Pub Date : 2024-09-30DOI: 10.1016/j.radcr.2024.09.070
Accessory gallbladders are rare congenital malformations of the hepatobiliary system. They are often incidentally diagnosed preoperatively or intra-operatively. We report a case of a 52-year-old man with an accessory gallbladder that was partially encased by esophageal adenocarcinoma. To the best of our knowledge, this is the first reported case of an accessory gallbladder diagnosed concurrently with esophageal adenocarcinoma. It is important for clinicians and radiologists to be cognizant of this anatomical malformation to avoid misdiagnoses and intra-operative complications.
{"title":"Accessory gallbladder with partial encasement by esophageal adenocarcinoma: A rare case report","authors":"","doi":"10.1016/j.radcr.2024.09.070","DOIUrl":"10.1016/j.radcr.2024.09.070","url":null,"abstract":"<div><div>Accessory gallbladders are rare congenital malformations of the hepatobiliary system. They are often incidentally diagnosed preoperatively or intra-operatively. We report a case of a 52-year-old man with an accessory gallbladder that was partially encased by esophageal adenocarcinoma. To the best of our knowledge, this is the first reported case of an accessory gallbladder diagnosed concurrently with esophageal adenocarcinoma. It is important for clinicians and radiologists to be cognizant of this anatomical malformation to avoid misdiagnoses and intra-operative complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-30DOI: 10.1016/j.radcr.2024.09.059
Emphysematous hepatitis (EH) is a recently described gas forming liver infection, often associated with diabetes mellitus. It is often associated with poor prognosis, with rapidly fatal course in most reported cases. Its diagnosis is based on CT findings when an extensive gas replacing the liver parenchyma is present. We report the case of a 77-year-old woman with history of diabetes mellitus who presented in the emergency department with acute onset of cutaneomucous jaundice and fever, and in whom an abdominopelvic CT scan showed findings consistent with emphysematous hepatitis. EH is a rare condition with high mortality rate, however early diagnosis can be crucial in order to decrease mortality.
{"title":"Emphysematous hepatitis: A case report and review of literature","authors":"","doi":"10.1016/j.radcr.2024.09.059","DOIUrl":"10.1016/j.radcr.2024.09.059","url":null,"abstract":"<div><div>Emphysematous hepatitis (EH) is a recently described gas forming liver infection, often associated with diabetes mellitus. It is often associated with poor prognosis, with rapidly fatal course in most reported cases. Its diagnosis is based on CT findings when an extensive gas replacing the liver parenchyma is present. We report the case of a 77-year-old woman with history of diabetes mellitus who presented in the emergency department with acute onset of cutaneomucous jaundice and fever, and in whom an abdominopelvic CT scan showed findings consistent with emphysematous hepatitis. EH is a rare condition with high mortality rate, however early diagnosis can be crucial in order to decrease mortality.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-30DOI: 10.1016/j.radcr.2024.09.063
Urinoma (collection of urine) formation secondary to extracorporeal shock wave lithotripsy (ESWL) is one of the rare complications encountered postprocedure and co-existence of urinoma with steinstrasse is a rare and challenging scenario to manage in the setting of obstructive uropathy. ESWL is known for being noninvasive for breaking kidney and ureteric stones. Urinoma is a collection of urine outside the collecting system in the retroperitoneum or perirenal space. Early detection and management are necessary to prevent complications related to urinoma and steinstrasse. This case report is about a patient who developed urinoma and steinstrasse in the setting of obstructive uropathy after sessions of ESWL on the right side and was managed with a nephrostomy tube and trans-ureteral lithotripsy on the right side and percutaneous nephrolithotomy on the left side after 1 month.
