A 61-year-old postmenopausal woman presented with abdominal edema, heaviness in the lower abdomen, and acute pain in the left lower quadrant. Imaging revealed a large mass with both cystic and solid components on the left side of the uterus, and torsion was suspected based on the coiled appearance of the ovarian pedicle, commonly referred to as the “spiral sign.” A diagnosis of hemorrhagic ovarian cystadenofibroma was made following emergency surgery, which included detorsion and left oophorectomy. This case highlights the diagnostic challenge posed by the resemblance of cystadenofibromas to malignant tumors on imaging. MRI proved crucial in differentiating the tumor's fibrous stroma from malignant characteristics, and the patient had a positive outcome postsurgery. The case underscores the importance of timely surgical intervention, especially in emergencies like ovarian torsion, and highlights the role of advanced imaging in guiding diagnosis and management.
{"title":"Ovarian torsion reveals a large hemorrhagic cystadenofibroma in an elderly woman: Diagnostic challenges and imaging characteristics","authors":"Hadj Hsain Ihssan, Guelzim Yousra, Lahlou Chaimae, Marrakchi Salma, Allali Nazik, Chat latifa, El haddad Siham","doi":"10.1016/j.radcr.2024.10.002","DOIUrl":"10.1016/j.radcr.2024.10.002","url":null,"abstract":"<div><div>A 61-year-old postmenopausal woman presented with abdominal edema, heaviness in the lower abdomen, and acute pain in the left lower quadrant. Imaging revealed a large mass with both cystic and solid components on the left side of the uterus, and torsion was suspected based on the coiled appearance of the ovarian pedicle, commonly referred to as the “spiral sign.” A diagnosis of hemorrhagic ovarian cystadenofibroma was made following emergency surgery, which included detorsion and left oophorectomy. This case highlights the diagnostic challenge posed by the resemblance of cystadenofibromas to malignant tumors on imaging. MRI proved crucial in differentiating the tumor's fibrous stroma from malignant characteristics, and the patient had a positive outcome postsurgery. The case underscores the importance of timely surgical intervention, especially in emergencies like ovarian torsion, and highlights the role of advanced imaging in guiding diagnosis and management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 691-695"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650869","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 : 2024-11-13DOI: 10.1016/j.radcr.2024.10.075
Sajeev Sridhar MD , Roman Sukhovershin MD, PhD , John A. Hancock MD
Arteriovenous malformations (AVMs) are abnormal vascular connections bypassing the capillary system, categorized as acquired or congenital. Acquired uterine AVMs, often resulting from uterine trauma due to procedures like dilatation and curettage, can be life threatening, necessitating prompt diagnosis and management. Here we present a 34-year-old woman with a history of missed abortion and dilatation and curettage presenting with abnormal uterine bleeding 2 months postprocedure. Although initial transvaginal ultrasound suggested retained products of conception, several modalities were required to accurately diagnose uterine AVM with invasive angiography revealing the culprit vessel. Multimodal imaging approaches are crucial for accurate diagnosis and treatment. This case highlights the importance of prompt and precise management to prevent severe outcomes and maintain fertility, emphasizing the need for continued research to improve treatment strategies.
