Pub Date : 2026-01-24DOI: 10.1016/j.radcr.2025.12.053
Trinity Puno BS , Joshua Levy MD , Daniel Villegas MD , Marvi Moreno MD , Ryan Rimer MD , Brandon Chen MD
Transsplenic access has emerged as a valuable technique for portal venous interventions when conventional transjugular or transhepatic approaches are challenging due to prohibitive anatomy. We briefly summarize the literature on how transsplenic access came to be and present 2 unique cases that highlight the importance of transsplenic access in facilitating transjugular intrahepatic portosystemic shunt creation in complex portal venous disease. The first case describes a 68-year-old male cirrhotic patient with extensive acute-on-chronic portal vein thromboses in whom transsplenic access enabled portal vein thrombectomy and successful portosystemic shunt placement. The second case involves a 60-year-old female patient with chronic portal vein thrombosis and cavernous transformation, where a combined transsplenic–transhepatic “body floss” technique allowed recanalization and subsequent portosystemic shunt creation.
{"title":"Indications and opportunities for transsplenic access to treat portal venous and portosystemic pathology: A report of 2 cases and review of the literature","authors":"Trinity Puno BS , Joshua Levy MD , Daniel Villegas MD , Marvi Moreno MD , Ryan Rimer MD , Brandon Chen MD","doi":"10.1016/j.radcr.2025.12.053","DOIUrl":"10.1016/j.radcr.2025.12.053","url":null,"abstract":"<div><div>Transsplenic access has emerged as a valuable technique for portal venous interventions when conventional transjugular or transhepatic approaches are challenging due to prohibitive anatomy. We briefly summarize the literature on how transsplenic access came to be and present 2 unique cases that highlight the importance of transsplenic access in facilitating transjugular intrahepatic portosystemic shunt creation in complex portal venous disease. The first case describes a 68-year-old male cirrhotic patient with extensive acute-on-chronic portal vein thromboses in whom transsplenic access enabled portal vein thrombectomy and successful portosystemic shunt placement. The second case involves a 60-year-old female patient with chronic portal vein thrombosis and cavernous transformation, where a combined transsplenic–transhepatic “body floss” technique allowed recanalization and subsequent portosystemic shunt creation.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1564-1569"},"PeriodicalIF":0.0,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079276","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}
Psoas involvement represents a rare clinical entity presenting significant diagnostic challenges due to nonspecific symptomatology. We report a 62-year-old male patient with muscle-invasive bladder carcinoma treated by transurethral resection of bladder tumor (TURBT) who declined radical cystectomy. Six months following initial surgical intervention, he presented with back pain, fever, and progressive clinical deterioration. Laboratory investigations demonstrated marked systemic inflammation. Computed tomography revealed recurrent bladder tumor with a 12-cm left psoas collection, initially interpreted as representing an abscess. Despite percutaneous drainage and broad-spectrum antibiotic therapy, clinical improvement remained limited. Magnetic resonance imaging demonstrated an infiltrative lesion within the psoas musculature, separated from the bladder by a preserved fat plane, consistent with skeletal muscle metastasis rather than direct tumor invasion or infectious abscess. This case illustrates the diagnostic difficulty in distinguishing abscess from malignant infiltration in advanced bladder cancer and emphasizes the critical role of magnetic resonance imaging when conventional treatment modalities fail to achieve expected clinical response.
