Paola Lopez Gomez, Miguel Paniagua Gonzalez, Angela Garcia Perez, Luis Alberto Mullor Delgado
Adrenal haemangioma is a rare benign vascular lesion, which is usually asymptomatic and it is typically discovered incidentally on radiographic imaging. Differential diagnosis from other benign or malignant adrenal neoplasms may be challenging, and in many cases, the diagnosis is only possible after surgical resection. We present a case of a 39 year-old female with abdominal pain in the upper right quadrant, who was referred to our hospital after incidentally discovering a mass above the right kidney on abdominal ultrasonography. MRI revealed an adrenal mass, with features not indicative of adenoma and suggestive of adrenal haemangioma, without ruling out other possible diagnoses such us phaeochromocytoma and adrenal cortical carcinoma. Biochemical tests did not reveal any endocrine dysfunction. The patient underwent adrenalectomy, and histopathological analysis confirmed a venous haemangioma. Adrenal gland haemangioma is an unusual vascular lesion, typically diagnosed incidentally during abdominal imaging. Certain radiologic features may raise suspicion for malignancy, making it difficult to distinguish them from a primary adrenal cortical carcinoma. They may also grow large, compressing surrounding structures and causing abdominal pain, or may rupture, leading to retroperitoneal hemorrhage. For these reasons, some authors recommend excision of all suspected adrenal haemangiomas, and in many cases, the final diagnosis is made only after surgical removal.
{"title":"Adrenal gland haemangioma, a rare entity difficult to differentiate from malignancy","authors":"Paola Lopez Gomez, Miguel Paniagua Gonzalez, Angela Garcia Perez, Luis Alberto Mullor Delgado","doi":"10.1093/bjrcr/uaae027","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae027","url":null,"abstract":"\u0000 Adrenal haemangioma is a rare benign vascular lesion, which is usually asymptomatic and it is typically discovered incidentally on radiographic imaging. Differential diagnosis from other benign or malignant adrenal neoplasms may be challenging, and in many cases, the diagnosis is only possible after surgical resection.\u0000 We present a case of a 39 year-old female with abdominal pain in the upper right quadrant, who was referred to our hospital after incidentally discovering a mass above the right kidney on abdominal ultrasonography. MRI revealed an adrenal mass, with features not indicative of adenoma and suggestive of adrenal haemangioma, without ruling out other possible diagnoses such us phaeochromocytoma and adrenal cortical carcinoma. Biochemical tests did not reveal any endocrine dysfunction. The patient underwent adrenalectomy, and histopathological analysis confirmed a venous haemangioma.\u0000 Adrenal gland haemangioma is an unusual vascular lesion, typically diagnosed incidentally during abdominal imaging. Certain radiologic features may raise suspicion for malignancy, making it difficult to distinguish them from a primary adrenal cortical carcinoma. They may also grow large, compressing surrounding structures and causing abdominal pain, or may rupture, leading to retroperitoneal hemorrhage. For these reasons, some authors recommend excision of all suspected adrenal haemangiomas, and in many cases, the final diagnosis is made only after surgical removal.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"30 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141926882","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}
Brandon Simons, M. Williams, Laura Hayes, Kanika Gupta, Tushar Chandra
A 17-year-old male presented with acute onset right-sided facial swelling, trismus, pharyngitis, and sepsis. An initial CT abdomen and pelvis revealed multifocal bilateral nodular cavitary lung lesions. CT soft tissue neck with contrast demonstrated a parapharyngeal abscess and thrombophlebitis of the right internal jugular vein. The patient was subsequently diagnosed with Lemierre’s syndrome. On the following day, the patient’s neurological status markedly declined. Brain MRI/MRA/MRV showed right internal carotid artery narrowing, multiple areas of acute and subacute infarctions secondary to vasculitis, meningitis, venous sinus thrombosis, and intracerebral abscesses. Workup for primary causes of intracranial vasculitis were negative. Although commonly presented as venous disease, this case highlights a rare presentation of Lemierre’s syndrome with arterial involvement and significant intracranial complications. Clinicians should consider vasculitis and central nervous system involvement as potential complications of Lemierre’s syndrome rather than searching for separate etiologies.
