Embolization of the false lumen using IMPEDE-FX embolization plugs as part of treatment of an infrarenal post-dissection aneurysm: a case report

Abstract Background This case report demonstrates the value of IMPEDE-FX plugs in an embolization procedure of a false lumen of an infrarenal post-dissection aneurysm. Case presentation A 69-year-old patient was treated with mitral valve replacement, complicated by a Stanford type-A dissection. After 9 years he presented with an enlarging infrarenal post-dissection aneurysm. The false lumen was embolized using multiple IMPEDE-FX plugs as part of the treatment in addition to embolization of the inferior mesenteric artery and overstenting of the re-entry in the right iliac artery. At 15 months the CTA showed a fully thrombosed false lumen and remodeling of the true lumen. Conclusions The false lumen of an infrarenal post-dissection aneurysm can successfully be embolized using IMPEDE-FX embolization plugs as part of the treatment strategy. Prospective trials on patients with non-thrombosed false lumina are indicated.

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Inferior mesenteric artery aneurysm revealed by massif rectal bleeding, case report

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102425 ◽

2021 ◽

pp. 102425

Author(s):

A. Elkaouini ◽

S. Berrajaa ◽

M. Aabdi ◽

M. Merbouh ◽

S. El Mezzeoui ◽

...

Keyword(s):

Case Report ◽

Rectal Bleeding ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Artery Aneurysm

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Testicular artery originating from the inferior mesenteric artery: an alert for interventionalists – A case report

Radiology Case Reports ◽

10.1016/j.radcr.2021.06.059 ◽

2021 ◽

Vol 16 (9) ◽

pp. 2710-2713

Author(s):

Gaia Messana ◽

Ludovico Ambrosi ◽

Lorenzo Paolo Moramarco ◽

Nicola Cionfoli ◽

Marcello Maestri ◽

...

Keyword(s):

Case Report ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

Testicular Artery

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Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report

Surgical Case Reports ◽

10.1186/s40792-019-0736-0 ◽

2019 ◽

Vol 5 (1) ◽

Author(s):

Shinichi Tanaka ◽

Atsushi Fukuda ◽

Eisuke Kawakubo ◽

Takuya Matsumoto

Keyword(s):

Case Report ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Artery Dissection ◽

Surgical Revascularization ◽

Invasive Treatment ◽

Case Presentation ◽

Abdominal Angina ◽

Patch Angioplasty ◽

Superior Mesenteric Artery Dissection

Abstract Background Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. Case presentation We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservative treatment. However, because of persistent abdominal angina, we considered the need for surgical revascularization. He was successfully treated by endarterectomy, patch angioplasty, and retrograde open mesenteric stenting. The abdominal angina was stabilized thereafter. Conclusions The combination of endarterectomy, patch angioplasty, and retrograde open mesenteric stenting is useful for isolated SMA dissection, and long patency can be expected for some patients.

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Patient re-presents to the clinic with reactive arthritis in the right hip after covid-19 infection: A case report

10.21203/rs.3.rs-230354/v1 ◽

2021 ◽

Author(s):

Kamyar Shokraee ◽

Soroush Moradi ◽

Tahereh Eftekhari ◽

Rasoul Shajari ◽

Maryam Masoumi

Keyword(s):

Case Report ◽

Reactive Arthritis ◽

Respiratory Symptoms ◽

Gastrointestinal Infection ◽

Case Presentation ◽

Sexually Transmitted ◽

Methyl Prednisolone ◽

First Case ◽

The Right

Abstract Background: SARS-COV-2, first reported in December 2019, usually presents with respiratory symptoms but can have various other manifestations and sequelae. One of the rare complications of COVID-19 infection is Reactive Arthritis. This complication is more likely to occur following sexually transmitted or gastrointestinal infection.Case presentation: Herein, we report a 58 years old woman hospitalized following COVID-19 infection and was discharged after a week. She consequently presented to the clinic ten days after her discharge, complaining of walking difficulties and radiating pain in her right hip. After ultrasound and MRI, she was diagnosed with reactive arthritis inflammation in the hip’s neck. Other known microorganisms responsible for reactive arthritis were ruled out before attributing it to the earlier COVID-19 infection. She reached remission after being treated using a combination of indomethacin and depot methyl-prednisolone for 14 days. Conclusion: To our knowledge, this is the first case of reactive arthritis caused by SARS-COV-2 in the hip. Further attention should be paid to symptoms occurring after an episode of infection with COVID-19 in order to expand our understanding of the disease and the symptoms with which it can manifest.