{"title":"Multimodal approach in distinguishing and managing uterine arteriovenous malformation: A case report","authors":"Sajeev Sridhar MD , Roman Sukhovershin MD, PhD , John A. Hancock MD","doi":"10.1016/j.radcr.2024.10.075","DOIUrl":"10.1016/j.radcr.2024.10.075","url":null,"abstract":"<div><div>Arteriovenous malformations (AVMs) are abnormal vascular connections bypassing the capillary system, categorized as acquired or congenital. Acquired uterine AVMs, often resulting from uterine trauma due to procedures like dilatation and curettage, can be life threatening, necessitating prompt diagnosis and management. Here we present a 34-year-old woman with a history of missed abortion and dilatation and curettage presenting with abnormal uterine bleeding 2 months postprocedure. Although initial transvaginal ultrasound suggested retained products of conception, several modalities were required to accurately diagnose uterine AVM with invasive angiography revealing the culprit vessel. Multimodal imaging approaches are crucial for accurate diagnosis and treatment. This case highlights the importance of prompt and precise management to prevent severe outcomes and maintain fertility, emphasizing the need for continued research to improve treatment strategies.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 711-716"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650711","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 : 2024-11-13DOI: 10.1016/j.radcr.2024.10.056
Kaleb Taylor MS , Marco DiBlasi BA , Erik Pedersen MD , Nastaran Shahsavari MD
Juvenile nasopharyngeal angiofibroma (JNA) is a rare, locally aggressive, highly vascularized benign tumor classically found in males from 13 to 20 years old. The most common clinical presentations are recurrent epistaxis and nasal congestion. Imaging plays a significant role in differentiating and determining the extension of nasopharyngeal lesions. The case below highlights a 15-year-old male that presented with nasal congestion and recurrent epistaxis, who underwent nasal endoscopy and ablation. Persisting symptoms led to further evaluation by computed tomography and magnetic resonance imaging of the head; thus, the patient was diagnosed with JNA. Subsequently, the patient underwent angiographic embolization of the maxillary artery branches and eventually, endoscopic tumor resection. The presenting case is an example for physicians that might encounter an unsuspecting case of JNA to expedite diagnosis and care.
幼年鼻咽血管纤维瘤（JNA）是一种罕见的局部侵袭性高血管良性肿瘤，通常见于13至20岁的男性。最常见的临床表现是反复鼻衄和鼻塞。影像学检查在区分和确定鼻咽部病变的扩展方面起着重要作用。下面的病例重点介绍了一名因鼻塞和反复鼻衄而就诊的 15 岁男性，他接受了鼻内窥镜检查和消融术。由于症状持续存在，患者接受了头部计算机断层扫描和磁共振成像的进一步评估，因此被诊断为 JNA。随后，患者接受了上颌动脉分支血管栓塞术，并最终接受了内窥镜肿瘤切除术。本病例为医生们提供了一个范例，他们可能会在毫无戒备的情况下遇到 JNA 病例，从而加快诊断和护理。
{"title":"The radiological perspective of juvenile nasopharyngeal angiofibroma: A case report","authors":"Kaleb Taylor MS , Marco DiBlasi BA , Erik Pedersen MD , Nastaran Shahsavari MD","doi":"10.1016/j.radcr.2024.10.056","DOIUrl":"10.1016/j.radcr.2024.10.056","url":null,"abstract":"<div><div>Juvenile nasopharyngeal angiofibroma (JNA) is a rare, locally aggressive, highly vascularized benign tumor classically found in males from 13 to 20 years old. The most common clinical presentations are recurrent epistaxis and nasal congestion. Imaging plays a significant role in differentiating and determining the extension of nasopharyngeal lesions. The case below highlights a 15-year-old male that presented with nasal congestion and recurrent epistaxis, who underwent nasal endoscopy and ablation. Persisting symptoms led to further evaluation by computed tomography and magnetic resonance imaging of the head; thus, the patient was diagnosed with JNA. Subsequently, the patient underwent angiographic embolization of the maxillary artery branches and eventually, endoscopic tumor resection. The presenting case is an example for physicians that might encounter an unsuspecting case of JNA to expedite diagnosis and care.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 705-710"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650862","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}
Plexiform neurofibroma is characterized by diffuse intraneural neoplastic overgrowth involving a long nerve segment, with tortuous expansion of its branches. It is a hallmark of Neurofibromatosis Type 1 (NF1). We report the case of a 36-year-old man with a known diagnosis of NF1, who was admitted for chronic posterior cervical pain and cervicobrachial neuralgia. MRI findings were consistent with plexiform neurofibromas. This case underscores the importance for radiologists to consider these tumors as a potential cause of cervicobrachial neuralgia in patients with NF1.
