Amyotrophic lateral sclerosis (ALS) is a motor neuron disease characterized by the progressive degeneration of the upper and lower motor neurons. This disease is mostly observed in patients of the 6th decade or above, and it is extremely rare to observe this pathology in patients less than 50 years of age. This manuscript depicts the magnetic resonance imaging findings of ALS showing a wine glass sign in a 31-year-old female from a rural area with complaints of progressive limb weakness and muscle wasting.
{"title":"Amyotrophic lateral sclerosis in a tricenarian female","authors":"Anshul Sood MBBS , Gaurav Vedprakash Mishra MBBS, MD , Pallavi Kar MBBS, MD , Shreya Khandelwal MBBS , Shubhi Gaur MBBS , Nishtha Manuja MBBS","doi":"10.1016/j.radcr.2024.10.153","DOIUrl":"10.1016/j.radcr.2024.10.153","url":null,"abstract":"<div><div>Amyotrophic lateral sclerosis (ALS) is a motor neuron disease characterized by the progressive degeneration of the upper and lower motor neurons. This disease is mostly observed in patients of the 6th decade or above, and it is extremely rare to observe this pathology in patients less than 50 years of age. This manuscript depicts the magnetic resonance imaging findings of ALS showing a wine glass sign in a 31-year-old female from a rural area with complaints of progressive limb weakness and muscle wasting.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1121-1123"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745918","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 : 2024-11-30DOI: 10.1016/j.radcr.2024.11.020
Charles K. Crawford BS, Mohammad Yasrab MD, Elliot K. Fishman MD
Seminoma is a malignant germ cell tumor that primarily develops in the testis but can occur in other extragonadal areas, most commonly the mediastinum and retroperitoneum. While generally offering a favorable prognosis, seminomas can sometimes clinically present with misleading characteristics resulting in delayed diagnosis. In this article, we report the case of a 31-year-old male diagnosed with grade IIIC intermediate risk testicular seminoma cTxN3M1bSx, who presented initially with a palpable cervical mass. We focus on the use of radiological modalities for an optimized diagnosis by coordinating our imaging with pathological findings and clinical presentation.
{"title":"Nodular expression of seminoma in the neck: An unusual case presentation","authors":"Charles K. Crawford BS, Mohammad Yasrab MD, Elliot K. Fishman MD","doi":"10.1016/j.radcr.2024.11.020","DOIUrl":"10.1016/j.radcr.2024.11.020","url":null,"abstract":"<div><div>Seminoma is a malignant germ cell tumor that primarily develops in the testis but can occur in other extragonadal areas, most commonly the mediastinum and retroperitoneum. While generally offering a favorable prognosis, seminomas can sometimes clinically present with misleading characteristics resulting in delayed diagnosis. In this article, we report the case of a 31-year-old male diagnosed with grade IIIC intermediate risk testicular seminoma cTxN3M1bSx, who presented initially with a palpable cervical mass. We focus on the use of radiological modalities for an optimized diagnosis by coordinating our imaging with pathological findings and clinical presentation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1124-1129"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746037","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 : 2024-11-29DOI: 10.1016/j.radcr.2024.10.147
Shailendra Katwal MD , Amrit Bhusal MBBS , Sushmita Bhandari MBBS , Kamal Kandel MBBS , Tek Nath Yogi MBBS
This case report discusses a compelling case involving acrania, exencephaly, and spinal myeloschisis in a 22-year-old pregnant woman from rural Nepal. The delayed diagnosis due to limited healthcare access underscores the importance of early prenatal care and screening. The case sheds light on the complexity of congenital anomalies and their implications. Acrania with exencephaly is a severe cranial neural tube defect that results from the failure of neural tube closure during embryogenesis. Exencephaly on the other hand is the absence of the cranial vault with exposed brain tissue. The study emphasizes the significance of maternal nutrition, folic acid supplementation, and genetic risk assessment in preventing such conditions. This report contributes to raising awareness and improving management strategies for intricate congenital abnormalities, ultimately enhancing maternal and fetal well-being
