Intraosseous hemangiomas are benign vascular tumors which are more commonly seen in the vertebrae and skull but they rare in the ribs. Rib hemangiomas can mimic malignant rib lesions and definitive clinical and imaging diagnosis might be difficult and pathological confirmation will be required. Here we report a rib hemangioma in a 49-year-old male presented with painless chest wall swelling of 9 years duration, on chest CT scan the lesion showed dense radiating type calcification with cortical destruction. The patient was sent for core needle biopsy with the impression of chondrosarcoma, subjected to histopathology and confirmed to be a hemangioma. So, although rib hemangioma is rare it should be at the back of our mind for differential diagnosis of aggressive appearing rib lesions especially in patients presented with indolent, painless and incidental rib swelling.
{"title":"Cavernous hemangioma of the rib mimicking malignant bone tumor: A case report","authors":"Mesfin Mulugeta MD , Yenewub Muluken MD , Raja Tamiru MD , Ermias Gizaw Hailemeskel MD , Bethelehem Nigussie MD","doi":"10.1016/j.radcr.2024.10.111","DOIUrl":"10.1016/j.radcr.2024.10.111","url":null,"abstract":"<div><div>Intraosseous hemangiomas are benign vascular tumors which are more commonly seen in the vertebrae and skull but they rare in the ribs. Rib hemangiomas can mimic malignant rib lesions and definitive clinical and imaging diagnosis might be difficult and pathological confirmation will be required. Here we report a rib hemangioma in a 49-year-old male presented with painless chest wall swelling of 9 years duration, on chest CT scan the lesion showed dense radiating type calcification with cortical destruction. The patient was sent for core needle biopsy with the impression of chondrosarcoma, subjected to histopathology and confirmed to be a hemangioma. So, although rib hemangioma is rare it should be at the back of our mind for differential diagnosis of aggressive appearing rib lesions especially in patients presented with indolent, painless and incidental rib swelling.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 929-932"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700099","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 : 2024-11-22DOI: 10.1016/j.radcr.2024.10.115
Koji Hosoda, Kazuto Shimizu, Michiko Tadokoro, Nobuhiro Miyazaki
Torsion of an accessory spleen is a rare condition, and it is often difficult to diagnose. It frequently presents as an acute abdomen, especially in young individuals. Only several dozen cases have been reported so far, and instances of rupture are even rarer. In this report, we present a case of an adult male who developed intraperitoneal hemorrhage due to torsion of an accessory spleen, presenting with left upper quadrant pain. A preoperative diagnosis was successfully made using contrast-enhanced computed tomography (CT), Angiography and magnetic resonance imaging(MRI). When encountering left upper abdominal pain or intraperitoneal hemorrhage, torsion of an accessory spleen should be considered as a differential diagnosis.
{"title":"Intraperitoneal hemorrhage due to accessory spleen torsion: Case report","authors":"Koji Hosoda, Kazuto Shimizu, Michiko Tadokoro, Nobuhiro Miyazaki","doi":"10.1016/j.radcr.2024.10.115","DOIUrl":"10.1016/j.radcr.2024.10.115","url":null,"abstract":"<div><div>Torsion of an accessory spleen is a rare condition, and it is often difficult to diagnose. It frequently presents as an acute abdomen, especially in young individuals. Only several dozen cases have been reported so far, and instances of rupture are even rarer. In this report, we present a case of an adult male who developed intraperitoneal hemorrhage due to torsion of an accessory spleen, presenting with left upper quadrant pain. A preoperative diagnosis was successfully made using contrast-enhanced computed tomography (CT), Angiography and magnetic resonance imaging(MRI). When encountering left upper abdominal pain or intraperitoneal hemorrhage, torsion of an accessory spleen should be considered as a differential diagnosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 903-908"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699986","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 : 2024-11-22DOI: 10.1016/j.radcr.2024.10.127
Ahmad Fitrah MD , Btari Magistra Pancaputri MD , Andreas Klemens Wienanda MD , Atta Kuntara MD , Abdul Kadir Hadar MD , Muhammad Naseh Sajadi Budi Irawan MD , Ahmad Ramdan MD , Anglita Yantisetiasti MD
