic duct to the thoracic cavity through the esophageal hiatus and aortic hiatus. Following unsuccessful conservative treatment using pleural drainage, the 2 patients underwent surgical fistulo-jejunostomy and cystojejunostomy. Both patients were stable and were discharged on postoperative days 10 and 12. Conservative treatment for pancreaticopleural fistula often fails, and a surgical approach, such as fistulo-jejunostomy and cystojejunostomy, can serve as an efficacious management strategy when conservative treatment fails.
Jihoon Hong, , Jung Guen Cha, Jaehee Lee, Donghyeon Kim
Published: 18 January 2022
Radiology Case Reports, Volume 17, pp 970-973; https://doi.org/10.1016/j.radcr.2021.12.054

Abstract:
Vascular plugs have been increasingly used because they have lower recanalization rates than coil embolization in pulmonary arteriovenous malformation (PAVM) embolization. To deliver the vascular plug close to the PAVM, a large-diameter catheter should be advanced into the feeding pulmonary artery, which carries a risk of vascular damage. Fifty-three-year-old women was admitted to our hospital for embolization of a single PAVM. Pulmonary angiography revealed a simple PAVM with a tortuous, small feeding artery in the right middle lobe, and feeding artery negotiation was attempted using a 5-Fr headhunter-type catheter to deliver the vascular plug. However, unintentional arterial perforation occurred suddenly when the guide wire was withdrawn after the catheter was advanced to the feeding artery adjacent to the sac. Immediate embolization using a vascular plug and microcoils at the proximal site of the perforation was performed to stop both PAVM shunt flow and bleeding. To prevent such a catheter-induced complication, it is necessary to select a diagnostic catheter with appropriate stiffness and angle and to switch to a small-diameter delivery system depending on the situation.
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