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A case of prune belly syndrome with patent urachus: Pediatric surgical aspects of a rare case report 梅干腹综合征伴尿管未闭:儿科外科方面一例罕见病例报告
Q4 Medicine Pub Date : 2026-01-21 DOI: 10.1016/j.radcr.2025.12.028
Mutasem Sayyed Ahmad , Taha Mahmoud AlBaik , Hossam Salameh , Nasim Abukaresh , Masa Al-shareef , Mosaikah Anati
Prune belly syndrome (PBS), or Eagle–Barrett syndrome, is a rare congenital disorder defined by a triad of abdominal wall hypoplasia, urinary tract anomalies, and bilateral cryptorchidism. It is associated with high perinatal morbidity and mortality. A male infant born at 37 weeks via vaginal delivery presented with abdominal distension, thin wrinkled abdominal skin, urine discharge from the umbilicus, and bilateral cryptorchidism. Imaging revealed severe bilateral hydronephrosis and a patent urachus, confirming Prune Belly Syndrome. The urachus was surgically closed without complications, and the patient remains stable, with planned further interventions including orchidopexy, abdominal wall reconstruction, and renal functional assessment. Prune Belly Syndrome a rare congenital disorder, presents diagnostic and management challenges particularly with patent urachus requiring early recognition, timely surgery, and multidisciplinary follow-up to optimize renal function and long-term outcomes.
梅干腹综合征(PBS),或Eagle-Barrett综合征,是一种罕见的先天性疾病,由腹壁发育不全、尿路异常和双侧隐睾三联症定义。它与围产期高发病率和死亡率有关。37周阴道分娩的男婴表现为腹胀,腹部皮肤薄皱,脐尿排出,双侧隐睾。影像学显示严重的双侧肾积水和尿管未闭,证实梅干腹综合征。手术关闭尿管,无并发症,患者保持稳定,计划进一步干预,包括睾丸切除术、腹壁重建和肾功能评估。梅干腹综合征是一种罕见的先天性疾病,其诊断和治疗具有挑战性,特别是尿管未闭,需要早期识别、及时手术和多学科随访以优化肾功能和长期预后。
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引用次数: 0
Cholesterol granuloma forming the solid components within an endometrioma showing intense FDG uptake, mimicking malignancy: A case report 胆固醇肉芽肿在子宫内膜瘤内形成固体成分,显示强烈的FDG摄取,模拟恶性肿瘤:1例报告
Q4 Medicine Pub Date : 2026-01-19 DOI: 10.1016/j.radcr.2025.12.055
Go Nakai MD, PhD , Hiroki Matsutani MD, PhD , Takashi Yamada MD, PhD , Tomohito Tanaka MD, PhD , Kazuhiro Yamamoto MD, PhD , Keigo Osuga MD, PhD
A mural solid component (SC) within an endometrioma (ovarian endometriotic cyst), demonstrating internal vascularity or increased fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET), is considered a characteristic finding suggestive of malignant transformation. We report a rare case of an endometrioma containing a solid component with intense FDG uptake that was pathologically diagnosed as a cholesterol granuloma. A 68-year-old woman was incidentally found to have bilateral ovarian cysts on transvaginal ultrasonography. MRI revealed the left ovary contained a cyst measuring 46 × 36 × 30 mm, showing high signal intensity (SI) on T1-weighted images (T1WIs), which was not suppressed on fat-suppressed T1WIs, and low SI on T2-weighted images (T2WIs) suggesting an endometrioma. Inside this cyst, SC was noted, showing low SI on both T1WIs and T2WIs and partial high signal on diffusion-weighted images. FDG-PET/CT demonstrated intense FDG uptake in the SC (standardized uptake value max = 13.0), with no evidence of distant metastasis. Based on these findings, a malignant tumor arising from left ovarian endometrioma was suspected. However, postoperative histopathological examination revealed that the SC within the background of the endometrioma consisted of granulomatous tissue with hemosiderin deposition surrounding cholesterol crystals, leading to a diagnosis of an endometrioma with a cholesterol granuloma. Characteristic SIs of SC on MRI may be caused by hemosiderin deposition inside it and the resulting susceptibility artifacts. These findings may aid in distinguishing cholesterol granuloma from malignant tumors, although further case accumulation is needed.
