Pub Date : 2026-01-30DOI: 10.1016/j.radcr.2025.12.011
Omar Y. Alkhaja MD, MBBS , Feras Shmeylan Alharbi MD, MBBS , Mohammed Salem Wadani MD, MBBS , Moayad Khalid Almaimani , Ahmed Aldraihem
Neurofibromatosis type 1 (NF1) is a clinical diagnosis supported by characteristic radiological multisystem manifestations. NF1 commonly presents with cutaneous, musculoskeletal, and neurological findings, while abdominopelvic involvement is less frequent. We present the case of a 7-year-old girl clinically and radiologically diagnosed with NF1 who was incidentally found to have a hepatic lesion. Further investigations confirmed a hepatic plexiform neurofibroma, a rare manifestation of NF1 with few reported cases worldwide. This report describes the patient’s neurological findings, as well as the sonographic, cross-sectional, and magnetic resonance imaging features of hepatic plexiform neurofibroma.
{"title":"Hepatic plexiform neurofibroma a rare manifestation of neurofibromatosis type 1: A case report and literature review","authors":"Omar Y. Alkhaja MD, MBBS , Feras Shmeylan Alharbi MD, MBBS , Mohammed Salem Wadani MD, MBBS , Moayad Khalid Almaimani , Ahmed Aldraihem","doi":"10.1016/j.radcr.2025.12.011","DOIUrl":"10.1016/j.radcr.2025.12.011","url":null,"abstract":"<div><div>Neurofibromatosis type 1 (NF1) is a clinical diagnosis supported by characteristic radiological multisystem manifestations. NF1 commonly presents with cutaneous, musculoskeletal, and neurological findings, while abdominopelvic involvement is less frequent. We present the case of a 7-year-old girl clinically and radiologically diagnosed with NF1 who was incidentally found to have a hepatic lesion. Further investigations confirmed a hepatic plexiform neurofibroma, a rare manifestation of NF1 with few reported cases worldwide. This report describes the patient’s neurological findings, as well as the sonographic, cross-sectional, and magnetic resonance imaging features of hepatic plexiform neurofibroma.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1617-1621"},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079278","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}
Septic involvement of the temporomandibular joint (TMJ) resulting in dislocation is an exceptionally rare entity and is most often associated with contiguous spread from deep cervicofacial infections. Early recognition and coordinated multidisciplinary management are essential to avoid severe functional and infectious complications. We describe the case of a 48-year-old woman with a background of chronic otitis media who presented with progressive left-sided facial swelling, trismus, and local signs of inflammation. Laboratory investigations demonstrated marked inflammatory response. Contrast-enhanced computed tomography of the head and neck revealed a left parapharyngeal abscess with extension to the masticator space, complicated by dislocation of the left TMJ. The patient was treated with surgical drainage combined with broad-spectrum intravenous antibiotic therapy. Clinical outcome was favorable, with resolution of the infectious process and gradual recovery of mandibular mobility. Although rare, TMJ dislocation secondary to deep cervicofacial infection should be considered in patients presenting with facial swelling and trismus, particularly when imaging demonstrates deep neck space abscesses. Prompt imaging assessment and multidisciplinary care play a pivotal role in achieving optimal outcomes.
