Pub Date : 2025-01-25DOI: 10.1016/j.radcr.2024.12.055
Hamdi Mohamed Isse , Senai Goitom Sereke , Nabbosa Valeria , Rita Nassanga , Fartun Abdullahi H Orey , Ahmed Adam Osman , Ismail Gedi Ibrahim
Retrocaval ureter is a rare congenital anomaly in which the ureter courses posterior to the inferior vena cava. It may be associated with inferior vena cava and renal anomalies. We reported an 11-year-old male presented with a history of right flank pain and dysuria. Ultrasonography of the abdomen was done which showed right hydronephrosis and right proximal hydroureteronephrosis. A computed tomography (CT) urogram showed a retrocaval ureter with no other associated anomaly. The parents of the child refused to consent to surgical intervention. CT urogram is the imaging modality of choice to identify the retrocaval ureter and the associated anomalies.
{"title":"Type II retrocaval ureter in an eleven-year-old: A case report","authors":"Hamdi Mohamed Isse , Senai Goitom Sereke , Nabbosa Valeria , Rita Nassanga , Fartun Abdullahi H Orey , Ahmed Adam Osman , Ismail Gedi Ibrahim","doi":"10.1016/j.radcr.2024.12.055","DOIUrl":"10.1016/j.radcr.2024.12.055","url":null,"abstract":"<div><div>Retrocaval ureter is a rare congenital anomaly in which the ureter courses posterior to the inferior vena cava. It may be associated with inferior vena cava and renal anomalies. We reported an 11-year-old male presented with a history of right flank pain and dysuria. Ultrasonography of the abdomen was done which showed right hydronephrosis and right proximal hydroureteronephrosis. A computed tomography (CT) urogram showed a retrocaval ureter with no other associated anomaly. The parents of the child refused to consent to surgical intervention. CT urogram is the imaging modality of choice to identify the retrocaval ureter and the associated anomalies.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 2009-2012"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133690","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 : 2025-01-25DOI: 10.1016/j.radcr.2025.01.013
El Ouazzani Mouad , Bouchoual Mohammed , Boughmi Amine , Bounabe Rabia , Bigi Soufiane , Anibar Sara , Jabrane Marouane , Wakrim Soukaina , Arrayhani Mohamed
Sporadic cerebral amyloid angiopathy is a common condition in the elderly, characterised by the accumulation of amyloid Aβ peptide in the walls of small cerebral arteries, leading to intracranial haemorrhage and cognitive impairment. We present the case of a 65-year-old woman admitted for sudden intracranial hypertension and severe renal failure requiring dialysis.
This case illustrates an uncommon presentation of cerebral amyloid angiopathy in a patient with concurrent end-stage renal disease, highlighting the complex interplay between systemic and cerebrovascular pathology. The diagnostic challenge posed by overlapping neurological and uraemic symptoms underscores the importance of multidisciplinary evaluation in such cases.
{"title":"Cerebral amyloid angiopathy revealed by severe renal failure: A case report","authors":"El Ouazzani Mouad , Bouchoual Mohammed , Boughmi Amine , Bounabe Rabia , Bigi Soufiane , Anibar Sara , Jabrane Marouane , Wakrim Soukaina , Arrayhani Mohamed","doi":"10.1016/j.radcr.2025.01.013","DOIUrl":"10.1016/j.radcr.2025.01.013","url":null,"abstract":"<div><div>Sporadic cerebral amyloid angiopathy is a common condition in the elderly, characterised by the accumulation of amyloid Aβ peptide in the walls of small cerebral arteries, leading to intracranial haemorrhage and cognitive impairment. We present the case of a 65-year-old woman admitted for sudden intracranial hypertension and severe renal failure requiring dialysis.</div><div>This case illustrates an uncommon presentation of cerebral amyloid angiopathy in a patient with concurrent end-stage renal disease, highlighting the complex interplay between systemic and cerebrovascular pathology. The diagnostic challenge posed by overlapping neurological and uraemic symptoms underscores the importance of multidisciplinary evaluation in such cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1988-1992"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133810","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}
Multiple endocrine Neoplasia (MEN) is a rare inherited syndrome that occurs due to the RET (rearranged in trans infection) germline mutation. MEN 2a is more frequent followed by FTC and MEN 2B occurs less frequently. In this case report, we present a case of a 31-year-old female who presented with neck swelling and hypertension and was diagnosed with bilateral pheochromocytomas and medullary carcinoma of the thyroid. Genetic analysis identified heterozygous RET mutation and was consistent with MEN 2 A in exon 11. The patient underwent bilateral adrenalectomy, and medical management was given for medullary thyroid carcinoma.