子宫内膜异位瘤(卵巢子宫内膜异位囊肿)内的壁实体成分(SC),在正电子发射断层扫描(PET)上显示出内部血管或氟脱氧葡萄糖(FDG)摄取增加,被认为是提示恶性转化的特征性发现。我们报告一例罕见的子宫内膜异位瘤含有固体成分与强烈的FDG摄取,病理诊断为胆固醇肉芽肿。一个68岁的妇女偶然发现有双侧卵巢囊肿经阴道超声检查。MRI示左侧卵巢囊肿,尺寸为46 × 36 × 30 mm, t1加权像(T1WIs)显示高信号强度(SI),脂肪抑制的T1WIs未抑制该囊肿,t2加权像(T2WIs)显示低信号强度提示子宫内膜异位瘤。囊肿内可见SC, t1wi和t2wi均呈低SI,弥散加权图像显示部分高信号。FDG- pet /CT显示SC有强烈的FDG摄取(标准化摄取值max = 13.0),无远处转移的证据。基于这些发现,我们怀疑是左卵巢子宫内膜异位瘤引起的恶性肿瘤。然而,术后组织病理学检查显示子宫内膜异位瘤背景下的SC由肉芽肿组织组成,含铁血黄素沉积在胆固醇晶体周围,因此诊断为子宫内膜异位瘤合并胆固醇肉芽肿。SC在MRI上的特征性SIs可能是由含铁血黄素沉积在其内部以及由此产生的敏感性伪影引起的。这些发现可能有助于区分胆固醇肉芽肿与恶性肿瘤,尽管需要进一步的病例积累。
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引用次数: 0
Giant parasitic leiomyoma: A rare cause of acute appendicitis and bowel injury 巨大寄生虫平滑肌瘤:一种罕见的急性阑尾炎和肠损伤的原因
Q4 Medicine Pub Date : 2026-01-19 DOI: 10.1016/j.radcr.2025.12.037
Ali Ghaffar MBBS , Hafiz Danish Ali Khan MBBS , Yasir Mehmood MBBS , Hafiz Mirza Talha Omer MBBS , Hammad Asghar MBBS , Fahad Irshaad Siddiqui MBBS , Shahroze Ahmed MBBS
Parasitic fibroids are an uncommon subtype of leiomyomas that can implant on peritoneal surfaces such as the omentum or bowel serosa and may mimic malignancy on imaging. While typically asymptomatic, they can occasionally present with acute abdominal complications. We describe the case of a 37-year-old woman who presented with abdominal pain and a palpable mass. Imaging revealed a large, heterogeneously enhancing lesion with central necrosis, raising concern for malignancy. Surgical exploration identified a 17.5 × 15 cm parasitic leiomyoma adherent to the bowel and appendix, resulting in acute appendicitis and bowel injury, both of which required surgical management. Histopathological analysis confirmed a benign leiomyoma with myxoid degeneration and acute suppurative appendicitis. This case highlights the importance of considering parasitic fibroids in the differential diagnosis of abdominopelvic masses and acute abdomen, particularly in women with a history of pelvic surgery. Given their potential to mimic malignancy and cause secondary inflammatory complications, close collaboration between radiologists and surgeons is essential for accurate diagnosis and effective treatment.