{"title":"Acrania with exencephaly and spinal Myeloschisis in a young pregnant woman from Rural Nepal: A curious case report","authors":"Shailendra Katwal MD , Amrit Bhusal MBBS , Sushmita Bhandari MBBS , Kamal Kandel MBBS , Tek Nath Yogi MBBS","doi":"10.1016/j.radcr.2024.10.147","DOIUrl":"10.1016/j.radcr.2024.10.147","url":null,"abstract":"<div><div>This case report discusses a compelling case involving acrania, exencephaly, and spinal myeloschisis in a 22-year-old pregnant woman from rural Nepal. The delayed diagnosis due to limited healthcare access underscores the importance of early prenatal care and screening. The case sheds light on the complexity of congenital anomalies and their implications. Acrania with exencephaly is a severe cranial neural tube defect that results from the failure of neural tube closure during embryogenesis. Exencephaly on the other hand is the absence of the cranial vault with exposed brain tissue. The study emphasizes the significance of maternal nutrition, folic acid supplementation, and genetic risk assessment in preventing such conditions. This report contributes to raising awareness and improving management strategies for intricate congenital abnormalities, ultimately enhancing maternal and fetal well-being</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1105-1108"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745938","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 : 2024-11-29DOI: 10.1016/j.radcr.2024.11.037
Septika Ekasari , Paulus Sugianto , Sita Setyowatie
Cervical tuberculous spondylitis is a rare and potentially life-threatening manifestation of spinal tuberculosis, accounting for only 3%-5% of all cases of spinal tuberculosis This report describes a case of a 17-year-old male patient who developed tetraparesis 2 weeks prior to hospital admission, after a 6-month record of progressive neck pain. Magnetic Resonance Imaging revealed tuberculous spondylodiscitis involving multiple vertebrae, with a severe spinal cord compression at C2-C3 due to an intraosseous abscess and paravertebral soft tissue mass. The patient underwent anterior cervical corpectomy and fusion at C3 with autologous iliac bone graft and anterior stabilization. Post-operatively, he received anti-tuberculosis drug regimen for 12 months and followed a structured rehabilitation program. The patient's motor function improved from 2/5 to 5/5, with full recovery within 12 months post-operatively. This case emphasizes the significance of early diagnosis, comprehensive radiological evaluation, and timely surgical intervention in managing cervical tuberculous spondylitis with neurologic deficits.
{"title":"Successful surgical management of cervical tuberculous spondylitis with tetraparesis in a 17-year-old patient: A case report","authors":"Septika Ekasari , Paulus Sugianto , Sita Setyowatie","doi":"10.1016/j.radcr.2024.11.037","DOIUrl":"10.1016/j.radcr.2024.11.037","url":null,"abstract":"<div><div>Cervical tuberculous spondylitis is a rare and potentially life-threatening manifestation of spinal tuberculosis, accounting for only 3%-5% of all cases of spinal tuberculosis This report describes a case of a 17-year-old male patient who developed tetraparesis 2 weeks prior to hospital admission, after a 6-month record of progressive neck pain. Magnetic Resonance Imaging revealed tuberculous spondylodiscitis involving multiple vertebrae, with a severe spinal cord compression at C2-C3 due to an intraosseous abscess and paravertebral soft tissue mass. The patient underwent anterior cervical corpectomy and fusion at C3 with autologous iliac bone graft and anterior stabilization. Post-operatively, he received anti-tuberculosis drug regimen for 12 months and followed a structured rehabilitation program. The patient's motor function improved from 2/5 to 5/5, with full recovery within 12 months post-operatively. This case emphasizes the significance of early diagnosis, comprehensive radiological evaluation, and timely surgical intervention in managing cervical tuberculous spondylitis with neurologic deficits.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1099-1104"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745917","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}
Joubert syndrome is a rare autosomal recessive disorder characterized by the presence of the molar tooth sign on imaging. We report the case of a 5-year-old girl diagnosed with Joubert syndrome during the investigation of chronic vomiting. The patient presented with neuropsychomotor delay, a history of neonatal respiratory disorders, and hydrocephalus treated with a ventriculoperitoneal shunt. Brain magnetic resonance imaging revealed a deepened interpeduncular fossa, thickening and horizontalization of the upper cerebellar peduncles, and vermian hypoplasia, resulting in the characteristic "molar tooth" appearance. The neuropsychomotor delay was attributed to Joubert syndrome, while the chronic vomiting was linked to hyperdrainage. This case underscores the potential for clinical signs of Joubert syndrome to confuse clinicians and highlights the importance of recognizing the pathognomonic molar tooth sign in imaging, which all radiologists should be familiar with.