{"title":"Investigating an uncommon cause of cervicobrachial neuralgia: Cervical plexiform neurofibroma","authors":"Fadwa Jaheddine, Kaouthar Sfar, Rania Bouanane, Youssef Omor, Rachida Latib, Sanae Amalik","doi":"10.1016/j.radcr.2024.10.022","DOIUrl":"10.1016/j.radcr.2024.10.022","url":null,"abstract":"<div><div>Plexiform neurofibroma is characterized by diffuse intraneural neoplastic overgrowth involving a long nerve segment, with tortuous expansion of its branches. It is a hallmark of Neurofibromatosis Type 1 (NF1). We report the case of a 36-year-old man with a known diagnosis of NF1, who was admitted for chronic posterior cervical pain and cervicobrachial neuralgia. MRI findings were consistent with plexiform neurofibromas. This case underscores the importance for radiologists to consider these tumors as a potential cause of cervicobrachial neuralgia in patients with NF1.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 732-735"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650768","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 : 2024-11-13DOI: 10.1016/j.radcr.2024.10.077
Mamadou L. Sanogo MD , Jared Christensen MD, Sahira Kazanjian MD, Baljendra Kapoor MD, Joseph Gemmete MD, Catalina Bautista MD, Hassan Anbari MBChB
A stricture of the bilioenteric anastomosis is a known complication of pancreaticoduodenectomy surgery and pediatric liver transplant. Occasionally, a complete biliary occlusion is encountered that cannot be treated utilizing endoscopic or conventional interventional radiology blunt recanalization techniques. In this article, we report 2 cases of successful sharp percutaneous ultrasound-guided retrograde creation of bilioenteric neoanastomosis in the setting of a complete biliary occlusion following Whipple surgery and liver transplant respectively. Percutaneous creation of bilioenteric neoanastomosis is a feasible minimally invasive therapeutic option alternative to surgical revision or when endoscopy is infeasible.
{"title":"Ultrasound-guided percutaneous transjejunal creation of neoanastomosis for the treatment of bilioenteric anastomotic occlusion","authors":"Mamadou L. Sanogo MD , Jared Christensen MD, Sahira Kazanjian MD, Baljendra Kapoor MD, Joseph Gemmete MD, Catalina Bautista MD, Hassan Anbari MBChB","doi":"10.1016/j.radcr.2024.10.077","DOIUrl":"10.1016/j.radcr.2024.10.077","url":null,"abstract":"<div><div>A stricture of the bilioenteric anastomosis is a known complication of pancreaticoduodenectomy surgery and pediatric liver transplant. Occasionally, a complete biliary occlusion is encountered that cannot be treated utilizing endoscopic or conventional interventional radiology blunt recanalization techniques. In this article, we report 2 cases of successful sharp percutaneous ultrasound-guided retrograde creation of bilioenteric neoanastomosis in the setting of a complete biliary occlusion following Whipple surgery and liver transplant respectively. Percutaneous creation of bilioenteric neoanastomosis is a feasible minimally invasive therapeutic option alternative to surgical revision or when endoscopy is infeasible.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 696-699"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650710","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 : 2024-11-11DOI: 10.1016/j.radcr.2024.10.099
Aldin Malkoc MD , Daniel L. Burke BS , Iden Andacheh MD
Type B aortic dissection with high-risk features such as a large entry tear, false lumen, and circumferential dissection has a greater chance of progression and rupture without definitive surgical intervention. Traditional thoracic endovascular aortic repair of dissection with proximal zone 1 landing requires extensive aortic arch debranching to minimize the risk of ischemic stroke with endograft deployment. Recent developments in endovascular grafts for thoracic endovascular aortic repair have allowed for an optimized approach in challenging cases. We present the case of a 53-year-old male with circumferential type B aortic dissection and higher-risk features treated with a staged right-to-left carotid bypass and subsequent thoracic endovascular aortic repair with a GOREⓇ TAGⓇ Thoracic Branch Endoprosthesis for zone 1 proximal landing.
