An Unusual Cause of a Pain in the Neck: Pseudoaneurysm from Tuberculous Lymphadenitis

A pseudoaneurysm is a haematoma which is surrounded by connective tissue and communicates with the lumen of a ruptured blood vessel. It has no true defined capsule. We describe a case of tuberculous pseudoaneurysm. This is a rare complication of tuberculosis. The clinical presentation of these lesions is highly variable. Definitive diagnosis should consist of contrast-enhanced CT and arteriography. Treatment should include repair of the arterial wall by surgery, endovascular stent-graft insertion, or embolization followed by a full course of antituberculous chemotherapy. Our case is highly unusual in that the pseudoaneurysm arose from the subclavian vasculature in a patient with extrapulmonary tuberculosis only.

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CONTRAST ENHANCED CT UNVEILED GIANT RASMUSSEN’S ANEURYSM : A RARE COMPLICATION AND CAUSE OF DEATH IN PULMONARY TUBERCULOSIS

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2014/2544 ◽

2014 ◽

Vol 3 (18) ◽

pp. 5004-5008

Author(s):

Sanjeev Suman ◽

Babita Babita ◽

Shams Tabrez Alam ◽

Singh G N

Keyword(s):

Pulmonary Tuberculosis ◽

Cause Of Death ◽

Rare Complication ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct

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Acute Appendicitis Complicated by Pylephlebitis: A Case Report

Case Reports in Radiology ◽

10.1155/2013/627521 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Ricardo Castro ◽

Teresa Fernandes ◽

Maria I. Oliveira ◽

Miguel Castro

Keyword(s):

Case Report ◽

Acute Appendicitis ◽

Portal Vein ◽

Clinical Presentation ◽

Intraabdominal Infection ◽

Septic Thrombophlebitis ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct

Pylephlebitis is defined as septic thrombophlebitis of the portal vein. It is a rare but serious complication of an intraabdominal infection, more commonly diverticulitis and appendicitis. It has an unspecific clinical presentation and the diagnosis is difficult. The authors report a case of a 21-year-old man with acute appendicitis complicated by pylephlebitis. The diagnosis was made with contrast enhanced CT.

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A Case of Calcific Retropharyngeal Tendinitis: The Significance of an Early Diagnosis

Ear Nose & Throat Journal ◽

10.1177/014556131309200210 ◽

2013 ◽

Vol 92 (2) ◽

pp. 74-75

Author(s):

Kyoichi Terao ◽

Takeshi Kusunoki ◽

Kazunori Mori ◽

Kiyotaka Murata ◽

Katsumi Doi

Keyword(s):

Clinical Presentation ◽

Retropharyngeal Abscess ◽

White Blood Count ◽

True Incidence ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct ◽

Patient Reported ◽

Retropharyngeal Tendinitis ◽

Mild Fever

The clinical presentation of calcific retropharyngeal tendinitis, a rare entity, can mimic more serious disorders. We describe the case of a 35-year-old man who was referred to us for evaluation of a suspected retropharyngeal abscess. At presentation, the patient reported severe cervical pain and stiffness. He exhibited mild fever, torticollis, and a moderately elevated white blood count; no swelling of the retropharyngeal wall was observed. Based on the results of plain radiography and computed tomography (CT), we diagnosed the patient with calcific retropharyngeal tendinitis. He was treated with a 7-day course of a nonsteroidal anti-inflammatory drug and a 3-day course of a steroid, and he recovered well. We suggest that the true incidence of calcific retropharyngeal tendinitis is actually higher than what is generally believed because this diagnosis is frequently missed. Contrast-enhanced CT can aid in diagnosing calcific retropharyngeal tendinitis. CT should be performed in patients who present with nonspecific symptoms such as severe neck pain, sore throat, odynophagia, and mild fever.

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CT findings in a patient with Coronavirus Disease-19-associated acute pericarditis

BJR|case reports ◽

10.1259/bjrcr.20210001 ◽

2021 ◽

pp. 20210001

Author(s):

Yuki Tashiro ◽

Mana Kurihara ◽

Yosiro Hori ◽

Yuya Nakamura ◽

Masaaki Kuarata ◽

...

Keyword(s):

Rare Complication ◽

Imaging Findings ◽

Acute Pericarditis ◽

Ct Findings ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct

Coronavirus Disease-19 (COVID-19)-associated acute pericarditis is a rare complication. Several cases have been reported, but those reports have not discussed any imaging findings. Here, we report a case of a 76-year-old female diagnosed with COVID-19-associated pericarditis without pneumonia, and present image findings of the patient’s contrast-enhanced CT.

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Transient contrast induced neurotoxicity after coronary angiography: A contrast re-challenge case

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.36.5.2688 ◽

2020 ◽

Vol 36 (5) ◽

Author(s):

Muhammad Athar Sadiq ◽

Marwa Salim Al Habsi ◽

Sunil Kumar Nadar ◽

Muhammad Mujtaba Shaikh ◽

Hafidh Aqeel BaOmar

Keyword(s):

Coronary Angiography ◽

Contrast Medium ◽

Rare Complication ◽

Cortical Blindness ◽

Creative Commons ◽

Angina Patient ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct ◽

Exertional Angina

Contrast induced neurotoxicity (CIN) is a rare complication of cardiac catheterization and re-exposure to contrast medium carries the risk of recurrent CIN. We report a case of successful contrast re-challenge in a 60-year-old female patient who developed CIN after her first procedure of coronary angiography (CAG) which resulted in symptoms of disorientation, amnesia and cortical blindness. A non-contrast enhanced CT performed four hours after the CAG was normal, however, her MRI brain scan showed scattered tiny hyper intensities in posterior occipito-temporal and parietal regions suggesting CIN. Patient’s symptoms resolved completely after 72 hours. Two months later, because of persistent exertional angina, patient was successfully re-challenged with lesser amount of contrast medium with administration of hydrocortisone prior to procedure, and PCI to LAD was completed without recurrence of CIN. doi: https://doi.org/10.12669/pjms.36.5.2688 How to cite this:Sadiq MA, Al Habsi MS, Nadar SK, Shaikh MM, BaOmar HA. Transient contrast induced neurotoxicity after coronary angiography: A contrast re-challenge case. Pak J Med Sci. 2020;36(5):---------. doi: https://doi.org/10.12669/pjms.36.5.2688 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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