The mechanical complications postmyocardial infarction are individually uncommon but potentially life-threatening. The simultaneous occurrence of more than one complication in a single patient is rare and presents a significant diagnostic and therapeutic challenge. We present a case of concurrent left ventricular pseudoaneurysm and ventricular septal rupture post a late presentation, inferoposterior myocardial infarction. This case highlights the importance of multimodality imaging in correctly diagnosing and properly guiding the management plan for these complications, which can dramatically impact patient outcomes.
{"title":"Concurrent left ventricular pseudoaneurysm and ventricular septal rupture complicating an inferior myocardial infarction: A case report","authors":"Yosra Abdulahad Turkistani MD , Sara Hajij Al-Harbi MD , Fatma Adel Aboul-Enein MD","doi":"10.1016/j.radcr.2024.11.002","DOIUrl":"10.1016/j.radcr.2024.11.002","url":null,"abstract":"<div><div>The mechanical complications postmyocardial infarction are individually uncommon but potentially life-threatening. The simultaneous occurrence of more than one complication in a single patient is rare and presents a significant diagnostic and therapeutic challenge. We present a case of concurrent left ventricular pseudoaneurysm and ventricular septal rupture post a late presentation, inferoposterior myocardial infarction. This case highlights the importance of multimodality imaging in correctly diagnosing and properly guiding the management plan for these complications, which can dramatically impact patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1075-1081"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746030","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.2024.10.160
Yu You, Weicheng Wang, Jiawei Zhong, Sihai Chen
Ectopic Variceal Bleeding is a rare complication of portal hypertension, often difficult to manage and potentially life-threatening. However, established guidelines directing treatment are lacking. This report presents a 51-year-old female with hepatitis B-related cirrhosis, who experienced rare small intestinal bleeding due to varicose veins in the superior mesenteric vein and left ovarian vein. The bleeding was successfully resolved by Balloon-occluded Retrograde Transvenous Obliteration. This report discusses the feasibility of BRTO compared to Transjugular Intrahepatic Portosystemic Shunt for certain patients with EctVB.
{"title":"BRTO for ectopic small intestinal varices bleeding via dilated superior mesenteric veins and left ovarian vein: A case report","authors":"Yu You, Weicheng Wang, Jiawei Zhong, Sihai Chen","doi":"10.1016/j.radcr.2024.10.160","DOIUrl":"10.1016/j.radcr.2024.10.160","url":null,"abstract":"<div><div>Ectopic Variceal Bleeding is a rare complication of portal hypertension, often difficult to manage and potentially life-threatening. However, established guidelines directing treatment are lacking. This report presents a 51-year-old female with hepatitis B-related cirrhosis, who experienced rare small intestinal bleeding due to varicose veins in the superior mesenteric vein and left ovarian vein. The bleeding was successfully resolved by Balloon-occluded Retrograde Transvenous Obliteration. This report discusses the feasibility of BRTO compared to Transjugular Intrahepatic Portosystemic Shunt for certain patients with EctVB.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1058-1063"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746035","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}
The mental foramen (MF) is an important anatomical landmark in the jaw, where the sensory nerve (mental nerve) and blood vessels emerge. To avoid sensory impairment or paresthesia caused by mental nerve damage, the MF must be accurately identified and localized. The literature describes a variety of anatomical variants of the MF, such as changes in its position, emergence profile or the presence of extra foramina. This case report documents a rare case of nonexistent mental foramina on the left side of the jaw, which was detected incidentally using cone-beam computed tomography (CBCT) prior to implant surgery planning.