{"title":"A Jaw out of joint: Uncovering a rare infectious dislocation of temporo-mandibular junction: A case report","authors":"Nadia Mouna MD , Nawal Chyabri MD , Asmae Kasimi MD , Mostapha Yassine Tahouna MD , Mohamed Slimani MD , Hamid Ziani MD , Siham Nasri MD , Imane Kamaoui MD , Imane Skiker MD","doi":"10.1016/j.radcr.2025.12.057","DOIUrl":"10.1016/j.radcr.2025.12.057","url":null,"abstract":"<div><div>Septic involvement of the temporomandibular joint (TMJ) resulting in dislocation is an exceptionally rare entity and is most often associated with contiguous spread from deep cervicofacial infections. Early recognition and coordinated multidisciplinary management are essential to avoid severe functional and infectious complications. We describe the case of a 48-year-old woman with a background of chronic otitis media who presented with progressive left-sided facial swelling, trismus, and local signs of inflammation. Laboratory investigations demonstrated marked inflammatory response. Contrast-enhanced computed tomography of the head and neck revealed a left parapharyngeal abscess with extension to the masticator space, complicated by dislocation of the left TMJ. The patient was treated with surgical drainage combined with broad-spectrum intravenous antibiotic therapy. Clinical outcome was favorable, with resolution of the infectious process and gradual recovery of mandibular mobility. Although rare, TMJ dislocation secondary to deep cervicofacial infection should be considered in patients presenting with facial swelling and trismus, particularly when imaging demonstrates deep neck space abscesses. Prompt imaging assessment and multidisciplinary care play a pivotal role in achieving optimal outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1629-1632"},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079274","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 : 2026-01-29DOI: 10.1016/j.radcr.2026.01.013
Robert E. Jones MD , Zade Akras BS , Robin B. Levenson MD , Fátima Reyes MD, FACOG , Caryn R. Dutton MD, MS
A rudimentary horn is a type of congenital uterine anomaly associated with a unicornuate uterus. Rudimentary horn pregnancies (RHPs) are extremely rare and the majority of cases result in second trimester rupture necessitating emergent laparotomy with associated high maternal morbidity and delivery of a previable fetus. We report the case of a 33-year-old G5P0131 female who presented at 15 weeks and 4 days gestational age with pelvic and back pain and imaging favoring an abdominal pregnancy. The patient underwent an exploratory laparotomy with left salpingectomy and excision of an unruptured extrauterine pregnancy that was confirmed to be an RHP on pathologic examination. Postsurgery review of the imaging demonstrated several features consistent with the diagnosis of an RHP that were not initially identified. Furthermore, the patient’s medical and surgical histories were notable for several risk factors associated with congenital uterine anomalies that should have heightened the clinical suspicion for an RHP. This case emphasizes how increased familiarity with the risk factors and imaging findings associated with rudimentary horns and RHPs may lead to an earlier and more accurate diagnosis, more timely and appropriate treatment, and ultimately a reduction in maternal and fetal morbidity and mortality.
{"title":"Risk factors and imaging features of a rudimentary horn pregnancy: A case report and literature review","authors":"Robert E. Jones MD , Zade Akras BS , Robin B. Levenson MD , Fátima Reyes MD, FACOG , Caryn R. Dutton MD, MS","doi":"10.1016/j.radcr.2026.01.013","DOIUrl":"10.1016/j.radcr.2026.01.013","url":null,"abstract":"<div><div>A rudimentary horn is a type of congenital uterine anomaly associated with a unicornuate uterus. Rudimentary horn pregnancies (RHPs) are extremely rare and the majority of cases result in second trimester rupture necessitating emergent laparotomy with associated high maternal morbidity and delivery of a previable fetus. We report the case of a 33-year-old G5P0131 female who presented at 15 weeks and 4 days gestational age with pelvic and back pain and imaging favoring an abdominal pregnancy. The patient underwent an exploratory laparotomy with left salpingectomy and excision of an unruptured extrauterine pregnancy that was confirmed to be an RHP on pathologic examination. Postsurgery review of the imaging demonstrated several features consistent with the diagnosis of an RHP that were not initially identified. Furthermore, the patient’s medical and surgical histories were notable for several risk factors associated with congenital uterine anomalies that should have heightened the clinical suspicion for an RHP. This case emphasizes how increased familiarity with the risk factors and imaging findings associated with rudimentary horns and RHPs may lead to an earlier and more accurate diagnosis, more timely and appropriate treatment, and ultimately a reduction in maternal and fetal morbidity and mortality.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1602-1607"},"PeriodicalIF":0.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079154","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 : 2026-01-29DOI: 10.1016/j.radcr.2026.01.005
Valentina Testini MD , Laura Eusebi MD , Giuseppe Sortino MD , Mobin Safi MD , Giuseppe Guglielmi
Prostate cancer is a common malignancy in men, typically metastasizing to bones, lymph nodes, and visceral organs. Epididymal metastasis, however, is extremely rare, with a reported prevalence of less than 4% and usually identified incidentally. We report the case of a 72-year-old male with a history of high-risk prostate adenocarcinoma previously treated with radical prostatectomy. During follow-up, the patient presented with a painless right scrotal nodule and a concurrent rise in serum PSA levels. Scrotal ultrasound and contrast-enhanced ultrasound (CEUS) revealed a solid, hypervascularized lesion in the right epididymis. PSMA PET-CT confirmed intense radiotracer uptake at the same site, consistent with metastatic disease. No other distant metastases were detected. The patient was treated with hormonal therapy and monitored through imaging and PSA levels, showing partial response. This case underscores the importance of considering atypical metastatic sites in prostate cancer follow-up. Multimodal imaging, especially CEUS and PSMA PET-CT, plays a pivotal role in the detection and characterization of rare metastatic localizations.