{"title":"Lemierre’s syndrome presenting with arterial and Central nervous system involvement","authors":"Brandon Simons, M. Williams, Laura Hayes, Kanika Gupta, Tushar Chandra","doi":"10.1093/bjrcr/uaae026","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae026","url":null,"abstract":"\u0000 A 17-year-old male presented with acute onset right-sided facial swelling, trismus, pharyngitis, and sepsis. An initial CT abdomen and pelvis revealed multifocal bilateral nodular cavitary lung lesions. CT soft tissue neck with contrast demonstrated a parapharyngeal abscess and thrombophlebitis of the right internal jugular vein. The patient was subsequently diagnosed with Lemierre’s syndrome. On the following day, the patient’s neurological status markedly declined. Brain MRI/MRA/MRV showed right internal carotid artery narrowing, multiple areas of acute and subacute infarctions secondary to vasculitis, meningitis, venous sinus thrombosis, and intracerebral abscesses. Workup for primary causes of intracranial vasculitis were negative. Although commonly presented as venous disease, this case highlights a rare presentation of Lemierre’s syndrome with arterial involvement and significant intracranial complications. Clinicians should consider vasculitis and central nervous system involvement as potential complications of Lemierre’s syndrome rather than searching for separate etiologies.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"48 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141928202","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}
Hamid Majeed, Jie Fei Lau, Anna Davenport, Karim Muhammad, Farhat Bano
Amyloidosis is a multisystem disease characterized by the extracellular deposition of abnormal protein fibrils in various tissues and organs. It is a systemic disease mainly affecting the kidneys, liver, and spleen. In the GI tract, the duodenum is most commonly involved, followed by the stomach. We came across a relatively unusual case of jejunal amyloidosis where the presentation was with weight loss, abdominal pain, and changes in bowel habits. Radiological findings were non-specific, such as thickening of small bowel loops and small nodular bowel wall lesions, etc Endoscopic features were also not characteristic of any particular disease entity. Therefore, it was hard to narrow down the differential diagnosis based on endoscopy and clinic-radiological grounds. The diagnosis remained a mystery until the outcome of the final histopathology report. This case study will facilitate readers in considering this entity in the differential list if they encounter mimicking clinical and/or radiological features.
{"title":"Jejunal amyloidosis: Rare case with weight loss & altered bowel habits","authors":"Hamid Majeed, Jie Fei Lau, Anna Davenport, Karim Muhammad, Farhat Bano","doi":"10.1093/bjrcr/uaae025","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae025","url":null,"abstract":"\u0000 Amyloidosis is a multisystem disease characterized by the extracellular deposition of abnormal protein fibrils in various tissues and organs. It is a systemic disease mainly affecting the kidneys, liver, and spleen. In the GI tract, the duodenum is most commonly involved, followed by the stomach. We came across a relatively unusual case of jejunal amyloidosis where the presentation was with weight loss, abdominal pain, and changes in bowel habits. Radiological findings were non-specific, such as thickening of small bowel loops and small nodular bowel wall lesions, etc Endoscopic features were also not characteristic of any particular disease entity. Therefore, it was hard to narrow down the differential diagnosis based on endoscopy and clinic-radiological grounds. The diagnosis remained a mystery until the outcome of the final histopathology report. This case study will facilitate readers in considering this entity in the differential list if they encounter mimicking clinical and/or radiological features.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141800045","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}
Malignant paraganglioma (PGL) of the prostate is extremely rare, with only three cases reported in the English literature to date. In this article, we present a case of malignant prostatic PGL invading the bladder and bilateral seminal vesicles, in which the patient had a history of long-term hematuria and normal serum PSA level, and was misdiagnosed as a bladder tumor invading the prostate preoperatively. As this case belongs to functional tumor, there is a risk of developing hypertensive crisis during diagnostic biopsy or radical resection. The CT manifestations of prostatic PGL are characteristic, but its imaging features are rarely described due to the rarity of the tumor site. Meanwhile, improving the comprehensive understanding of CT, MRI, functional imaging and clinical features of prostate PGL is conducive to make the correct diagnosis before surgery and ensure the safety of surgical treatment.