{"title":"Psoas metastasis mimicking abscess in untreated muscle-invasive bladder cancer: A diagnostic pitfall","authors":"Maachi Youssef MD, Bensaleh Nasseredine MD, Zaki Amine MD, Slaoui Amine MD, Karmouni Tariq MD, Koutani Abdellatif MD, Elkhader Khalid MD","doi":"10.1016/j.radcr.2025.12.049","DOIUrl":"10.1016/j.radcr.2025.12.049","url":null,"abstract":"<div><div>Psoas involvement represents a rare clinical entity presenting significant diagnostic challenges due to nonspecific symptomatology. We report a 62-year-old male patient with muscle-invasive bladder carcinoma treated by transurethral resection of bladder tumor (TURBT) who declined radical cystectomy. Six months following initial surgical intervention, he presented with back pain, fever, and progressive clinical deterioration. Laboratory investigations demonstrated marked systemic inflammation. Computed tomography revealed recurrent bladder tumor with a 12-cm left psoas collection, initially interpreted as representing an abscess. Despite percutaneous drainage and broad-spectrum antibiotic therapy, clinical improvement remained limited. Magnetic resonance imaging demonstrated an infiltrative lesion within the psoas musculature, separated from the bladder by a preserved fat plane, consistent with skeletal muscle metastasis rather than direct tumor invasion or infectious abscess. This case illustrates the diagnostic difficulty in distinguishing abscess from malignant infiltration in advanced bladder cancer and emphasizes the critical role of magnetic resonance imaging when conventional treatment modalities fail to achieve expected clinical response.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1554-1558"},"PeriodicalIF":0.0,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024651","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 : 2026-01-24DOI: 10.1016/j.radcr.2025.12.031
Harry Galuh PhD , Dian Komala Dewi MD , Pramesti Indri MD , Ferdy Ferdian MD , Shindy Octaviana MD
Rasmussen’s aneurysm is a rare but potentially fatal complication of pulmonary tuberculosis (TB), characterized by the development of a pseudoaneurysm in the pulmonary arterial system due to chronic inflammation and weakening of the vessel wall. This condition arises from tuberculous destruction of lung parenchyma, leading to erosion of adjacent pulmonary arteries and subsequent aneurysm formation. Clinically, it presents with life-threatening hemoptysis, often requiring prompt diagnosis and intervention. Imaging modalities such as contrast-enhanced computed tomography (CT) and digital subtraction angiography (DSA) play a crucial role in identifying the aneurysm and guiding treatment. Management options include transcatheter arterial embolization, which is the preferred intervention, or surgical resection in select cases. Early recognition and timely treatment of Rasmussen’s aneurysm are essential to prevent catastrophic hemorrhage and improve patient outcomes.
{"title":"Rasmussen aneurysm: A rare complication of pulmonary tuberculosis case report","authors":"Harry Galuh PhD , Dian Komala Dewi MD , Pramesti Indri MD , Ferdy Ferdian MD , Shindy Octaviana MD","doi":"10.1016/j.radcr.2025.12.031","DOIUrl":"10.1016/j.radcr.2025.12.031","url":null,"abstract":"<div><div>Rasmussen’s aneurysm is a rare but potentially fatal complication of pulmonary tuberculosis (TB), characterized by the development of a pseudoaneurysm in the pulmonary arterial system due to chronic inflammation and weakening of the vessel wall. This condition arises from tuberculous destruction of lung parenchyma, leading to erosion of adjacent pulmonary arteries and subsequent aneurysm formation. Clinically, it presents with life-threatening hemoptysis, often requiring prompt diagnosis and intervention. Imaging modalities such as contrast-enhanced computed tomography (CT) and digital subtraction angiography (DSA) play a crucial role in identifying the aneurysm and guiding treatment. Management options include transcatheter arterial embolization, which is the preferred intervention, or surgical resection in select cases. Early recognition and timely treatment of Rasmussen’s aneurysm are essential to prevent catastrophic hemorrhage and improve patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1559-1563"},"PeriodicalIF":0.0,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024608","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}
Rabies, a rapidly progressive and fatal viral encephalitis, can present a diagnostic challenge in its paralytic form, which can mimic Guillain-Barré syndrome (GBS) and delay diagnosis, especially when classic symptoms like hydrophobia and aerophobia are absent. We report the case of a 24-year-old woman with progressive bilateral leg weakness, urinary retention, and behavioral changes. She developed symptoms 1 month after a dog bite and 6 days after completing post-exposure prophylaxis (PEP), initially leading to suspicion of post vaccination Guillain-Barré syndrome (GBS) or ADEM. Despite supportive care, her condition worsened. Brain and spinal MRI revealed characteristic symmetrical T2/FLAIR hyperintensities in the bilateral basal ganglia, thalami, limbic system, brainstem, and central cervical spinal cord as seen in rabies encephalitis. This case highlights the diagnostic value of MRI in identifying rabies, particularly in atypical presentations and post-vaccination states.