{"title":"The role of multimodal imaging in diagnosis in the diagnosis of epididymal metastasis from prostate carcinoma: A case report","authors":"Valentina Testini MD , Laura Eusebi MD , Giuseppe Sortino MD , Mobin Safi MD , Giuseppe Guglielmi","doi":"10.1016/j.radcr.2026.01.005","DOIUrl":"10.1016/j.radcr.2026.01.005","url":null,"abstract":"<div><div>Prostate cancer is a common malignancy in men, typically metastasizing to bones, lymph nodes, and visceral organs. Epididymal metastasis, however, is extremely rare, with a reported prevalence of less than 4% and usually identified incidentally. We report the case of a 72-year-old male with a history of high-risk prostate adenocarcinoma previously treated with radical prostatectomy. During follow-up, the patient presented with a painless right scrotal nodule and a concurrent rise in serum PSA levels. Scrotal ultrasound and contrast-enhanced ultrasound (CEUS) revealed a solid, hypervascularized lesion in the right epididymis. PSMA PET-CT confirmed intense radiotracer uptake at the same site, consistent with metastatic disease. No other distant metastases were detected. The patient was treated with hormonal therapy and monitored through imaging and PSA levels, showing partial response. This case underscores the importance of considering atypical metastatic sites in prostate cancer follow-up. Multimodal imaging, especially CEUS and PSMA PET-CT, plays a pivotal role in the detection and characterization of rare metastatic localizations.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1608-1612"},"PeriodicalIF":0.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079277","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 : 2026-01-27DOI: 10.1016/j.radcr.2026.01.011
Aparna Medarametla BS, Abel Tsehay Abebe MD, Mohamed Tantawi MD, Alaha Al Taweel MD
This case report follows a 60-year-old female with a history of hypertension, diabetes, and Factor V Leiden mutation with multiple prior deep vein thromboses (DVT) in the lower extremities who presented with right eye vision loss. Computed tomography angiogram (CTA) of the neck showed a 4 vessel arch anatomy with an absence of the left common carotid artery and separate origins of the left internal and external carotid arteries directly arising from the arch, which was an incidental finding. This case contributes to the sparse existing literature and highlights the extremely rare occurrence of complete carotid artery agenesis and its clinical implications.
{"title":"Unilateral common carotid artery agenesis: Case report of a rare incidental finding","authors":"Aparna Medarametla BS, Abel Tsehay Abebe MD, Mohamed Tantawi MD, Alaha Al Taweel MD","doi":"10.1016/j.radcr.2026.01.011","DOIUrl":"10.1016/j.radcr.2026.01.011","url":null,"abstract":"<div><div>This case report follows a 60-year-old female with a history of hypertension, diabetes, and Factor V Leiden mutation with multiple prior deep vein thromboses (DVT) in the lower extremities who presented with right eye vision loss. Computed tomography angiogram (CTA) of the neck showed a 4 vessel arch anatomy with an absence of the left common carotid artery and separate origins of the left internal and external carotid arteries directly arising from the arch, which was an incidental finding. This case contributes to the sparse existing literature and highlights the extremely rare occurrence of complete carotid artery agenesis and its clinical implications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1598-1601"},"PeriodicalIF":0.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079271","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 : 2026-01-27DOI: 10.1016/j.radcr.2025.12.061
Lamassab Nour el houda , Bouchlarhem Amin , Nabila Ismaili , Noha El ouafi , Zakaria Bazid
Catastrophic antiphospholipid syndrome (CAPS) is a rare thrombotic disorder that can present with distinctive imaging features. Recognition of these imaging patterns is critical for timely diagnosis and management. We report the imaging findings in a 27-year-old woman presenting with acute dyspnea. Computed tomography pulmonary angiography (CTPA) revealed a large saddle embolus at the main pulmonary artery bifurcation with bilateral extension, accompanied by right ventricular dysfunction on echocardiography. The constellation of imaging findings—massive central thrombus burden, right heart dysfunction indices (RV/LV ratio 1.3, TAPSE 13mm), and absence of deep venous thrombosis—prompted consideration of an underlying thrombophilic disorder. Subsequent workup confirmed CAPS with multiorgan involvement. Following treatment with thrombolysis, corticosteroids, and plasmapheresis, follow-up CTPA at three months demonstrated complete thrombus resolution with normalization of cardiac parameters. This case illustrates the characteristic imaging appearance of CAPS-related massive pulmonary embolism and emphasizes the need to recognize high-risk features that suggest underlying systemic thrombophilia. Multimodality imaging is essential for diagnosis, risk stratification, treatment monitoring, and documenting complete resolution.
