Pub Date : 2025-12-20DOI: 10.1016/j.radcr.2025.11.037
Hajra Arshad MD, Elliot K. Fishman MD
Singleton Merten Syndrome (SMS) is a rare autosomal dominant disorder caused by IFIH1 or DDX58 mutations, characterized by chronic inflammation leading to vascular calcifications, valvular disease, musculoskeletal abnormalities, dental dysplasia, skin findings like psoriasis and glaucoma. We report an 8-year-old boy with a DDX58 mutation associated SMS who presented with difficulty walking and ankle pain, found to have extensive aortoiliac and mesenteric artery narrowing. Advanced imaging with computed tomography (CT) and cinematic rendering provided detailed vascular mapping, underscoring the importance of radiologic evaluation in detecting and evaluating the extent of vascular involvement in SMS.
{"title":"Aortoiliac and superior mesenteric artery narrowing and calcification in Singleton Merten syndrome","authors":"Hajra Arshad MD, Elliot K. Fishman MD","doi":"10.1016/j.radcr.2025.11.037","DOIUrl":"10.1016/j.radcr.2025.11.037","url":null,"abstract":"<div><div>Singleton Merten Syndrome (SMS) is a rare autosomal dominant disorder caused by IFIH1 or DDX58 mutations, characterized by chronic inflammation leading to vascular calcifications, valvular disease, musculoskeletal abnormalities, dental dysplasia, skin findings like psoriasis and glaucoma. We report an 8-year-old boy with a DDX58 mutation associated SMS who presented with difficulty walking and ankle pain, found to have extensive aortoiliac and mesenteric artery narrowing. Advanced imaging with computed tomography (CT) and cinematic rendering provided detailed vascular mapping, underscoring the importance of radiologic evaluation in detecting and evaluating the extent of vascular involvement in SMS.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1171-1175"},"PeriodicalIF":0.0,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791389","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}
Pseudoaneurysms in lower limb arteries are rare, but can occur after endovascular procedures. We report the case of an 80-year-old man with a chronic limb-threatening ischemia who developed pseudoaneurysm at the site of a stent placed in the left popliteal artery 3 months earlier. Because of the severe pain and risk of aneurysm rupture, intervention was considered necessary. Considering the frailty of the patient, surgical treatment would have likely been difficult and endovascular treatment was therefore planned. A stent graft was placed, blocking blood flow to the pseudoaneurysm. This case demonstrates the effectiveness of stent grafts in managing post-endovascular pseudoaneurysm.
{"title":"A case of endovascular treatment for pseudoaneurysm of the popliteal artery that developed 3 months after stenting","authors":"Takahiro Otsuka MD , Hideki Wada MD, PhD , Jun Shitara MD, PhD , Hirohisa Endo MD, PhD , Manabu Ogita MD, PhD , Satoru Suwa MD , Tohru Minamino MD, PhD","doi":"10.1016/j.radcr.2025.11.086","DOIUrl":"10.1016/j.radcr.2025.11.086","url":null,"abstract":"<div><div>Pseudoaneurysms in lower limb arteries are rare, but can occur after endovascular procedures. We report the case of an 80-year-old man with a chronic limb-threatening ischemia who developed pseudoaneurysm at the site of a stent placed in the left popliteal artery 3 months earlier. Because of the severe pain and risk of aneurysm rupture, intervention was considered necessary. Considering the frailty of the patient, surgical treatment would have likely been difficult and endovascular treatment was therefore planned. A stent graft was placed, blocking blood flow to the pseudoaneurysm. This case demonstrates the effectiveness of stent grafts in managing post-endovascular pseudoaneurysm.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1180-1183"},"PeriodicalIF":0.0,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791385","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}
Pub Date : 2025-12-20DOI: 10.1016/j.radcr.2025.11.072
Manuela Montatore MD , Antonio Zagaria MD , Federica Masino MD , Marina Balbino MD , Giuseppe Guglielmi MD
Wernicke’s encephalopathy (WE) is an acute neuro-metabolic disorder caused by thiamine deficiency. In postoperative and critically ill patients, subtle neurological signs are often masked by sedation, delaying diagnosis. A 59-year-old woman underwent emergent cholecystectomy for acute cholecystitis complicated by multiple bilomas. Postoperative hemorrhage required superselective hepatic artery embolization. After initial stabilization and discharge, she was readmitted with respiratory failure and reduced consciousness, requiring intubation and mechanical ventilation. Despite cessation of sedation, she remained in prolonged coma. MRI revealed symmetrical thalamic, mammillary body, and periaqueductal lesions consistent with WE. Low serum thiamine levels confirmed the diagnosis. High-dose intravenous thiamine led to progressive neurological improvement. WE in nonalcoholic postoperative ICU patients is frequently underrecognized due to overlapping metabolic disturbances, insufficient nutritional intake, and sedation masking neurological signs. MRI is crucial for early diagnosis. Multidisciplinary coordination between intensivists, radiologists, anesthesiologists, and nutritionists is essential for timely recognition and treatment. This case highlights the importance of vigilant nutritional assessment, early neuroimaging, and empiric thiamine administration in postoperative ICU patients with unexplained persistent coma to prevent irreversible neurological damage.