寄生性肌瘤是一种少见的平滑肌瘤亚型,可在腹膜表面如网膜或肠浆膜上植入,在影像学上可表现为恶性肿瘤。虽然通常无症状,但偶尔会出现急性腹部并发症。我们描述的情况下,一个37岁的妇女谁提出腹痛和可触及的肿块。影像学显示一个大的、不均匀强化的病灶,伴有中央坏死,引起对恶性肿瘤的关注。手术探查发现17.5 × 15 cm的寄生平滑肌瘤附着于肠和阑尾,导致急性阑尾炎和肠道损伤,均需要手术治疗。组织病理学分析证实为良性平滑肌瘤伴黏液变性和急性化脓性阑尾炎。本病例强调了在鉴别诊断盆腔肿块和急腹症时考虑寄生肌瘤的重要性,特别是有盆腔手术史的妇女。鉴于它们有可能模仿恶性肿瘤并引起继发性炎症并发症,放射科医生和外科医生之间的密切合作对于准确诊断和有效治疗至关重要。
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引用次数: 0
Disseminated tuberculosis presenting as a refractory perianal abscess in a Crohn’s disease patient: A case report 弥散性肺结核表现为克罗恩病患者难治性肛周脓肿:1例报告
Q4 Medicine Pub Date : 2026-01-19 DOI: 10.1016/j.radcr.2025.12.027
Saber Abdellah Bassel MD , Aymane El Farouki MD , Ouijdane Zamani MD , Meriem Edderai MD , Hassan Ennouali MD , Jamal El Fenni MD , Rachida Saouab MD
Disseminated tuberculosis (TB) is an important opportunistic infection in patients with Crohn’s disease receiving immunosuppressive therapy, where its manifestations may mimic inflammatory or infectious Crohn’s complications. Case: We describe a 40-year-old man with Crohn’s disease on azathioprine who presented with a recurrent perianal abscess unresponsive to antibiotics. CT revealed multiple hepatic and splenic micronodules with mild rim enhancement, in addition to randomly distributed pulmonary micronodules and small nodules, raising suspicion for disseminated TB. CT-guided aspiration of the perianal collection confirmed Mycobacterium tuberculosis on GeneXpert MTB/RIF. This case emphasizes that disseminated TB should be considered in immunosuppressed Crohn’s patients presenting with atypical or refractory perianal collections, and highlights key radiologic features that help differentiate TB from Crohn’s-related complications.
弥散性结核(TB)是接受免疫抑制治疗的克罗恩病患者中一种重要的机会性感染,其表现可能与炎症性或感染性克罗恩并发症相似。病例:我们描述了一个40岁的男性克罗恩病对硫唑嘌呤谁提出了复发性肛周脓肿无反应的抗生素。CT示肝脾多发微结节伴轻度边缘强化,肺微结节及小结节随机分布,怀疑弥散性结核。ct引导下肛周穿刺在GeneXpert MTB/RIF上确认结核分枝杆菌。本病例强调,在出现非典型或难治性肛周积液的免疫抑制克罗恩病患者中,应考虑播散性结核,并强调了有助于区分结核与克罗恩相关并发症的关键放射学特征。
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引用次数: 0
Adult subarachnoid hemorrhage from vein of Galen aneurysmal malformation due to ruptured feeder aneurysm: A case report with long-term MRI review 成人支线动脉瘤破裂所致盖伦动脉瘤畸形静脉蛛网膜下腔出血1例并长期MRI回顾
Q4 Medicine Pub Date : 2026-01-19 DOI: 10.1016/j.radcr.2025.12.039
Kotaro Ueda MD , Shimpei Tsuboki MD , Takafumi Mitsutake MD, PhD , Keisuke Kadooka MD, PhD , Michihiro Tanaka MD, PhD
Adult hemorrhage from a previously treated vein of Galen aneurysmal malformation (VGAM) is exceedingly rare, and rupture of a flow-related feeder aneurysm has only been documented once in the adult case. We report a 20-year-old man with subarachnoid hemorrhage who presented with sudden headache. He had undergone palliative transarterial embolization (TAE) for choroidal-type VGAM during infancy for several times and had been followed annually with MRI at another institution. Digital subtraction angiography demonstrated two small feeder aneurysms, one presumed to have ruptured; additional embolization achieved complete occlusion of both aneurysms and a marked reduction in shunt flow. Retrospective review of serial MRIs showed progressive stenosis and eventual occlusion of the left transverse sinus, with first visualization of a feeder aneurysm one year prior to the rupture. This case represents only the second adult VGAM hemorrhage clearly attributed to a feeder artery aneurysm. Progressive venous sinus changes on follow-up MRI should prompt early angiographic re-evaluation and consideration of prophylactic treatment based on individual hemodynamic risk.
