Case Reports in Radiology最新文献

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A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography. 以非典型症状表现的主动脉夹层1例经胸超声心动图诊断。

Case Reports in Radiology

Pub Date : 2019-11-11 eCollection Date: 2019-01-01 DOI: 10.1155/2019/6545472

Mahdis Solhjoo, Supreeya Swarup, Amgad N Makaryus

We present a case of an extensive aortic dissection (AD) identified in a woman with atypical symptoms. Transthoracic echocardiography (TTE) allowed the identification of an intimal flap in multiple locations and resulted in rapid diagnosis and treatment. In most cases, CT angiography is the imaging modality of choice for diagnosis of AD. TTE is rapid and accurate and can be used in kidney failure. Our case highlights the important role of bedside echocardiography in the diagnosis of AD, especially in the patient with a typical symptoms in whom this diagnosis of AD may not be entertained and actually missed leading to negative and possibly deadly consequences.

我们提出一个病例广泛主动脉夹层(AD)确定在一个妇女的非典型症状。经胸超声心动图(TTE)可以识别多个位置的内膜皮瓣，从而快速诊断和治疗。在大多数情况下，CT血管造影是诊断AD的首选成像方式。TTE快速、准确，可用于肾衰竭。我们的病例强调了床边超声心动图在AD诊断中的重要作用，特别是在具有典型症状的患者中，AD的诊断可能不被接受，实际上会导致负面和可能致命的后果。

引用次数: 5

Hemoptysis due to Pulmonary Arteriovenous Malformation after Coil Embolization during Long-Term Follow-Up 线圈栓塞后肺动静脉畸形咯血的长期随访

Case Reports in Radiology

Pub Date : 2019-10-20 DOI: 10.1155/2019/4506253

M. Shimohira, K. Iwata, K. Ohta, Y. Sawada, Takeshi Hashimoto, K. Okuda, R. Nakanishi, Y. Shibamoto

A 28-year-old man with a history of coil embolization of multiple pulmonary arteriovenous malformations presented with hemoptysis 11 years after initial embolization. A cavity lesion in the left upper lobe, which was accompanied by deformed coils and ground-glass opacity, was considered responsible for hemoptysis. Embolization of the bronchial artery was performed.

一位28岁的男性，有多肺动静脉畸形线圈栓塞史，在首次栓塞11年后出现咯血。左上叶空腔病变，伴螺旋变形和毛玻璃影，被认为是咯血的原因。行支气管动脉栓塞术。

引用次数: 3

Incidental Diagnosis of a Rare Case of Corkscrew Aorta 1例罕见的螺旋状主动脉的偶然诊断

Case Reports in Radiology

Pub Date : 2019-10-13 DOI: 10.1155/2019/2016959

M. Petullà, G. Mazzarella, L. Critelli, L. Paone, D. Laganà

The corkscrew aorta is a variant of the normal anatomical course of the aorta. This rare condition is characterized by a marked tortuosity of the aorta. In our experience it concerns the tract of subrenal aorta, that is an unusual condition, since there are no other cases in the literature. It is characterized by the presence of at least two kinking, and a coiling interposed among them. It is diagnosed by Angio-CT and its response is incidental, being from an asymptomatic clinical point of view.

螺旋主动脉是主动脉正常解剖路线的一种变体。这种罕见的情况以主动脉明显扭曲为特征。根据我们的经验，它涉及肾下主动脉道，这是一种不寻常的情况，因为在文献中没有其他病例。其特征是至少存在两个扭结，并且在它们之间插入一个卷绕。它是通过血管ct诊断的，其反应是偶然的，从无症状的临床角度来看。

引用次数: 1

Importance of Both Internal and External Iliac Artery Interrogation in Pelvic Trauma as Evidenced by Hemorrhage from Bilateral Corona Mortis with Unilateral Aberrant Origin off the External Iliac Artery 骨盆外伤中髂内外动脉检查的重要性:双侧尸冠出血伴单侧髂外动脉异常