Chondrosarcomas are one of malignant tumors in which cartilaginous matrix is produced. It is divided into 2 groups including primary or secondary. Primary chondrosarcomas are the third most common primary malignant tumors of the bone. Chondrosarcoma represents 20%–27% of all primary malignant bone tumors. Primary spinal chondrosarcoma is exceedingly rare among spinal tumors. A 36-year-old man presented to hospital with the swelling on the back accompanied with pain. Swelling and pain have been felt for approximately 3 years. The symptoms gradually worsened. On thoracolumbal X-ray a lytic sclerotic expansile lesion on the right posterior aspect of thoracal T5-T6. MRI showed the mass infiltrated intradural and intramedullary, reaching up to the level of vertebrae T4-T5. This infiltration resulted in stenosis of the spinal canal, obliterating the ligamentum flavum, supraspinous ligament, and interspinous ligament. Chondrosarcomas are uncommon malignant bone tumours that form cartilage; they rarely involve the spine, while most of them occur in young men. The thoracic spine is most commonly involved, but there is usually a long history of pain and possible neurological symptoms. Imaging techniques, such as conventional examination, CT, and MRI, are very important for diagnosis and classification and show typical bone destruction with matrix mineralization. Imaging revealed a lytic sclerotic lesion at the T5-T6 level. CT scans performed subsequently showed an expansile mass with a typical ``rings and arcs'' appearance of chondrosarcomas. MRI further delineated the extent of the mass and the surrounding tissue infiltration, and confirmation of low-grade chondrosarcoma, grade I was based on histological examination. The most effective treatment has been en bloc resection, and high-dose adjuvant radiotherapy might improve local control and survival rates. Recommended follow-ups are for the purpose of monitoring recurrence. Primary spinal chondrosarcoma is a rare malignant tumor that predominantly affects adolescents. The standard treatment typically involves surgical intervention, often supplemented with adjuvant radiotherapy. Many patients experience considerable improvements in neurological function following treatment. Long-term monitoring and follow-up are crucial for ensuring the best possible outcomes for individuals with primary spinal chondrosarcoma.
{"title":"Rare malignant primary spinal chondrosarcoma: A case report","authors":"Ahmad Fitrah MD , Btari Magistra Pancaputri MD , Andreas Klemens Wienanda MD , Atta Kuntara MD , Abdul Kadir Hadar MD , Muhammad Naseh Sajadi Budi Irawan MD , Ahmad Ramdan MD , Anglita Yantisetiasti MD","doi":"10.1016/j.radcr.2024.10.127","DOIUrl":"10.1016/j.radcr.2024.10.127","url":null,"abstract":"<div><div>Chondrosarcomas are one of malignant tumors in which cartilaginous matrix is produced. It is divided into 2 groups including primary or secondary. Primary chondrosarcomas are the third most common primary malignant tumors of the bone. Chondrosarcoma represents 20%–27% of all primary malignant bone tumors. Primary spinal chondrosarcoma is exceedingly rare among spinal tumors. A 36-year-old man presented to hospital with the swelling on the back accompanied with pain. Swelling and pain have been felt for approximately 3 years. The symptoms gradually worsened. On thoracolumbal X-ray a lytic sclerotic expansile lesion on the right posterior aspect of thoracal T5-T6. MRI showed the mass infiltrated intradural and intramedullary, reaching up to the level of vertebrae T4-T5. This infiltration resulted in stenosis of the spinal canal, obliterating the ligamentum flavum, supraspinous ligament, and interspinous ligament. Chondrosarcomas are uncommon malignant bone tumours that form cartilage; they rarely involve the spine, while most of them occur in young men. The thoracic spine is most commonly involved, but there is usually a long history of pain and possible neurological symptoms. Imaging techniques, such as conventional examination, CT, and MRI, are very important for diagnosis and classification and show typical bone destruction with matrix mineralization. Imaging revealed a lytic sclerotic lesion at the T5-T6 level. CT scans performed subsequently showed an expansile mass with a typical ``rings and arcs'' appearance of chondrosarcomas. MRI further delineated the extent of the mass and the surrounding tissue infiltration, and confirmation of low-grade chondrosarcoma, grade I was based on histological examination. The most effective treatment has been en bloc resection, and high-dose adjuvant radiotherapy might improve local control and survival rates. Recommended follow-ups are for the purpose of monitoring recurrence. Primary spinal chondrosarcoma is a rare malignant tumor that predominantly affects adolescents. The standard treatment typically involves surgical intervention, often supplemented with adjuvant radiotherapy. Many patients experience considerable improvements in neurological function following treatment. Long-term monitoring and follow-up are crucial for ensuring the best possible outcomes for individuals with primary spinal chondrosarcoma.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 949-956"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700090","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 : 2024-11-22DOI: 10.1016/j.radcr.2024.10.076
Hanen Ben Khalifa , Raja Chebbi , Touhami Ben Alaya , Monia Dhidah
A Temporomandibular joint (TMJ) effusion is an accumulation of fluid components in the articular space. It represents an inflammatory process which can be associated with trauma, arthritis or internal derangement of TMJ such as disc displacement. In this study, we present the case of a 48-year-old patient presented with TMJ effusion, diagnosed as resulting from disc displacement without reduction and osteoarthrosis. The case report details the diagnostic and therapeutic strategies employed.