{"title":"Chronic vomiting revealing Joubert syndrome: A case report","authors":"Leila Haddar, Asmae Kasimi, Karim Haddar, Hajar Errahal, Hamid Ziani, Siham Nasri, Imane Kamaoui, Imane Skiker","doi":"10.1016/j.radcr.2024.10.150","DOIUrl":"10.1016/j.radcr.2024.10.150","url":null,"abstract":"<div><div>Joubert syndrome is a rare autosomal recessive disorder characterized by the presence of the molar tooth sign on imaging. We report the case of a 5-year-old girl diagnosed with Joubert syndrome during the investigation of chronic vomiting. The patient presented with neuropsychomotor delay, a history of neonatal respiratory disorders, and hydrocephalus treated with a ventriculoperitoneal shunt. Brain magnetic resonance imaging revealed a deepened interpeduncular fossa, thickening and horizontalization of the upper cerebellar peduncles, and vermian hypoplasia, resulting in the characteristic \"molar tooth\" appearance. The neuropsychomotor delay was attributed to Joubert syndrome, while the chronic vomiting was linked to hyperdrainage. This case underscores the potential for clinical signs of Joubert syndrome to confuse clinicians and highlights the importance of recognizing the pathognomonic molar tooth sign in imaging, which all radiologists should be familiar with.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1109-1111"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745937","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}
Creutzfeldt–Jakob Disease (CJD) is a rare, fatal neurodegenerative disorder that is caused by prion proteins. Patients often present with rapidly progressive dementia, ataxia, myoclonus, memory impairment, visual problems, and changes in personality. In this case report, we aimed to address the course of a 62 year old female who presented with progressive decline in cognitive function and died within 6 months of presentation. The patient underwent cerebrospinal fluid testing, MRI brain, and electroencephalography during her stay in the hospital. Ultimately, an autopsy was performed, which demonstrated spongiform changes, neuronal loss, and astrogliosis, consistent with CJD.
{"title":"Creutzfeldt–Jakob disease: A case report","authors":"Fahad Rasool Butt HBSc , Thanansayan Dhivagaran HBSc , Syed Naqvi MD, FRCPC, DABR","doi":"10.1016/j.radcr.2024.11.011","DOIUrl":"10.1016/j.radcr.2024.11.011","url":null,"abstract":"<div><div>Creutzfeldt–Jakob Disease (CJD) is a rare, fatal neurodegenerative disorder that is caused by prion proteins. Patients often present with rapidly progressive dementia, ataxia, myoclonus, memory impairment, visual problems, and changes in personality. In this case report, we aimed to address the course of a 62 year old female who presented with progressive decline in cognitive function and died within 6 months of presentation. The patient underwent cerebrospinal fluid testing, MRI brain, and electroencephalography during her stay in the hospital. Ultimately, an autopsy was performed, which demonstrated spongiform changes, neuronal loss, and astrogliosis, consistent with CJD.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1095-1098"},"PeriodicalIF":0.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745916","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 : 2024-11-28DOI: 10.1016/j.radcr.2024.10.148
Michael Doran MD , John Grant MD, PhD , Samer Soussahn MD
Osteoid Osteoma (OO) is a common primary bone tumor that often presents with night pain in younger orthopedic patients. Although typically extra-articular, intra-articular presentations may be difficult to diagnose. While magnetic resonance imaging (MRI) provides excellent detailed imaging of the articular surface, it has been reported to lead to occasional misdiagnosis given limitations in spatial resolution, particularly for smaller lesions. Computed tomography (CT) remains the gold standard imaging modality for OO. The treatment for osteoid osteoma consists of medical management, minimally invasive image guided techniques, and surgical resection in order of most conservative to most aggressive. We present the case of a 31-year-old male with persistent posterolateral knee pain after subchondroplasty. CT demonstrated an OO in the posterior tibial plateau. The patient was successfully treated with CT-guided percutaneous radiofrequency ablation with complete resolution of symptoms. We also provide a brief literature review of the diagnosis and treatment of OO to help heighten the awareness of this sometimes inconspicuous diagnosis.