{"title":"MRI as a key tool in presumptive antemortem diagnosis of rabies: A case report","authors":"Ephrem Fekadu Tuji MD , Bethelhem Belachew MD , Biniyam Beyene Tabor MD , Marta Desta Woldetsadick MD , Alemayehu Bedane Worke MD","doi":"10.1016/j.radcr.2025.12.005","DOIUrl":"10.1016/j.radcr.2025.12.005","url":null,"abstract":"<div><div>Rabies, a rapidly progressive and fatal viral encephalitis, can present a diagnostic challenge in its paralytic form, which can mimic Guillain-Barré syndrome (GBS) and delay diagnosis, especially when classic symptoms like hydrophobia and aerophobia are absent. We report the case of a 24-year-old woman with progressive bilateral leg weakness, urinary retention, and behavioral changes. She developed symptoms 1 month after a dog bite and 6 days after completing post-exposure prophylaxis (PEP), initially leading to suspicion of post vaccination Guillain-Barré syndrome (GBS) or ADEM. Despite supportive care, her condition worsened. Brain and spinal MRI revealed characteristic symmetrical T2/FLAIR hyperintensities in the bilateral basal ganglia, thalami, limbic system, brainstem, and central cervical spinal cord as seen in rabies encephalitis. This case highlights the diagnostic value of MRI in identifying rabies, particularly in atypical presentations and post-vaccination states.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1550-1553"},"PeriodicalIF":0.0,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024647","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}
Abstract The subclavian vein is one of the most frequently-used approaches for central venous catheterization. However, it demands high technical skills and accurate puncture positioning. In case of accidental misplacement into the artery, it is impossible to achieve sufficient local hemostasis. Moreover, removing the catheter without assistance may lead to severe complications or even death. This paper reports a case of an elderly patient with multiple underlying diseases. After left subclavian vein catheterization accidentally entered the aortic arch, a ventricular septal defect occluder was used to successfully remove the catheter. There were no adverse clinical sequelae after the operation, providing a new solution for the accidental insertion of a catheter into an artery in noncompressible areas.
{"title":"A case of successful catheter removal with ventricular septal defect occluder after accidental misplacement of left subclavian vein catheter into aortic arch","authors":"Chuke Qiao MD , Shaojie Liu MD , Hongwei Shan MD, PhD","doi":"10.1016/j.radcr.2025.12.062","DOIUrl":"10.1016/j.radcr.2025.12.062","url":null,"abstract":"<div><div>Abstract The subclavian vein is one of the most frequently-used approaches for central venous catheterization. However, it demands high technical skills and accurate puncture positioning. In case of accidental misplacement into the artery, it is impossible to achieve sufficient local hemostasis. Moreover, removing the catheter without assistance may lead to severe complications or even death. This paper reports a case of an elderly patient with multiple underlying diseases. After left subclavian vein catheterization accidentally entered the aortic arch, a ventricular septal defect occluder was used to successfully remove the catheter. There were no adverse clinical sequelae after the operation, providing a new solution for the accidental insertion of a catheter into an artery in noncompressible areas.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1546-1549"},"PeriodicalIF":0.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024574","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 : 2026-01-22DOI: 10.1016/j.radcr.2025.12.014
Lubna Rabeeh Shihada , Mahmoud Alawneh , Hamza A. Abdul-Hafez , Rahaf M. Nofal , Zaina Z.D. Najjar , Eliana Almasri , Khaled Al-ali , Mohammed A. Barakat
Hepatic lipomas are exceedingly rare benign tumors composed of mature adipose tissue, typically detected incidentally during imaging for unrelated conditions. We present the case of a 44-year-old male admitted with perforated appendicitis, during whose radiological evaluation an incidental hepatic lipoma was discovered. CT imaging confirmed a well-defined fat-containing lesion with characteristic attenuation of −80 Hounsfield Units. The patient recovered uneventfully postappendectomy, and conservative management of the asymptomatic liver lesion was adopted. The importance of our case lies in its contribution to the limited global literature on hepatic lipomas and its demonstration of how such rare entities can be encountered in routine clinical practice. By presenting detailed imaging features and discussing potential diagnostic dilemma, this case enhances awareness among clinicians and radiologists. It highlights the necessity of differentiating hepatic lipomas from other fat-containing hepatic lesions to ensure appropriate management and avoid unnecessary intervention. This case reinforces the value of incidental findings in expanding clinical knowledge.