{"title":"A rare case of an anatomical variant of nonexistent mental foramen","authors":"Khaled R. Beshtawi BDS, MSc, PhD , Emad Qirresh BDS, MSc, PGDip","doi":"10.1016/j.radcr.2024.11.009","DOIUrl":"10.1016/j.radcr.2024.11.009","url":null,"abstract":"<div><div>The mental foramen (MF) is an important anatomical landmark in the jaw, where the sensory nerve (mental nerve) and blood vessels emerge. To avoid sensory impairment or paresthesia caused by mental nerve damage, the MF must be accurately identified and localized. The literature describes a variety of anatomical variants of the MF, such as changes in its position, emergence profile or the presence of extra foramina. This case report documents a rare case of nonexistent mental foramina on the left side of the jaw, which was detected incidentally using cone-beam computed tomography (CBCT) prior to implant surgery planning.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1082-1086"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142746039","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 : 2024-11-27DOI: 10.1016/j.radcr.2024.10.118
Ishak Ahmed Abdi , Osman Farah Dahir , Ahmed Elmi Abdi , Mohamed Omar Hassan , Said Abdirahman Ahmed , Mohamud Mire Waberi , Ahmed Shafie Aden , Shuayb Moallim Ali Jama , Mohamed Osman Dahir , Can Baba Arın , Mohammed AM Ahmed
Coronary artery aneurysm (CAA) is a rare form of coronary artery disease characterized by abnormal dilation of a coronary artery segment. While CAAs can present with various symptoms, syncope is notably uncommon, with limited documented cases. We present the case of a 24-year-old woman with a 2-month history of recurrent syncope, occurring in the absence of other symptoms. Initial evaluations, including MRI and cardiac examinations, revealed no abnormalities. However, a transthoracic echocardiogram identified a ring-like structure adjacent to the tricuspid valve, and subsequent computed tomography angiography confirmed a large right coronary artery aneurysm. This case highlights the rare presentation of recurrent syncope as a manifestation of CAA, emphasizing the need for timely diagnosis and intervention in similar cases.
{"title":"Giant right coronary artery aneurysm presenting with recurrent syncope: A diagnostic challenge","authors":"Ishak Ahmed Abdi , Osman Farah Dahir , Ahmed Elmi Abdi , Mohamed Omar Hassan , Said Abdirahman Ahmed , Mohamud Mire Waberi , Ahmed Shafie Aden , Shuayb Moallim Ali Jama , Mohamed Osman Dahir , Can Baba Arın , Mohammed AM Ahmed","doi":"10.1016/j.radcr.2024.10.118","DOIUrl":"10.1016/j.radcr.2024.10.118","url":null,"abstract":"<div><div>Coronary artery aneurysm (CAA) is a rare form of coronary artery disease characterized by abnormal dilation of a coronary artery segment. While CAAs can present with various symptoms, syncope is notably uncommon, with limited documented cases. We present the case of a 24-year-old woman with a 2-month history of recurrent syncope, occurring in the absence of other symptoms. Initial evaluations, including MRI and cardiac examinations, revealed no abnormalities. However, a transthoracic echocardiogram identified a ring-like structure adjacent to the tricuspid valve, and subsequent computed tomography angiography confirmed a large right coronary artery aneurysm. This case highlights the rare presentation of recurrent syncope as a manifestation of CAA, emphasizing the need for timely diagnosis and intervention in similar cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1053-1057"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720518","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 : 2024-11-27DOI: 10.1016/j.radcr.2024.10.141
Tran Minh Bao Luan , Nguyen Huu Tuong , Tran Quoc Han
The retrograde approach is an adjunctive technique for endovascular intervention, particularly in the treatment of lower extremity arterial disease with multilevel vascular lesions. Combined with revascularization therapy, wound care plays a pivotal role in the management of patients with chronic limb-threatening ischemia. We present a case of chronic limb-threatening ischemia, with complex multilevel vascular lesions successfully treated using a retrograde endovascular approach alongside aggressive wound care management. Postintervention, the patient demonstrated a notable increase in ankle-brachial index from 0 to 1, along with accelerated wound healing and preservation of limb function. This case highlights the efficacy of the retrograde approach in restoring perfusion, particularly in chronic total occlusions, and emphasizes the importance of combining revascularization and wound care for optimal chronic limb-threatening ischemia management.