{"title":"Wernicke’s encephalopathy after emergency cholecystectomy and hepatic arterial embolization: A radiological and critical care challenge","authors":"Manuela Montatore MD , Antonio Zagaria MD , Federica Masino MD , Marina Balbino MD , Giuseppe Guglielmi MD","doi":"10.1016/j.radcr.2025.11.072","DOIUrl":"10.1016/j.radcr.2025.11.072","url":null,"abstract":"<div><div>Wernicke’s encephalopathy (WE) is an acute neuro-metabolic disorder caused by thiamine deficiency. In postoperative and critically ill patients, subtle neurological signs are often masked by sedation, delaying diagnosis. A 59-year-old woman underwent emergent cholecystectomy for acute cholecystitis complicated by multiple bilomas. Postoperative hemorrhage required superselective hepatic artery embolization. After initial stabilization and discharge, she was readmitted with respiratory failure and reduced consciousness, requiring intubation and mechanical ventilation. Despite cessation of sedation, she remained in prolonged coma. MRI revealed symmetrical thalamic, mammillary body, and periaqueductal lesions consistent with WE. Low serum thiamine levels confirmed the diagnosis. High-dose intravenous thiamine led to progressive neurological improvement. WE in nonalcoholic postoperative ICU patients is frequently underrecognized due to overlapping metabolic disturbances, insufficient nutritional intake, and sedation masking neurological signs. MRI is crucial for early diagnosis. Multidisciplinary coordination between intensivists, radiologists, anesthesiologists, and nutritionists is essential for timely recognition and treatment. This case highlights the importance of vigilant nutritional assessment, early neuroimaging, and empiric thiamine administration in postoperative ICU patients with unexplained persistent coma to prevent irreversible neurological damage.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1161-1170"},"PeriodicalIF":0.0,"publicationDate":"2025-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791388","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}
Pub Date : 2025-12-19DOI: 10.1016/j.radcr.2025.11.078
Christopher Magloire BS , Ricardo Navarro MD , Anna Tarasova MD , Mark Podberezin MD , Lynn Model MD , Anna Derman MD
Castleman disease (CD) is a rare lymphoproliferative disorder with two main subtypes: unicentric Castleman disease (UCD) and multicentric Castleman disease (MCD). UCD typically presents as a single mass, often in the mediastinum or retroperitoneum. We present a case of a 16-year-old male with an incidentally identified paravertebral mass on chest radiograph. Subsequent chest CT imaging revealed a hyperenhancing soft tissue mass adjacent to the T10 vertebral body, extending laterally along the ribs. Ultrasound-guided biopsy followed by video-assisted surgical resection confirmed the diagnosis of UCD. Paravertebral involvement in CD is rare, with only a limited number of cases reported in the literature. The differential diagnosis for paravertebral masses includes nerve sheath tumors and lymphomas, making pathological confirmation essential. Imaging features, such as hyperenhancement on arterial-phase CT may help distinguish CD from other potential diagnoses on imaging. Complete surgical resection remains the treatment of choice for UCD. This case underscores the importance of imaging in identifying and diagnosing CD, particularly in unusual locations like the paravertebral region, and highlights the necessity of accurate differential diagnosis to guide appropriate management.