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Spontaneous orbital subcutaneous emphysema mimicking lacrimal duct obstruction after sneezing: A case report

Hong Kong Journal of Emergency Medicine ◽

10.1177/1024907918797530 ◽

2018 ◽

Vol 27 (3) ◽

pp. 176-179

Author(s):

Hung-Yen Chan ◽

Chon-Fu Lio ◽

Chang-Ching Yu ◽

Nan-Jing Peng ◽

Hung-Pin Chan

Keyword(s):

Case Report ◽

Subcutaneous Emphysema ◽

Relevant Information ◽

Lacrimal Duct ◽

Case Presentation ◽

Duct Occlusion ◽

Painful Sensation ◽

Eyelid Swelling ◽

Visual Problems ◽

The Right

Introduction: Orbital subcutaneous emphysema after trauma has been carefully reported, but its development in the absence of trauma is rare. Case presentation: We report on a 70-year-old patient who developed unilateral orbital subcutaneous emphysema, mimicking lacrimal duct occlusion, after this man sneezed, and presented with right crepitant eyelid swelling and progressive ptosis. Orbital subcutaneous emphysema develops when air can get into the periorbital soft tissue, which presents as a result of facial bone trauma, iatrogenic procedures, and gas-forming infectious microorganisms, as seen in many published articles. It is very uncommon to see this kind of case report after sneezing; however, in our case, spontaneous orbital subcutaneous emphysema occurred after sneezing that resolved slowly after a few weeks without surgical intervention. Our patient denied any painful sensation over the right orbital area, including no visual problems with the right eye but right eyeball limited movements. It can be stressful to patients due to its symptoms but is not a true emergency. Conclusion: In this article, we should bring awareness to physicians of the possibility of a spontaneously orbital subcutaneous emphysema with complications after sneezing, yielding relevant information for patients to be informed about avoid excessive nose blowing or occluding the nose, creating controlled symptoms.

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The inferior mesenteric artery arising from the superior mesenteric artery demonstrated with 3D-CT: A case report

Radiology Case Reports ◽

10.1016/j.radcr.2019.10.024 ◽

2020 ◽

Vol 15 (2) ◽

pp. 101-104

Author(s):

Yoshitaka Okada ◽

Hiroyuki Morisaka ◽

Katsuhiro Sano ◽

Shigeki Yamaguchi ◽

Tomoaki Ichikawa

Keyword(s):

Case Report ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Inferior Mesenteric Artery ◽

3D Ct

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Internal hernia beneath superior vesical artery after pelvic lymphadenectomy for cervical cancer: a case report and literature review

BMC Surgery ◽

10.1186/s12893-020-00985-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Wen Ai ◽

Zhihua Liang ◽

Feng Li ◽

Haihua Yu

Keyword(s):

Cervical Cancer ◽

Case Report ◽

Literature Review ◽

Internal Hernia ◽

Radical Hysterectomy ◽

Pelvic Lymphadenectomy ◽

Case Presentation ◽

The Common ◽

Laparoscopic Pelvic Lymphadenectomy ◽

The Right

Abstract Background The common complications of radical hysterectomy and pelvic lymphadenectomy usually include wound infection, hemorrhage or hematomas, lymphocele, uretheral injury, ileus and incisional hernias. However, internal hernia secondary to the orifice associated with the uncovered vessels after pelvic lymphadenectomy is very rare. Case presentation We report a case of internal hernia with intestinal perforation beneath the superior vesical artery that occurred one month after laparoscopic pelvic lymphadenectomy for cervical cancer. A partial ileum resection was performed and the right superior vesical artery was transected to prevent recurrence of the internal hernia. Conclusions Retroperitonealization after the pelvic lymphadenectomy should be considered in patients with tortuous, elongated arteries which could be causal lesions of an internal hernia.

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Disseminated Nocardia infection with a lesion occupying the intracranial space complicated with coma: a case report

BMC Infectious Diseases ◽

10.1186/s12879-020-05569-4 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Mei-Hong Yu ◽

Xiao-Xin Wu ◽

Chun-Lei Chen ◽

Song-Jia Tang ◽

Jian-Di Jin ◽

...

Keyword(s):

Case Report ◽

Immunosuppressive Treatment ◽

Lung Infection ◽

C Reactive Protein ◽

Altered Consciousness ◽

Blood Cell Count ◽

Case Presentation ◽

Reactive Protein ◽

Nocardia Cyriacigeorgica ◽

The Right

Abstract Background Disseminated Nocardia infection is a disease that is easily overlooked in patients with lesions occupying the intracranial space complicated with coma. Early diagnosis and treatment are crucial. Case presentation A 65-year-old man was admitted to the First Affiliated Hospital of Zhejiang University in October 2018 with weakness in the right limbs for 3 days and altered consciousness for 1 day. Five months earlier, he had been diagnosed with membranous kidney disease and had received cyclophosphamide and prednisone. At admission, the white blood cell count was 1.37 × 1010/L (with 86.4% neutrophils), and C-reactive protein was 115.60 mg/L. Imaging examinations revealed a lesion occupying the intracranial space, lung infection, and multiple abscesses in the rhomboid muscle. The abscesses were drained. Pus culture confirmed Nocardia cyriacigeorgica infection. With antibiotics and vacuum-sealed drainage of the back wound, the patient improved and was discharged from the hospital. Conclusions This case report shows that infection should be considered during the differential diagnosis of lesions in the intracranial space, especially in patients receiving immunosuppressive treatment. In patients with disseminated N. cyriacigeorgica infection, combination antibiotic therapy and surgical drainage of localised abscesses can be effective.

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