{"title":"Navigating the triple threat: Management of post-ESWL urinoma, steinstrasse, and obstructive uropathy: A challenging case report","authors":"","doi":"10.1016/j.radcr.2024.09.063","DOIUrl":"10.1016/j.radcr.2024.09.063","url":null,"abstract":"<div><div>Urinoma (collection of urine) formation secondary to extracorporeal shock wave lithotripsy (ESWL) is one of the rare complications encountered postprocedure and co-existence of urinoma with steinstrasse is a rare and challenging scenario to manage in the setting of obstructive uropathy. ESWL is known for being noninvasive for breaking kidney and ureteric stones. Urinoma is a collection of urine outside the collecting system in the retroperitoneum or perirenal space. Early detection and management are necessary to prevent complications related to urinoma and steinstrasse. This case report is about a patient who developed urinoma and steinstrasse in the setting of obstructive uropathy after sessions of ESWL on the right side and was managed with a nephrostomy tube and trans-ureteral lithotripsy on the right side and percutaneous nephrolithotomy on the left side after 1 month.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-28DOI: 10.1016/j.radcr.2024.09.072
Hemiazygos continuation of a left-sided inferior vena cava (IVC) is an extremely rare developmental anomaly. We present the case of a male patient in whom this condition was incidentally discovered during a thoraco-abdominopelvic CT scan. With the widespread use of contrast-enhanced computed tomography and magnetic resonance angiography, the detection of congenital IVC anomalies has become more accessible. These anomalies are often found incidentally during imaging performed for other clinical reasons. Awareness of this anomaly is crucial before any surgical or endovascular procedures to avoid potential complications.
{"title":"Transposition of the inferior vena cava with hemiazygos continuation: A rare case report","authors":"","doi":"10.1016/j.radcr.2024.09.072","DOIUrl":"10.1016/j.radcr.2024.09.072","url":null,"abstract":"<div><div>Hemiazygos continuation of a left-sided inferior vena cava (IVC) is an extremely rare developmental anomaly. We present the case of a male patient in whom this condition was incidentally discovered during a thoraco-abdominopelvic CT scan. With the widespread use of contrast-enhanced computed tomography and magnetic resonance angiography, the detection of congenital IVC anomalies has become more accessible. These anomalies are often found incidentally during imaging performed for other clinical reasons. Awareness of this anomaly is crucial before any surgical or endovascular procedures to avoid potential complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-28DOI: 10.1016/j.radcr.2024.09.017
Pancreatic pseudocysts have a high amylase concentration and are surrounded by a fibrous capsule without a true epithelial lining. They are most frequently located in the peripancreatic region, and rarely extend into the mediastinum. We report a case of a 46-year-old male patient with a history of pancreatitis due to eat and drink too much presented with nausea and vomiting, MRI of the abdominal demonstrated a cystic mass connecting the abdominal cavity to posterior mediastinum and compressing the heart and stomach, ultrasound-guided aspiration of the cystic mass revealed high levels of amylase, conffrming that the mass was a rare pancreatic pseudocyst extending into the mediastinum. He was admitted for expectant management and was successfully treated with cystojejunostomy. This case aims to illustrate the possibility of rare pancreatic pseudocysts when a cystic mass is found that penetrates the abdominal and thoracic cavities.