{"title":"Imaging features of catastrophic antiphospholipid syndrome : Massive saddle pulmonary embolism with subsequent complete resolution","authors":"Lamassab Nour el houda , Bouchlarhem Amin , Nabila Ismaili , Noha El ouafi , Zakaria Bazid","doi":"10.1016/j.radcr.2025.12.061","DOIUrl":"10.1016/j.radcr.2025.12.061","url":null,"abstract":"<div><div>Catastrophic antiphospholipid syndrome (CAPS) is a rare thrombotic disorder that can present with distinctive imaging features. Recognition of these imaging patterns is critical for timely diagnosis and management. We report the imaging findings in a 27-year-old woman presenting with acute dyspnea. Computed tomography pulmonary angiography (CTPA) revealed a large saddle embolus at the main pulmonary artery bifurcation with bilateral extension, accompanied by right ventricular dysfunction on echocardiography. The constellation of imaging findings—massive central thrombus burden, right heart dysfunction indices (RV/LV ratio 1.3, TAPSE 13mm), and absence of deep venous thrombosis—prompted consideration of an underlying thrombophilic disorder. Subsequent workup confirmed CAPS with multiorgan involvement. Following treatment with thrombolysis, corticosteroids, and plasmapheresis, follow-up CTPA at three months demonstrated complete thrombus resolution with normalization of cardiac parameters. This case illustrates the characteristic imaging appearance of CAPS-related massive pulmonary embolism and emphasizes the need to recognize high-risk features that suggest underlying systemic thrombophilia. Multimodality imaging is essential for diagnosis, risk stratification, treatment monitoring, and documenting complete resolution.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1591-1597"},"PeriodicalIF":0.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079157","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}
Lesser omental cystic capillary-lymphatic-venous malformation (CLVM) is a rare benign intra-abdominal vascular anomaly. We report the case of a 50-year-old female patient who was admitted to our hospital with epigastric pain. She was previously diagnosed with abdominal cystic lymphangioma. At the time of her visit to our hospital, abdominal computed tomography (CT) revealed massive intralesional hemorrhage. During tumor resection, the cystic lesion was found to originate from the lesser omentum. Histopathologically, the patient was diagnosed with CLVM instead of lymphangioma, based on the 2018 International Society for the Study of Vascular Anomalies (ISSVA) classification. Hemorrhage within the cyst may alter lesion imaging features, thereby complicating preoperative diagnosis. Preoperatively, we were unable to identify imaging features of vascular components other than the lymphatic component. In our case, the hemorrhage may have been caused by vascular structures pathologically identified within the lesion. Therefore, we speculated that previously reported cases of abdominal lymphangiomas complicated by hemorrhage may harbor combined vascular malformations had they been pathologically reclassified according to the 2018 ISSVA classification system. We report a case of lesser omentum CLVM that subsequently developed into intralesional hemorrhage, with a review of the relevant literature.
{"title":"Lesser omental capillary-lymphatic-venous malformation with massive intralesional hemorrhage: A case report","authors":"Haruka Ogata MD, Shun Goto MD, Daiya Morita MD, Sako Tomogane MD, Masumi Nakahashi MD, PhD, Masaya Miyazaki MD, PhD","doi":"10.1016/j.radcr.2025.12.058","DOIUrl":"10.1016/j.radcr.2025.12.058","url":null,"abstract":"<div><div>Lesser omental cystic capillary-lymphatic-venous malformation (CLVM) is a rare benign intra-abdominal vascular anomaly. We report the case of a 50-year-old female patient who was admitted to our hospital with epigastric pain. She was previously diagnosed with abdominal cystic lymphangioma. At the time of her visit to our hospital, abdominal computed tomography (CT) revealed massive intralesional hemorrhage. During tumor resection, the cystic lesion was found to originate from the lesser omentum. Histopathologically, the patient was diagnosed with CLVM instead of lymphangioma, based on the 2018 International Society for the Study of Vascular Anomalies (ISSVA) classification. Hemorrhage within the cyst may alter lesion imaging features, thereby complicating preoperative diagnosis. Preoperatively, we were unable to identify imaging features of vascular components other than the lymphatic component. In our case, the hemorrhage may have been caused by vascular structures pathologically identified within the lesion. Therefore, we speculated that previously reported cases of abdominal lymphangiomas complicated by hemorrhage may harbor combined vascular malformations had they been pathologically reclassified according to the 2018 ISSVA classification system. We report a case of lesser omentum CLVM that subsequently developed into intralesional hemorrhage, with a review of the relevant literature.