B 型主动脉夹层具有大的入口撕裂、假腔和环形夹层等高风险特征，如果不进行明确的手术干预，病情恶化和破裂的几率更大。传统的胸腔内主动脉血管修补术治疗近端 1 区着床的夹层，需要对主动脉弓进行广泛的去支，以最大限度地降低内移植物植入后发生缺血性中风的风险。用于胸腔内主动脉修复的血管内移植物的最新发展使我们能够在具有挑战性的病例中采用优化的方法。我们介绍了一例 53 岁男性患者的病例，他患有环形 B 型主动脉夹层和较高风险特征，我们对他进行了分期右至左颈动脉搭桥术，随后使用 GOREⓇ TAGⓇ 胸腔分支内支架进行胸腔内主动脉修复术，用于 1 区近端着床。
{"title":"Management and follow-up of patient with circumferential type B aortic dissection using GORE thoracic-branch endograft","authors":"Aldin Malkoc MD , Daniel L. Burke BS , Iden Andacheh MD","doi":"10.1016/j.radcr.2024.10.099","DOIUrl":"10.1016/j.radcr.2024.10.099","url":null,"abstract":"<div><div>Type B aortic dissection with high-risk features such as a large entry tear, false lumen, and circumferential dissection has a greater chance of progression and rupture without definitive surgical intervention. Traditional thoracic endovascular aortic repair of dissection with proximal zone 1 landing requires extensive aortic arch debranching to minimize the risk of ischemic stroke with endograft deployment. Recent developments in endovascular grafts for thoracic endovascular aortic repair have allowed for an optimized approach in challenging cases. We present the case of a 53-year-old male with circumferential type B aortic dissection and higher-risk features treated with a staged right-to-left carotid bypass and subsequent thoracic endovascular aortic repair with a GORE<sup>Ⓡ</sup> TAG<sup>Ⓡ</sup> Thoracic Branch Endoprosthesis for zone 1 proximal landing.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 646-650"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650708","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}
Internal hernias are a rare entity with an incidence of 0.2%-0.9% among all hernias. Patients may present with a wide spectrum of symptoms, but strangulated para-duodenal hernias are relatively rare. We present a case of a 24-year-old male who presented with severe abdominal pain. He was diagnosed with a left para-duodenal hernia through contrast-enhanced computed tomography of the abdomen and pelvis. He underwent exploratory laparotomy followed by the resection of strangulated ileal loops with ileo-ileal anastomosis. Emergency surgery is the mainstay of management, and the approach to surgery, open vs. laparoscopic, depends on the surgeon's expertise and available infrastructure. The mortality rate is high if hernias are complicated by incarceration, strangulation, or obstruction.
{"title":"Strangulated left para-duodenal hernia: A case report and review of literature","authors":"Samiksha Lamichhane MBBS , Sapana Koirala MD , Bhawani khanal MS","doi":"10.1016/j.radcr.2024.10.034","DOIUrl":"10.1016/j.radcr.2024.10.034","url":null,"abstract":"<div><div>Internal hernias are a rare entity with an incidence of 0.2%-0.9% among all hernias. Patients may present with a wide spectrum of symptoms, but strangulated para-duodenal hernias are relatively rare. We present a case of a 24-year-old male who presented with severe abdominal pain. He was diagnosed with a left para-duodenal hernia through contrast-enhanced computed tomography of the abdomen and pelvis. He underwent exploratory laparotomy followed by the resection of strangulated ileal loops with ileo-ileal anastomosis. Emergency surgery is the mainstay of management, and the approach to surgery, open vs. laparoscopic, depends on the surgeon's expertise and available infrastructure. The mortality rate is high if hernias are complicated by incarceration, strangulation, or obstruction.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 629-631"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650701","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}
Castleman disease (CD) is a nonclonal lymphoproliferative disorder that causes non-neoplastic lymph node enlargement. With an incidence of approximately 21-25 cases per million, CD presents variably, often mimicking both benign and malignant conditions across various body regions. Clinically, it ranges from asymptomatic lymph node enlargement in Unicentric Castleman's Disease (UCD) to aggressive, multicentric presentations affecting multiple organs. Accurate diagnosis relies on surgical pathology due to the disease's diverse clinical and imaging manifestations. We report a rare case of UCD in a 19-year-old male who presented with mild, nonspecific left upper quadrant pain. Initial examinations, including ultrasonography, computed tomography, and magnetic resonance imaging, showed a hypervascular retroperitoneal mass that was initially suspected to be an accessory spleen or pancreatic tail neuroendocrine tumor.