{"title":"Mediastinal extension of pancreatic pseudocyst through the esophagus hiatus: A case report","authors":"","doi":"10.1016/j.radcr.2024.09.017","DOIUrl":"10.1016/j.radcr.2024.09.017","url":null,"abstract":"<div><div>Pancreatic pseudocysts have a high amylase concentration and are surrounded by a fibrous capsule without a true epithelial lining. They are most frequently located in the peripancreatic region, and rarely extend into the mediastinum. We report a case of a 46-year-old male patient with a history of pancreatitis due to eat and drink too much presented with nausea and vomiting, MRI of the abdominal demonstrated a cystic mass connecting the abdominal cavity to posterior mediastinum and compressing the heart and stomach, ultrasound-guided aspiration of the cystic mass revealed high levels of amylase, conffrming that the mass was a rare pancreatic pseudocyst extending into the mediastinum. He was admitted for expectant management and was successfully treated with cystojejunostomy. This case aims to illustrate the possibility of rare pancreatic pseudocysts when a cystic mass is found that penetrates the abdominal and thoracic cavities.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-28DOI: 10.1016/j.radcr.2024.08.158
Appendiceal mucinous neoplasms, a rarity comprising less than 1% of all cancers, present intricate challenges in clinical management, and their incidence is on the rise. Notably, these neoplasms tend to metastasize intraperitoneally, leading to peritoneal carcinomatosis and concurrent accumulation of mucinous material, resulting in pseudomyxoma peritonei. Due to its spectrum of presentation, the classification of the appendiceal mucinous neoplasms remains a controversial subject with a range of management from a simple appendicectomy to a complex hyperthermic intraperitoneal chemotherapy (HIPEC). A 42-year-old Chadian male presented to the hospital with a sudden onset of right lower abdominal pain radiating to the inguinal region for 24 hours, associated with nausea and vomiting. The abdomen was distended and ascitic. Laboratory investigations revealed anemia, leukocytosis, hypernatremia, hypokalemia, elevated ESR, high CEA marker, and normal CA19-9. An abdominopelvic CT with contrast demonstrated extensive ascites and cystic masses in the liver, and pancreas with soft tissue thickening of the cecum; however, the appendix is not well-delineated. Patient was managed with chemotherapy and HIPEC followed by removal of all the affected parts. Nodules of the peritoneum and liver were submitted for histopathological analysis and a final diagnosis of pseudomyxoma peritonei of primary appendicular origin was established. This case highlights a case of extensive pseudomyxoma peritonei of appendicular origin managed aggressively by HIPEC and multiple resections of the involved organs. Prognosis of such a case is determined by the grade of the appendiceal tumor and the extent of invasion.
{"title":"Pseudomyxoma peritonei of appendiceal mucinous neoplasm origin: A case report and review of literature","authors":"","doi":"10.1016/j.radcr.2024.08.158","DOIUrl":"10.1016/j.radcr.2024.08.158","url":null,"abstract":"<div><div>Appendiceal mucinous neoplasms, a rarity comprising less than 1% of all cancers, present intricate challenges in clinical management, and their incidence is on the rise. Notably, these neoplasms tend to metastasize intraperitoneally, leading to peritoneal carcinomatosis and concurrent accumulation of mucinous material, resulting in pseudomyxoma peritonei. Due to its spectrum of presentation, the classification of the appendiceal mucinous neoplasms remains a controversial subject with a range of management from a simple appendicectomy to a complex hyperthermic intraperitoneal chemotherapy (HIPEC). A 42-year-old Chadian male presented to the hospital with a sudden onset of right lower abdominal pain radiating to the inguinal region for 24 hours, associated with nausea and vomiting. The abdomen was distended and ascitic. Laboratory investigations revealed anemia, leukocytosis, hypernatremia, hypokalemia, elevated ESR, high CEA marker, and normal CA19-9. An abdominopelvic CT with contrast demonstrated extensive ascites and cystic masses in the liver, and pancreas with soft tissue thickening of the cecum; however, the appendix is not well-delineated. Patient was managed with chemotherapy and HIPEC followed by removal of all the affected parts. Nodules of the peritoneum and liver were submitted for histopathological analysis and a final diagnosis of pseudomyxoma peritonei of primary appendicular origin was established. This case highlights a case of extensive pseudomyxoma peritonei of appendicular origin managed aggressively by HIPEC and multiple resections of the involved organs. Prognosis of such a case is determined by the grade of the appendiceal tumor and the extent of invasion.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-28DOI: 10.1016/j.radcr.2024.09.076
Hemiconvulsion-hemiplegia-epilepsy syndrome is a rare and severe neurological condition that results from prolonged status epilepticus in infancy and early childhood. This syndrome is characterized by unilateral prolonged seizures, primarily clonic in nature, which are followed by transient or permanent ipsilateral hemiplegia. In this report, we present the case of a 3-year-old girl who exhibited persistent left hemiparesis after experiencing an episode of prolonged focal seizures at the age of 2 years. Comprehensive neurological evaluation and brain MRI conducted in our department confirmed the diagnosis of hemiconvulsion-hemiplegia-epilepsy syndrome in its chronic phase.