{"title":"Temporomandibular joint effusion: Diagnostic and therapeutic approaches: A case report","authors":"Hanen Ben Khalifa , Raja Chebbi , Touhami Ben Alaya , Monia Dhidah","doi":"10.1016/j.radcr.2024.10.076","DOIUrl":"10.1016/j.radcr.2024.10.076","url":null,"abstract":"<div><div>A Temporomandibular joint (TMJ) effusion is an accumulation of fluid components in the articular space. It represents an inflammatory process which can be associated with trauma, arthritis or internal derangement of TMJ such as disc displacement. In this study, we present the case of a 48-year-old patient presented with TMJ effusion, diagnosed as resulting from disc displacement without reduction and osteoarthrosis. The case report details the diagnostic and therapeutic strategies employed.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 971-975"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700721","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}
Sacrococcygeal teratoma (SCT) is a rare congenital tumor typically diagnosed in neonates, with management challenges arising from the size of the tumor and associated delivery complications. In this case, a 32-year-old gravida 5 para 5 woman with a history of three prior cesarean sections was diagnosed with a giant type I SCT at 30 weeks of gestation through prenatal ultrasound, confirmed by fetal MRI. At 34 weeks, an emergency cesarean section was performed due to acute fetal distress, resulting in a newborn with transient respiratory distress. Postnatal imaging classified the tumor as type I SCT, and it was successfully excised on the third day of life without complications. The patient recovered well and was discharged on day fifteen. This case highlights the importance of early prenatal diagnosis, surgical intervention, and multidisciplinary care in managing large SCTs.
骶尾部畸胎瘤（SCT）是一种罕见的先天性肿瘤，通常在新生儿中确诊，由于肿瘤的大小和相关的分娩并发症，给治疗带来了挑战。在本病例中，一名 32 岁、孕 5 para 5、曾有三次剖宫产史的孕妇在妊娠 30 周时通过产前超声诊断出患有巨大的 I 型 SCT，并经胎儿核磁共振成像证实。34 周时，因胎儿急性窘迫而进行了紧急剖宫产，导致新生儿一过性呼吸困难。产后造影将肿瘤归类为 I 型 SCT，并在出生后第三天成功切除，未出现并发症。患者恢复良好，于第 15 天出院。本病例强调了产前早期诊断、手术干预和多学科护理在处理大型 SCT 方面的重要性。
{"title":"Fœtal sacrococcygeal teratoma type I: A case report","authors":"Haithem Aloui MD , Eya Azouz MD , Hatem Frikha MD , Hammami Rami MD , Douha Aoun MD , Neila Ben Aba MD , Ayeb Saad MD , Yasmine Houas MD , Riadh jouini MD","doi":"10.1016/j.radcr.2024.10.120","DOIUrl":"10.1016/j.radcr.2024.10.120","url":null,"abstract":"<div><div>Sacrococcygeal teratoma (SCT) is a rare congenital tumor typically diagnosed in neonates, with management challenges arising from the size of the tumor and associated delivery complications. In this case, a 32-year-old gravida 5 para 5 woman with a history of three prior cesarean sections was diagnosed with a giant type I SCT at 30 weeks of gestation through prenatal ultrasound, confirmed by fetal MRI. At 34 weeks, an emergency cesarean section was performed due to acute fetal distress, resulting in a newborn with transient respiratory distress. Postnatal imaging classified the tumor as type I SCT, and it was successfully excised on the third day of life without complications. The patient recovered well and was discharged on day fifteen. This case highlights the importance of early prenatal diagnosis, surgical intervention, and multidisciplinary care in managing large SCTs.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 920-923"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700738","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}
Neurofibromas (NF), rare benign peripheral nerve sheath tumors, are typically linked to neurofibromatosis type 1 (NF1). This case report presents a rare instance of a neurofibroma located in the mandible of a 12-year-old male patient, who presented with localized swelling and discomfort in the lower jaw. Clinical examination revealed a firm, nontender mass on palpation. Investigations such as radiography and computed tomography were done, followed by surgical excision. This case underscores the importance of considering neurofibromas in the differential diagnosis of mandibular lesions and highlights the need for a multidisciplinary approach in management. The case adds to the literature by detailing the presentation, imaging characteristics, and treatment options for neurofibromas in the oral and maxillofacial region, underscoring the need for heightened clinical awareness of such rare occurrences.
