Incarceration of umbilical hernia: a rare complication of large volume paracentesis
We present two cases of umbilical hernia incarceration following large volume paracentesis (LVP) in patients with cirrhotic ascites. Both patients became symptomatic within 48 hours after the LVP. Although being rare, given the significantly higher mortality rate of cirrhotic patients undergoing emergent herniorrhaphy, this complication of LVP is potentially serious. Therefore, it is recommended that patients be examined closely for the presence of umbilical hernias before removal of ascitic fluid and an attempt should be made for external reduction of easily reducible hernias, if a hernia is present. (Source: Journal of R...
Source: Journal of Radiology Case Reports - October 2, 2015 Category: Radiology Source Type: research
Aggressive Metaplastic Carcinoma of the Breast with Osteoclastic Giant Cells
We present a case of a young female patient who presented with a rapidly progressing metaplastic carcinoma with osteoclastic giant cells subtype. There have been only very rare published reports of this pathologic subtype of metaplastic carcinoma containing osteoclastic giant cells. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - October 2, 2015 Category: Radiology Source Type: research
Diffuse Proliferative Cerebral Angiopathy: A case report and review of the literature
Diffuse proliferative cerebral angiopathy is a distinct entity from cerebral arterio-venous malformations; characterized by multiple small arterial feeders and draining veins with normal brain parenchyma seen in-between the abnormal vessels. It is usually seen in younger age group. Here we report a case of diffuse cerebral proliferative angiopathy in a 78-year-old female patient along with discussion of the neuro-imaging findings and review of the literature. It is important to recognize this entity to avoid aggressive surgery or intervention and thus preventing permanent damage to the normal intermingled brain tissue. (So...
Source: Journal of Radiology Case Reports - October 2, 2015 Category: Radiology Source Type: research
Maxillary mesenchymal chondrosarcoma presenting with epistaxis in a child
We report a case where PET-CT not only complemented conventional imaging in suspecting a malignant osseous lesion, but also was indicative of the grade of the tumor. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - August 31, 2015 Category: Radiology Source Type: research
Role of bilateral inferior petrosal sinus sampling (BIPSS) in the diagnosis of Cushing's disease in a patient with double superior vena cava
We described a case in which the use of bilateral inferior petrosal sinus sampling (BIPSS) was conclusive albeit being technically challenging (due to a rare incidental finding of double superior vena cava) and invasive in nature. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - August 31, 2015 Category: Radiology Source Type: research
Sarcoid tenosynovitis, rare presentation of a common disease. Case report and literature review
We describe an unusual case of sarcoidosis presenting with granulomatous tenosynovitis as the only manifestation of the disease, illustrating the radiological findings on different modalities followed by a review of the literature. Radiologists and clinicians should be aware of tenosynovitis as a manifestation of sarcoidosis as early and therefore appropriate treatment significantly alters patient's outcome and prognosis. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - August 31, 2015 Category: Radiology Source Type: research
Perineural tumour spread from colon cancer, an unusual cause of trigeminal neuropathy - a case report
Malignant trigeminal neuralgia due to perineural spread along the branches of the trigeminal nerve, is known to commonly occur secondary to squamous cell carcinomas, lymphomas and adenoid cystic carcinomas in the head and neck region. Rarely metastases to the trigeminal nerve have been reported in breast cancer, prostate cancer and colon cancer. To the best of our knowledge trigeminal neuropathy due to skull base metastases and perineural spread along the maxillary (V2) and mandibular (V3) branches of the trigeminal nerve, secondary to colon cancer, has not been previously reported. The diagnosis in our index case was made...
Source: Journal of Radiology Case Reports - August 31, 2015 Category: Radiology Source Type: research
A Case of Desmoplastic Small Round Cell Tumor
Desmoplastic small round cell tumor is a rare, aggressive tumor primarily affecting young males. It is considered a childhood cancer, and is characterized by a unique chromosomal translocation which leads to failure to suppress tumor growth. It is classified as a soft tissue sarcoma, sharing some features with other small round cell tumors such as Ewing's Sarcoma and primitive neuroectodermal tumor. Typical imaging findings include multiple heterogeneous, lobular abdominal masses, which can grow very large. Often there is a dominant mass with additional peritoneal, omental, retroperitoneal and retrovesical masses. Prognosi...
Source: Journal of Radiology Case Reports - August 31, 2015 Category: Radiology Source Type: research
Primary synovial sarcoma of the abdominal wall: a case report and literature review
(Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - July 31, 2015 Category: Radiology Source Type: research
Hemorrhagic heterotopic pregnancy in a setting of prior tubal ligation and re-anastomosis
(Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - July 31, 2015 Category: Radiology Source Type: research
Heterotaxy Polysplenia Syndrome In An Adult With Unique Vascular Anomalies: Case Report With Review Of Literature
We present here an incidental finding of heterotaxy syndrome associated with unique vascular anomalies in a 35 year old male patient evaluated initially for nephrolithiasis by ultrasonography, and intravenous pyelography. Further evaluation by multidetector row computed tomography showed bilateral bilobed lungs with hyparterial bronchi, cardiac apex to the left, five branches from left-sided aortic arch with retroesophageal right subclavian artery, interrupted inferior vena cava with azygos continuation, left renal vein continuing as hemiazygos vein and replaced common hepatic artery arising from the superior mesenteric ar...
Source: Journal of Radiology Case Reports - July 31, 2015 Category: Radiology Source Type: research
Cardiovascular magnetic resonance and computed tomography in the evaluation of aneurysmal coronary-cameral fistula
Coronary artery fistulas represent abnormal communications between a coronary artery and a major vessel like venae cavae, pulmonary arteries or veins, the coronary sinus, or a cardiac chamber. The latter is called coronary cameral fistula is a rare condition and is most of the times congenital but can be also post traumatic or post surgical, especially after cardiovascular interventional procedures. Most patients are asymptomatic and coronary-cameral fistulae are discovered incidentally during angiographic evaluation for coronary vascular disorders, while other patients have a clinical presentation ranging from angina pect...
Source: Journal of Radiology Case Reports - July 31, 2015 Category: Radiology Source Type: research
Cystoid angiocentric glioma: A case report and literature review
We report a case of cystoid angiocentric glioma associated with an area of calcification. This 25 year old male patient presented with tonic clonic spasm. He underwent craniotomy with complete resection of the lesion. Pathologic specimen showed monomorphous bipolar cells with angiocentric growth pattern. (Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - July 31, 2015 Category: Radiology Source Type: research
Sialadenitis following low dose I-131 diagnostic thyroid scan with Thyrogen® (recombinant human thyroid stimulating hormone - thyrotropin alfa)
(Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - June 16, 2015 Category: Radiology Source Type: research
A pictorial review of reconstructive foot and ankle surgery: hallux abductovalgus
(Source: Journal of Radiology Case Reports)
Source: Journal of Radiology Case Reports - June 16, 2015 Category: Radiology Source Type: research