{"title":"Retrograde endovascular intervention treating chronic limb threatening ischemia: A case report","authors":"Tran Minh Bao Luan , Nguyen Huu Tuong , Tran Quoc Han","doi":"10.1016/j.radcr.2024.10.141","DOIUrl":"10.1016/j.radcr.2024.10.141","url":null,"abstract":"<div><div>The retrograde approach is an adjunctive technique for endovascular intervention, particularly in the treatment of lower extremity arterial disease with multilevel vascular lesions. Combined with revascularization therapy, wound care plays a pivotal role in the management of patients with chronic limb-threatening ischemia. We present a case of chronic limb-threatening ischemia, with complex multilevel vascular lesions successfully treated using a retrograde endovascular approach alongside aggressive wound care management. Postintervention, the patient demonstrated a notable increase in ankle-brachial index from 0 to 1, along with accelerated wound healing and preservation of limb function. This case highlights the efficacy of the retrograde approach in restoring perfusion, particularly in chronic total occlusions, and emphasizes the importance of combining revascularization and wound care for optimal chronic limb-threatening ischemia management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1047-1052"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721035","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 : 2024-11-27DOI: 10.1016/j.radcr.2024.11.004
Vishal Kalia, Gregory Garvin, Yi Yan, Vibhuti Kalia
Rice bodies secondary to synovial inflammation, typically occur in the shoulders and knees of individuals affected by either rheumatoid arthritis or tuberculosis. It is uncommon to encounter these in nontubercular mycobacterial tenosynovitis especially in wrist extensor compartment. Understanding this condition and its distinctive imaging features is crucial for both treating clinicians and radiologists. In this case study, we present the imaging findings of a rare occurrence of tenosynovitis of the fourth extensor compartment in the wrist with the formation of rice bodies due to Mycobacterium avium intracellulare. We have chosen to document this case to emphasize its importance in considering the differential diagnosis of extensor tenosynovitis with rice bodies.
{"title":"Mycobacterial avium intracellulare (MAI) extensor tenosynovitis of wrist: An uncommon entity","authors":"Vishal Kalia, Gregory Garvin, Yi Yan, Vibhuti Kalia","doi":"10.1016/j.radcr.2024.11.004","DOIUrl":"10.1016/j.radcr.2024.11.004","url":null,"abstract":"<div><div>Rice bodies secondary to synovial inflammation, typically occur in the shoulders and knees of individuals affected by either rheumatoid arthritis or tuberculosis. It is uncommon to encounter these in nontubercular mycobacterial tenosynovitis especially in wrist extensor compartment. Understanding this condition and its distinctive imaging features is crucial for both treating clinicians and radiologists. In this case study, we present the imaging findings of a rare occurrence of tenosynovitis of the fourth extensor compartment in the wrist with the formation of rice bodies due to Mycobacterium avium intracellulare. We have chosen to document this case to emphasize its importance in considering the differential diagnosis of extensor tenosynovitis with rice bodies.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1064-1068"},"PeriodicalIF":0.0,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720519","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}
Surgery is the preferred treatment for primary hyperparathyroidism (PHPT), but the presence of MIBI-avid thyroid nodules can complicate the localization of parathyroid adenoma (PA). In this case report, we discuss the role of imaging in localizing PA in a patient with concurrent thyroid nodules. A 49-year-old female presented with hypercalcemia and elevated parathyroid hormone levels. Technetium-99m-sestamibi single-photon emission computed tomography/computed tomography (SPECT/CT) showed MIBI-avid enhancement in the left thyroid lobe. Neck ultrasonography revealed 3 thyroid nodules in the left lobe, categorized as Thyroid Imaging Reporting and Data System (TI-RADS) 4. Fine-needle aspiration cytology yielded indeterminate results, and iPTH washout concentration was not elevated. Parathyroid 4-dimensional computed tomography (4D CT) was performed, which revealed an extra thyroid lesion on the left side, favoring PA. Left thyroid lobectomy and parathyroidectomy were performed, and the pathology report confirmed PA and follicular thyroid carcinoma. In cases where MIBI-avid thyroid nodules mimic PA, a combination of imaging modalities including technetium-99m-sestamibi SPECT/CT, neck ultrasonography, and parathyroid 4D CT can aid in differentiating between intrathyroid PA and extrathyroidal locations. Accurate preoperative localization is crucial for successful surgical management of PHPT. These imaging techniques play a pivotal role in guiding surgical decisions and ensuring optimal patient outcomes.