{"title":"Osteoid osteoma: A masquerader of persistent knee pain in the setting of prior lateral tibial plateau cement subchondroplasty","authors":"Michael Doran MD , John Grant MD, PhD , Samer Soussahn MD","doi":"10.1016/j.radcr.2024.10.148","DOIUrl":"10.1016/j.radcr.2024.10.148","url":null,"abstract":"<div><div>Osteoid Osteoma (OO) is a common primary bone tumor that often presents with night pain in younger orthopedic patients. Although typically extra-articular, intra-articular presentations may be difficult to diagnose. While magnetic resonance imaging (MRI) provides excellent detailed imaging of the articular surface, it has been reported to lead to occasional misdiagnosis given limitations in spatial resolution, particularly for smaller lesions. Computed tomography (CT) remains the gold standard imaging modality for OO. The treatment for osteoid osteoma consists of medical management, minimally invasive image guided techniques, and surgical resection in order of most conservative to most aggressive. We present the case of a 31-year-old male with persistent posterolateral knee pain after subchondroplasty. CT demonstrated an OO in the posterior tibial plateau. The patient was successfully treated with CT-guided percutaneous radiofrequency ablation with complete resolution of symptoms. We also provide a brief literature review of the diagnosis and treatment of OO to help heighten the awareness of this sometimes inconspicuous diagnosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1034-1040"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746041","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}
Fallopian tube carcinoma, presenting as an inguinal hernia, is a rare entity. We report the case of a woman in her 70s with a history of hysterectomy and right oophorectomy 29 years prior who presented with left cervical lymphadenopathy and elevated CA125 levels. Imaging revealed a tubular structure in the left pelvic region extending into the inguinal hernia sac. Contrast-enhanced computed tomography revealed a tubular structure with solid components in the left pelvic region that herniated through the left inguinal canal. Magnetic resonance imaging further characterized the solid component within the tubular structure and revealed features suggestive of malignancy. Fluorodeoxyglucose positron emission tomography/computed tomography revealed fluorodeoxyglucose uptake in the solid component and multiple enlarged lymph nodes, indicating lymph node metastasis. Subsequent laparoscopic resection confirmed high-grade serous carcinoma originating from the fallopian tube. Fallopian tube carcinoma typically presents nonspecific symptoms but elevated CA125 levels. Imaging often shows sausage-shaped masses. The mechanism in this case involved increased mobility of the left adnexa after hysterectomy and tumor infiltration near the inguinal canal. This case highlights the importance of considering fallopian tube carcinoma as a differential diagnosis when evaluating inguinal hernias, particularly in high-risk patients.