{"title":"Hyperenhancing paravertebral mass in an adolescent: A rare presentation of unicentric Castleman disease","authors":"Christopher Magloire BS , Ricardo Navarro MD , Anna Tarasova MD , Mark Podberezin MD , Lynn Model MD , Anna Derman MD","doi":"10.1016/j.radcr.2025.11.078","DOIUrl":"10.1016/j.radcr.2025.11.078","url":null,"abstract":"<div><div>Castleman disease (CD) is a rare lymphoproliferative disorder with two main subtypes: unicentric Castleman disease (UCD) and multicentric Castleman disease (MCD). UCD typically presents as a single mass, often in the mediastinum or retroperitoneum. We present a case of a 16-year-old male with an incidentally identified paravertebral mass on chest radiograph. Subsequent chest CT imaging revealed a hyperenhancing soft tissue mass adjacent to the T10 vertebral body, extending laterally along the ribs. Ultrasound-guided biopsy followed by video-assisted surgical resection confirmed the diagnosis of UCD. Paravertebral involvement in CD is rare, with only a limited number of cases reported in the literature. The differential diagnosis for paravertebral masses includes nerve sheath tumors and lymphomas, making pathological confirmation essential. Imaging features, such as hyperenhancement on arterial-phase CT may help distinguish CD from other potential diagnoses on imaging. Complete surgical resection remains the treatment of choice for UCD. This case underscores the importance of imaging in identifying and diagnosing CD, particularly in unusual locations like the paravertebral region, and highlights the necessity of accurate differential diagnosis to guide appropriate management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1176-1179"},"PeriodicalIF":0.0,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791390","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}
Ectopic varices are portosystemic collaterals located outside the gastroesophageal region and represent a rare cause of variceal bleeding. They often pose diagnostic and therapeutic challenges due to their atypical locations and limited accessibility by conventional endoscopy. We report the case of a 68-year-old woman with a history of liver transplantation complicated by cirrhosis who presented with recurrent hematochezia and hemorrhagic shock. Endoscopic evaluation failed to identify the bleeding source. Computed tomography angiography (CTA) revealed varices in the distal superior mesenteric vein (SMV) territory involving the terminal ileum. The patient underwent transjugular intrahepatic portosystemic shunt (TIPS) placement, but bleeding persisted. Subsequent coil embolization of the ileocolic varix successfully controlled the hemorrhage. This case underscores the importance of recognizing ectopic varices as a rare source of gastrointestinal bleeding and highlights that TIPS alone may be insufficient, with adjunctive embolization often required for definitive management.