{"title":"Clinico-radiological findings of men 2A syndrome and its genetic correlation: A case report with review of literature","authors":"Nishant Singhal MD , Shrikant Shukla MD , Nishant Mishra MD , Poonam Sherwani DNB, EDIR, DICRI, MICR , Jagapathi Babu MD, DM","doi":"10.1016/j.radcr.2025.01.005","DOIUrl":"10.1016/j.radcr.2025.01.005","url":null,"abstract":"<div><div>Multiple endocrine Neoplasia (MEN) is a rare inherited syndrome that occurs due to the RET (rearranged in trans infection) germline mutation. MEN 2a is more frequent followed by FTC and MEN 2B occurs less frequently. In this case report, we present a case of a 31-year-old female who presented with neck swelling and hypertension and was diagnosed with bilateral pheochromocytomas and medullary carcinoma of the thyroid. Genetic analysis identified heterozygous RET mutation and was consistent with MEN 2 A in exon 11. The patient underwent bilateral adrenalectomy, and medical management was given for medullary thyroid carcinoma.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1998-2003"},"PeriodicalIF":0.0,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133699","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 : 2025-01-24DOI: 10.1016/j.radcr.2025.01.017
Elvin Piriyev MD , Thomas Römer MD
Adenomyosis is a prevalent gynecological condition that affects women of reproductive age, and its treatment can present significant challenges. Conventional surgical approaches are traumatic to the uterine tissue, necessitating the development of alternative methods. We herein describe the successful treatment of a large diffuse adenomyosis on the back wall of the uterus in a high-risk patient with severe symptoms and fertility desire, using transcervical intrauterine ultrasound-guided radiofrequency ablation. The treatment significantly reduced uterine and adenomyosis volumes and improved the symptoms. This method is a minimally invasive uterine-preserving option and serves as a promising therapeutic alternative to conventional procedures, such as hysterectomy and tissue excision, for treating adenomyosis.
{"title":"Successful treatment of large adenomyosis with transcervical radiofrequency ablation in a high-risk patient: A case report and short review","authors":"Elvin Piriyev MD , Thomas Römer MD","doi":"10.1016/j.radcr.2025.01.017","DOIUrl":"10.1016/j.radcr.2025.01.017","url":null,"abstract":"<div><div>Adenomyosis is a prevalent gynecological condition that affects women of reproductive age, and its treatment can present significant challenges. Conventional surgical approaches are traumatic to the uterine tissue, necessitating the development of alternative methods. We herein describe the successful treatment of a large diffuse adenomyosis on the back wall of the uterus in a high-risk patient with severe symptoms and fertility desire, using transcervical intrauterine ultrasound-guided radiofrequency ablation. The treatment significantly reduced uterine and adenomyosis volumes and improved the symptoms. This method is a minimally invasive uterine-preserving option and serves as a promising therapeutic alternative to conventional procedures, such as hysterectomy and tissue excision, for treating adenomyosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1983-1987"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133609","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 : 2025-01-24DOI: 10.1016/j.radcr.2024.12.056
Sudip Kumar Banik , Tania Tofail , Muhammad Sayedul Arefin , Shohael Mahmud Arafat
Disseminated histoplasmosis (DH) is a rare deep fungal infection caused by Histoplasma capsulatum and it usually occurs in immunocompromised patients like in acquired immunodeficiency syndrome (AIDS) or patients getting any immunosuppressive therapy. Histoplasmosis usually remains unrecognized in immunocompetent individuals. Here we are reporting a case of a 55-year-old immunocompetent man with DH who presented to us with dysphagia, occasional vomiting, slurred speech with left sided hemipaeresis, weight loss and after hospital admission he developed fever, but no cough. On investigations, he was found to have bilateral adrenal mass, rim enhancing lesion in the brain, nodular lesions in duodenum and soft tissue mass in lung. DH was confirmed by the presence of Histoplasma capsulatum in the cytopathology of adrenal mass and histopathology of tissue from duodenum which revealed PAS positive yeasts. He was treated with itraconazole rather than recommended choice of liposomal amphotericin B as he could not afford this expensive drug. After getting itraconazole on subsequent follow up at 4 months, he was found to be clinically improving, gained weight about 10 kg with disappearance of other symptoms. DH may present with atypical symptoms like dysphagia, slurred speech with hemiparesis rather than common presentation with fever, cough or weight loss. Though DH is more common in immunocompromised patients, if multisystem involvement occurs in immunocompetent patients, we should always consider deep fungal infection as one of the differentials.
