Musculoskeletal Imaging
Intra-articular osteoid osteoma at the femoral trochlea treated with osteochondral autograft transplantation by Joshua J Leeman et al. |
Published: 2016 Jun
Issue: 10(6) :: Pages: 22-29
| Abstract: We present the case of an intra-articular osteoid osteoma at the femoral trochlea. Intra-articular osteoid osteoma can present a diagnostic challenge both clinically and with imaging because it presents differently from the classic cortical osteoid osteoma. Given the lesion’s proximity to overlying cartilage, the patient underwent resection of the lesion with osteochondral autograft transplantation at the surgical defect. A comprehensive literature review and discussion of intra-articular osteoma will be provided.
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Conventional Radiography, Computed Tomography, Nuclear Medicine, Magnetic Resonance Imaging, Microscopic pathology, Graph, Table
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Nuclear Medicine / Molecular Imaging
Small bowel perforation: a rare complication of ventriculoperitoneal shunt placement by Kelsey Bourm et al. |
Published: 2016 Jun
Issue: 10(6) :: Pages: 30-35
| Abstract: Small bowel perforation is a rare complication of ventriculoperitoneal (VP) shunt placement. When seen, it most commonly affects the stomach or colon. We describe a case and image findings of an 8-year-old female who presented with sepsis and erosion of the VP shunt into the small bowel. The imaging findings were confirmed surgically. We also provide an overview of the current literature discussing previously reported cases, clinical features, and treatment.
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Computed Tomography, Nuclear Medicine, Table
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Gastrointestinal Radiology
Incisional Hernia Following Ventriculoperitoneal Shunt Positioning by Matteo Bonatti et al. |
Published: 2016 Jun
Issue: 10(6) :: Pages: 9-15
| Abstract: Incisional hernia represents a rare complication after ventriculoperitoneal shunt positioning due to failure of the fascial suture in the site of abdominal entrance of ventriculoperitoneal catheter. Clinical presentation can be extremely variable, according to patient’s performance status, herniated material constitution (i.e. mesenteric fat, bowel loops or both) and complication occurrence (e.g. strangulation or intestinal obstruction). Early diagnosis is fundamental in order to surgically repair the defect and prevent further complications. We present the case of a paucisymptomatic incisional hernia following ventriculoperitoneal shunt positioning. Diagnosis was made by means of ultrasound and confirmed by means of computed tomography. The patient was successfully managed by means of surgical repositioning of herniated loop and re-suture.
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Ultrasound, Conventional Radiography, Computed Tomography, Table
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Pediatric Radiology
Currarino Syndrome and the Effect of a Large Anterior Sacral Meningocele on Distal Colostogram in an Anorectal Malformation by Jason K Lee et al. |
Published: 2016 Jun
Issue: 10(6) :: Pages: 16-21
| Abstract: Currarino syndrome is a congenital disorder, consisting of a triad of anomalies including an anorectal malformation, sacral anomaly, and a presacral mass. Anterior sacral meningoceles are the most common presacral mass. A young child presented to our institution with an unrepaired anorectal malformation and a large anterior sacral meningocele. We describe how the anterior meningocele affected the imaging work-up.
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Magnetic Resonance Imaging, Fluoroscopy, Table
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Neuroradiology
Carotid Stent Fracture from Stylocarotid Syndrome by Jeffrey D Hooker et al. |
Published: 2016 Jun
Issue: 10(6) :: Pages: 1-8
| Abstract: Eagle syndrome is a rare condition resulting from elongation of the temporal styloid process or calcification of its associated stylohyoid ligaments. Although usually presenting with pain or odynophagia, Eagle syndrome has been reported to cause a multitude of neurologic symptoms or vascular complications, some of which can be life-threatening. We present a case in which an endovascularly placed internal carotid artery stent in close proximity to a calcified stylohyoid ligament resulted in stent fracture with subsequent stent and vessel occlusion. We review and discuss the presentation, diagnosis, etiology, complications and treatment options of the syndrome.
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Computed Tomography, Angiography, Interventional, Table
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