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Journal of Radiology Case Reports

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https://www.readbyqxmd.com/read/28567183/radiologic-findings-in-gabapentin-induced-myositis
#1
Tyler Michael Coupal, David Ross Chang, Kevin Pennycooke, Hugue Alcide Ouellette, Peter Loren Munk
Throughout recent years, Gabapentin has become increasingly used for the treatment of neuropathic pain. We report on a case of a 31 year old female who presented to the emergency department with unilateral leg pain, weakness, and swelling after increasingly titrating her Gabapentin dosage over three weeks. Magnetic resonance imaging confirmed the presence of myositis confined to the left thigh and the patient's symptoms and laboratory abnormalities resolved following Gabapentin cessation. While Gabapentin-induced myositis and rhabdomyolysis is a rare entity, it should be a diagnostic consideration for radiologists, particularly in the absence of infection or trauma...
April 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28567182/adenocarcinoma-of-the-appendix-presenting-as-a-palpable-right-thigh-mass
#2
Marci Handler, Neil Anand, Lawrence Wei, Peter Snieckus
Intra-abdominal and intra-pelvic pathologies initially presenting in extra-abdominal/pelvic locations is unusual. This spread predominantly occurs with infectious processes to sites including the buttock, thigh, and calf. The routes of extension into adjacent anatomically weak compartments include the pelvic outlet, greater sciatic foramen, obturator foramen, inguinal or femoral canal, weak bones, or along nerves and blood vessels. Malignant neoplasms of the appendix, while extremely rare and accounting for only 0...
April 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28567181/incidental-finding-the-discovery-of-a-bronchopulmonary-foregut-malformation-through-investigations-for-crohn-s-disease
#3
Humza Mahmood, Andrew Plumb, Roser Vega, Alastair Windsor
Pulmonary sequestration (PMS) is a rare bronchopulmonary malformation. It has an incidence of between 0.15% to 1.7%. Likewise, cystic adenomatoid malformation (CCAM) is another relatively rare category of a bronchopulmonary malformation with a reported incidence of between 1 in 25,000 to 1 in 35,000. Moreover, a bronchopulmonary malformation with features allied to both of these forms is considered an even rarer entity. In general, bronchopulmonary malformations present with a range of non-specific symptoms...
April 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28567180/bilateral-persistent-primitive-hypoglossal-arteries-associated-with-unilateral-symptomatic-carotid-thromboembolism
#4
Riddhi Patira, Christopher Kyper, Pallav Shah, Kadir Erkmen
We report the fifth case of bilateral persistent primitive hypoglossal arteries in the literature. This is also the first such case to be demonstrated on computerized tomography angiogram (CTA) and the first case to be associated with a symptomatic carotid thrombus. The sub-occlusive thrombus was distal to the take-off of the dominant persistent hypoglossal artery (PHA) from the internal carotid artery, thus sparing involvement of posterior circulation. Timely identification of the internal carotid artery thromboembolism in the setting of a PHA is important to allow for thrombectomy...
April 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28584569/angiographic-diagnosis-of-meckel-s-diverticulum-in-an-adult-patient-with-negative-scintigraphy
#5
Mark Kovacs, Jonathan Botstein, Stuart Braverman
A Meckel's diverticulum was diagnosed by mesenteric angiography in a 34 year-old patient who presented with hematochezia and dropping hemoglobin. The case demonstrates the challenges often encountered in workup of occult gastrointestinal (GI) bleeding, and shows that angiographic diagnosis of Meckel's diverticulum is possible, even in the absence of angiographic evidence of active extravasation. Our patient had a previous non-diagnostic workup including upper and lower endoscopy, videocapsulography, and Technetium-99m pertechnetate (Tc-99m) scintigraphy...
March 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28584568/hypovolemic-shock-and-hemoperitoneum-from-spontaneous-avulsion-of-a-large-pedunculated-uterine-leiomyoma
#6
Daniel J Mizrahi, Chhavi Kaushik, Robert Adamo
Hemoperitoneum with hypovolemic shock from avulsion of a pedunculated leiomyoma is a rare but highly fatal condition that can occur spontaneously or as a result of trauma. We report a case of hemoperitoneum and hypovolemic shock secondary to a bleeding leiomyoma detected via computed tomography (CT) scan in a 39 year old premenopausal, gravida 0 female that presented with abdominal pain and became hemodynamically unstable in the emergency department. A preoperative bimanual exam revealed a mass consistent with a 20 week gestational uterus...