{"title":"Refractory ileocolic variceal bleeding in hemorrhagic shock: Endoscopy-negative stigmata, failed TIPS, and successful control with targeted embolization of an ectopic varix","authors":"Rocklin Shumaker MD , Mohammad Abou El-Ezz BS , Erin Priddy MD , Yaw Ohene-Baah MD","doi":"10.1016/j.radcr.2025.11.074","DOIUrl":"10.1016/j.radcr.2025.11.074","url":null,"abstract":"<div><div>Ectopic varices are portosystemic collaterals located outside the gastroesophageal region and represent a rare cause of variceal bleeding. They often pose diagnostic and therapeutic challenges due to their atypical locations and limited accessibility by conventional endoscopy. We report the case of a 68-year-old woman with a history of liver transplantation complicated by cirrhosis who presented with recurrent hematochezia and hemorrhagic shock. Endoscopic evaluation failed to identify the bleeding source. Computed tomography angiography (CTA) revealed varices in the distal superior mesenteric vein (SMV) territory involving the terminal ileum. The patient underwent transjugular intrahepatic portosystemic shunt (TIPS) placement, but bleeding persisted. Subsequent coil embolization of the ileocolic varix successfully controlled the hemorrhage. This case underscores the importance of recognizing ectopic varices as a rare source of gastrointestinal bleeding and highlights that TIPS alone may be insufficient, with adjunctive embolization often required for definitive management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1157-1160"},"PeriodicalIF":0.0,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791387","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}
Pub Date : 2025-12-17DOI: 10.1016/j.radcr.2025.11.068
Uyen N.T. Nguyen BS , David Vo MD , Kari Hird MD , Victoria Wu MD , Vanessa Goodwill MD , Nikdokht Farid MD
Central nervous system (CNS) vasculitis is a rare inflammatory condition of blood vessels of the brain and spinal cord that can result in profound neurological symptoms mimicking many other pathologies. We present the case of a 36-year-old male who presented with subacute onset of progressive left-sided hemiparesis and refractory seizures. The diagnosis was challenging and required comprehensive review and integration of different imaging modalities, tissue sampling, and biochemical testing. This case highlights key imaging features which may aid in distinguishing central nervous system vasculitis from other etiologies such as malignancy.
{"title":"Central nervous system vasculitis mimicking a brain tumor: A case report","authors":"Uyen N.T. Nguyen BS , David Vo MD , Kari Hird MD , Victoria Wu MD , Vanessa Goodwill MD , Nikdokht Farid MD","doi":"10.1016/j.radcr.2025.11.068","DOIUrl":"10.1016/j.radcr.2025.11.068","url":null,"abstract":"<div><div>Central nervous system (CNS) vasculitis is a rare inflammatory condition of blood vessels of the brain and spinal cord that can result in profound neurological symptoms mimicking many other pathologies. We present the case of a 36-year-old male who presented with subacute onset of progressive left-sided hemiparesis and refractory seizures. The diagnosis was challenging and required comprehensive review and integration of different imaging modalities, tissue sampling, and biochemical testing. This case highlights key imaging features which may aid in distinguishing central nervous system vasculitis from other etiologies such as malignancy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1150-1156"},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791321","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}
Pub Date : 2025-12-17DOI: 10.1016/j.radcr.2025.11.069
Manuela Montatore MD , Maria Grazia Capasso MD , Federica Masino MD , Marina Balbino MD , Giuseppe Guglielmi MD
Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract and affects ∼2% of the population. Although usually asymptomatic, MD may lead to complications including diverticulitis, bleeding, obstruction, and—rarely—perforation. Because perforated MD often mimics acute appendicitis, diagnosis before surgery is frequently missed. We describe a 58-year-old man who presented with right lower quadrant pain, fever, and nausea. Ultrasound excluded appendicitis and raised suspicion for MD. Contrast-enhanced CT confirmed an inflamed 3.5-cm MD with surrounding fat stranding, consistent with acute diverticulitis. The patient initially improved with conservative therapy but returned five days later with worsening pain and fever. A second CT revealed microperforation with peridiverticular extraluminal gas and fluid. Within 48 hours, clinical sepsis developed. A third CT demonstrated frank pneumoperitoneum and diffuse peritoneal free fluid. Exploratory laparotomy confirmed a perforated MD, which was resected, followed by ileostomy. Postoperative recovery was uneventful. Although rare, MD perforation is potentially life-threatening. This case uniquely illustrates the radiologic evolution from diverticulitis to microperforation and ultimately free perforation, documented across three consecutive CT examinations. Awareness of this progression may improve early recognition and timely surgical management of complicated MD.
