scholarly journals Caroticocavernous Fistulae: Clinical Presentation, Imaging, and Endovascular Treatment

2019 ◽  
Vol 03 (03) ◽  
pp. 171-179
Author(s):  
Pushpinder S. Khera ◽  
Pawan K. Garg ◽  
Sarbesh Tiwari ◽  
Binit Sureka ◽  
Taruna Yadav ◽  
...  
Keyword(s):  
High Pressure ◽  
Clinical Presentation ◽  
Imaging Findings ◽  
Endovascular Management ◽  
Common Cause ◽  
Interventional Radiologist ◽  
Clinical Presentations ◽  
Pictorial Essay ◽  
Two Wheeler

AbstractCaroticocavernous fistulas (CCFs) occur due to an abnormal communication between the high-pressure carotid artery system and the relatively lower pressure cavernous sinus system. They present with dramatic clinical presentations comprising among other things a swollen red eye with associated loss of vision to a varying degree. Blunt trauma sustained to the head, especially by two-wheeler riders, is the most common cause of the direct CCF and hence a practicing interventional radiologist in a developing country is very likely to encounter this entity in clinical practice. The authors intend to present a pictorial essay of the clinical presentations, imaging findings, endovascular management, and clinical follow-up for CCFs.

scholarly journals Pulmonary Embolization of Radiolucent Intravenous Cannula: Endovascular Retrieval

2021 ◽  
Author(s):  
Suresh Giragani ◽  
Manish Kumar Singh ◽  
Hari kishan Gonuguntla ◽  
Swathi Muthyala ◽  
Surender Alwala
Keyword(s):  
Pulmonary Artery ◽  
Clinical Presentation ◽  
Standard Of Care ◽  
Imaging Findings ◽  
Endovascular Management ◽  
Plastic Tube ◽  
Intravenous Cannula ◽  
Pulmonary Embolization ◽  
Intravascular Devices ◽  
Artery Branch

AbstractFracture and embolization of peripheral intravenous cannula is very rare. Although endovascular retrieval is the standard of care for most of the embolized intravascular devices, endovascular management of embolized peripheral intravenous cannula is technically difficult due to its radiolucent nature and it is not described previously in the literature. We describe the clinical presentation, imaging findings, and endovascular management in a middle aged male who had fractured peripheral intravenous cannula which was embolized into the pulmonary artery branch. Technical nuances associated with retrieval of this radiolucent little plastic tube have been discussed.

scholarly journals Juxtapapillary duodenal diverticulitis in an elderly female

2019 ◽  
Vol 12 (4) ◽  
pp. e229259
Author(s):  
Andrew Groff ◽  
Leonard Walsh ◽  
Manpreet Singh ◽  
Rohit Jain
Keyword(s):  
Abdominal Pain ◽  
Clinical Presentation ◽  
Duodenal Diverticulum ◽  
Purulent Discharge ◽  
Caucasian Woman ◽  
Upper Endoscopy ◽  
Imaging Findings ◽  
Elderly Female ◽  
Duodenal Diverticulitis

We describe the case of an 82-year-old Caucasian woman who presented to our institution as a transfer from an outside hospital with nausea, vomiting and abdominal pain with CT imaging concerning for a duodenal mass or abscess in the juxtapapillary region of the second part of the duodenum. Upper endoscopy showed a non-bleeding duodenal diverticulum with purulent discharge consistent with diverticulitis. She underwent endoscopic disimpaction with irrigation and received a 14 day course of antibiotics, after which she presented for follow-up 1 month after discharge without complications. This case highlights the rarity of juxtapapillary duodenal diverticulitis, its nonspecific clinical presentation and imaging findings and the importance of early diagnosis and management to prevent severe complications including perforation.

scholarly journals 06. MALIGNANT SUBDURAL EFFUSION FROM DURAL METASTASES: A CASE REPORT AND REVIEW OF AVAILABLE LITERATURE

2020 ◽  
Vol 2 (Supplement_2) ◽  
pp. ii1-ii1
Author(s):  
Juan Silvestre Pascual ◽  
John Emmanuel Torio ◽  
Gerardo Legaspi
Keyword(s):  
Subdural Hematoma ◽  
Clinical Presentation ◽  
Primary Site ◽  
High Recurrence Rate ◽  
Subdural Effusion ◽  
Imaging Findings ◽  
Clinical Presentations ◽  
Dural Metastases ◽  
Dural Metastasis ◽  
Similar Imaging

Abstract Dural metastases from a distant primary site is a relatively uncommon entity. Two complications from this that have similar imaging findings and clinical presentation are subdural hematoma and subdural effusion. Multiple cases of subdural hematoma have been reported, but only eight other cases of subdural effusion have been reported in the literature. Here we present a case of subdural effusion as a complication from dural metastasis from a sigmoid adenocarcinoma in a 43 year old female. We also review the available literature, discussing the possible patho-etiologies, clinical presentations and imaging findings, as well as outcomes. We note the high recurrence rate (seen in 66% of all reported cases, including ours) and poor prognosis (days to months) of these cases.