{"title":"Malignant paraganglioma of the prostate invading the bladder and bilateral seminal vesicles: a case report","authors":"Jian Tao, Haiyan Ma, Xianchun Zeng","doi":"10.1093/bjrcr/uaae024","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae024","url":null,"abstract":"\u0000 Malignant paraganglioma (PGL) of the prostate is extremely rare, with only three cases reported in the English literature to date. In this article, we present a case of malignant prostatic PGL invading the bladder and bilateral seminal vesicles, in which the patient had a history of long-term hematuria and normal serum PSA level, and was misdiagnosed as a bladder tumor invading the prostate preoperatively. As this case belongs to functional tumor, there is a risk of developing hypertensive crisis during diagnostic biopsy or radical resection. The CT manifestations of prostatic PGL are characteristic, but its imaging features are rarely described due to the rarity of the tumor site. Meanwhile, improving the comprehensive understanding of CT, MRI, functional imaging and clinical features of prostate PGL is conducive to make the correct diagnosis before surgery and ensure the safety of surgical treatment.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"52 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141644546","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}
E. Iida, Atsuo Inoue, M. Tanabe, Naohiko Kamamura, Katsuyoshi Ito
We report the MRI findings of a patient with an atypical meningioma who presented with spontaneous infarction. A 67-year-old man with histories of recurrent meningioma complained of left ocular protrusion and a subsequent biopsy revealed atypical meningioma. Contrast-enhanced CT showed a uniformly enhancing tumor in the left ethmoid sinus, but MRI 2 days later showed no enhancement on Gd-T1WI and severe diffusion restriction on DWI, indicating spontaneous infarction. APT-CEST imaging showed slight hypointensity in comparison to the normal brain with a mean MTR asymmetry value of 0.48%. Tumor regrowth was confirmed on MRI after 2 months. The recurrent tumor showed moderate diffusion restriction on DWI and hyperintensity with a mean MTR asymmetry value of 2.59% on APT-CEST imaging. The decreased signal on APT-CEST at the time of spontaneous infarction may have been attributed to intratumoral acidosis and loss of viable tumor. APT-CEST imaging is useful for evaluating the intratumoral condition and tumor viability of the infarcted or ischemic tumor.
{"title":"A case of atypical meningioma presenting spontaneous infarction: the findings of magnetic resonance imaging, including amide proton transfer-chemical exchange saturation transfer imaging","authors":"E. Iida, Atsuo Inoue, M. Tanabe, Naohiko Kamamura, Katsuyoshi Ito","doi":"10.1093/bjrcr/uaae023","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae023","url":null,"abstract":"\u0000 We report the MRI findings of a patient with an atypical meningioma who presented with spontaneous infarction. A 67-year-old man with histories of recurrent meningioma complained of left ocular protrusion and a subsequent biopsy revealed atypical meningioma. Contrast-enhanced CT showed a uniformly enhancing tumor in the left ethmoid sinus, but MRI 2 days later showed no enhancement on Gd-T1WI and severe diffusion restriction on DWI, indicating spontaneous infarction. APT-CEST imaging showed slight hypointensity in comparison to the normal brain with a mean MTR asymmetry value of 0.48%. Tumor regrowth was confirmed on MRI after 2 months. The recurrent tumor showed moderate diffusion restriction on DWI and hyperintensity with a mean MTR asymmetry value of 2.59% on APT-CEST imaging. The decreased signal on APT-CEST at the time of spontaneous infarction may have been attributed to intratumoral acidosis and loss of viable tumor. APT-CEST imaging is useful for evaluating the intratumoral condition and tumor viability of the infarcted or ischemic tumor.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663571","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}
T-cell lymphoblastic lymphoma of the breast represents a highly uncommon subtype of non-Hodgkin's lymphoma. This study presents a case of T-cell lymphoblastic lymphoma/acute lymphoblastic leukemia (T-LBL/ALL) in a 73-year-old female patient exhibiting bilateral breast masses, bilateral axillary lymphadenopathy, swollen lymph nodes in the left neck, and petechiae on the chest. The breast ultrasound revealed heterogeneous hypoechoic findings in the skin layer and subcutaneous tissue of the upper outer quadrant of both breasts. Contrast-enhanced ultrasound demonstrated rapid homogeneous hyperenhancement of bilateral breast masses, and with a small unenhanced area noted in the center of the left breast mass. The fine-needle aspiration cytology of bilateral axillary lymph nodes revealed metastatic adenocarcinoma, whereas the fine-needle aspiration cytology of the left cervical lymph nodes indicated non-Hodgkin's lymphoma. Biopsy of the breast mass demonstrated multifocal growth of lymphocyte-like cells, with immunohistochemical analysis confirming T-LBL/ALL. This case study outlines the clinical and contrast-enhanced ultrasound features of breast T-LBL/ALL.