{"title":"A rare case of solitary intraosseous neurofibroma of the mandible with radiological insights","authors":"Sakshi Dudhe MBBS , Devyansh Nimodia MBBS , Gaurav V. Mishra MD , Pratapsingh Hanuman Parihar MD , Paritosh Bhangale , Anjali Kumari MBBS , Rishitha Kotla MBBS","doi":"10.1016/j.radcr.2024.10.130","DOIUrl":"10.1016/j.radcr.2024.10.130","url":null,"abstract":"<div><div>Neurofibromas (NF), rare benign peripheral nerve sheath tumors, are typically linked to neurofibromatosis type 1 (NF1). This case report presents a rare instance of a neurofibroma located in the mandible of a 12-year-old male patient, who presented with localized swelling and discomfort in the lower jaw. Clinical examination revealed a firm, nontender mass on palpation. Investigations such as radiography and computed tomography were done, followed by surgical excision. This case underscores the importance of considering neurofibromas in the differential diagnosis of mandibular lesions and highlights the need for a multidisciplinary approach in management. The case adds to the literature by detailing the presentation, imaging characteristics, and treatment options for neurofibromas in the oral and maxillofacial region, underscoring the need for heightened clinical awareness of such rare occurrences.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 957-960"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700107","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 : 2024-11-22DOI: 10.1016/j.radcr.2024.10.134
Khalid Ibrahim , Osama Elhag , Reem AlKetbi , Amna AlKetbi , Loai Ali
Cortical desmoid is an uncommon benign bony lesion that can typically be diagnosed through conventional radiographic methods. However, here we present an atypical case of a 14-year-old male who presented with a history of trauma, and the initial X-ray showed a right femur suspicious bony lesion. Still, the subsequent use of CT and MRI confirmed the diagnosis of cortical desmoid, so conservative management and follow-up imaging was recommended. This case highlights the importance of proper identification of this entity can prevent unnecessary biopsy and surgical intervention.
皮质类蝶形骨瘤是一种不常见的良性骨病变，通常可通过传统的放射学方法确诊。然而，这里我们要介绍的是一个非典型病例，患者是一名 14 岁的男性，有外伤史，最初的 X 光片显示为右股骨可疑骨质病变。但随后使用 CT 和 MRI 确诊为皮质类脂膜炎，因此建议采取保守治疗和后续影像学检查。本病例强调了正确识别这一实体的重要性，可避免不必要的活检和手术干预。
{"title":"Radiological appearance of cortical desmoid in a 14-year-old male patient: A case report","authors":"Khalid Ibrahim , Osama Elhag , Reem AlKetbi , Amna AlKetbi , Loai Ali","doi":"10.1016/j.radcr.2024.10.134","DOIUrl":"10.1016/j.radcr.2024.10.134","url":null,"abstract":"<div><div>Cortical desmoid is an uncommon benign bony lesion that can typically be diagnosed through conventional radiographic methods. However, here we present an atypical case of a 14-year-old male who presented with a history of trauma, and the initial X-ray showed a right femur suspicious bony lesion. Still, the subsequent use of CT and MRI confirmed the diagnosis of cortical desmoid, so conservative management and follow-up imaging was recommended. This case highlights the importance of proper identification of this entity can prevent unnecessary biopsy and surgical intervention.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 976-979"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700722","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}
An uncommon congenital disorder known as venolymphatic malformation (VLM) of the knee develops from improper venous and lymphatic system development. It is a specific kind of vascular abnormality that affects lymphatic and veins, causing abnormal growth and dilation of these vessels. These types of malformations do not directly connect to the main channels but instead appear as swelling or other characteristic features depending on the specific type of malformation. Diagnosis can be particularly challenging when the skin covering the area appears normal. We present a 12-year-old male who presented with pain and swelling on the supra-patellar part of right knee for three months. He experienced some painonly during movements. Magnetic resonance imaging (MRI) and ultrasound were used for evaluation. It was confirmed that the patient had a VLM in the vastus medialis, vastus lateralis, and vastus intermedis muscles, intermuscular plane, and suprapatellar bursa region, along with a Morrant Baker cyst. The diagnostic modalities of MRI can be used with confidence to diagnose VLM swellings in the extremities.