{"title":"Perforated Meckel’s diverticulum: A rare evolution from diverticulitis to sepsis","authors":"Manuela Montatore MD , Maria Grazia Capasso MD , Federica Masino MD , Marina Balbino MD , Giuseppe Guglielmi MD","doi":"10.1016/j.radcr.2025.11.069","DOIUrl":"10.1016/j.radcr.2025.11.069","url":null,"abstract":"<div><div>Meckel’s diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract and affects ∼2% of the population. Although usually asymptomatic, MD may lead to complications including diverticulitis, bleeding, obstruction, and—rarely—perforation. Because perforated MD often mimics acute appendicitis, diagnosis before surgery is frequently missed. We describe a 58-year-old man who presented with right lower quadrant pain, fever, and nausea. Ultrasound excluded appendicitis and raised suspicion for MD. Contrast-enhanced CT confirmed an inflamed 3.5-cm MD with surrounding fat stranding, consistent with acute diverticulitis. The patient initially improved with conservative therapy but returned five days later with worsening pain and fever. A second CT revealed microperforation with peridiverticular extraluminal gas and fluid. Within 48 hours, clinical sepsis developed. A third CT demonstrated frank pneumoperitoneum and diffuse peritoneal free fluid. Exploratory laparotomy confirmed a perforated MD, which was resected, followed by ileostomy. Postoperative recovery was uneventful. Although rare, MD perforation is potentially life-threatening. This case uniquely illustrates the radiologic evolution from diverticulitis to microperforation and ultimately free perforation, documented across three consecutive CT examinations. Awareness of this progression may improve early recognition and timely surgical management of complicated MD.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1140-1144"},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791383","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}
Pub Date : 2025-12-17DOI: 10.1016/j.radcr.2025.11.075
Kui Liang MD , Kunxue Gong MD , Xin Song MD , Wenjun Zhang MD
The endocervico-myomatous fistula is a rare condition that has been reported as a complication following uterine artery embolization. To date, no primary case of this nature has been documented in the PubMed database. The objective of this study was to present the diagnostic and therapeutic approaches for a primary fistula connecting a broad ligament leiomyoma to the cervix. A 35-year-old woman with vaginal bleeding, transvaginal ultrasound revealed features initially interpreted as a bicornuate unicollis uterus according to the ASRM 2021 classification, with 2 distinct uterine cavities communicating with a single cervix. The hysteroscopy revealed a prominent cavity on the left side of internal os of the cervical canal containing aged clots and mucus. The patient underwent laparoscopic resection of the pelvic lesion, subsequent surgical findings confirmed this to be a broad ligament leiomyoma with fistula formation rather than a true Müllerian anomaly. The postoperative pathology revealed the presence of leiomyoma with hyaloid degeneration. The patient had uneventful postoperative recovery. This case underscores the rare presentation of a broad ligament leiomyoma with fistula formation as a differential diagnostic consideration for bicornuate unicollis uterus in gynecological ultrasonography. A systematic literature review revealed no analogous reports, highlighting the uniqueness and instructional value of this case.
{"title":"A primary fistula connecting a broad ligament leiomyoma to the cervix","authors":"Kui Liang MD , Kunxue Gong MD , Xin Song MD , Wenjun Zhang MD","doi":"10.1016/j.radcr.2025.11.075","DOIUrl":"10.1016/j.radcr.2025.11.075","url":null,"abstract":"<div><div>The endocervico-myomatous fistula is a rare condition that has been reported as a complication following uterine artery embolization. To date, no primary case of this nature has been documented in the PubMed database. The objective of this study was to present the diagnostic and therapeutic approaches for a primary fistula connecting a broad ligament leiomyoma to the cervix. A 35-year-old woman with vaginal bleeding, transvaginal ultrasound revealed features initially interpreted as a bicornuate unicollis uterus according to the ASRM 2021 classification, with 2 distinct uterine cavities communicating with a single cervix. The hysteroscopy revealed a prominent cavity on the left side of internal os of the cervical canal containing aged clots and mucus. The patient underwent laparoscopic resection of the pelvic lesion, subsequent surgical findings confirmed this to be a broad ligament leiomyoma with fistula formation rather than a true Müllerian anomaly. The postoperative pathology revealed the presence of leiomyoma with hyaloid degeneration. The patient had uneventful postoperative recovery. This case underscores the rare presentation of a broad ligament leiomyoma with fistula formation as a differential diagnostic consideration for bicornuate unicollis uterus in gynecological ultrasonography. A systematic literature review revealed no analogous reports, highlighting the uniqueness and instructional value of this case.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1136-1139"},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791381","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}
Trichobezoars, or hairballs, are rare gastrointestinal masses often associated with psychiatric disorders like trichotillomania and trichophagia. Mostly seen among young females, they can cause severe gastrointestinal complications, including gastric ulceration and, subsequently, perforation. We reported a case of a young female with abdominal pain and vomiting diagnosed with a perforated gastric ulcer secondary to a bezoar. After emergency surgery and postoperative care, psychiatric evaluation confirmed trichotillomania with trichophagia which ultimately aided in the development of a comprehensive care plan. This case underscores the importance of considering trichobezoars in similar cases and highlights the role of emergent care.