{"title":"A rare site for a common tumor: Incidental hepatic lipoma detected during evaluation for perforated appendicitis","authors":"Lubna Rabeeh Shihada , Mahmoud Alawneh , Hamza A. Abdul-Hafez , Rahaf M. Nofal , Zaina Z.D. Najjar , Eliana Almasri , Khaled Al-ali , Mohammed A. Barakat","doi":"10.1016/j.radcr.2025.12.014","DOIUrl":"10.1016/j.radcr.2025.12.014","url":null,"abstract":"<div><div>Hepatic lipomas are exceedingly rare benign tumors composed of mature adipose tissue, typically detected incidentally during imaging for unrelated conditions. We present the case of a 44-year-old male admitted with perforated appendicitis, during whose radiological evaluation an incidental hepatic lipoma was discovered. CT imaging confirmed a well-defined fat-containing lesion with characteristic attenuation of −80 Hounsfield Units. The patient recovered uneventfully postappendectomy, and conservative management of the asymptomatic liver lesion was adopted. The importance of our case lies in its contribution to the limited global literature on hepatic lipomas and its demonstration of how such rare entities can be encountered in routine clinical practice. By presenting detailed imaging features and discussing potential diagnostic dilemma, this case enhances awareness among clinicians and radiologists. It highlights the necessity of differentiating hepatic lipomas from other fat-containing hepatic lesions to ensure appropriate management and avoid unnecessary intervention. This case reinforces the value of incidental findings in expanding clinical knowledge.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1540-1545"},"PeriodicalIF":0.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024653","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}
Intrauterine devices (IUDs) are widely used and generally safe contraceptives, though rare complications such as migration into adjacent organs may occur. We present a 34-year-old woman with suprapubic pain, dysuria, intermittent hematuria, and fatigue. Ultrasound revealed a bladder foreign body, further confirmed by multislice CT as an IUD. Cystoscopy demonstrated partial bladder wall embedding with stone encrustation. The device was successfully removed transurethrally. This case highlights the importance of considering IUD migration in women presenting with unexplained urinary tract symptoms and emphasizes the role of early imaging and endoscopic intervention in preventing long-term complications.