{"title":"Venolymphatic malformation (VLM) manifestation in the knee: An uncommon encounter","authors":"Sakshi Dudhe MBBS , Devyansh Nimodia MBBS , Gaurav V. Mishra MD , Pratapsingh Hanuman Parihar MD , Anjali kumari MBBS , Rishitha Kotla MBBS","doi":"10.1016/j.radcr.2024.10.105","DOIUrl":"10.1016/j.radcr.2024.10.105","url":null,"abstract":"<div><div>An uncommon congenital disorder known as venolymphatic malformation (VLM) of the knee develops from improper venous and lymphatic system development. It is a specific kind of vascular abnormality that affects lymphatic and veins, causing abnormal growth and dilation of these vessels. These types of malformations do not directly connect to the main channels but instead appear as swelling or other characteristic features depending on the specific type of malformation. Diagnosis can be particularly challenging when the skin covering the area appears normal. We present a 12-year-old male who presented with pain and swelling on the supra-patellar part of right knee for three months. He experienced some painonly during movements. Magnetic resonance imaging (MRI) and ultrasound were used for evaluation. It was confirmed that the patient had a VLM in the vastus medialis, vastus lateralis, and vastus intermedis muscles, intermuscular plane, and suprapatellar bursa region, along with a Morrant Baker cyst. The diagnostic modalities of MRI can be used with confidence to diagnose VLM swellings in the extremities.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 886-892"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700726","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}
Sinusitis is a common condition that can lead to various neurological complications due to the spread of infection to the intracranial and orbital regions. Fortunately, the availability of antibiotics has significantly improved the prognosis of sinusitis-associated intracranial complications. As a result, the overall incidence of neurological complications arising from sinusitis remains low. We present a rare case of a 13-year-old male who developed epidural empyema and orbital cellulitis as a complication of acute sinusitis. The patient initially exhibited signs and symptoms of orbital cellulitis, including eyelid swelling, erythema, and pain. Subsequently, the patient's condition worsened, with the development of fever and an intensifying headache. Imaging revealed an epidural empyema, necessitating urgent medical intervention. This case highlights the importance of early recognition and prompt management of sinusitis-related intracranial and orbital complications to prevent potentially life-threatening outcomes
{"title":"Neurological and orbital complication of acute sinusitis in pediatric patient: A case report","authors":"Alessio Volpe , Roberto Altieri , Chiara Risi , Maurizio Erra , Rosanna De Lauso , Fabio Giusto , Angela Siervo , Annamaria Cioffi , Vincenzo Casella , Giacomo Fenza","doi":"10.1016/j.radcr.2024.10.136","DOIUrl":"10.1016/j.radcr.2024.10.136","url":null,"abstract":"<div><div>Sinusitis is a common condition that can lead to various neurological complications due to the spread of infection to the intracranial and orbital regions. Fortunately, the availability of antibiotics has significantly improved the prognosis of sinusitis-associated intracranial complications. As a result, the overall incidence of neurological complications arising from sinusitis remains low. We present a rare case of a 13-year-old male who developed epidural empyema and orbital cellulitis as a complication of acute sinusitis. The patient initially exhibited signs and symptoms of orbital cellulitis, including eyelid swelling, erythema, and pain. Subsequently, the patient's condition worsened, with the development of fever and an intensifying headache. Imaging revealed an epidural empyema, necessitating urgent medical intervention. This case highlights the importance of early recognition and prompt management of sinusitis-related intracranial and orbital complications to prevent potentially life-threatening outcomes</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 989-992"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700723","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 : 2024-11-22DOI: 10.1016/j.radcr.2024.10.125
Zaineb chetbi , Oussama lamzouri , Marouane Boukroute , Ibtissam Bellajdel , Hafsa Taheri , Hanane Saadi , Ahmed Mimouni
Antiphospholipid syndrome (APS) is an autoimmune disorder characterized by thrombotic events and pregnancy complications, including preeclampsia. This case report presents a rare manifestation of APS revealed by multiple ischemic cerebral strokes in a patient with severe preeclampsia. A comprehensive review of the literature is included to highlight the clinical presentation, diagnosis, management, and prognosis of APS in the context of preeclampsia.
{"title":"Case report: Antiphospholipid syndrome revealed by multiple ischemic cerebral strokes in the context of preeclampsia","authors":"Zaineb chetbi , Oussama lamzouri , Marouane Boukroute , Ibtissam Bellajdel , Hafsa Taheri , Hanane Saadi , Ahmed Mimouni","doi":"10.1016/j.radcr.2024.10.125","DOIUrl":"10.1016/j.radcr.2024.10.125","url":null,"abstract":"<div><div>Antiphospholipid syndrome (APS) is an autoimmune disorder characterized by thrombotic events and pregnancy complications, including preeclampsia. This case report presents a rare manifestation of APS revealed by multiple ischemic cerebral strokes in a patient with severe preeclampsia. A comprehensive review of the literature is included to highlight the clinical presentation, diagnosis, management, and prognosis of APS in the context of preeclampsia.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 2","pages":"Pages 961-964"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699987","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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