scholarly journals Delayed Thoracodorsal Artery Pseudoaneurysm After Thoracoscopic Sympathectomy for Hyperhidrosis in an Adolescent: A Case Report

2020 ◽  
Author(s):  
Adrian KHELIF ◽  
Marc LAUREYS ◽  
Karim KHELIF
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Doppler Ultrasound ◽  
Computed Tomography Angiography ◽  
False Aneurysm ◽  
Angiographic Embolization ◽  
Artery Pseudoaneurysm ◽  
Case Presentation ◽  
Thoracoscopic Sympathectomy ◽  
Thoracodorsal Artery

Abstract Background: Conversely to intercostal artery false aneurysm, thoracodorsal artery pseudoaneurysm after thoracoscopy has never been reported previously.Case presentation: We report the case of a 15-year-old male presenting a delayed thoracodorsal artery pseudoaneurysm after bilateral thoracospic sympathectomy. Diagnosis was made by Doppler Ultrasound and confirmed by computed tomography angiography. Angiographic embolization was successfully performed. Conclusion: Thoracodorsal artery pseudoaneurysm should be considered in patients presenting with a parietal thoracic mass following thoracoscopy. This is to the best of our knowledge the first report of thoracodorsal artery pseudoaneurysm after thoracoscopy.

scholarly journals Management of a pseudo-aneurysm in the hepatic artery after a laparoscopic cholecystectomy

2016 ◽  
Vol 98 (7) ◽  
pp. 456-460 ◽  
Author(s):  
MP Senthilkumar ◽  
N Battula ◽  
MTPR Perera ◽  
R Marudanayagam ◽  
J Isaac ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Laparoscopic Cholecystectomy ◽  
Hepatic Artery ◽  
Computed Tomography Angiography ◽  
Rare Complication ◽  
Artery Pseudoaneurysm ◽  
Pseudo Aneurysm ◽  
High Index Of Suspicion ◽  
Time Of Presentation

Introduction Symptomatic hepatic-artery pseudoaneurysm (HAP) after bile-duct injury (BDI) is a rare complication with a varied (but clinically urgent) presentation. Methods A prospectively maintained database of all patients with BDI at laparoscopic cholecystectomy (LC) referred to a tertiary specialist hepatobiliary centre between 1992 and 2011 was searched systematically to identify patients with a symptomatic HAP. Care and outcome of these patients was studied. Results Eight (6 men) of 236 patients with BDI (3.4%) with a median age of 65 (range: 54?6) years presented with symptomatic HAP. Median time of presentation of the HAP from the index LC was 31 (range: 13?16) days. Bleeding was the dominant presentation in 7 patients. One patient presented late (>2 years) with abdominal pain alone. Computed tomography angiography was the most useful investigation. Angioembolisation was successful in 7 patients. One patient died, and another patient developed liver infarction. Three patients (38%) developed biliary strictures after embolisation. Seven patients are alive and well at a median follow-up of 66 months. Conclusions Presentation of HAP is often delayed. A high index of suspicion is necessary for the diagnosis. Computed tomography angiography is the first-line investigation and selective angioembolisation can yield successful outcomes.

Color Doppler Ultrasound versus Computed Tomography Angiography for Preoperative Anterolateral Thigh Flap Perforator Imaging: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Reece Moore ◽  
Donna Mullner ◽  
Georgina Nichols ◽  
Isis Scomacao ◽  
Fernando Herrera
Keyword(s):  
Computed Tomography ◽  
Doppler Ultrasound ◽  
Computed Tomography Angiography ◽  
False Positive ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Preoperative Imaging ◽  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh ◽  
Alt Flap

Abstract Background The anterolateral thigh (ALT) perforator flap is a commonly used flap with a predictable, though often variable, perforator anatomy. Preoperative imaging with color Doppler ultrasound (CDU) and computed tomography angiography (CTA) of ALT flap perforators can be a useful tool for flap planning. This study provides a complete review and analysis of the relevant preoperative ALT imaging literature. Methods Studies related to preoperative CDU and CTA imaging were reviewed, and information related to imaging method, sensitivity, false-positive rates, and perforator course identification (musculocutaneous vs. septocutaneous) were analyzed. Results A total of 23 studies related to preoperative ALT flap CDU and CTA imaging were included for review and analysis. Intraoperative perforator identification was compared with those found preoperatively using CDU (n = 672) and CTA (n = 531). Perforator identification sensitivity for CDU was 95.3% (95% CI: 90.9–97.6%) compared with the CTA sensitivity of 90.4% (95% confidence interval [CI]: 74.4–96.9%). The false-positive rate for CDU was 2.8% (95% CI: 1.1–4.5%) compared with 2.4% (95% CI: 0.7–4.1%) for CTA. Accuracy of perforator course identification was 95.5% (95% CI: 93.6–99.2%) for CDU and 96.9% (95% CI: 92.7–100.1%) for CTA. Conclusion CDU provides the reconstructive surgeon with greater preoperative perforator imaging sensitivity compared with CTA; however, false-positive rates are marginally higher with preoperative CDU. Preoperative imaging for ALT flap design is an effective tool, and the reconstructive surgeon should consider the data presented here when selecting a flap imaging modality.