Case Reports in Radiology

Pub Date : 2019-07-08 DOI: 10.1155/2019/6734816

M. Herskowitz, J. Walsh, M. Lilly, K. McFarland

Transcatheter angiography and embolization has long been recognized as the gold standard for patients with hemodynamic instability secondary to blunt pelvic trauma. While often the bleeding source can be readily localized based on the distribution of extravasation on preprocedural Computed Tomographic Angiography, one should be cautious in assessment for aberrant anatomy. A variant obturator artery originating from the inferior epigastric branch of the external iliac artery is commonly referred to as the corona mortis. We present a case of blunt pelvic trauma in which a patient demonstrated extravasation in the anterior distributions of both internal iliac arteries. Following embolization of bilateral internal iliac arteries, identification and embolization of bilateral corona mortis branches was crucial to achieving hemodynamic stability in this patient.

经导管血管造影和栓塞术一直被认为是治疗钝性骨盆创伤后血流动力学不稳定的金标准。虽然通常根据术前ct血管造影的外渗分布可以很容易地定位出血源，但在评估异常解剖结构时应谨慎。一种起源于髂外动脉腹壁下支的变异闭孔动脉通常被称为尸冠动脉。我们提出一个钝性骨盆创伤的情况下，病人表现出外渗在两个髂内动脉的前分布。在双侧髂内动脉栓塞后，确定和栓塞双侧尸冠分支对于实现该患者的血流动力学稳定至关重要。

引用次数: 5

Arterial Calcification on Wrist Radiographs May Suggest Need for Evaluation of Atherosclerosis in Asymptomatic Individuals 腕部x线片上动脉钙化可能提示需要对无症状个体进行动脉粥样硬化评估

Case Reports in Radiology

Pub Date : 2019-07-03 DOI: 10.1155/2019/6156948

Lauren E Watchmaker, J. Watchmaker, G. Watchmaker

Asymptomatic individuals with significant coronary artery disease (CAD) are at risk for unanticipated cardiac events including myocardial infarction (MI). Laboratory studies, stress tests, and coronary artery imaging including coronary artery calcium (CAC) scoring evaluate at-risk individuals. Hand and wrist x-rays demonstrating significant arterial wall calcification may provide an additional means to identify asymptomatic individuals at risk for cardiac events. Here we report a case series of patients without known cardiac disease who demonstrated significant calcium deposits in the radial and/or ulnar arteries in radiographs performed for evaluation of their hand conditions. Each series patient was subsequently found to have calcification on coronary artery imaging and an elevated risk of future cardiac events. Our series suggests that peripheral arterial calcifications observed by radiologists and hand specialists may warrant systemic evaluation for atherosclerosis in other areas of the body.

无症状的显著冠状动脉疾病(CAD)患者有发生包括心肌梗死(MI)在内的意外心脏事件的风险。实验室研究、压力测试和冠状动脉成像(包括冠状动脉钙(CAC)评分)评估高危人群。手部和腕部x光片显示明显的动脉壁钙化可能为识别有心脏事件风险的无症状个体提供额外的手段。在此，我们报告了一系列没有已知心脏疾病的患者，在评估其手部状况的x线片中显示桡动脉和/或尺动脉有明显的钙沉积。每个系列患者随后发现冠状动脉成像有钙化，未来心脏事件的风险增加。我们的研究表明，放射科医生和手部专家观察到的外周动脉钙化可能需要对身体其他部位的动脉粥样硬化进行系统评估。

引用次数: 4

Thyroglossal Duct Carcinoma Originating in the Hyoid Bone 甲状腺舌导管癌起源于舌骨

Case Reports in Radiology

Pub Date : 2019-07-01 DOI: 10.1155/2019/3067346

Naoki Kunitomo, H. Fujii, A. Fujita, Yumiko Hamano, Minako Takanosawa, H. Sugimoto

Thyroglossal duct (TGD) carcinoma is a rare malignant tumor arising from remnants of thyroid tissue or the wall of the duct and generally occurs along the anatomic course of the TGD. TGD carcinoma originating in the hyoid bone is extremely rare but can occur since the TGD penetrates the hyoid bone on rare occasions. This report describes the case of a 30-year-old man with TGD carcinoma originating in the hyoid bone. Computed tomography demonstrated a mass in the hyoid bone that expanded the cortical bone of the hyoid. The mass had a central solid component with calcification and a marginal cystic component. When we encounter a calcified mass in the hyoid bone, we should consider TGD carcinoma among the differential diagnoses.