Clinical Presentation and Outcomes of Coil Embolization of Remnant or Recurred Intracranial Aneurysm After Clipping

Neurosurgery ◽  
2010 ◽  
Vol 66 (6) ◽  
pp. 1128-1133 ◽  
Author(s):  
Byung Moon Kim ◽  
Dong Joon Kim ◽  
Dong Ik Kim ◽  
Sung Il Park ◽  
Sang Hyun Suh ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Coil Embolization ◽  
Clinical Presentation ◽  
Imaging Modality ◽  
Mass Effect ◽  
Poor Outcome ◽  
Ct Angiogram ◽  
Clinical Presentations ◽  
Complete Obliteration

Abstract OBJECTIVE To evaluate clinical presentation, safety, techniques, clinical and angiographic outcomes, and prognostic factors of coiling for remnant/recurred aneurysm after clipping. METHODS Twenty-four consecutive patients (11 men and 13 women; mean age, 52 years) with 24 recurred/remnant aneurysms after clipping underwent coil embolization between September 2000 and December 2008. Clinical presentations of remnant/recurred aneurysms, safety, techniques, clinical and angiographic outcomes, and prognostic factors of coil embolization were retrospectively evaluated. RESULTS Twenty-two aneurysms initially presented with subarachnoid hemorrhage and the other two, with mass effect. Eight aneurysms presented with rebleeding and 16 aneurysms were found on follow-up CT angiogram (n = 12) or catheter angiogram (n = 4). The interval between clipping and coiling ranged from 8 days to 114 months (mean, 31 months). Twelve were treated by using single-catheter, 6 by stent-assisted, 4 by multicatheter, 1 by both balloon- and catheter-assisted, and 1 by balloon-in-stent technique. Immediate postembolization angiogram revealed complete obliteration (n = 19) or residual neck (n = 5). Procedure-related permanent morbidity and mortality rates were 4.2% (1 of 24) and 0%, respectively. There was no rebleeding during clinical follow-up for 3 to 82 months (mean, 24 months). Presentation with rupture after clipping was the only significant predictor of poor outcome (P < .05). CONCLUSION Coiling seems to be a safe and effective retreatment option for remnant/ recurred aneurysm after clipping. Presentation with rupture after clipping is the only predictor of poor outcome. For routine/regular follow-up after clipping, CT angiography may be the imaging modality advisable for detection of remnant/recurred aneurysm.

scholarly journals Abdominal aortic aneurysms that have ruptured or are at imminent risk of rupture

2019 ◽  
Vol 52 (3) ◽  
pp. 182-186
Author(s):  
Ingrid Braga Corrêa ◽  
Bruna Leal Torres Alves ◽  
Tarcísio Angelo de Oliveira Sobrinho ◽  
Laura Filgueiras Mourão Ramos ◽  
Renata Lopes Furletti Caldeira Diniz ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Emergency Setting ◽  
Imaging Findings ◽  
Review Of The Literature ◽  
Abdominal Aortic ◽  
Risk Of Rupture ◽  
Pictorial Essay ◽  
Imminent Risk

Abstract The rupture of an abdominal aortic aneurysm (AAA) is considered a high-risk surgical emergency, given the catastrophic consequences and high mortality rate. The objective of this pictorial essay is to illustrate the radiological signs that indicate rupture or imminent rupture. To that end, we describe cases treated at our facility and present a brief review of the literature on the topic. The clinical diagnosis of imminent AAA rupture can be difficult, because patients are usually asymptomatic or have nonspecific pain complaints. In the subsequent follow-up, it is possible to identify radiological signs that indicate instability or rupture itself and thus change the prognosis. Computed tomography is the modality of choice for evaluating an AAA and abdominal pain in the emergency setting. It is therefore essential that the radiologist immediately identify the imaging findings that indicate AAA rupture or the imminent risk of such rupture.

Carcinoma of Vulva in Nepalese Women Managed at B. P. Koirala Memorial Cancer Hospital

2019 ◽  
Vol 3 (1) ◽  
pp. 35-38
Author(s):  
Jitendra Pariyar ◽  
Binuma Shrestha ◽  
Bijaya Chandra Acharya ◽  
Suresh Shrestha ◽  
Jaya Shrestha ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Vulvar Cancer ◽  
Stage Iv ◽  
Treatment Modalities ◽  
Delayed Presentation ◽  
Case Record ◽  
Gynecological Malignancy ◽  
Cancer Hospital ◽  
Clinical Presentations

Introduction: This study aims to analyze the clinical presentation and management outcomes carcinoma of vulva managed B. P. Koirala Memorial Cancer Hospital. Methods: A descriptive study was conducted of all carcinoma of vulva cases managed at B. P. Koirala Memorial Cancer Hospital from 1999 to 2009. The case record of all women diagnosed to have carcinoma of vulva were retrieved and socio-demographic characteristics, clinical presentations, histological type, treatment modalities and outcome were obtained and analyzed. Results: There were 5152 gynecological malignancies and vulvar cancer accounted for 87, giving a prevalence of 1.7%. The ages ranged from 17 to 86 years (mean of 48.6 years). Parity was 0-10. Vulva wound and pruritus were the most frequent clinical features with presentations in stage I -8%, stage II- 28%, stage III – 52 % and stage IV -12%. Squamous cell carcinoma (93%) predominated and 62% were grade I. Among the 87 cases, 32% were treated primarily with surgery, 34% primarily with concurrent chemo-radiation and 28% with combined modality. Clinical follow-up of one to five years showed that 26 (30%) cases had local recurrence and 22 (25%) died of disease. Conclusion: Carcinoma of the vulva is a rare gynecological malignancy in Nepal. Surgery and radiotherapy remain to be the mainstay of treatment. Delayed presentation still results in greater morbidity and mortality rates.  

