Complex Cases in Diagnostic and Interventional Imaging

A special issue of Reports (ISSN 2571-841X).

Deadline for manuscript submissions: closed (30 April 2025) | Viewed by 669

Special Issue Editor


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Guest Editor
Department of Diagnostic Radiology, IRCCS Fondazione San Gerardo dei Tintori, Via Pergolesi 33, 20900 Monza, Italy
Interests: liver; biliary; MRI; CT; contrast media

Special Issue Information

Dear Colleagues,

Complex cases in diagnostic and interventional imaging often involve unique challenges, requiring a multifaceted approach to accurately diagnose and treat patients. This Special Issue will cover various topics, including oncological imaging, vascular imaging and interventions, gastrointestinal cases, and pediatric imaging. The aim of this Special Issue is to underline the importance of multidisciplinary approaches, the usefulness of advanced technologies, and the importance of patient safety. These complex cases highlight the importance of developing advanced imaging techniques, attaining a thorough understanding of anatomy, and facilitating a collaboration within a medical team to provide the best patient care.

Dr. Cesare Maino
Guest Editor

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Keywords

  • radiology
  • diagnostic imaging
  • interventional techniques
  • diagnosis
  • MR
  • CT
  • ultrasound

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Published Papers (2 papers)

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9 pages, 690 KiB  
Case Report
Rectal Angiosarcoma: A Case Report Highlighting Multidisciplinary Strategies for Rare Malignancies
by Dan Corneliu Jinga, Sabina Sucuri, Irina M. Cazacu-Croitoru, Barhala Mihai and Bogdan Chivu
Reports 2025, 8(2), 67; https://doi.org/10.3390/reports8020067 - 15 May 2025
Viewed by 233
Abstract
Background and Clinical Significance: Rectal angiosarcoma is an exceptionally rare and aggressive malignancy, comprising less than 1% of soft tissue sarcomas. This case highlights the diagnostic and therapeutic challenges posed by this disease, and the lack of established guidelines emphasizing the importance [...] Read more.
Background and Clinical Significance: Rectal angiosarcoma is an exceptionally rare and aggressive malignancy, comprising less than 1% of soft tissue sarcomas. This case highlights the diagnostic and therapeutic challenges posed by this disease, and the lack of established guidelines emphasizing the importance of a multidisciplinary approach. Case Presentation: A 41-year-old male firefighter, with a history of heavy smoking, presented with lower abdominal pain, rectal bleeding, and urgency. Imaging and biopsy confirmed rectal angiosarcoma, stage IIIB. The patient underwent IMRT/VMAT radiation therapy followed by laparoscopic rectal amputation with colostomy. No sign of recurrence or metastatic disease was present on follow-up imaging. Conclusions: This case underlines the importance of a personalized treatment strategy and multidisciplinary collaboration in rare malignancies. Early diagnosis and cooperation across specialties are critical for achieving the best possible outcomes. Full article
(This article belongs to the Special Issue Complex Cases in Diagnostic and Interventional Imaging)
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10 pages, 1290 KiB  
Case Report
Unilateral Palpebral Edema as a Central Sign of Acute Enterobacter-Associated Rhinosinusitis in a 5-Year-Old: A Rare Pediatric Case
by Andrei Osman, Irina Enache, Alice Elena Ghenea, Alexandra Bucătaru, Sidonia Cătălina Vrabie and Ovidiu Mircea Zlatian
Reports 2025, 8(2), 66; https://doi.org/10.3390/reports8020066 - 14 May 2025
Viewed by 125
Abstract
Background and Clinical Significance: Acute pediatric rhinosinusitis is most commonly caused by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. The involvement of Enterobacter species is rare and typically linked to chronic or nosocomial infections. Typical cases of acute rhinosinusitis [...] Read more.
Background and Clinical Significance: Acute pediatric rhinosinusitis is most commonly caused by Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. The involvement of Enterobacter species is rare and typically linked to chronic or nosocomial infections. Typical cases of acute rhinosinusitis in children present with abundant nasal discharge, headache, and fever and are generally managed with systemic antibiotics, nonsteroidal anti-inflammatory drugs (NSAIDs), mucolytics, and topical intranasal treatment. Atypical presentations prompt heightened clinical attention, and depending on the symptoms and patient status, surgical interventions might be considered. Case Presentation: We report the case of a previously healthy 5-year-old boy presenting with painful unilateral palpebral edema, minimal ipsilateral nasal discharge, and persistent headache despite standard rhinosinusitis therapy. Imaging tests revealed complete right maxillary sinus opacification. As the clinical response to ceftriaxone and dexamethasone was minimal, we opted for endoscopic sinus surgery. A nasal swab culture identified Enterobacter spp. in the nasal discharge. Conclusions: Unusual pathogens like Enterobacter spp. can cause acute sinusitis in children without prior risk factors. Early surgical intervention and culture-adjusted antimicrobial therapy remain critical for favorable outcomes. Full article
(This article belongs to the Special Issue Complex Cases in Diagnostic and Interventional Imaging)
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