乳腺T细胞淋巴母细胞淋巴瘤是非霍奇金淋巴瘤中非常少见的一种亚型。本研究介绍了一例 T 细胞淋巴母细胞淋巴瘤/急性淋巴母细胞白血病（T-LBL/ALL）病例，患者 73 岁，女性，双侧乳房肿块，双侧腋窝淋巴结肿大，左颈部淋巴结肿大，胸部有瘀斑。乳腺超声检查显示，双侧乳房外上象限的皮肤层和皮下组织出现异质低回声。对比增强超声显示，双侧乳房肿块呈快速均匀高回声，左侧乳房肿块中央有一小块未增强区。双侧腋窝淋巴结细针穿刺细胞学检查显示为转移性腺癌，而左侧宫颈淋巴结细针穿刺细胞学检查显示为非霍奇金淋巴瘤。乳房肿块活检显示淋巴细胞样细胞多灶性生长，免疫组化分析证实为T-LBL/ALL。本病例研究概述了乳腺T-LBL/ALL的临床和对比增强超声特征。
{"title":"T-cell lymphoblastic lymphoma/leukemia involving bilateral breast: a case report","authors":"Jing Zhou, Mingxing Li, Ling Liao","doi":"10.1093/bjrcr/uaae013","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae013","url":null,"abstract":"\u0000 T-cell lymphoblastic lymphoma of the breast represents a highly uncommon subtype of non-Hodgkin's lymphoma. This study presents a case of T-cell lymphoblastic lymphoma/acute lymphoblastic leukemia (T-LBL/ALL) in a 73-year-old female patient exhibiting bilateral breast masses, bilateral axillary lymphadenopathy, swollen lymph nodes in the left neck, and petechiae on the chest. The breast ultrasound revealed heterogeneous hypoechoic findings in the skin layer and subcutaneous tissue of the upper outer quadrant of both breasts. Contrast-enhanced ultrasound demonstrated rapid homogeneous hyperenhancement of bilateral breast masses, and with a small unenhanced area noted in the center of the left breast mass. The fine-needle aspiration cytology of bilateral axillary lymph nodes revealed metastatic adenocarcinoma, whereas the fine-needle aspiration cytology of the left cervical lymph nodes indicated non-Hodgkin's lymphoma. Biopsy of the breast mass demonstrated multifocal growth of lymphocyte-like cells, with immunohistochemical analysis confirming T-LBL/ALL. This case study outlines the clinical and contrast-enhanced ultrasound features of breast T-LBL/ALL.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"46 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657052","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}
We describe a case of gallbladder extra-nodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT-ML). MALT-ML is rare, and its clinical manifestations are lack of specificity. A few cases have been reported, and no characteristic imaging features have been described. We discussed the challenges of MRI in diagnosing MALT-ML of gallbladder, especially in differentiating it from gallbladder cancer. We found a “comb-like” sign in the inner wall of gallbladder on T2WI, which maybe helpful in diagnosing gallbladder MALT-ML.
