Gastrointestinal Radiology
Case report: Portal and systemic venous gas in a patient with perforated duodenal ulcer: CT findings by Maged Nassef Abdalla Fam et al. |
Published: 2014 Jul
Issue: 8(7) :: Pages: 20-27
| Abstract: Gas within the portal circulation has been known to be associated with a number of conditions most commonly mesenteric ischemia and necrosis. Systemic venous gas is described with few conditions and is mostly iatrogenic in nature. We describe a case of combined portal and systemic venous gas detected by computed tomography in a patient with perforated duodenal ulcer.
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Conventional Radiography, Computed Tomography, Table
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Interventional Radiology
Endovascular Management of Ureteroarterial Fistula: A Rare Potentially Life Threatening Cause of Hematuria by Alexander Copelan et al. |
Published: 2014 Jul
Issue: 8(7) :: Pages: 37-45
| Abstract: Ureteroarterial fistula is a rare, potentially life-threatening cause of hematuria characterized by an abnormal channel between a ureter and artery. The rarity of this condition, complexity of predisposing risk factors and intermittence of symptoms may delay or obscure its diagnosis. With a high index of suspicion and careful angiographic evaluation, embarking on this condition is not only possible but sets the stage for curative intervention. We report a case of a ureteroarterial fistula presenting with intermittent hematuria, successfully diagnosed at angiography and managed with endovascular stent graft placement.
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Computed Tomography, Nuclear Medicine, Angiography, Interventional, Table
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OB/GYN
Case report: Incarceration of the gravid uterus: a radiologic and obstetric challenge by Inge Dierickx et al. |
Published: 2014 Jul
Issue: 8(7) :: Pages: 28-36
| Abstract: We will present the fourth case in the English-language literature of a mid-gestational colonoscopy-assisted manual reposition of an incarcerated uterus. Despite the ready availability of ultrasound, a great number of incarcerations are not recognized before term. Since early diagnosis is the key to a successful treatment, it is important that providers acquire prompt knowledge of this obstetric disorder. Magnetic Resonance Imaging has an important additional value to ultrasound in the detailed scanning of this potentially perilous condition.
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Magnetic Resonance Imaging, Table
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Pediatric Radiology
A new form of shoulder dysplasia in an 11-year-old boy by Jennifer Bichler et al. |
Published: 2014 Jul
Issue: 8(7) :: Pages: 14-19
| Abstract: Pain and impaired function in the shoulder can result from a variety of conditions. Dysplasias of the shoulder girdle are usually asymptomatic; previous literature reports on shoulder malformation have focused on glenoid dysplasia or complete agenesis of the clavicle. We report the case of an 11 year old patient with severe shoulder pain after strenuous physical exercise. Physical inspection showed a prominent clavicle and anteriorly displaced humerus. X-ray demonstrated an abnormally shortened clavicle and a hypoplastic acromion; MRI imaging revealed an elongated deltoid muscle leading over the humeral head. The patient recovered with analgesics and careful mobilization. This is the first reported case of a dysplasia of both the acromion and the clavicle. This developmental abnormality can lead to significant pain, but apparently responds well to conservative treatment. It is possible that this condition is underdiagnosed or represents significantly delayed development.
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Clinical image, Conventional Radiography, Magnetic Resonance Imaging, Table
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Cardiac Imaging
Large serpiginous thrombus straddling the patent foramen ovale and traversing through mitral and tricuspid valves into both ventricles: a therapeutic dilemma of impending paradoxical embolism and recurrent pulmonary embolism. by Yasmin S. Hamirani et al. |
Published: 2014 Jul
Issue: 8(7) :: Pages: 1-13
| Abstract: A 51-year-old male with history of resected renal cell carcinoma and prior pulmonary embolism presented with tachypnea, tachycardia and progressive dyspnea on exertion. Chest computed tomography revealed bilateral acute pulmonary embolism. Transthoracic echocardiogram showed severe pulmonary hypertension with severe cor-pulmonale and presence of a large worm-like thrombus extending across the foramen ovale, entering both ventricles through the mitral and tricuspid valves. The risks of anti-coagulation, pharmacologic thrombolysis, and surgical thrombectomy, in a hemodynamically stable patient, posed a significant therapeutic dilemma. Ultimately, a collective decision was made to start anticoagulation, without incident. At 1 month follow up, complete resolution of the intracardiac thrombus, pulmonary hypertension, and cor-pulmonale were observed with full clinical recovery of the patient.
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Computed Tomography, Ultrasound, Table
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