{"title":"Pediatric case of trichobezoar leading to gastric perforation","authors":"Rahaf Almoallim MD , Nadia Safa MD , Arbaaz Patel MD , Helene Flageole MD, MSc , Muhammed Danish Barakzai MBBS, FCPS, FRCR","doi":"10.1016/j.radcr.2025.11.060","DOIUrl":"10.1016/j.radcr.2025.11.060","url":null,"abstract":"<div><div>Trichobezoars, or hairballs, are rare gastrointestinal masses often associated with psychiatric disorders like trichotillomania and trichophagia. Mostly seen among young females, they can cause severe gastrointestinal complications, including gastric ulceration and, subsequently, perforation. We reported a case of a young female with abdominal pain and vomiting diagnosed with a perforated gastric ulcer secondary to a bezoar. After emergency surgery and postoperative care, psychiatric evaluation confirmed trichotillomania with trichophagia which ultimately aided in the development of a comprehensive care plan. This case underscores the importance of considering trichobezoars in similar cases and highlights the role of emergent care.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1121-1126"},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791382","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}
Persistent left superior vena cava (PLSVC) is an uncommon developmental variation of the thoracic venous system, sometimes accompanied by a duplicated superior vena cava (SVC). While often asymptomatic when draining into the right atrium, drainage toward the left atrium could lead to a right-to-left shunt and potential compromise of whole-body oxygen delivery. This report describes a 48-year-old male patient with hypertension and chronic tobacco use who was evaluated for dyspnea and leg edema. Imaging revealed a double SVC, where the left-sided vessel connected directly to the left atrium. Despite this anomaly, the patient exhibited no significant hypoxemia or cyanosis, likely due to long-term compensatory mechanisms. This report underscores the need to consider vascular anomalies in imaging interpretation, particularly when findings are incidental. It also underscores the role of contrast-enhanced CT in identifying rare anatomical variants and the potential for such anomalies to remain clinically silent despite physiological significance.
{"title":"Double superior vena cava and anomalous left atrial drainage of persistent left SVC: A case report","authors":"Parisa Pishdad MD , Parham Heidari MD , Amirhossein Soltani MD , Mohsen Salimi MD","doi":"10.1016/j.radcr.2025.11.065","DOIUrl":"10.1016/j.radcr.2025.11.065","url":null,"abstract":"<div><div>Persistent left superior vena cava (PLSVC) is an uncommon developmental variation of the thoracic venous system, sometimes accompanied by a duplicated superior vena cava (SVC). While often asymptomatic when draining into the right atrium, drainage toward the left atrium could lead to a right-to-left shunt and potential compromise of whole-body oxygen delivery. This report describes a 48-year-old male patient with hypertension and chronic tobacco use who was evaluated for dyspnea and leg edema. Imaging revealed a double SVC, where the left-sided vessel connected directly to the left atrium. Despite this anomaly, the patient exhibited no significant hypoxemia or cyanosis, likely due to long-term compensatory mechanisms. This report underscores the need to consider vascular anomalies in imaging interpretation, particularly when findings are incidental. It also underscores the role of contrast-enhanced CT in identifying rare anatomical variants and the potential for such anomalies to remain clinically silent despite physiological significance.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 3","pages":"Pages 1145-1149"},"PeriodicalIF":0.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791319","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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