{"title":"Hemiconvulsion-Hemiplegia-Epilepsy syndrome in a 3-year-old girl: A case report and literature review","authors":"","doi":"10.1016/j.radcr.2024.09.076","DOIUrl":"10.1016/j.radcr.2024.09.076","url":null,"abstract":"<div><div>Hemiconvulsion-hemiplegia-epilepsy syndrome is a rare and severe neurological condition that results from prolonged status epilepticus in infancy and early childhood. This syndrome is characterized by unilateral prolonged seizures, primarily clonic in nature, which are followed by transient or permanent ipsilateral hemiplegia. In this report, we present the case of a 3-year-old girl who exhibited persistent left hemiparesis after experiencing an episode of prolonged focal seizures at the age of 2 years. Comprehensive neurological evaluation and brain MRI conducted in our department confirmed the diagnosis of hemiconvulsion-hemiplegia-epilepsy syndrome in its chronic phase.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-27DOI: 10.1016/j.radcr.2024.09.100
Diphallia, also known as penile duplication, represents a highly unusual congenital abnormality of sex development, occurring in 1 in every 5 million to 1 in thirty million live births. Wecker, in Bologna, Italy, noted the first instance of diphallia in 1609. Meanwhile, no sufficient report has meticulously described the incidence in Indonesia. Generally, this condition is accompanied by duplication or malformation of other organs, such as the urinary tract, anorectal, or vertebrae, whether uncomplicated or complex; therefore, appropriate imaging is paramount to identify the related anatomical structures in order to provide prompt and pertinent management. A wide variety of imaging modalities can be conducted to elucidate this malformation, from the conventional procedure, namely urethrography ultrasound to assess the vessels, to advanced examination, such as magnetic resonance imaging (MRI), to capture the anatomy around the lesion distinctly. Comprehensive imaging enables the surgeon to evaluate and understand the complexity of the anatomical builds. This case report will illustrate diphallia from conventional and advanced perspectives concomitantly of a boy presenting with a hereditary anomaly of 2 penises, each conveying a functional urethra, 2 anal dimples, with a presacral mass between them.
{"title":"Radiologic imaging of true diphallia with imperforate anus: A case report","authors":"","doi":"10.1016/j.radcr.2024.09.100","DOIUrl":"10.1016/j.radcr.2024.09.100","url":null,"abstract":"<div><div>Diphallia, also known as penile duplication, represents a highly unusual congenital abnormality of sex development, occurring in 1 in every 5 million to 1 in thirty million live births. Wecker, in Bologna, Italy, noted the first instance of diphallia in 1609. Meanwhile, no sufficient report has meticulously described the incidence in Indonesia. Generally, this condition is accompanied by duplication or malformation of other organs, such as the urinary tract, anorectal, or vertebrae, whether uncomplicated or complex; therefore, appropriate imaging is paramount to identify the related anatomical structures in order to provide prompt and pertinent management. A wide variety of imaging modalities can be conducted to elucidate this malformation, from the conventional procedure, namely urethrography ultrasound to assess the vessels, to advanced examination, such as magnetic resonance imaging (MRI), to capture the anatomy around the lesion distinctly. Comprehensive imaging enables the surgeon to evaluate and understand the complexity of the anatomical builds. This case report will illustrate diphallia from conventional and advanced perspectives concomitantly of a boy presenting with a hereditary anomaly of 2 penises, each conveying a functional urethra, 2 anal dimples, with a presacral mass between them.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-27DOI: 10.1016/j.radcr.2024.09.082
Chronic expanding hematoma of soft tissue is a rare lesion and often misdiagnosed as neoplastic mass. It is mostly related to trauma or surgery, leading to blood-filled cysts surrounded by fibrous tissues. Symptoms may include abdominal pain, nausea or bowel obstruction. Diagnosis is often difficult, and imaging tests such as CT scans or MRIs can be inconclusive. Treatment may require complete surgical removal to prevent postoperative recurrence. We present a case of a 27-year-old woman with history of recent abdominal trauma presented with an abdominal mass, along with chronic pain and vomiting. CT scan revealed a large pelvic cystic mass, suggesting an ovarian origin which was ruled out by the MRI. Surgery was performed and histopathology revealed an intraperitoneal chronic expanding hematoma. In this case report, we review the epidemiological, clinical, and paraclinical aspects of the disease, as well as the treatment modalities.