{"title":"MRI Findings in 1 Case of Primary Gallbladder Lymphoma","authors":"Xiaoxuan Wang, Min Sun, Liqing Kang","doi":"10.1093/bjrcr/uaae011","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae011","url":null,"abstract":"\u0000 We describe a case of gallbladder extra-nodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT-ML). MALT-ML is rare, and its clinical manifestations are lack of specificity. A few cases have been reported, and no characteristic imaging features have been described. We discussed the challenges of MRI in diagnosing MALT-ML of gallbladder, especially in differentiating it from gallbladder cancer. We found a “comb-like” sign in the inner wall of gallbladder on T2WI, which maybe helpful in diagnosing gallbladder MALT-ML.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":" 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140687663","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}
We report a case of a cystic liver tumour in a 47-year-old man with Peutz-Jeghers syndrome (PJS) who had undergone sclerotherapy at another hospital for a cyst in hepatic segment IV (S4) 7 years earlier. Based on the preoperative imaging findings, the patient was diagnosed with an intraductal papillary neoplasm of the bile duct. Percutaneous transhepatic portal vein embolization was performed to increase the residual liver volume, followed by resection of the three right hepatic lobes and the caudate lobe, biliary reconstruction, and portal vein reconstruction. Pathological examination revealed an adenoma arising in an intrahepatic biliary duplication cyst. Retrospectively, the preoperative diagnosis was difficult, but it aligned with previous reports of biliary duplication cysts due to its continuity with the bile duct. Additionally, intrahepatic biliary duplication cysts with tumour lesions or cases in which 18F-fluorodeoxyglucose positron emission tomography was performed have not been previously reported. Therefore, preoperatively listing this disease as a differential diagnosis was difficult. PJS and chronic inflammation associated with cyst sclerotherapy may have contributed to tumour development in the intrahepatic biliary duplication cyst.
{"title":"Adenoma Mimicking Intraductal Papillary Neoplasm of the Bile Duct Arising in an Intrahepatic Biliary Duplication Cyst","authors":"Yuichi Tsuji, Shimada Kotaro, Hiroyoshi Isoda, Takamichi Ishii, Yasuhide Takeuchi, Yuji Nakamoto","doi":"10.1093/bjrcr/uaae012","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae012","url":null,"abstract":"\u0000 We report a case of a cystic liver tumour in a 47-year-old man with Peutz-Jeghers syndrome (PJS) who had undergone sclerotherapy at another hospital for a cyst in hepatic segment IV (S4) 7 years earlier. Based on the preoperative imaging findings, the patient was diagnosed with an intraductal papillary neoplasm of the bile duct. Percutaneous transhepatic portal vein embolization was performed to increase the residual liver volume, followed by resection of the three right hepatic lobes and the caudate lobe, biliary reconstruction, and portal vein reconstruction. Pathological examination revealed an adenoma arising in an intrahepatic biliary duplication cyst. Retrospectively, the preoperative diagnosis was difficult, but it aligned with previous reports of biliary duplication cysts due to its continuity with the bile duct. Additionally, intrahepatic biliary duplication cysts with tumour lesions or cases in which 18F-fluorodeoxyglucose positron emission tomography was performed have not been previously reported. Therefore, preoperatively listing this disease as a differential diagnosis was difficult. PJS and chronic inflammation associated with cyst sclerotherapy may have contributed to tumour development in the intrahepatic biliary duplication cyst.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140720401","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}
Emmanuel Gbegli, Ahmad Miremadi, Eva Mendes Serrao, Timothy J. Sadler
An Amyand’s hernia is an incarcerated inguinal hernia containing the appendix with or without appendicitis. This is a rare form of inguinal hernia, making up approximately 0.4—1% of all cases 1. As with any hernia, this may become strangulated at any time, leading to the loss of blood supply and further development of gangrene and complications. Clinically, this can present in a manner indistinguishable from other types of inguinal hernias. In addition, the appendix can be affected by its own set of pathological processes, such as infection, inflammation and malignancy. Not uncommonly both hernial and appendiceal complications coexist. The clinical diagnosis of an Amyand’s hernia remains challenging due to its low incidence and indistinct clinical presentation. At present, surgery is usually diagnostic and therapeutic. However, there is a growing number of recent reports showing the invaluable role of imaging on the diagnosis of Amyand’s hernias and associated complications 2 3. The correct and timely recognition of their imaging features including complications can optimise and expedite patient care by guiding diagnosis, treatment and prognosis. Here, we report for the first time the radiological and pathological findings of a patient with a unique complicated Amyand’s hernia, which posed a diagnostic challenge for the clinical and radiological teams.