Surgical resection and histopathological analysis established the diagnosis of hyaline-vascular type UCD. This case highlights the diagnostic challenges of UCD, particularly when presented in uncommon locations like the retroperitoneal peripancreatic region. Imaging often fails to conclusively differentiate CD from other vascular lesions, necessitating a histopathological evaluation. Prior case studies have also reported similar diagnostic challenges and the efficacy of surgical resection for treating UCD. This case report adds to the existing literature by outlining the diagnostic procedure and challenges associated with retroperitoneal UCD. This highlights the need for increased awareness, advanced imaging techniques, and histopathological confirmation to achieve accurate diagnosis and effective treatment. A multidisciplinary approach is critical in managing such complex cases, ultimately leading to favorable patient outcomes.
{"title":"Castleman disease mimicking accessory spleen on imaging: A case report","authors":"Niloofar Ayoobi Yazdi , Arman MomeniAmjadi , Rad ghannadzadeh kermanipour , Sajjad Alizadeh , Faeze Salahshour , Mohammadreza Tahamtan","doi":"10.1016/j.radcr.2024.09.143","DOIUrl":"10.1016/j.radcr.2024.09.143","url":null,"abstract":"<div><div>Castleman disease (CD) is a nonclonal lymphoproliferative disorder that causes non-neoplastic lymph node enlargement. With an incidence of approximately 21-25 cases per million, CD presents variably, often mimicking both benign and malignant conditions across various body regions. Clinically, it ranges from asymptomatic lymph node enlargement in Unicentric Castleman's Disease (UCD) to aggressive, multicentric presentations affecting multiple organs. Accurate diagnosis relies on surgical pathology due to the disease's diverse clinical and imaging manifestations. We report a rare case of UCD in a 19-year-old male who presented with mild, nonspecific left upper quadrant pain. Initial examinations, including ultrasonography, computed tomography, and magnetic resonance imaging, showed a hypervascular retroperitoneal mass that was initially suspected to be an accessory spleen or pancreatic tail neuroendocrine tumor.</div><div>Surgical resection and histopathological analysis established the diagnosis of hyaline-vascular type UCD. This case highlights the diagnostic challenges of UCD, particularly when presented in uncommon locations like the retroperitoneal peripancreatic region. Imaging often fails to conclusively differentiate CD from other vascular lesions, necessitating a histopathological evaluation. Prior case studies have also reported similar diagnostic challenges and the efficacy of surgical resection for treating UCD. This case report adds to the existing literature by outlining the diagnostic procedure and challenges associated with retroperitoneal UCD. This highlights the need for increased awareness, advanced imaging techniques, and histopathological confirmation to achieve accurate diagnosis and effective treatment. A multidisciplinary approach is critical in managing such complex cases, ultimately leading to favorable patient outcomes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 651-656"},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650868","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 84-year-old man presented with a large bronchial artery aneurysm with a tortuous afferent artery. A triple-coaxial system was used to perform super-selective catheterization, consisting of a small microcatheter, a large microcatheter, and a 4-Fr catheter. The large microcatheter was successfully placed inside the aneurysm, and coil embolization was performed using large detachable coils to reduce the procedure cost.
