Intracardiac Fistulae: A Rare Complication of Infective Endocarditis

2011 ◽  
Vol 14 (5) ◽  
pp. 322 ◽  
Author(s):  
Ali M. Alizzi ◽  
Mandana Master ◽  
David Williams
Keyword(s):  
Computed Tomography ◽  
Staphylococcus Aureus ◽  
Pseudomonas Aeruginosa ◽  
Aortic Dissection ◽  
Coronary Care Unit ◽  
Rare Complication ◽  
Postmortem Examination ◽  
Computed Tomography Scan ◽  
Coronary Care ◽  
Tomography Scan

We present the case of a diabetic gentleman who was admitted to the hospital with an infected right foot. Swabs were positive for <i>Staphylococcus aureus</i> and <i>Pseudomonas aeruginosa.</i> His right big toe was amputated. Postoperatively, the patient experienced recurrent episodes of chest pain. He was therefore transferred to the coronary care unit, where he deteriorated rapidly. The patient was subsequently transferred to intensive care. Transthoracic and transesophageal echocardiograms revealed evidence of aortic dissection, but this finding was not confirmed in a computed tomography scan. The patient subsequently experienced cardiac arrest and died. The postmortem examination revealed no aortic dissection but did show a vegetation on the mitral valve with a fistula that tracked into a ruptured epicardium.

scholarly journals Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

2006 ◽  
Vol 124 (4) ◽  
pp. 234-236 ◽  
Author(s):  
Ruy Jorge Cruz Junior ◽  
Jorge Nahas ◽  
Luiz Francisco Poli de Figueiredo
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Abdominal Wall ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Computed Tomography Scan ◽  
The Past ◽  
The Right ◽  
High Degree ◽  
Tomography Scan

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

scholarly journals Commentary Letter: Pneumopericardium Following Blunt Trauma

2019 ◽  
pp. 40-41
Author(s):  
Amr Abd-El Moneim Shalaby
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Blunt Chest Trauma ◽  
Chest Trauma ◽  
Rare Complication ◽  
Chest Ct ◽  
Spontaneous Resolution ◽  
Computed Tomography Scan ◽  
Penetrating Chest Trauma ◽  
Tomography Scan

Pneumopericardium is presence of air within the pericardial space. It is rare complication of blunt or penetrating chest trauma and may also occur iatrogenically. A case report of pneumopericarium caused by blunt chest trauma, condition was diagnosed by chest CT (Computed Tomography) scan; patient was vitally stable and managed conservatively with spontaneous resolution of pneumopericardium 10 days after admission.

Computed Tomography Scan Predicts Abdominal Interventions but Not Stroke after Surgery for Acute Type A Aortic Dissection

2015 ◽  
Vol 64 (02) ◽  
pp. 108-115 ◽  
Author(s):  
Prerana Banerjee ◽  
Christoph Theus ◽  
Jens Bremerich ◽  
Thomas Wolff ◽  
Oliver Reuthebuch ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Computed Tomography Scan ◽  
Type A Aortic Dissection ◽  
Abdominal Interventions ◽  
Tomography Scan

scholarly journals Asymptomatic Pneumopericardium with Atrial Fibrillation after Pericardiocentesis: A Case Report

2019 ◽  
Author(s):  
Hammad Shah ◽  
Momin Salahudin ◽  
Afrasyab Altaf
Keyword(s):  
Computed Tomography ◽  
Atrial Fibrillation ◽  
Rare Complication ◽  
Computed Tomography Scan ◽  
X Ray ◽  
Pericardial Cavity ◽  
Chest X Ray ◽  
Pharmacological Cardioversion ◽  
Tension Pneumopericardium ◽  
Tomography Scan

Air inside the pericardial cavity is called “pneumopericardium”, which is a rare complication of pericardiocentesis. Pneumopericardium may resolve spontaneously or can complicate into tension pericardium, requiring urgent aspiration. We herein describe a 55-year-old man with pericardial effusion who underwent pericardiocentesis. The patient was completely asymptomatic after the procedure. Chest radiograph and computed tomography scan accidentally detected pneumopericardium, which was subsequently complicated by atrial fibrillation and necessitated pharmacological cardioversion. We found no case of asymptomatic pneumopericardium complicated by atrial fibrillation after pericardiocentesis in our literature review. Clinicians and cardiologists should do a post pericardiocentesis chest X-ray to diagnose pneumopericardium and prevent the catastrophic complications of tension pneumopericardium.

scholarly journals Aortic aneurysm as a complication of myeloperoxidase-antineutrophil cytoplasmic antibody-associated vasculitis

Open Medicine ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 468-473
Author(s):  
Atsushi Satomura ◽  
Takayuki Fujita ◽  
Takashi Maruyama ◽  
Hiroaki Hamada ◽  
Yukinari Nozawa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Aortic Dissection ◽  
Antineutrophil Cytoplasmic Antibody ◽  
Computed Tomography Scan ◽  
Abdominal Aortic ◽  
Myeloperoxidase Antineutrophil Cytoplasmic Antibody ◽  
Tomography Scan ◽  
Large Vessels

AbstractMyeloperoxidase-antineutrophil cytoplasmic antibody-associated vasculitis (MPO-AAV) does not usually involve large vessels, such as the aorta. However, we experienced three cases having an aortic aneurysm as a complication of MPO-AAV with renal insufficiency. In one patient it involved the onset of descending aortic dissection during treatment for MPO-AAV; another two patients had an abdominal aortic aneurysm at the time of our diagnosis of MPO-AAV. Although we found no pathological evidence in our patients, MPO-AAV might result in large vessel inflammation. Therefore, we suggest that patients with MPO-AAV should be examined by computed tomography scan to check for the presence of an aortic aneurysm.

scholarly journals A rare complication of the duodenal diverticulum

2019 ◽  
Vol 11 (1) ◽  
pp. 81-82
Author(s):  
Hiroshi Sugimoto ◽  
Aoi Fujikawa ◽  
Akihiro Kishida
Keyword(s):  
Computed Tomography ◽  
Rare Complication ◽  
Duodenal Diverticulum ◽  
Computed Tomography Scan ◽  
Axial Section ◽  
Rebound Tenderness ◽  
Reactive Protein ◽  
The Right ◽  
Tomography Scan ◽  
Retroperitoneal Air

IntroductionAn 80-year-old woman presented to the emergency department with severe right-sided abdominal pain that had started after her last meal. Physical examination revealed fever (38.6°C) and rebound tenderness in the right upper quadrant of the abdomen. The laboratory studies showed a leucocyte count of 11.3×109/L (normal, 3.7–8.0×109/L) and a C-reactive protein level of 2.34 mg/dL (normal, <0.03 mg/dL). There were no other significant findings. A CT scan of the abdomen with contrast revealed retroperitoneal air around a duodenal diverticulum (figures 1 and 2).Figure 1Computed tomography scan of the abdomen with contrast (coronal section). A diverticulum in the second portion of the duodenum (arrow) and retroperitoneal air (asterisk) are shown.Figure 2Computed tomography scan of the abdomen with contrast (axial section). The area with retroperitoneal air (asterisk) is marked.QuestionWhat is the most likely diagnosis and the cause underlying the condition?

scholarly journals The diagnostic value of a non-contrast computed tomography scan-based radiomics model for acute aortic dissection

Medicine ◽  
2021 ◽  
Vol 100 (22) ◽  
pp. e26212
Author(s):  
Zewang Zhou ◽  
Jinquan Yang ◽  
Shuntao Wang ◽  
Weihao Li ◽  
Lei Xie ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Diagnostic Value ◽  
Computed Tomography Scan ◽  
Tomography Scan
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