成人出血从先前治疗的静脉盖伦动脉瘤畸形(VGAM)是非常罕见的,在成人病例中,只有一次记录了血流相关的喂养动脉瘤破裂。我们报告一个20岁的男性蛛网膜下腔出血谁提出突然头痛。他在婴儿期曾多次接受姑息性经动脉栓塞(TAE)治疗脉络膜型VGAM,并每年在另一家机构接受MRI随访。数字减影血管造影显示两个小的供给动脉瘤,其中一个推定已破裂;进一步栓塞使两个动脉瘤完全闭塞,分流血流明显减少。回顾性回顾系列mri显示进行性狭窄和最终闭塞的左横窦,在动脉瘤破裂前一年首次看到一个馈线动脉瘤。本病例仅是第二例成人VGAM出血明确归因于供体动脉瘤。随访MRI显示的进行性静脉窦改变应提示早期血管造影重新评估,并考虑基于个体血流动力学风险的预防性治疗。
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引用次数: 0
Budd-Chiari syndrome in a young adult: Failed hepatic venoplasty and refusal of liver transplantation 一例年轻成人Budd-Chiari综合征:肝静脉成形术失败并拒绝肝移植
Q4 Medicine Pub Date : 2026-01-19 DOI: 10.1016/j.radcr.2025.12.034
Mujtaba Jamal Qureshi , Areeba Batool , Suleman Anser MBBS , Muhammad Afzal Chaudhry FCPS, MD , Mohammad Akram Randhawa PhD
This case report details the diagnostic workup, therapeutic interventions, and clinical decision-making in the management of a 23‐year-old engineering student diagnosed with Budd‐Chiari syndrome (BCS). This report highlights the use of advanced imaging studies and laboratory investigations, outlines the interventional approach, including an unsuccessful attempt at hepatic venoplasty, and discusses the patient’s subsequent refusal of liver transplantation. The patient remained clinically stable for 2 years under anticoagulant therapy. Such refractory cases underscore the need for personalized and multidisciplinary treatment strategies for BCS management.
本病例报告详细介绍了一位23岁的工程专业学生诊断为Budd - Chiari综合征(BCS)的诊断检查、治疗干预和临床决策。本报告强调了先进影像学研究和实验室调查的应用,概述了介入方法,包括一次不成功的肝静脉成形术尝试,并讨论了患者随后拒绝肝移植的情况。患者在抗凝治疗下保持临床稳定2年。这些难治性病例强调了BCS管理需要个性化和多学科治疗策略。
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引用次数: 0
A rare case of plexiform neurofibroma 少见的丛状神经纤维瘤1例
Q4 Medicine Pub Date : 2026-01-17 DOI: 10.1016/j.radcr.2025.12.021
Eppy Buchori AK MD, Ilham Ansari Marzuki Lubis MD, Radinda Amalia Nur Hayati MD
Plexiform neurofibroma is a rare benign peripheral nerve sheath tumor that occurs almost exclusively in patients with neurofibromatosis type I (NF1). This report presents a 10-year-old patient with multiple enlarging masses on the left and posterior neck for 4 years, accompanied by pain and restricted neck movement. Radiographic evaluation revealed a soft tissue mass without bony abnormalities, while Magnetic Resonance Imaging (MRI) demonstrated multiple confluent, ill-defined, infiltrative lesions involving bilateral cervical regions and extending into the anterior mediastinum. The lesions showed hypointense signals on T1-weighted and hyperintense target sign appearances on T2-weighted images, with encasement of neurovascular structures and spinal cord compression. Histopathological findings confirmed the diagnosis of plexiform neurofibroma without evidence of malignancy. This case emphasizes the diagnostic value of MRI in delineating lesion extent and neurogenic origin, as well as the importance of histopathology in confirming the benign nature of the tumor and excluding malignant transformation.