{"title":"Navigating diagnostic dilemmas: Localizing parathyroid adenoma in the presence of MIBI-avid thyroid nodules: A case report and literature review","authors":"Zohreh Maghsoomi , Maryam Rafieemanesh , Atefeh kashanizadeh , Behnaz Boozari , Mohammad Reza Babaei , Neda Hatami , Mohammad E․ Khamseh , Mehran Arab-Ahmadi","doi":"10.1016/j.radcr.2024.08.102","DOIUrl":"10.1016/j.radcr.2024.08.102","url":null,"abstract":"<div><div>Surgery is the preferred treatment for primary hyperparathyroidism (PHPT), but the presence of MIBI-avid thyroid nodules can complicate the localization of parathyroid adenoma (PA). In this case report, we discuss the role of imaging in localizing PA in a patient with concurrent thyroid nodules. A 49-year-old female presented with hypercalcemia and elevated parathyroid hormone levels. Technetium-99m-sestamibi single-photon emission computed tomography/computed tomography (SPECT/CT) showed MIBI-avid enhancement in the left thyroid lobe. Neck ultrasonography revealed 3 thyroid nodules in the left lobe, categorized as Thyroid Imaging Reporting and Data System (TI-RADS) 4. Fine-needle aspiration cytology yielded indeterminate results, and iPTH washout concentration was not elevated. Parathyroid 4-dimensional computed tomography (4D CT) was performed, which revealed an extra thyroid lesion on the left side, favoring PA. Left thyroid lobectomy and parathyroidectomy were performed, and the pathology report confirmed PA and follicular thyroid carcinoma. In cases where MIBI-avid thyroid nodules mimic PA, a combination of imaging modalities including technetium-99m-sestamibi SPECT/CT, neck ultrasonography, and parathyroid 4D CT can aid in differentiating between intrathyroid PA and extrathyroidal locations. Accurate preoperative localization is crucial for successful surgical management of PHPT. These imaging techniques play a pivotal role in guiding surgical decisions and ensuring optimal patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1041-1046"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721033","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 : 2024-11-26DOI: 10.1016/j.radcr.2024.10.079
Dr Kevin Oreo , Dr Oliver Chen , Vincent Lam , Nicholas Burgess , Rafid Al-Asady
Recurrent cholangitis, intrahepatic stones and biliary and anastomotic strictures are common complications after Roux-en-Y hepaticojejunostomy. The surgically altered anatomy makes management of these complications with endoscopic retrograde cholangiopancreatography technically difficult. We present a case of recurrent cholangitis in a 25-year-old woman with a prior hepaticojejunostomy. Intrahepatic stones, biliary strictures and hepaticojejunostomy strictures were treated using a combined percutaneous transhepatic cholangiography and cholangioscopy approach over several interventions. Minimally invasive, multidisciplinary approach to the management of intrahepatic biliary calculi and stricture after hepaticojejunostomy can be considered in cases where traditional endoscopic retrograde cholangiopancreatography intervention is too technically difficult.
{"title":"Percutaneous transhepatic biliary intervention for the management of recurrent cholangitis secondary to intrahepatic biliary stones after hepaticojejunostomy","authors":"Dr Kevin Oreo , Dr Oliver Chen , Vincent Lam , Nicholas Burgess , Rafid Al-Asady","doi":"10.1016/j.radcr.2024.10.079","DOIUrl":"10.1016/j.radcr.2024.10.079","url":null,"abstract":"<div><div>Recurrent cholangitis, intrahepatic stones and biliary and anastomotic strictures are common complications after Roux-en-Y hepaticojejunostomy. The surgically altered anatomy makes management of these complications with endoscopic retrograde cholangiopancreatography technically difficult. We present a case of recurrent cholangitis in a 25-year-old woman with a prior hepaticojejunostomy. Intrahepatic stones, biliary strictures and hepaticojejunostomy strictures were treated using a combined percutaneous transhepatic cholangiography and cholangioscopy approach over several interventions. Minimally invasive, multidisciplinary approach to the management of intrahepatic biliary calculi and stricture after hepaticojejunostomy can be considered in cases where traditional endoscopic retrograde cholangiopancreatography intervention is too technically difficult.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1023-1029"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721034","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}
Herein, we report a rare case of localized ureteral amyloidosis in a patient with malignant lymphoma. A 73-year-old female patient visited our institution for a comprehensive examination and treatment of malignant lymphoma. Contrast-enhanced computed tomography scan and magnetic resonance imaging revealed left hydronephrosis and a left lower ureteral mass. These findings suggested either ureteral amyloidosis or a ureteral carcinoma with significant fibrosis. Cystoscopic biopsy was performed, and the patient was pathologically diagnosed with ureteral amyloidosis. Renal renography revealed left renal dysfunction. However, the patient was asymptomatic. Hence, the patient should be followed-up for ureteral amyloidosis. Computed tomography scan were performed every 3 months, and after approximately 1 year, there was no evidence of mass enlargement. This case highlights the rarity of ureteral amyloidosis and the importance of imaging diagnosis in clinical practice.