scholarly journals Intracranial Textiloma: Imaging Features and Literature Review

2021 ◽  
Author(s):  
Vivek Agarwal ◽  
Sameer Vyas ◽  
Chirag Kamal Ahuja ◽  
Vikas Bhatia ◽  
Manjul Tripathi ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Accurate Diagnosis ◽  
Neurological Deficits ◽  
Imaging Features ◽  
Imaging Findings ◽  
Characteristic Imaging ◽  
Retained Surgical Sponges ◽  
Mass Lesions ◽  
Time Of Presentation

Abstract Background and Importance Intracranial textilomas are retained surgical sponges presenting as pseudomass lesions in postoperative patients usually with surrounding inflammatory reaction. Though rare, these are commonly misdiagnosed as postoperative hemorrhagic collections, abscesses, radionecrosis, or residual/recurrent mass lesions. We describe the imaging findings of intracranial textilomas diagnosed in four patients on follow-up postoperative imaging along with their characteristic imaging findings to help radiologists/neurosurgeons make accurate diagnosis. Clinical Presentation One patient had chronic headache without any focal neurological deficits. Rest of the patients were asymptomatic at the time of presentation Conclusion In postoperative scans, possibility of textilomas should be considered apart from residual/recurrent lesions, postoperative abscesses, or radionecrosis. Correct and timely diagnosis is important for further treatment planning and patient care.

scholarly journals The furcal nerve revisited

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
Nanjundappa S. Harshavardhana ◽  
Harshad V. Dabke
Keyword(s):  
Clinical Presentation ◽  
English Literature ◽  
Lumbar Disc ◽  
Atypical Presentation ◽  
Imaging Findings ◽  
Sacral Plexus ◽  
Common Cause ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
Spine Care

Atypical sciatica and discrepancy between clinical presentation and imaging findings is a dilemma for treating surgeon in management of lumbar disc herniation. It also constitutes ground for failed back surgery and potential litigations thereof. Furcal nerve (Furcal = forked) is an independent nerve with its own ventral and dorsal branches (rootlets) and forms a link nerve that connects lumbar and sacral plexus. Its fibers branch out to be part of femoral and obturator nerves in-addition to the lumbosacral trunk. It is most commonly found at L4 level and is the most common cause of atypical presentation of radiculopathy/sciatica. Very little is published about the furcal nerve and many are unaware of its existence. This article summarizes all the existing evidence about furcal nerve in English literature in an attempt to create awareness and offer insight about this unique entity to fellow colleagues/ professionals involved in spine care.

scholarly journals Acute renal and splenic infarctions: a review

QJM ◽  
2019 ◽  
Author(s):  
E Weber ◽  
F Grangeon ◽  
Q Reynaud ◽  
A Hot ◽  
P Sève ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Arterial Injury ◽  
University Hospitals ◽  
Short Term ◽  
Exclusion Criteria ◽  
Diffuse Abdominal Pain ◽  
Organ Volume ◽  
Clinical Presentations ◽  
Few Data

Abstract Background Renal and splenic infarctions are close entities, with few data concerning their clinical, biological and radiological features. Aim The aim of this study was to compare the clinical presentations, etiologies and outcomes of acute renal infarctions (RI) and splenic infarctions (SI). Design A retrospective multicentric cohort study included patients of the 6 university hospitals in Lyon with RI, SI, or associated RI-SI infarctions was conducted. Methods All consecutive cases diagnosed by CT imaging, between January 2013 and October 2016, were included. The exclusion criteria were causes of infarction that did not require additional investigations. Results A total of 161 patients were selected for analysis: 34 patients with RI, 104 patients with SI and 23 patients with both RI-SI. Mean ± SD age of patients was 63.2 ± 16.6 years; 59.6% were male. Only 5/161 (3.1%) were healthy prior to the event. The main symptoms were diffuse abdominal pain (26.4%), followed by nausea/vomiting (18.3%) and fever (16.4%).The causes of RI or SI varied significantly within the three groups. Hypercoagulable state was associated with SI, and embolic disease and arterial injury were associated with RI. Extensive (i.e.>2/3 of organ volume) (OR 6.22, 95%CI 2.0119.22) and bilateral infarctions (OR 15.05, 95%CI 1.79–126.78) were significantly associated with hemodynamic shocks. The survival at 1 month follow-up did not significantly differ between the three groups. Conclusion Acute RI and SI are heterogenous entities in regards to their clinical presentation, etiology, associated venous or arterial thrombosis, but prognoses were not different at short term follow-up.

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