丛状神经纤维瘤是一种罕见的良性周围神经鞘肿瘤,几乎只发生在I型神经纤维瘤病(NF1)患者中。本文报告一位10岁的患者,左侧及后颈部多发肿物4年,伴有疼痛及颈部活动受限。x线检查显示软组织肿块,无骨异常,而磁共振成像(MRI)显示多个融合,界限不清,浸润性病变,累及双侧颈椎区域并延伸至前纵隔。病灶t1加权呈低信号,t2加权呈高信号靶征,伴神经血管结构被包裹,脊髓受压。组织病理学结果证实了丛状神经纤维瘤的诊断,没有恶性肿瘤的证据。本病例强调MRI在描绘病变范围和神经源性来源方面的诊断价值,以及组织病理学在确认肿瘤良性和排除恶性转化方面的重要性。
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引用次数: 0
Primary breast lymphoma: Case report and literature review 原发性乳腺淋巴瘤:病例报告及文献复习
Q4 Medicine Pub Date : 2026-01-17 DOI: 10.1016/j.radcr.2025.12.046
Lana R.A. Pshtiwan MD , Ari M. Abdullah MD , Abdulwahid M. Salih MD , Dana O. Karim MD , Karzan M. Salih MD , Bayar B. Ameen MBChB , Sakar O. Arif MD , Masty Karim Ahmed MBChB , Sara Nasir Ahmed MBChB , Ali D. Saadullah BDS , Fahmi H. Kakamad MD
Primary breast lymphoma (PBL) accounts for a small fraction of breast malignancies and is uncommon in young adults, yet it can lead to significant complications. This report describes a case of PBL in a young female patient. An 18-year-old female presented with a mass in the right breast with fever and sweating. Examination revealed a poorly defined right breast mass. Imaging showed a diffuse infiltrative process, and core biopsy with staining identified the lymphoid origin of the infiltrative disease. Chemotherapy was opted for, and follow-up for months has revealed no complications. Ten cases were reviewed. The mean age was (19.7). The most common symptom was a palpable breast mass(s) (60%). Imaging showed variable signal intensities of the breast masses. Immunohistochemistry and flow cytometry of tissue biopsies were the main methods of diagnosis. Large B-cell non-Hodgkin lymphoma was the most common diagnosis (60%). Chemotherapy was utilized in all of the cases with variations regarding regimens. Death and remission were seen in near equal proportions (40% vs 50%). Young women are not exempt from primary breast lymphoma, and chemotherapy might offer fruitful outcomes.
原发性乳腺淋巴瘤(PBL)占乳腺恶性肿瘤的一小部分,在年轻人中并不常见,但它可导致严重的并发症。本报告描述一例PBL在一个年轻的女性患者。一名18岁女性右乳肿块伴发热及出汗。检查发现右乳房一模糊肿块。影像学显示弥漫性浸润,核心活检染色确定浸润性疾病的淋巴起源。选择化疗,随访数月,未发现并发症。对10个案例进行了审查。平均年龄为19.7岁。最常见的症状是可触及的乳房肿块(60%)。影像学显示乳腺肿块信号强度变化。组织活检的免疫组织化学和流式细胞术是主要的诊断方法。大b细胞非霍奇金淋巴瘤是最常见的诊断(60%)。所有病例均采用化疗,但治疗方案有所不同。死亡和缓解的比例几乎相等(40% vs 50%)。年轻女性也不能幸免于原发性乳腺淋巴瘤,化疗可能会带来丰硕的成果。
{"title":"Primary breast lymphoma: Case report and literature review","authors":"Lana R.A. Pshtiwan MD ,&nbsp;Ari M. Abdullah MD ,&nbsp;Abdulwahid M. Salih MD ,&nbsp;Dana O. Karim MD ,&nbsp;Karzan M. Salih MD ,&nbsp;Bayar B. Ameen MBChB ,&nbsp;Sakar O. Arif MD ,&nbsp;Masty Karim Ahmed MBChB ,&nbsp;Sara Nasir Ahmed MBChB ,&nbsp;Ali D. Saadullah BDS ,&nbsp;Fahmi H. Kakamad MD","doi":"10.1016/j.radcr.2025.12.046","DOIUrl":"10.1016/j.radcr.2025.12.046","url":null,"abstract":"<div><div>Primary breast lymphoma (PBL) accounts for a small fraction of breast malignancies and is uncommon in young adults, yet it can lead to significant complications. This report describes a case of PBL in a young female patient. An 18-year-old female presented with a mass in the right breast with fever and sweating. Examination revealed a poorly defined right breast mass. Imaging showed a diffuse infiltrative process, and core biopsy with staining identified the lymphoid origin of the infiltrative disease. Chemotherapy was opted for, and follow-up for months has revealed no complications. Ten cases were reviewed. The mean age was (19.7). The most common symptom was a palpable breast mass(s) (60%). Imaging showed variable signal intensities of the breast masses. Immunohistochemistry and flow cytometry of tissue biopsies were the main methods of diagnosis. Large B-cell non-Hodgkin lymphoma was the most common diagnosis (60%). Chemotherapy was utilized in all of the cases with variations regarding regimens. Death and remission were seen in near equal proportions (40% vs 50%). Young women are not exempt from primary breast lymphoma, and chemotherapy might offer fruitful outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1482-1488"},"PeriodicalIF":0.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024606","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}
引用次数: 0
Successful bronchial artery embolization for racemose hemangioma of the right bronchial artery with pulmonary artery dilatation: A case report 支气管动脉栓塞治疗右支气管动脉总状血管瘤伴肺动脉扩张1例
Q4 Medicine Pub Date : 2026-01-17 DOI: 10.1016/j.radcr.2025.12.016
Kodai Fukuda MD, PhD , Tetsuo Sonomura MD, PhD , Nobuyuki Higashino MD, PhD , Takaya Shintani MD , Ryosuke Mimura MD , Shota Ueda MD, PhD , Atsufumi Kamisako MD, PhD , Akira Ikoma MD, PhD , Yuya Funayama RT , Kazuhiro Murotani PhD, RT , Hiroki Minamiguchi MD, PhD
An asymptomatic patient was incidentally found to have a markedly dilated right pulmonary artery A7 (13 mm in diameter) on contrast-enhanced computed tomography (CT) of the chest. Intra-procedural CT aortography revealed that a right bronchial artery arising from the aorta and an ectopic right bronchial artery originating from the right thyrocervical trunk were dilated and tortuous, and communicated with right pulmonary artery A7. A bronchial artery aneurysm was also identified. A diagnosis of racemose hemangioma of the right bronchial artery was made, and coil embolization of the 2 bronchial arteries was performed. Follow-up contrast-enhanced CT at 2 years and 3 months after embolization showed that the dilated pulmonary artery had reduced to 7 mm in diameter. We believe that active therapeutic intervention is important to prevent potentially fatal complications such as aneurysm rupture.