{"title":"Case report on ureteral amyloidosis that was incidentally diagnosed in a patient with malignant lymphoma","authors":"Yuko Makihara , Takeshi Yoshizako , Akina Miyamoto , Rika Yoshida , Koichiro Wada , Yasushi Kaji","doi":"10.1016/j.radcr.2024.10.133","DOIUrl":"10.1016/j.radcr.2024.10.133","url":null,"abstract":"<div><div>Herein, we report a rare case of localized ureteral amyloidosis in a patient with malignant lymphoma. A 73-year-old female patient visited our institution for a comprehensive examination and treatment of malignant lymphoma. Contrast-enhanced computed tomography scan and magnetic resonance imaging revealed left hydronephrosis and a left lower ureteral mass. These findings suggested either ureteral amyloidosis or a ureteral carcinoma with significant fibrosis. Cystoscopic biopsy was performed, and the patient was pathologically diagnosed with ureteral amyloidosis. Renal renography revealed left renal dysfunction. However, the patient was asymptomatic. Hence, the patient should be followed-up for ureteral amyloidosis. Computed tomography scan were performed every 3 months, and after approximately 1 year, there was no evidence of mass enlargement. This case highlights the rarity of ureteral amyloidosis and the importance of imaging diagnosis in clinical practice.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1014-1017"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700108","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 : 2024-11-25DOI: 10.1016/j.radcr.2024.10.142
Vellia Zhou BS , Wenhui Zhou MD, PhD , Sanna E. Herwald MD, PhD , Ronald S. Arellano MD
Renal fusion anomalies are rare congenital malformations that comprise horseshoe kidney and crossed fused ectopia. Renal tumors arising from these fusion anomalies are anatomically complex, and surgical management can be technically challenging because of altered renal anatomy. Percutaneous CT-guided ablation can overcome some of these anatomical constraints, and microwave ablation has the additional benefit of shorter treatment time and reduced sensitivity to heat sink effects compared to other ablative modalities. The present report describes the successful use of microwave ablation to treat renal cell carcinoma arising in a horseshoe kidney with no local recurrence after 4.5 years, demonstrating the feasibility of MWA in managing RCC in anatomically complex locations.
{"title":"CT-guided microwave ablation of renal cell carcinoma in a horseshoe kidney","authors":"Vellia Zhou BS , Wenhui Zhou MD, PhD , Sanna E. Herwald MD, PhD , Ronald S. Arellano MD","doi":"10.1016/j.radcr.2024.10.142","DOIUrl":"10.1016/j.radcr.2024.10.142","url":null,"abstract":"<div><div>Renal fusion anomalies are rare congenital malformations that comprise horseshoe kidney and crossed fused ectopia. Renal tumors arising from these fusion anomalies are anatomically complex, and surgical management can be technically challenging because of altered renal anatomy. Percutaneous CT-guided ablation can overcome some of these anatomical constraints, and microwave ablation has the additional benefit of shorter treatment time and reduced sensitivity to heat sink effects compared to other ablative modalities. The present report describes the successful use of microwave ablation to treat renal cell carcinoma arising in a horseshoe kidney with no local recurrence after 4.5 years, demonstrating the feasibility of MWA in managing RCC in anatomically complex locations.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 1030-1033"},"PeriodicalIF":0.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700103","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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