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1577-1581"},"PeriodicalIF":0.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079280","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}
Desmoid-type fibromatosis (DTF) is a rare, locally aggressive myofibroblastic neoplasm. Abdominal wall occurrences are frequently associated with antecedent surgical trauma, such as Cesarean sections, and pregnancy-related hormonal factors. The diagnosis is challenging and requires differentiation from scar endometriosis. We report the case of a 35-year-old woman presenting with a painful infraumbilical mass 4 years after her last Cesarean section. Magnetic Resonance Imaging (MRI) suggested a desmoid tumor, characterized by T2 hypointensity and fascial infiltration. Percutaneous biopsy confirmed the diagnosis, revealing nuclear beta-catenin positivity and negative hormone receptors. Following multidisciplinary assessment and in accordance with the patient's preference, a conservative management strategy using nonsteroidal anti-inflammatory drugs (NSAIDs) was initiated, resulting in symptomatic relief. This case underscores the importance of MRI in the diagnostic workup and highlights the role of active surveillance and medical management as a viable first-line strategy for symptomatic abdominal wall DTF.
{"title":"Abdominal wall desmoid tumor postcesarean section: A case report","authors":"Abdallah Said Abdallah MD , Mehdi Salmane MD , Chakir Mahfoud MD , Nezha Elbahaoui PhD , Fatima Zahrae Laamrani PhD , Youssef Omor PhD , Hafid Hachi PhD , Rachida Latib PhD , Sanae Amalik PhD","doi":"10.1016/j.radcr.2025.12.050","DOIUrl":"10.1016/j.radcr.2025.12.050","url":null,"abstract":"<div><div>Desmoid-type fibromatosis (DTF) is a rare, locally aggressive myofibroblastic neoplasm. Abdominal wall occurrences are frequently associated with antecedent surgical trauma, such as Cesarean sections, and pregnancy-related hormonal factors. The diagnosis is challenging and requires differentiation from scar endometriosis. We report the case of a 35-year-old woman presenting with a painful infraumbilical mass 4 years after her last Cesarean section. Magnetic Resonance Imaging (MRI) suggested a desmoid tumor, characterized by T2 hypointensity and fascial infiltration. Percutaneous biopsy confirmed the diagnosis, revealing nuclear beta-catenin positivity and negative hormone receptors. Following multidisciplinary assessment and in accordance with the patient's preference, a conservative management strategy using nonsteroidal anti-inflammatory drugs (NSAIDs) was initiated, resulting in symptomatic relief. This case underscores the importance of MRI in the diagnostic workup and highlights the role of active surveillance and medical management as a viable first-line strategy for symptomatic abdominal wall DTF.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1582-1585"},"PeriodicalIF":0.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079270","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 : 2026-01-27DOI: 10.1016/j.radcr.2025.12.047
Tom Simon MSc , Nicolas Brassart MD
Splenic artery pseudoaneurysm (SAP) is a rare but dangerous visceral arterial lesion, and fistulization into the gastrointestinal tract is an exceptional and life-threatening complication. We report the case of a 73-year-old woman presenting with acute lower gastrointestinal bleeding caused by a giant SAP that had eroded into the splenic flexure of the colon. Proximal embolization using coils and Onyx achieved initial hemostasis. Although the patient was clinically stabilized, she later developed delayed septic and inflammatory complications requiring splenectomy, colonic resection, partial gastrectomy, and removal of the aneurysmal sac. This case, together with our focused review of published SAP fistula cases, highlights that embolization should be considered a temporizing measure when gastrointestinal fistulization is present; early surgical management remains essential to prevent severe infection and multi-organ complications.