{"title":"Perforated amyand's hernia with an adenocarcinoma tumour presenting as a groin abscess","authors":"Emmanuel Gbegli, Ahmad Miremadi, Eva Mendes Serrao, Timothy J. Sadler","doi":"10.1093/bjrcr/uaae008","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae008","url":null,"abstract":"\u0000 An Amyand’s hernia is an incarcerated inguinal hernia containing the appendix with or without appendicitis. This is a rare form of inguinal hernia, making up approximately 0.4—1% of all cases 1. As with any hernia, this may become strangulated at any time, leading to the loss of blood supply and further development of gangrene and complications. Clinically, this can present in a manner indistinguishable from other types of inguinal hernias. In addition, the appendix can be affected by its own set of pathological processes, such as infection, inflammation and malignancy. Not uncommonly both hernial and appendiceal complications coexist.\u0000 The clinical diagnosis of an Amyand’s hernia remains challenging due to its low incidence and indistinct clinical presentation. At present, surgery is usually diagnostic and therapeutic. However, there is a growing number of recent reports showing the invaluable role of imaging on the diagnosis of Amyand’s hernias and associated complications 2 3. The correct and timely recognition of their imaging features including complications can optimise and expedite patient care by guiding diagnosis, treatment and prognosis.\u0000 Here, we report for the first time the radiological and pathological findings of a patient with a unique complicated Amyand’s hernia, which posed a diagnostic challenge for the clinical and radiological teams.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"3 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262203","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}
Austin Jin Xian See, Abhishekh Hulegar Ashok, Yogish Joshi, Mathew Guilfoyle, T. C. See
Vascular Ehlers-Danlos Syndrome (vEDS) is a rare and potentially life-threatening inherited connective tissue disorder. Patients with vEDS can present with spontaneous arterial dissections and ruptured aneurysms. There are previous reports of large artery dissections and vessel rupture following conventional catheter diagnostic angiography. We present the case of a patient with vEDS who had spontaneous carotid-cavernous fistula (CCF) and visceral aneurysms, associated with a normal variant of corona mortis. A CCF was successfully treated with a transvenous approach with detachable coils.
{"title":"Endovascular intervention to treat spontaneous carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome with an access site anatomical variant","authors":"Austin Jin Xian See, Abhishekh Hulegar Ashok, Yogish Joshi, Mathew Guilfoyle, T. C. See","doi":"10.1093/bjrcr/uaae006","DOIUrl":"https://doi.org/10.1093/bjrcr/uaae006","url":null,"abstract":"\u0000 Vascular Ehlers-Danlos Syndrome (vEDS) is a rare and potentially life-threatening inherited connective tissue disorder. Patients with vEDS can present with spontaneous arterial dissections and ruptured aneurysms. There are previous reports of large artery dissections and vessel rupture following conventional catheter diagnostic angiography. We present the case of a patient with vEDS who had spontaneous carotid-cavernous fistula (CCF) and visceral aneurysms, associated with a normal variant of corona mortis. A CCF was successfully treated with a transvenous approach with detachable coils.","PeriodicalId":516911,"journal":{"name":"BJR|Case Reports","volume":"41 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894800","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}
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