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}
Pub Date : 2026-01-21DOI: 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.
{"title":"A case of prune belly syndrome with patent urachus: Pediatric surgical aspects of a rare case report","authors":"Mutasem Sayyed Ahmad , Taha Mahmoud AlBaik , Hossam Salameh , Nasim Abukaresh , Masa Al-shareef , Mosaikah Anati","doi":"10.1016/j.radcr.2025.12.028","DOIUrl":"10.1016/j.radcr.2025.12.028","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1530-1533"},"PeriodicalIF":0.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024643","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}
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.
{"title":"Cholesterol granuloma forming the solid components within an endometrioma showing intense FDG uptake, mimicking malignancy: A case report","authors":"Go Nakai MD, PhD , Hiroki Matsutani MD, PhD , Takashi Yamada MD, PhD , Tomohito Tanaka MD, PhD , Kazuhiro Yamamoto MD, PhD , Keigo Osuga MD, PhD","doi":"10.1016/j.radcr.2025.12.055","DOIUrl":"10.1016/j.radcr.2025.12.055","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1495-1499"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024654","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}
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.
{"title":"Giant parasitic leiomyoma: A rare cause of acute appendicitis and bowel injury","authors":"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","doi":"10.1016/j.radcr.2025.12.037","DOIUrl":"10.1016/j.radcr.2025.12.037","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1509-1514"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024649","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 : 2026-01-19DOI: 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.
{"title":"Disseminated tuberculosis presenting as a refractory perianal abscess in a Crohn’s disease patient: A case report","authors":"Saber Abdellah Bassel MD , Aymane El Farouki MD , Ouijdane Zamani MD , Meriem Edderai MD , Hassan Ennouali MD , Jamal El Fenni MD , Rachida Saouab MD","doi":"10.1016/j.radcr.2025.12.027","DOIUrl":"10.1016/j.radcr.2025.12.027","url":null,"abstract":"<div><div>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 <em>hepatic and splenic micronodules with mild rim enhancement</em>, in addition to <em>randomly distributed pulmonary micronodules and small nodules</em>, raising suspicion for disseminated TB. CT-guided aspiration of the perianal collection confirmed <em>Mycobacterium tuberculosis</em> 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.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1500-1504"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024609","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}
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.
{"title":"Adult subarachnoid hemorrhage from vein of Galen aneurysmal malformation due to ruptured feeder aneurysm: A case report with long-term MRI review","authors":"Kotaro Ueda MD , Shimpei Tsuboki MD , Takafumi Mitsutake MD, PhD , Keisuke Kadooka MD, PhD , Michihiro Tanaka MD, PhD","doi":"10.1016/j.radcr.2025.12.039","DOIUrl":"10.1016/j.radcr.2025.12.039","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1489-1494"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024646","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}
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.
{"title":"Budd-Chiari syndrome in a young adult: Failed hepatic venoplasty and refusal of liver transplantation","authors":"Mujtaba Jamal Qureshi , Areeba Batool , Suleman Anser MBBS , Muhammad Afzal Chaudhry FCPS, MD , Mohammad Akram Randhawa PhD","doi":"10.1016/j.radcr.2025.12.034","DOIUrl":"10.1016/j.radcr.2025.12.034","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"21 4","pages":"Pages 1505-1508"},"PeriodicalIF":0.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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