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March 2019 Issue

 




Other Radiology articles from the Neuroradiology section Neuroradiology

Carotid Mycotic Aneurysm associated with Persistent Primitive Hypoglossal Artery. Case Report and Literature Review by Chi Long Ho et al.

Published: 2019 Mar
Issue: 13(3) :: Pages: 1-7


Free full text article: Carotid Mycotic Aneurysm associated with  Persistent Primitive Hypoglossal Artery.  Case Report and Literature Review

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Abstract: Carotid mycotic aneurysm is extremely rare and even more unusual when it is associated with a persistent primitive hypoglossal artery. This artery is the second most common of the embryonic carotid-vertebrobasilar anastomoses. It originates from the cervical internal carotid artery and enters the cranium through a widened hypoglossal canal before anastomosing with the basilar artery. We report a case of an elderly man with a rare Salmonella-induced mycotic aneurysm associated with a persistent primitive hypoglossal artery. Surgical resection of the mycotic aneurysm was complicated by a posterior circulation stroke. To the best of our knowledge, there was no previous report of a carotid mycotic aneurysm associated with a persistent primitive hypoglossal artery thus far in the literature. Owing to the high mortality rate of the carotid mycotic aneurysm, it is imperative to be familiar with the vascular and imaging anatomy prior to surgery particularly in the presence of an embryonic carotid-vertebrobasilar anastomosis. In this report, we highlight the imaging characteristics and treatment options for this rare mycotic aneurysm together with a literature review.


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Computed Tomography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the Interventional Radiology section Interventional Radiology

Spontaneous rupture of the inferior vena cava (IVC) in the setting of IVC filter thrombosis: case report by Daniel R Ludwig et al.

Published: 2019 Mar
Issue: 13(3) :: Pages: 19-27


Free full text article: Spontaneous rupture of the inferior vena cava (IVC) in the setting of IVC filter thrombosis: case report

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Abstract: Spontaneous rupture of the inferior vena cava (IVC) is a rare entity. We report a case of a spontaneous IVC rupture associated with IVC filter thrombosis in a patient presenting with severe atraumatic back pain. Computed tomography (CT) identified a retroperitoneal hematoma and suggested IVC thrombosis. Magnetic resonance (MR) imaging confirmed the presence of IVC filter thrombosis and demonstrated a large defect in the infrarenal IVC, with the vessel lumen in free communication with the adjacent hematoma. The patient was managed conservatively and discharged in stable condition. MR imaging played an important role in characterizing the CT findings, which were unclear.


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Computed Tomography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Spigelian Hernia Including the Urinary Bladder: A Rare Potential Cause of Surgical Complication by Taha Yusuf Kuzan et al.

Published: 2019 Mar
Issue: 13(3) :: Pages: 8-12


Free full text article: Spigelian Hernia Including the Urinary Bladder:  A Rare Potential Cause of Surgical Complication

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Abstract: Spigelian hernia is a rare type of anterior abdominal wall hernia. While it is itself very rare, seeing urinary bladder in this hernia is even rarer. Here, in this case, we specifically illustrate a rare case of Spigelian hernia including the urinary bladder, diagnosed with computerized tomography.


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Computed Tomography, Table





Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Vein of Galen Malformation, a cause of Intracranial Calcification: Case Report and Review of Literature by Rayane Issa et al.

Published: 2019 Mar
Issue: 13(3) :: Pages: 13-18


Free full text article: Vein of Galen Malformation, a cause of Intracranial Calcification: Case Report and Review of Literature

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Abstract: Intracranial calcifications in the pediatric population can have many etiologies including neoplastic, infectious, neurodegenerative, metabolic, or cerebrovascular abnormalities. We present the case of a 2-year-old boy with vein of Galen malformation, a rare cause of intracranial calcifications with a review of literature.


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Computed Tomography, Table





Other Radiology articles from the General Radiology section General Radiology

Unicentric or Multicentric Castleman disease? A case report of a pelvic intraperitoneal mass in a middle aged woman by Antonella Smedile et al.

Published: 2019 Mar
Issue: 13(3) :: Pages: 28-36


Free full text article: Unicentric or Multicentric Castleman disease?  A case report of a pelvic intraperitoneal mass in a middle aged woman

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Abstract: Castleman Disease is a lymphoid disorder characterized by the presence of an enlarged or abnormal lymph node/lymphatic tissue. The disease is classified into unicentric or multicentric variants. The unicentric form is a benign disorder that is usually asymptomatic and consists of a single lymphoid mass that is predominantly located in the mediastinum, but can also rarely develop in the neck or abdomen. The multicentric type involves more than one lymphatic station and is related to the presence of type B symptoms (fevers, night sweats and weight loss), HIV/HHV8 infection and increased serum IL-6 levels. We present the case of an unusual pelvic intraperitoneal manifestation of Castleman Disease in a 52-year-old caucasian woman who showed clinical, radiological, histological and laboratory findings common to both Unicentric and Multicentric Castleman Disease.


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Ultrasound, Computed Tomography, Nuclear Medicine, Microscopic pathology, Table

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