{"title":"Histoplasmosis-a great invader, even in immunocompetent patient","authors":"Sudip Kumar Banik , Tania Tofail , Muhammad Sayedul Arefin , Shohael Mahmud Arafat","doi":"10.1016/j.radcr.2024.12.056","DOIUrl":"10.1016/j.radcr.2024.12.056","url":null,"abstract":"<div><div>Disseminated histoplasmosis (DH) is a rare deep fungal infection caused by Histoplasma capsulatum and it usually occurs in immunocompromised patients like in acquired immunodeficiency syndrome (AIDS) or patients getting any immunosuppressive therapy. Histoplasmosis usually remains unrecognized in immunocompetent individuals. Here we are reporting a case of a 55-year-old immunocompetent man with DH who presented to us with dysphagia, occasional vomiting, slurred speech with left sided hemipaeresis, weight loss and after hospital admission he developed fever, but no cough. On investigations, he was found to have bilateral adrenal mass, rim enhancing lesion in the brain, nodular lesions in duodenum and soft tissue mass in lung. DH was confirmed by the presence of Histoplasma capsulatum in the cytopathology of adrenal mass and histopathology of tissue from duodenum which revealed PAS positive yeasts. He was treated with itraconazole rather than recommended choice of liposomal amphotericin B as he could not afford this expensive drug. After getting itraconazole on subsequent follow up at 4 months, he was found to be clinically improving, gained weight about 10 kg with disappearance of other symptoms. DH may present with atypical symptoms like dysphagia, slurred speech with hemiparesis rather than common presentation with fever, cough or weight loss. Though DH is more common in immunocompromised patients, if multisystem involvement occurs in immunocompetent patients, we should always consider deep fungal infection as one of the differentials.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1979-1982"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133698","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 nose is a frequently affected site for skin cancers, thus it should always be considered when addressing pathologies of the external apex nasi. This case report presents a 28-year-old woman with an atypical nasal tip mass, characterized as a keratinous cyst demonstrating a multinucleated giant cell reaction and calcification. The mass, which had gradually enlarged over 3 years, was successfully removed using an open rhinoplasty technique. Preoperative imaging studies, including ultrasound, noncontrast CT, and MRI, revealed specific characteristics of the mass, aiding in diagnosis and surgical planning. The study underscores the need for increased awareness about nasal tip deformities caused by keratinous cysts, emphasizing the need for comprehensive diagnostic and therapeutic strategies to improve patient outcomes.