{"title":"Intraperitoneal chronic expanding hematoma mimicking an ovarian tumor: A case report","authors":"","doi":"10.1016/j.radcr.2024.09.082","DOIUrl":"10.1016/j.radcr.2024.09.082","url":null,"abstract":"<div><div>Chronic expanding hematoma of soft tissue is a rare lesion and often misdiagnosed as neoplastic mass. It is mostly related to trauma or surgery, leading to blood-filled cysts surrounded by fibrous tissues. Symptoms may include abdominal pain, nausea or bowel obstruction. Diagnosis is often difficult, and imaging tests such as CT scans or MRIs can be inconclusive. Treatment may require complete surgical removal to prevent postoperative recurrence. We present a case of a 27-year-old woman with history of recent abdominal trauma presented with an abdominal mass, along with chronic pain and vomiting. CT scan revealed a large pelvic cystic mass, suggesting an ovarian origin which was ruled out by the MRI. Surgery was performed and histopathology revealed an intraperitoneal chronic expanding hematoma. In this case report, we review the epidemiological, clinical, and paraclinical aspects of the disease, as well as the treatment modalities.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-27DOI: 10.1016/j.radcr.2024.09.057
Echinococcus granulosus is the parasite that causes hydatid disease. The liver is the most often affected organ, followed by the lungs and other organs. We present the case of a 24-year-old woman who had no notable medical history prior to the presentation of a persistent cough and mild chest discomfort 3 weeks after laparoscopic ovarian drilling surgery. There were upper lobe opacities on the right side of the chest X-ray. Serology was used to confirm the diagnosis of a hydatid cyst, with computed tomography (CT) providing additional supporting evidence. This case demonstrated that, especially in endemic areas, patients presenting with atypical respiratory symptoms should have rare infectious etiologies taken into consideration during the postoperative period. After the cyst was successfully surgically removed, the patient received albendazole for antiparasitic treatment. She experienced an uneventful recovery and exhibited no clinical symptoms at follow-up.
颗粒棘球蚴是导致包虫病的寄生虫。肝脏是最常受影响的器官，其次是肺和其他器官。本病例是一名 24 岁女性，在腹腔镜卵巢钻孔手术后 3 周出现持续咳嗽和轻度胸部不适，此前无明显病史。胸部 X 光片右侧有上叶不透明。血清学检查证实了包虫囊肿的诊断，计算机断层扫描（CT）提供了额外的支持证据。该病例表明，尤其是在地方病流行地区，出现非典型呼吸道症状的患者在术后应考虑罕见的感染病因。手术成功切除囊肿后，患者接受了阿苯达唑抗寄生虫治疗。患者恢复顺利，随访时未出现任何临床症状。
{"title":"Pulmonary hydatid cyst emergence post laparoscopic ovarian drilling in a clear preoperative chest: A novel case report","authors":"","doi":"10.1016/j.radcr.2024.09.057","DOIUrl":"10.1016/j.radcr.2024.09.057","url":null,"abstract":"<div><div>Echinococcus granulosus is the parasite that causes hydatid disease. The liver is the most often affected organ, followed by the lungs and other organs. We present the case of a 24-year-old woman who had no notable medical history prior to the presentation of a persistent cough and mild chest discomfort 3 weeks after laparoscopic ovarian drilling surgery. There were upper lobe opacities on the right side of the chest X-ray. Serology was used to confirm the diagnosis of a hydatid cyst, with computed tomography (CT) providing additional supporting evidence. This case demonstrated that, especially in endemic areas, patients presenting with atypical respiratory symptoms should have rare infectious etiologies taken into consideration during the postoperative period. After the cyst was successfully surgically removed, the patient received albendazole for antiparasitic treatment. She experienced an uneventful recovery and exhibited no clinical symptoms at follow-up.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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