March 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28584567/radiological-findings-in-persistent-m%C3%A3-llerian-duct-syndrome-case-report-and-review-of-literature
#7
Khalid N Alharbi, Ayman O Khushaim, Mohannad Alrasheed, Mohammed Akhtar, Mohammed Neimatallah
This case involved a 36-year-old adult male who presented with an unusual inguinal hernia in which the uterus and fallopian tubes were identified as contents of the inguinal hernia sac. These findings reflected a rare autosomal recessive developmental syndrome known as PMDS (persistent Müllerian duct syndrome). The diagnosis was established and confirmed via radiological-mainly MRI-investigation.
March 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28584566/stercoral-perforation-of-the-rectum-with-faecal-peritonitis-and-pneumatosis-coli-a-case-report
#8
Darakhshan Kanwal, Khaled Mostafa Elgharib Attia, Maged Nassef Abdalla Fam, Safaa Maged Fathelbab Khalil, Abdalla Mousa Alblooshi
Colonic perforation due to impacted faeces or faecaloma is a relatively uncommon presentation with grave prognosis. If left untreated, it can be life threatening due to complications like faecal peritonitis. Till date, fewer than 150 cases have been reported mostly in the English surgical literature describing constipation as the most common underlying etiology. Involvement of rectum is rare with very limited data published in this context. We present a case of stercoral perforation involving the rectum with associated faecal peritonitis and pneumatosis coli...
March 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580070/isolated-spongy-urethral-rupture-from-abrupt-coital-distractive-force
#9
Brian J McArdle, Mark A Wille, Courtney Mp Hollowell
The classic presentation of penile fracture is a cracking or snap sound, with sharp pain, immediate detumescence, swelling, deformation and ecchymosis. A penile fracture involves rupture of the tunica albuginea of one or both corpora cavernosa. Concomitant urethral rupture is reported to occur in 10% to 20% of penile fracture cases. Isolated urethral injury without penile fracture is extremely rare. We report the first case of isolated pendulous urethral rupture from an abrupt coital distractive force. We include a literature review and discussion of isolated urethral trauma secondary to sexual intercourse...
February 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580069/granulomatous-mastitis-in-a-transgender-patient
#10
Kenny Q Sam, Frederick J Severs, Lilian O Ebuoma, Nagi S Chandandeep, Emily L Sedgwick
Granulomatous mastitis is a rare and benign inflammatory condition of the breast most commonly affecting women of child-bearing age as well as patients on oral contraceptives. This condition is important to identify due to its diagnostic mimicry of malicious entities such as breast carcinoma. Clinical and radiological findings are nonspecific and may overlap with breast carcinomas, thus pathologic confirmation is often necessary for definitive diagnosis. Although cases of granulomatous mastitis have been described in cisgender females, there have been no reported cases in the transgender patient, a growing patient population with few imaging guidelines...
February 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580068/mucoepidermoid-carcinoma-of-the-airways-in-a-young-adult-male
#11
Maarten Horst, Mirthe Dekker, Sicco Braak
Mucoepidermoid carcinoma (MEC) of the airways is a rare entity most often found in young patients. We present a case of a 23 year old patient with symptoms of pneumonia, which progresses to a pulmonary abscess within a week. Diagnostic work-up reveals an endobronchial obstruction by a pedunculated low grade MEC. A literature review is provided and radiological appearances are described.
February 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580067/image-guided-percutaneous-transhepatic-removal-of-fish-bone-from-liver-abscess
#12
Chin Wah Lau, Kang Min Wong, Apoorva Gogna
We present a case of a woman who was diagnosed with a hepatic abscess secondary to a migrated fish bone. As the patient did not improve after percutaneous drainage of the abscess, image-guided percutaneous transhepatic removal of the fish bone was performed. Fish bones in hepatic abscesses are typically removed surgically, with the fish bone left in situ in a number of cases. There has been only another reported case of percutaneous transhepatic fish bone removal. We conclude that in the rare case of a hepatic abscess complicating fish bone migration, image-guided percutaneous transhepatic removal of the offending foreign body is a feasible alternative to surgery, especially in high surgical risk patients...
February 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580066/honoring-our-helpers
#13
EDITORIAL
Roland Talanow, Frederik Giesel
This special issue of the Journal of Radiology Case Reports honors the reviewers who donated their time and expertise throughout the year 2016 to the high quality and success of this journal.