{"title":"Fallopian tube carcinoma mimicking inguinal hernia: A case report with imaging and histological insights","authors":"Anna Murata , Rika Yoshida , Shota Kato , Hideyuki Nagai , Minako Maruyama , Takeshi Yoshizako , Masako Ishikawa , Mamiko Nagase , Yasushi Kaji","doi":"10.1016/j.radcr.2024.10.140","DOIUrl":"10.1016/j.radcr.2024.10.140","url":null,"abstract":"<div><div>Fallopian tube carcinoma, presenting as an inguinal hernia, is a rare entity. We report the case of a woman in her 70s with a history of hysterectomy and right oophorectomy 29 years prior who presented with left cervical lymphadenopathy and elevated CA125 levels. Imaging revealed a tubular structure in the left pelvic region extending into the inguinal hernia sac. Contrast-enhanced computed tomography revealed a tubular structure with solid components in the left pelvic region that herniated through the left inguinal canal. Magnetic resonance imaging further characterized the solid component within the tubular structure and revealed features suggestive of malignancy. Fluorodeoxyglucose positron emission tomography/computed tomography revealed fluorodeoxyglucose uptake in the solid component and multiple enlarged lymph nodes, indicating lymph node metastasis. Subsequent laparoscopic resection confirmed high-grade serous carcinoma originating from the fallopian tube. Fallopian tube carcinoma typically presents nonspecific symptoms but elevated CA125 levels. Imaging often shows sausage-shaped masses. The mechanism in this case involved increased mobility of the left adnexa after hysterectomy and tumor infiltration near the inguinal canal. This case highlights the importance of considering fallopian tube carcinoma as a differential diagnosis when evaluating inguinal hernias, particularly in high-risk patients.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1069-1074"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746033","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 : 2024-11-28DOI: 10.1016/j.radcr.2024.10.052
Som Singh MD, Sylvestre Pineau BS, Gautam Sikka MD
Legionella pneumophila is a potentially life-threatening infection, especially for individuals with compromised cell-mediated immunity. Typical chest CT findings include multilobed or multisegmented consolidations and ground-glass opacities, but cavitary lesions are rare. This case report details a 29-year-old male renal transplant recipient who developed cavitary Legionnaires' pneumonia. His medical history includes focal segmental glomerulosclerosis and recurrent FSGS post-transplant, managed with a complex immunosuppressive regimen. Following an acute episode of allograft dysfunction treated with alemtuzumab, he developed respiratory symptoms, and initial diagnostics revealed Legionella pneumophila. Despite initial improvement, he presented with worsening symptoms and was readmitted where CT scans indicated necrotizing pneumonia with cavitary lesions. This case highlights the need for vigilant monitoring and tailored therapeutic strategies in immunocompromised patients with Legionnaires' disease.
{"title":"Demonstration of cavitary legionnaires’ pneumonia in a renal transplant recipient","authors":"Som Singh MD, Sylvestre Pineau BS, Gautam Sikka MD","doi":"10.1016/j.radcr.2024.10.052","DOIUrl":"10.1016/j.radcr.2024.10.052","url":null,"abstract":"<div><div>Legionella pneumophila is a potentially life-threatening infection, especially for individuals with compromised cell-mediated immunity. Typical chest CT findings include multilobed or multisegmented consolidations and ground-glass opacities, but cavitary lesions are rare. This case report details a 29-year-old male renal transplant recipient who developed cavitary Legionnaires' pneumonia. His medical history includes focal segmental glomerulosclerosis and recurrent FSGS post-transplant, managed with a complex immunosuppressive regimen. Following an acute episode of allograft dysfunction treated with alemtuzumab, he developed respiratory symptoms, and initial diagnostics revealed Legionella pneumophila. Despite initial improvement, he presented with worsening symptoms and was readmitted where CT scans indicated necrotizing pneumonia with cavitary lesions. This case highlights the need for vigilant monitoring and tailored therapeutic strategies in immunocompromised patients with Legionnaires' disease.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1090-1094"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746031","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}
A 5-month-old child developed severe liver dysfunction after a liver transplant with a partial liver graft. Ultrasound examination revealed a communication between the left portal vein and the left hepatic vein, a rare congenital portosystemic shunt. Here we describe the successful management of this shunt with an endovascular closure device. Prompt recognition of the shunt and use of the closure device to occlude the shunt can result in an excellent outcome.
{"title":"Successful treatment of an intrahepatic congenital portosystemic shunt causing dysfunction in a pediatric liver transplant graft","authors":"Siobhan Flanagan MD , Allison Aguado MD , Srinath Chinnakotla MD, MCh","doi":"10.1016/j.radcr.2024.10.155","DOIUrl":"10.1016/j.radcr.2024.10.155","url":null,"abstract":"<div><div>A 5-month-old child developed severe liver dysfunction after a liver transplant with a partial liver graft. Ultrasound examination revealed a communication between the left portal vein and the left hepatic vein, a rare congenital portosystemic shunt. Here we describe the successful management of this shunt with an endovascular closure device. Prompt recognition of the shunt and use of the closure device to occlude the shunt can result in an excellent outcome.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1087-1089"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746040","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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