{"title":"An unusual pathology of a nasal tip mass in a 28-year-old female","authors":"Shahin Rajaeih MD , Farshad Riahi MD , Behnaz Bouzari MD , Sam Mirfendereski MD","doi":"10.1016/j.radcr.2024.12.061","DOIUrl":"10.1016/j.radcr.2024.12.061","url":null,"abstract":"<div><div>The nose is a frequently affected site for skin cancers, thus it should always be considered when addressing pathologies of the external apex nasi. This case report presents a 28-year-old woman with an atypical nasal tip mass, characterized as a keratinous cyst demonstrating a multinucleated giant cell reaction and calcification. The mass, which had gradually enlarged over 3 years, was successfully removed using an open rhinoplasty technique. Preoperative imaging studies, including ultrasound, noncontrast CT, and MRI, revealed specific characteristics of the mass, aiding in diagnosis and surgical planning. The study underscores the need for increased awareness about nasal tip deformities caused by keratinous cysts, emphasizing the need for comprehensive diagnostic and therapeutic strategies to improve patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1972-1974"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133720","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}
Isolated involvement of spleen in hydatid disease is relatively uncommon occurrence. The spleen ranks as the third most frequently affected organ in this condition, liver primarily being the most commonly affected. When the disease manifests in the spleen, it typically presents with nonspecific symptoms, complicating the diagnostic process for healthcare professionals. Agricultural regions have endemicity for hydatid disease and the parasitic infection is caused by Echinococcus granulosus, specifically when occurs in splenic parenchyma, it is referred to as splenic hydatid disease (SHD). SHD has an incidence rate reported between 0.5% and 6.0% within the context of abdominal hydatidosis. Surgical intervention constitutes the primary modality of treatment, whereas the laparoscopic technique, when applicable, is deemed secure and presents the benefits associated with laparoscopic procedures. The conventional intervention entails either total or partial splenectomy performed via an open surgical approach. We present a case of 60-year-old female patient who was diagnosed with splenic hydatid cyst using Computed tomography (CT) scan.
{"title":"Isolated splenic involvement in hydatid disease: A case report","authors":"Sakshi Dudhe MBBS , Devyansh Nimodia MBBS , Gaurav V. Mishra MD , Pratapsingh Hanuman Parihar MD , Paritosh Bhangale MBBS , Anjali Kumari MBBS , Rishitha Kotla MBBS","doi":"10.1016/j.radcr.2025.01.033","DOIUrl":"10.1016/j.radcr.2025.01.033","url":null,"abstract":"<div><div>Isolated involvement of spleen in hydatid disease is relatively uncommon occurrence. The spleen ranks as the third most frequently affected organ in this condition, liver primarily being the most commonly affected. When the disease manifests in the spleen, it typically presents with nonspecific symptoms, complicating the diagnostic process for healthcare professionals. Agricultural regions have endemicity for hydatid disease and the parasitic infection is caused by Echinococcus granulosus, specifically when occurs in splenic parenchyma, it is referred to as splenic hydatid disease (SHD). SHD has an incidence rate reported between 0.5% and 6.0% within the context of abdominal hydatidosis. Surgical intervention constitutes the primary modality of treatment, whereas the laparoscopic technique, when applicable, is deemed secure and presents the benefits associated with laparoscopic procedures. The conventional intervention entails either total or partial splenectomy performed via an open surgical approach. We present a case of 60-year-old female patient who was diagnosed with splenic hydatid cyst using Computed tomography (CT) scan.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1975-1978"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133792","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}
Gardner syndrome is a subtype of familial adenomatous polyposis (FAP) characterized by colonic manifestations, multiple skull osteomas, dental abnormalities, benign soft tissue tumors, and a high risk of development of both colorectal cancer and papillary thyroid carcinoma. Many patients are incidentally diagnosed when presenting with craniofacial tumefactions related to osteomas. In such cases, further exploration of family history and other clinical manifestations often reveals positive findings. We report the case of a 34-year-old woman who presented with craniofacial tumefactions and recurrent orbital discomfort. A cranio-facial CT-scan revealed multiple osteomas, including one affecting the orbital region. Investigation of her family history, along with her clinical history, confirmed the presence of Gardner syndrome in her father and siblings, with colonic polyposis- under ongoing surveillance.