January 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580065/lateral-thoracic-artery-pseudoaneurysm-as-a-result-of-penetrating-chest-trauma
#14
Matthew Pontell, Dane Scantling, Jessica Babcock, Alexander Trebelev, Alberto Nunez
Pseudoaneurysms are potentially fatal complications of vascular trauma; however, they are rarely seen as the sole complication of penetrating injury. We present a case of a pseudoaneurysm with an associated arteriovenous fistula of the left lateral thoracic artery as a result of direct trauma from a knife stab. The patient presented only with a painful, swollen left pectoralis muscle. Upon diagnosis, he was taken to the interventional radiology suite and treated successfully with fluoroscopic guided coil embolization...
January 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580064/spontaneous-rupture-of-the-uterine-artery-in-an-otherwise-normal-pregnancy
#15
Nicholas Hardin, Andrew Delozier, Alireza Torabi, Shaked Laks
Spontaneous rupture of a uterine artery in pregnancy is associated with a high rate of mortality. Although uterine artery rupture has been associated with postpartum hemorrhage, it is rarely found during pregnancy. Unfortunately, clinical signs and symptoms are usually vague and nonspecific. We report a case of a 36-year-old woman at 20 weeks gestation presenting with abdominal pain who was found to have a spontaneous uterine artery rupture. To our knowledge, this is the first case report demonstrating imaging findings in a patient with this condition...
January 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580063/imaging-findings-of-ulceroglandular-tularemia
#16
Neil Anand, Osmani Deochand, Robyn Murphy
Francisella tularensis, the causative organism in Tularemia, is a relatively rare disease. There are a few radiological clues to elucidate its presence when suspicion arises. There should be strong consideration for Tularemia in the differential of any patient with its classic symptoms, diffuse cervical lymphadenopathy with evidence of necrosis, and enlarged adenoids. Ultrasound may demonstrate suppurative lymphadenopathy suggestive of infection, as in the case presented. CT often will demonstrate the extent of lymphadenopathy...
January 2017: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580062/dermoid-of-the-oral-cavity-case-report-with-histopathology-correlation-and-review-of-literature
#17
Hanisha Patel, Jonathan Mayl, Bhawna Chandra, Cedric Pritchett, Tushar Chandra
Dermoid cysts are rare masses of the oral cavity derived from ectodermal elements. These are benign, slow-growing tumors that are typically asymptomatic but cause complications of inflammation or dysphagia, dystonia, and airway encroachment due to mass effects. We report the case of a 17 year old female with a painless mass in the left side of the oral cavity. Ultrasound findings demonstrated non-specific findings of a cystic lesion, and definite diagnosis was made with contrast-enhanced CT and intraoperatively with pathologic confirmation...
December 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580061/disseminated-peritoneal-leiomyomatosis-status-post-laparoscopic-hysterectomy-with-morcellation
#18
Neil Anand, Marci Handler, Ahsan Khan, Allison Wagreich, Sean Calhoun
Uterine leiomyomas (fibroids) are common benign neoplasms, which develop from the muscular tissue of the uterus with an estimated incidence of 20-40% in women of reproductive age. In the early nineties, power morcellators were introduced and became commonly used during hysterectomy for symptomatic fibroids. However, if all fragments are not removed, they may parasitize to other blood supply and present as abdominal or pelvic masses. Unfortunate cases have also been reported in which uterine sarcomas seeded throughout the abdomen and pelvis secondary to morcellation...
December 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580060/amyand-s-hernia-a-case-report
#19
Haris N Shekhani, Saurabh Rohatgi, Tarek Hanna, Jamlik-Omari Johnson
Amyand's hernia is a rare and atypical hernia characterized by the herniation of the appendix into the inguinal sac. This hernia may be present without symptoms until inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation or rupture. Early symptoms include tenderness and inguinal swelling which may be misdiagnosed as a strangulated hernia. This condition can be difficult to diagnose clinically. Ultrasound and Computed Tomography may aid in diagnosis. This article presents a rare case of Amyand's hernia followed by a discussion of the epidemiology, diagnosis, imaging details and treatment options for this condition...
December 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28580059/single-coronary-artery-arising-from-the-right-sinus-of-valsalva-presenting-with-chest-pain
#20
Charlene Liew, Michael MacDonald, Angeline C C Poh
Single coronary artery is a rare anomaly, with a reported incidence of 0.024%. It can be diagnosed on coronary computed tomography angiography, where the presence of ostial narrowing and compression between the great vessels must be carefully excluded, since these malignant forms can lead to sudden cardiac death and other ischemic complications. We describe a case of single coronary artery arising from the right sinus of Valsalva presenting with symptoms of ischemic chest pain.
December 2016: Journal of Radiology Case Reports
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