scholarly journals Computed tomography angiography imaging of the ductus arteriosus aneurysm in a neonate: A Case Report

2015 ◽  
Vol 8 (1) ◽  
pp. 63-65
Author(s):  
Kadir Ağladıoğlu ◽  
Dolunay Gürses ◽  
Hacer Ergin ◽  
Mustafa Doğan ◽  
Bilgin Emrecan
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Computed Tomography Angiography ◽  
Ductus Arteriosus ◽  
Ductus Arteriosus Aneurysm

scholarly journals The role of doppler ultrasound and multislice spiral computed tomography angiography in the common form of stomach cancer diagnosis

2016 ◽  
Vol 97 (1) ◽  
pp. 59-65
Author(s):  
I Z Pulatova ◽  
M A Isamukhamedova
Keyword(s):  
Gastric Cancer ◽  
Computed Tomography ◽  
Doppler Ultrasound ◽  
Computed Tomography Angiography ◽  
Abdominal Cavity ◽  
Spiral Computed Tomography ◽  
Diagnostic Methods ◽  
Spiral Computed ◽  
Multislice Spiral Computed Tomography ◽  
Great Vessels

Aim. To evaluate the results of Doppler ultrasound and multislice computed tomography angiography in patients with gastric cancer and the sensitivity of these diagnostic methods for the detection of the abdomen great vessels lesions.Methods. The study included 32 patients aged 37 to 82 years who had histologically confirmed gastric adenocarcinoma diagnosis. The control group consisted of 30 apparently healthy people of the same age. Transabdominal ultrasonography of the abdominal cavity organs and stomach in gray-scale mode (B-mode before and after the stomach filling with degassed liquid), Doppler ultrasound of the abdomen and the stomach wall vessels, multislice spiral computed tomography angiography were performed in all patients at the preoperative stage. The analysis of the study results and their comparison with intraoperative data were conducted.Results. In patients with gastric cancer a statistically significant increase in peak systolic velocity in the celiac trunk, superior mesenteric artery, left gastric artery and resistive index decrease in these blood vessels (p <0.05) with the presence of atypical vascularization in the affected stomach walls were registered. The data obtained during the multislice spiral computed tomography angiography were analyzed. The sensitivity of Doppler ultrasound in the preoperative detection of abdominal cavity great vessels affection in patients with gastric cancer was 77.8%, multislice spiral computed tomography angiography - 88.9%, the combination of these two methods - 96.3%.Conclusion. The analysis of used diagnostic methods of examination of patients with stomach cancer showed that Doppler ultrasound should be included in the patients examination standard to assess the abdominal cavity great vessels condition, what is important in deciding on the possibility of operative intervention; the sensitivity of the combination of dopplerography and multislice spiral computed tomography angiography in the diagnosis of great vessels affection is 96.3%.

scholarly journals Cardiac Computed Tomography Angiography for Imaging Coronary Arteriovenous Malformation: a Case Report

2014 ◽  
Vol 60 (1) ◽  
pp. 22-24
Author(s):  
Suciu Zsuzsanna ◽  
Jakó Beáta ◽  
Benedek Theodora ◽  
Benedek I
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Coronary Artery ◽  
Pulmonary Artery ◽  
Arteriovenous Malformation ◽  
Computed Tomography Angiography ◽  
Cardiac Computed Tomography ◽  
Main Pulmonary Artery ◽  
Cardiac Computed Tomography Angiography ◽  
Ionic Contrast

Abstract Background: Coronary arteriovenous malformation is a rare congenital disease consisting mainly in a direct communication between a coronary artery and any one of the four cardiac chambers, coronary sinus, pulmonary arteries or veins. This disease can lead to various cardiovascular events, their severity depending on the degree of the malformation. Case report: We present the case of a 56-year-old male patient, who was admitted to our institution with dyspnea, palpitation and chest pain, having a history of hypertension and hyperlipidemia, and an abnormal electrocardiogram. Physical examination did not reveal any alterations and the cardiac enzymes were in normal ranges. Cardiac computed tomography was performed before any other invasive studies, with a 64-row scanner (Somatom Sensation multislice 64 equipment, Siemens) after intravenous administration of non-ionic contrast material. CT scan revealed a large (2-2.5 mm) coronary fistula originating from the LAD to the main pulmonary artery, and multiple significant atherosclerotic coronary lesions. Coronary angiography confirmed the arteriovenous malformation between LAD and pulmonary artery, associated with three vascular coronary artery disease. Conclusions: Cardiac computed tomography angiography can help for a non-invasive diagnosis of the coronary artery malformations, in the same time revealing anatomic details which can be particulary useful for choosing the appropriate management strategy (surgical planning, interventional treatment or optimum medical treatment)

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