{"title":"Use of a triple-coaxial system in coil embolization of a large bronchial artery aneurysm","authors":"Hiroaki Okada, Masashi Shimohira, Shuji Ikeda, Yuki Maruchi, Akiko Narita, Nozomu Matsunaga, Takahiro Yamamoto, Mayako Yamaji, Kojiro Suzuki","doi":"10.1016/j.radcr.2024.10.063","DOIUrl":"10.1016/j.radcr.2024.10.063","url":null,"abstract":"<div><div>An 84-year-old man presented with a large bronchial artery aneurysm with a tortuous afferent artery. A triple-coaxial system was used to perform super-selective catheterization, consisting of a small microcatheter, a large microcatheter, and a 4-Fr catheter. The large microcatheter was successfully placed inside the aneurysm, and coil embolization was performed using large detachable coils to reduce the procedure cost.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 686-690"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650709","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}
Complete agenesis of the pancreas or the absence of its ventral portion is incompatible with life. However, agenesis of the dorsal pancreas is a relatively benign condition. Partial agenesis of the dorsal pancreas (ADP) arises from abnormal embryogenesis, although the exact etiology remains unknown. In cases of complete dorsal pancreas agenesis, the head, body, tail, minor duodenal papilla, and duct of Santorini are absent, while partial agenesis involves only the minor duodenal papilla and Santorini duct. We present the case of a 60-year-old woman with nonspecific abdominal pain, referred for an abdominal CT scan. The scan revealed the uncinate process and partial head of the pancreas, including the ducts of Wirsung and Santorini, while the remainder of the dorsal pancreas was absent. These findings are consistent with partial ADP. Additionally, multifocal dense calcifications were noted in the ventral pancreas, suggesting chronic pancreatitis. No associated anomalies or additional symptoms were detected. Partial ADP is a scarce condition, and the coexistence of chronic pancreatitis further contributes to its uniqueness. The etiology of chronic pancreatitis in this case remains unclear. The increasing recognition of ADP in recent years is likely due to advances in radiological imaging. Imaging plays a crucial role not only in diagnosing ADP but also in assessing prognosis and detecting any associated anomalies. While specific treatment is unnecessary in the absence of other anomalies, annual screening is recommended due to the potential risk of malignancy in the ventral pancreas.
{"title":"Partial agenesis of the dorsal pancreas with features of chronic pancreatitis: A case report","authors":"Naqibullah Foladi MD , Farhad Farzam MD , Sayed Mohammad Milad Fekrat MD , Najibullah Rahil MD , Mohammad Javid Karimy MD","doi":"10.1016/j.radcr.2024.10.050","DOIUrl":"10.1016/j.radcr.2024.10.050","url":null,"abstract":"<div><div>Complete agenesis of the pancreas or the absence of its ventral portion is incompatible with life. However, agenesis of the dorsal pancreas is a relatively benign condition. Partial agenesis of the dorsal pancreas (ADP) arises from abnormal embryogenesis, although the exact etiology remains unknown. In cases of complete dorsal pancreas agenesis, the head, body, tail, minor duodenal papilla, and duct of Santorini are absent, while partial agenesis involves only the minor duodenal papilla and Santorini duct. We present the case of a 60-year-old woman with nonspecific abdominal pain, referred for an abdominal CT scan. The scan revealed the uncinate process and partial head of the pancreas, including the ducts of Wirsung and Santorini, while the remainder of the dorsal pancreas was absent. These findings are consistent with partial ADP. Additionally, multifocal dense calcifications were noted in the ventral pancreas, suggesting chronic pancreatitis. No associated anomalies or additional symptoms were detected. Partial ADP is a scarce condition, and the coexistence of chronic pancreatitis further contributes to its uniqueness. The etiology of chronic pancreatitis in this case remains unclear. The increasing recognition of ADP in recent years is likely due to advances in radiological imaging. Imaging plays a crucial role not only in diagnosing ADP but also in assessing prognosis and detecting any associated anomalies. While specific treatment is unnecessary in the absence of other anomalies, annual screening is recommended due to the potential risk of malignancy in the ventral pancreas.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 1","pages":"Pages 674-679"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650702","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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