{"title":"From contraception to urolithiasis: Migration of a contraceptive device into the urinary bladder lumen","authors":"Kamila Askarova MD , Darya Khristovski MD , Khafizakhon Isomiddinova MD , Mubina Negmatshayeva MD , Nurmukhammed Jumaniyazov MD , Bakhtiyor Rizayev MD , Shokhsanam Bektemirova MD , Shakhnoz Mamadjanova MD","doi":"10.1016/j.radcr.2025.12.025","DOIUrl":"10.1016/j.radcr.2025.12.025","url":null,"abstract":"<div><div>Intrauterine devices (IUDs) are widely used and generally safe contraceptives, though rare complications such as migration into adjacent organs may occur. We present a 34-year-old woman with suprapubic pain, dysuria, intermittent hematuria, and fatigue. Ultrasound revealed a bladder foreign body, further confirmed by multislice CT as an IUD. Cystoscopy demonstrated partial bladder wall embedding with stone encrustation. The device was successfully removed transurethrally. This case highlights the importance of considering IUD migration in women presenting with unexplained urinary tract symptoms and emphasizes the role of early imaging and endoscopic intervention in preventing long-term complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1534-1539"},"PeriodicalIF":0.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024650","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 : 2026-01-21DOI: 10.1016/j.radcr.2025.12.054
Alexandros Apostolou MD , Maria Kadditi MD , Ilias G. Koziakas MD , Abdallah Aburub MD , Matthias Eberhard MD
Leriche syndrome can remain clinically silent when collateral pathways preserve lower-limb perfusion; however, coexistence with infectious aortic pathology poses a considerable diagnostic challenge for the radiologist. We report a rare case of a 49-year-old male who presented with acute back pain and dysphagia; CT imaging demonstrated a chronic aortoiliac occlusion alongside a suspected mycotic thoracoabdominal aortic aneurysm. Notably, perfusion of the lower limbs was entirely dependent on bilateral internal thoracic–epigastric collateral pathways. This unusual combination highlights the broad spectrum of vascular complications associated with intravenous drug abuse and thrombophilia.
{"title":"Collateral anastomosis in Leriche syndrome complicated by presumed mycotic thoracoabdominal aneurysm","authors":"Alexandros Apostolou MD , Maria Kadditi MD , Ilias G. Koziakas MD , Abdallah Aburub MD , Matthias Eberhard MD","doi":"10.1016/j.radcr.2025.12.054","DOIUrl":"10.1016/j.radcr.2025.12.054","url":null,"abstract":"<div><div>Leriche syndrome can remain clinically silent when collateral pathways preserve lower-limb perfusion; however, coexistence with infectious aortic pathology poses a considerable diagnostic challenge for the radiologist. We report a rare case of a 49-year-old male who presented with acute back pain and dysphagia; CT imaging demonstrated a chronic aortoiliac occlusion alongside a suspected mycotic thoracoabdominal aortic aneurysm. Notably, perfusion of the lower limbs was entirely dependent on bilateral internal thoracic–epigastric collateral pathways. This unusual combination highlights the broad spectrum of vascular complications associated with intravenous drug abuse and thrombophilia.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1525-1529"},"PeriodicalIF":0.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024610","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 arthritis of the pubic symphysis is a rare cause of pubic and hip pain. The clinical diagnosis of pubic symphysis osteomyelitis is challenging due to the rarity of this condition and the nonspecific nature of its presentation, which often leads to long delays between symptom onset and diagnosis. Imaging modalities, especially MRI, play an important role in early case detection, which is essential for ensuring prompt treatment and better outcomes. The differential diagnosis may include septic hip arthritis and a broad spectrum of noninfectious causes of pubalgia. Long-course antibiotic therapy is invariably required and, in some cases, may preclude the need for surgical debridement. We present a case of a 65-year-old male patient with septic symphysitis, complicated by hip adductor muscle abscess, efficiently treated with intravenous antibiotic therapy.