甲状腺舌管癌是一种罕见的恶性肿瘤，起源于甲状腺组织或舌管壁的残余，通常发生在舌管的解剖过程中。起源于舌骨的TGD癌非常罕见，但由于TGD在极少数情况下穿透舌骨，因此也可能发生。本报告描述的情况下，30岁的男子TGD癌起源于舌骨。计算机断层扫描显示舌骨肿块扩大了舌骨皮质骨。肿块中心为实性钙化，边缘为囊性。当我们遇到舌骨钙化肿块时，我们应该考虑鉴别诊断中的TGD癌。

引用次数: 3

Description of Two Cases of Anaplastic Large Cell Lymphoma Associated with a Breast Implant. 两例与乳房植入物相关的间变性大细胞淋巴瘤的描述。

Case Reports in Radiology

Pub Date : 2019-06-27 eCollection Date: 2019-01-01 DOI: 10.1155/2019/6137198

Julie Crèvecoeur, Véronique Jossa, Joan Somja, Jean-Claude Parmentier, Jean-Luc Nizet, André Crèvecoeur

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a recently recognized provisional entity in the 2017 revision of the World Health Organization classification of lymphoid neoplasms. Although the majority of the cases described in the literature demonstrate an effusion confined to the capsule of the breast implant, this rare pathology can also invade the capsule and adjacent tissues and/or involve lymph nodes. We hereby report two new cases of BIA-ALCL in a 58-year-old and a 47-year-old Caucasian female who received a silicone breast implant. The first patient showed a sudden and rapid right breast volume increase 6 years after the implantation surgery. As for the second patient, a left breast volume increase was observed also suddenly and quickly 11 years after surgery. In both cases, an uncompressed mammography was performed allowing a new approach to highlight periprosthetic fluid reaction. Pathologic examination of the fluid collection revealed atypical cells positive for CD30 and CD45 and negative for ALK and CK7. This allowed pathologists to diagnose a breast implant-associated anaplastic large cell lymphoma. Patients were treated with bilateral capsulectomy with no additional local or systemic therapy. The development of breast augmentation may come with an increase in the frequency of this pathology. Radiologists and senologists must therefore be careful when women with breast implants show an increase of breast volume and all cases of BIA-ALCL must be recorded and reported.

乳房植入物相关间变性大细胞淋巴瘤（BIA-ALCL）是世界卫生组织2017年修订的淋巴肿瘤分类中最近认可的临时实体。尽管文献中描述的大多数病例显示积液局限于乳房植入物的包膜，但这种罕见的病理学也可能侵犯包膜和邻近组织和/或涉及淋巴结。我们在此报告两例新的BIA-ALCL病例，一名58岁和一名47岁的白人女性接受了硅胶乳房植入术。第一位患者在植入手术后6年，右乳房体积突然快速增加。至于第二名患者，在手术后11年，左乳房体积也突然迅速增加。在这两种情况下，都进行了未压缩的乳房X光检查，从而采用了一种新的方法来突出假体周围的液体反应。液体采集的病理学检查显示非典型细胞CD30和CD45阳性，ALK和CK7阴性。这使病理学家能够诊断出与乳房植入物相关的间变性大细胞淋巴瘤。患者接受双侧晶状体囊切除术治疗，无需额外的局部或全身治疗。隆胸的发展可能伴随着这种病理的频率增加。因此，当植入乳房的女性乳房体积增加时，放射科医生和Senologist必须小心，并且必须记录和报告所有BIA-ALCL病例。

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引用次数: 1

Upper Limb Meromelia with Oligodactyly and Brachymesophalangy of the Foot: An Unusual Association 上肢缺趾畸形伴足少趾和足短管畸形:一种不寻常的关联

Case Reports in Radiology

Pub Date : 2019-06-24 DOI: 10.1155/2019/3419383

M. Özdemir, R. Kavak, Ö. Eraslan

Meromelia is a rare skeletal abnormality characterized by the partial absence of at least one limb. Several mechanisms have been postulated to explain the etiopathogenesis of the disorder. Most of the cases of meromelia are reported to be sporadic. It can occur either in isolation or with other congenital malformations. VACTERL association, gastroschisis, atrial septal defect, proximal femoral focal deficiency, and fibular hemimelia are the congenital abnormalities reported to be in association with meromelia. However, no other congenital abnormalities in association with meromelia have been recorded to date. We herein present an unusual case of bilateral upper limb meromelia accompanied by unilateral oligodactyly and brachymesophalangy of the foot.