{"title":"Gardner syndrome: When cervical-facial osteomas reveal the tip of the iceberg: A case report and literature review","authors":"Hajar Andour MD, Amine Mamouch MD, Soufiane Hassar MD, Meriem Fikri PhD, Najwa Ech-cherif Kettani PhD, Mohamed Jiddane PhD, Firdaous Touarsa PhD","doi":"10.1016/j.radcr.2024.12.043","DOIUrl":"10.1016/j.radcr.2024.12.043","url":null,"abstract":"<div><div>Gardner syndrome is a subtype of familial adenomatous polyposis (FAP) characterized by colonic manifestations, multiple skull osteomas, dental abnormalities, benign soft tissue tumors, and a high risk of development of both colorectal cancer and papillary thyroid carcinoma. Many patients are incidentally diagnosed when presenting with craniofacial tumefactions related to osteomas. In such cases, further exploration of family history and other clinical manifestations often reveals positive findings. We report the case of a 34-year-old woman who presented with craniofacial tumefactions and recurrent orbital discomfort. A cranio-facial CT-scan revealed multiple osteomas, including one affecting the orbital region. Investigation of her family history, along with her clinical history, confirmed the presence of Gardner syndrome in her father and siblings, with colonic polyposis- under ongoing surveillance.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1967-1971"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133613","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}
Ciliated hepatic cyst (CHRC) is a rare, benign hepatic lesion characterized by a pseudostratified ciliated epithelium, distinct from intrahepatic bile ducts. First described in 1984, fewer than 80 cases have been reported. These cysts are often asymptomatic and discovered incidentally during imaging. Radiologically, they can mimic other hepatic lesions, making diagnosis challenging. In this case, a 60-year-old male with right iliac fossa pain was found to have a cyst in segment VIb. MRI suggested a benign lesion, and histopathological analysis after surgical resection confirmed CHRC. Given its potential for malignant transformation, surgical resection is recommended even in the absence of clear signs of progression.
{"title":"Ciliated- hepatic cyst: A case report with literature review","authors":"Asmae Guennouni, Zaynab Iraqui Houssaini, Soukaina Bahha, Hassane En-nouali, Jamal El Fenni","doi":"10.1016/j.radcr.2025.01.001","DOIUrl":"10.1016/j.radcr.2025.01.001","url":null,"abstract":"<div><div>Ciliated hepatic cyst (CHRC) is a rare, benign hepatic lesion characterized by a pseudostratified ciliated epithelium, distinct from intrahepatic bile ducts. First described in 1984, fewer than 80 cases have been reported. These cysts are often asymptomatic and discovered incidentally during imaging. Radiologically, they can mimic other hepatic lesions, making diagnosis challenging. In this case, a 60-year-old male with right iliac fossa pain was found to have a cyst in segment VIb. MRI suggested a benign lesion, and histopathological analysis after surgical resection confirmed CHRC. Given its potential for malignant transformation, surgical resection is recommended even in the absence of clear signs of progression.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1963-1966"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133870","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 : 2025-01-22DOI: 10.1016/j.radcr.2025.01.031
Mohammad Nasser Khattab , Ammar Akid , Yassin Bani Marjeh
Due to the rare occurrence of myocardial infarction (MI) in young people, chest pain in young adults poses a unique diagnostic challenge, increasing the risk of misdiagnosis. This case underscores the importance of considering acute MI in any patient with chest pain, regardless of age. Cardiac imaging is essential for confirming and guiding the diagnosis. We present a case of a very young adult with acute myocardial infarction with nonobstructive coronary artery (MINOCA). Furthermore, after investigation, we identified 7 genetic mutations predisposing the patient to coronary artery thrombosis. MI has a complex etiology involving a combination of genetic factors and internal and external environmental risk factors. It is a leading cause of death globally and has a rare incidence among teenagers and young adults.
{"title":"MINOCA in a 15-year-old female with multiple genetic mutations: A case of myocardial infarction in the very young adult","authors":"Mohammad Nasser Khattab , Ammar Akid , Yassin Bani Marjeh","doi":"10.1016/j.radcr.2025.01.031","DOIUrl":"10.1016/j.radcr.2025.01.031","url":null,"abstract":"<div><div>Due to the rare occurrence of myocardial infarction (MI) in young people, chest pain in young adults poses a unique diagnostic challenge, increasing the risk of misdiagnosis. This case underscores the importance of considering acute MI in any patient with chest pain, regardless of age. Cardiac imaging is essential for confirming and guiding the diagnosis. We present a case of a very young adult with acute myocardial infarction with nonobstructive coronary artery (MINOCA). Furthermore, after investigation, we identified 7 genetic mutations predisposing the patient to coronary artery thrombosis. MI has a complex etiology involving a combination of genetic factors and internal and external environmental risk factors. It is a leading cause of death globally and has a rare incidence among teenagers and young adults.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 4","pages":"Pages 1956-1962"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133612","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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