{"title":"Hip adductor muscle abscess complicating a case of septic arthritis of the symphysis pubis: A case report","authors":"Nahla Ennejjari MD , Younes Abdourabbih MD , Hajar Ouazzani PhD , Amal Akammar PhD , Ismail Chaouche PhD , Moulay Youssef Alaoui Lamrani PhD , Badreeddine Alami PhD , Mustapha Maaroufi PhD , Meryem Boubbou PhD , Nizar El Bouardi PhD","doi":"10.1016/j.radcr.2025.12.060","DOIUrl":"10.1016/j.radcr.2025.12.060","url":null,"abstract":"<div><div>Septic arthritis of the pubic symphysis is a rare cause of pubic and hip pain. The clinical diagnosis of pubic symphysis osteomyelitis is challenging due to the rarity of this condition and the nonspecific nature of its presentation, which often leads to long delays between symptom onset and diagnosis. Imaging modalities, especially MRI, play an important role in early case detection, which is essential for ensuring prompt treatment and better outcomes. The differential diagnosis may include septic hip arthritis and a broad spectrum of noninfectious causes of pubalgia. Long-course antibiotic therapy is invariably required and, in some cases, may preclude the need for surgical debridement. We present a case of a 65-year-old male patient with septic symphysitis, complicated by hip adductor muscle abscess, efficiently treated with intravenous antibiotic therapy.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1515-1519"},"PeriodicalIF":0.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024644","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 : 2026-01-21DOI: 10.1016/j.radcr.2025.12.035
Han Wang, Hao Peng, Libin Zhang, Xiangyun Yan, Jiagui Lu
Adenoid cystic carcinoma (ACC) of the lung is a rare subtype of lung cancer characterized by tumor cells forming cystic or glandular structures. It predominantly arises in segmental or larger bronchi, typically presenting as solid nodules or masses on imaging. Previous studies describe it as a slow-growing, low-grade malignancy associated with favorable prognosis and low metastatic potential. A 29-year-old male underwent surgical resection for breast nodules, pathologically confirmed as ACC of the breast. During hospitalization, chest CT revealed multiple bilateral ground glass nodules (GGN), with the largest measuring 22 × 16 mm. Clinical diagnosis suggested multiple primary lung cancer (cT1cN0M0). Video-assisted thoracoscopic wedge resections were performed, and pathology confirmed ACC of the lung, though the origin (primary vs. metastatic) remained controversial. Postoperatively, the patient received 4 cycles of chemotherapy (cyclophosphamide + epirubicin + cisplatin). Follow-up imaging demonstrated progression of residual pulmonary nodules. ACC of the lung represents a rare pathological variant of lung cancer with insufficiently characterized clinical behavior. Further research is imperative to refine diagnostic strategies and therapeutic approaches.
{"title":"Primary pulmonary adenoid cystic carcinoma presenting with ground-glass opacity nodules coexisting with male breast adenoid cystic carcinoma: A case report","authors":"Han Wang, Hao Peng, Libin Zhang, Xiangyun Yan, Jiagui Lu","doi":"10.1016/j.radcr.2025.12.035","DOIUrl":"10.1016/j.radcr.2025.12.035","url":null,"abstract":"<div><div>Adenoid cystic carcinoma (ACC) of the lung is a rare subtype of lung cancer characterized by tumor cells forming cystic or glandular structures. It predominantly arises in segmental or larger bronchi, typically presenting as solid nodules or masses on imaging. Previous studies describe it as a slow-growing, low-grade malignancy associated with favorable prognosis and low metastatic potential. A 29-year-old male underwent surgical resection for breast nodules, pathologically confirmed as ACC of the breast. During hospitalization, chest CT revealed multiple bilateral ground glass nodules (GGN), with the largest measuring 22 × 16 mm. Clinical diagnosis suggested multiple primary lung cancer (cT1cN0M0). Video-assisted thoracoscopic wedge resections were performed, and pathology confirmed ACC of the lung, though the origin (primary vs. metastatic) remained controversial. Postoperatively, the patient received 4 cycles of chemotherapy (cyclophosphamide + epirubicin + cisplatin). Follow-up imaging demonstrated progression of residual pulmonary nodules. ACC of the lung represents a rare pathological variant of lung cancer with insufficiently characterized clinical behavior. Further research is imperative to refine diagnostic strategies and therapeutic approaches.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1520-1524"},"PeriodicalIF":0.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024607","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号