缺肢畸形是一种罕见的骨骼异常，其特征是至少有一个肢体部分缺失。已经假设了几种机制来解释这种疾病的发病机制。据报道，大多数小粒贫血病例是散发的。它既可以单独发生，也可以与其他先天性畸形一起发生。VACTERL关联、胃裂、房间隔缺损、股近端局灶性缺陷和腓骨半贫血是报道的先天性异常，与半贫血有关。然而，到目前为止，还没有其他先天性异常与粟粒贫血有关的记录。我们在此提出一个不寻常的情况下，双侧上肢缺趾伴单侧缺趾和足短管畸形。

引用次数: 2

Microgallbladder: Self-Remitting Acute Cholecystitis-Like Condition Unique to Patients with Cystic Fibrosis 微胆囊:囊性纤维化患者特有的自缓解急性胆囊炎样疾病

Case Reports in Radiology

Pub Date : 2019-06-19 DOI: 10.1155/2019/6737428

Mina S Mousa, J. Feldman, Paresh Mahajan

Microgallbladder is a nonsurgical medical condition characterized by chronic inflammation and atrophy of the gallbladder, which is considered a highly specific imaging finding unique to patients with cystic fibrosis (CF), and has been incidentally reported on abdominal imaging in up to 45% of cases with CF. The impairment of exocrine water efflux in CF leads to the production of hyperviscous biliary secretions, cholestasis, and transient cystic duct obstruction of the microgallbladder causing microcholecystitis—interestingly a self-remitting acute cholecystitis-like condition without surgical intervention. We present a case report of a 22-year-old male patient with history of CF with multiple hospital admissions for unexplained chronic abdominal pain found to be caused by microgallbladder, which was managed conservatively.

微胆囊是一种以胆囊慢性炎症和萎缩为特征的非手术内科疾病，被认为是囊性纤维化(CF)患者特有的高度特异性影像学发现，高达45%的CF患者在腹部影像学上也有报道。CF患者外分泌水排出障碍导致胆道分泌物高粘稠、胆汁淤积、而微胆囊的短暂性囊管阻塞引起微胆囊炎——有趣的是，一种无需手术干预即可自行缓解的急性胆囊炎样疾病。我们报告一例22岁男性CF病史患者，多次住院，原因不明的慢性腹痛，发现是由微胆囊引起的，这是保守处理。

引用次数: 3

Two Cases of Primary Testicular Lymphoma Presenting with Direct Spread along the Spermatic Cord and Gonadal Vessels 原发性睾丸淋巴瘤沿精索及性腺血管直接扩散2例

Case Reports in Radiology

Pub Date : 2019-06-18 DOI: 10.1155/2019/5953618

M. Ellatif, Raekha Kumar, A. Weller, D. Katz, E. Vrentzou

Primary testicular lymphoma is a rare testicular neoplasm that mainly affects elderly patients, with Human Immunodeficiency Virus (HIV) being a known risk factor in the younger population. Approximately 20% of patients will have disseminated disease with extra-nodal involvement at clinical presentation. Rarely, direct spread along the spermatic cord and gonadal vessels can occur and has been described in the literature. We present two cases of this phenomenon where the primary testicular tumour has spread along the gonadal vein to its origin at the inferior vena cava.

原发性睾丸淋巴瘤是一种罕见的睾丸肿瘤，主要影响老年患者，人类免疫缺陷病毒(HIV)是年轻人群中已知的危险因素。约20%的患者临床表现为弥散性疾病伴淋巴结外受累。很少，沿着精索和性腺血管的直接扩散可以发生，并已在文献中描述。我们提出两个病例的这种现象，原发睾丸肿瘤已沿生殖腺静脉扩散到它的起源在下腔静脉。

引用次数: 7

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