一个无症状的病人偶然发现有一个明显扩张的右肺动脉A7(直径13毫米)的胸部增强计算机断层扫描(CT)。术中CT主动脉造影显示,源自主动脉的右支气管动脉和源自右甲状腺颈干的异位右支气管动脉扩张弯曲,并与右肺动脉A7相通。支气管动脉瘤也被发现。诊断为右支气管动脉总状血管瘤,行2支支气管动脉线圈栓塞术。栓塞后2年3个月随访CT造影显示扩张肺动脉直径缩小至7mm。我们相信积极的治疗干预对于预防潜在的致命并发症如动脉瘤破裂是很重要的。
{"title":"Successful bronchial artery embolization for racemose hemangioma of the right bronchial artery with pulmonary artery dilatation: A case report","authors":"Kodai Fukuda MD, PhD ,&nbsp;Tetsuo Sonomura MD, PhD ,&nbsp;Nobuyuki Higashino MD, PhD ,&nbsp;Takaya Shintani MD ,&nbsp;Ryosuke Mimura MD ,&nbsp;Shota Ueda MD, PhD ,&nbsp;Atsufumi Kamisako MD, PhD ,&nbsp;Akira Ikoma MD, PhD ,&nbsp;Yuya Funayama RT ,&nbsp;Kazuhiro Murotani PhD, RT ,&nbsp;Hiroki Minamiguchi MD, PhD","doi":"10.1016/j.radcr.2025.12.016","DOIUrl":"10.1016/j.radcr.2025.12.016","url":null,"abstract":"<div><div>An asymptomatic patient was incidentally found to have a markedly dilated right pulmonary artery A7 (13 mm in diameter) on contrast-enhanced computed tomography (CT) of the chest. Intra-procedural CT aortography revealed that a right bronchial artery arising from the aorta and an ectopic right bronchial artery originating from the right thyrocervical trunk were dilated and tortuous, and communicated with right pulmonary artery A7. A bronchial artery aneurysm was also identified. A diagnosis of racemose hemangioma of the right bronchial artery was made, and coil embolization of the 2 bronchial arteries was performed. Follow-up contrast-enhanced CT at 2 years and 3 months after embolization showed that the dilated pulmonary artery had reduced to 7 mm in diameter. We believe that active therapeutic intervention is important to prevent potentially fatal complications such as aneurysm rupture.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1478-1481"},"PeriodicalIF":0.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024648","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}
引用次数: 0
Spinal dural arteriovenous fistula presenting with lower extremity weakness and intracranial hemorrhage: A case report 脊髓硬脑膜动静脉瘘表现为下肢无力和颅内出血1例
Q4 Medicine Pub Date : 2026-01-16 DOI: 10.1016/j.radcr.2025.12.036
Fang Yu MD , Sangharsha Thapa MD , Ilya Frid MD , Gurmeen Kaur MD , Feliks Koyfman MD
Spinal dural arteriovenous fistulas (AVFs) are uncommon vascular malformations that typically present with progressive myelopathy and are rarely associated with intracranial hemorrhage. We describe a 76-year-old male who initially had a normal noncontrast head CT, followed by rapid development of a large right cortical intraparenchymal hemorrhage with bilateral subarachnoid hemorrhage (SAH) on repeat CT performed three hours later. Subsequent spine MRI demonstrated extensive dilated perimedullary vessels and diffuse thoracic spinal cord T2 hyperintensity, raising concern for a spinal vascular malformation. Spinal angiography confirmed a spinal dural AVF arising from the right L2 segmental artery with early venous drainage into a congested spinal venous network, which was successfully treated with trans arterial embolization. This case uniquely captured the dynamic radiologic evolution of intracranial hemorrhage temporally associated with a spinal dural AVF and highlights the importance of considering spinal vascular etiologies when intracranial imaging findings do not explain the clinical presentation.
脊髓硬膜动静脉瘘是一种罕见的血管畸形,通常表现为进行性脊髓病,很少与颅内出血相关。我们描述了一位76岁的男性患者,他最初的头部CT检查正常,随后在三小时后的重复CT检查中迅速发展为右侧皮质实质内出血并双侧蛛网膜下腔出血(SAH)。随后的脊柱MRI显示广泛扩张的髓周血管和弥漫性胸椎T2高信号,引起对脊髓血管畸形的关注。脊髓血管造影证实脊髓硬膜AVF起源于右侧L2节段动脉,早期静脉引流至充血的脊髓静脉网络,经动脉栓塞成功治疗。该病例独特地记录了与脊髓硬膜AVF暂时性相关的颅内出血的动态放射学演变,并强调了当颅内影像学发现不能解释临床表现时考虑脊髓血管病因的重要性。
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引用次数: 0
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Radiology Case Reports
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