{"title":"Giant splenic artery pseudoaneurysm fistulizing to the colon: A case report and focused literature review","authors":"Tom Simon MSc , Nicolas Brassart MD","doi":"10.1016/j.radcr.2025.12.047","DOIUrl":"10.1016/j.radcr.2025.12.047","url":null,"abstract":"<div><div>Splenic artery pseudoaneurysm (SAP) is a rare but dangerous visceral arterial lesion, and fistulization into the gastrointestinal tract is an exceptional and life-threatening complication. We report the case of a 73-year-old woman presenting with acute lower gastrointestinal bleeding caused by a giant SAP that had eroded into the splenic flexure of the colon. Proximal embolization using coils and Onyx achieved initial hemostasis. Although the patient was clinically stabilized, she later developed delayed septic and inflammatory complications requiring splenectomy, colonic resection, partial gastrectomy, and removal of the aneurysmal sac. This case, together with our focused review of published SAP fistula cases, highlights that embolization should be considered a temporizing measure when gastrointestinal fistulization is present; early surgical management remains essential to prevent severe infection and multi-organ complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1570-1576"},"PeriodicalIF":0.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079155","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}
Chronic aortic dissection is a rare variant of aortic dissection where dissection in a weakened aortic wall and subsequent blood flow occur over a period of 3 months or more. The underlying mechanism for chronicity and global burden of the disease is not well documented or understood. Further contributed by the overall rarity of aortic dissection, literature published on the topic is lacking. We present a case of a 83-year-old lady who presented with features of Cor Pulmonale with coexisting right hypochondrium tenderness which when further evaluated with a USG revealed an aortic aneurysm with features of dissection. Further evaluation with a CT scan revealed a Stanford type A, DeBakey type I aortic dissection with a false flap and calcific changes hinting to its chronic nature. The patient was managed for the presenting features and is under regular outpatient care for aortic dissection. Among the survivors of acute dissection/aneurysms people in their 6th and 7th decade and having a history of familial disease, dyslipidemia, arterial hypertension and aortic surgeries seem to be at higher risk of chronic dissection. Although more common in males, females seem to have worse prognosis. Various imaging modalities may be useful in diagnosis, CT being the most reliable. Intimal tears and flaps showing flow in the false lumen and calcification of the aortic wall are some positive radiological findings. Thrombus formation in the slow blood flowing false lumen with subsequent embolisation, secondary aneurysms and rupture, end organ malperfusion, pericardial tamponade may be some dreaded complications. These may be avoided by timely diagnosis and intervention that may extend the life expectancy by as much as 7 years. Chronic Aortic dissection is a rare and complicated entity that is not well understood. Various complications of the disease may be the cause of severe morbidity and mortality. Timely diagnosis and interventions such as aortic repair and/ or active surveillance are essential for a positive outcome.
{"title":"A case report: Acute presentation of chronic aortic dissection","authors":"Abhyuday Kumar Yadav MBBS , Sumarg Simkhada MD , Bhawana Bastola MBBS , Barada Bajracharya MBBS , Sneha Shrestha MBBS , Suyesh Raj Shrestha MBBS , Bikram Yadav MBBS","doi":"10.1016/j.radcr.2025.12.051","DOIUrl":"10.1016/j.radcr.2025.12.051","url":null,"abstract":"<div><div>Chronic aortic dissection is a rare variant of aortic dissection where dissection in a weakened aortic wall and subsequent blood flow occur over a period of 3 months or more. The underlying mechanism for chronicity and global burden of the disease is not well documented or understood. Further contributed by the overall rarity of aortic dissection, literature published on the topic is lacking. We present a case of a 83-year-old lady who presented with features of Cor Pulmonale with coexisting right hypochondrium tenderness which when further evaluated with a USG revealed an aortic aneurysm with features of dissection. Further evaluation with a CT scan revealed a Stanford type A, DeBakey type I aortic dissection with a false flap and calcific changes hinting to its chronic nature. The patient was managed for the presenting features and is under regular outpatient care for aortic dissection. Among the survivors of acute dissection/aneurysms people in their 6th and 7th decade and having a history of familial disease, dyslipidemia, arterial hypertension and aortic surgeries seem to be at higher risk of chronic dissection. Although more common in males, females seem to have worse prognosis. Various imaging modalities may be useful in diagnosis, CT being the most reliable. Intimal tears and flaps showing flow in the false lumen and calcification of the aortic wall are some positive radiological findings. Thrombus formation in the slow blood flowing false lumen with subsequent embolisation, secondary aneurysms and rupture, end organ malperfusion, pericardial tamponade may be some dreaded complications. These may be avoided by timely diagnosis and intervention that may extend the life expectancy by as much as 7 years. Chronic Aortic dissection is a rare and complicated entity that is not well understood. Various complications of the disease may be the cause of severe morbidity and mortality. Timely diagnosis and interventions such as aortic repair and/ or active surveillance are essential for a positive outcome.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1586-1590"},"PeriodicalIF":0.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079160","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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