scholarly journals Case Report: Transcatheter Arterial Embolization for the Initial Management of Intra-Abdominal Hemorrhage From a Hepatic Tumor in a Cat

2021 ◽  
Vol 8 ◽  
Author(s):  
Yuta Kawamura ◽  
Hiroki Itou ◽  
Akitomo Kida ◽  
Hiroki Sunkawa ◽  
Kenji Kawamura
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Abdominal Mass ◽  
Abdominal Cavity ◽  
Good Condition ◽  
Arterial Embolization ◽  
Caudate Lobe ◽  
Abdominal Ultrasonography ◽  
Abdominal Bleeding ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography

An 8-year-old Ragdoll cat was admitted to our hospital after its owner noticed sudden lethargy. Abdominal ultrasonography showed a large amount of blood in the abdominal cavity, and the cat was diagnosed as having hemorrhagic shock caused by the rupture of an intra-abdominal mass. Blood transfusion was performed on the 1st day of hospitalization. On the 2nd day, contrast-enhanced computed tomography (CT) was performed, and hemorrhage from a mass originating in the caudate lobe of the liver was noted. Transcatheter arterial embolization (TAE) was performed to stop the bleeding from the mass using Gelpart to embolize the feeding artery. The following day, fever and elevation of liver enzyme levels were observed, but these subsided within a few days. At discharge 5 days after TAE, no fluid was found in the peritoneal cavity, and no further intra-abdominal bleeding occurred. Sixty-six days after TAE, we were able to perform resection surgery with the cat in good condition. A partial response was observed on CT performed before surgery. Histopathology revealed cholangiocellular adenoma. The cat was doing well as of postoperative day 549. This case indicates that TAE may be effective for initial hemostasis and stabilization of conditions in animals with tumor-induced hemorrhage.

Late Nonanastomotic Pseudoaneurysm From the Prosthetic Graft: A Successful Transcatheter Arterial Embolization Using Coils

2020 ◽  
pp. 153857442097558
Author(s):  
Atsushi Saiga ◽  
Jun Hashiba ◽  
Jun Koizumi ◽  
Hideki Ueda ◽  
Yoshihiro Kubota ◽  
...  
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Arterial Embolization ◽  
Prosthetic Graft ◽  
Careful Consideration ◽  
Anastomotic Site ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Function Impairment ◽  
Enhanced Computed Tomography

A 71-year-old man who received a total arch replacement with a knitted Dacron® graft presented aneurysmal sac re-expansion due to leakage at the distal anastomotic site of the graft. He did not tolerate the stress of general anesthesia due to severe pulmonary function impairment. Therefore, thoracic endovascular aortic repair (TEVAR) in zone 3 was performed under epidural anesthesia. Contrast-enhanced computed tomography (CT) revealed another leakage into the aneurysmal sac in zone 1 after performing TEVAR. Because open surgical repair and debranching TEVAR were contraindicated, transcatheter arterial embolization was performed with careful consideration of his comorbidities. Follow-up contrast-enhanced CT performed 2 weeks after embolization indicated no opacification of the aneurysmal sac, and noncontrast-enhanced CT a year after embolization showed no dilatation of the aneurysmal sac.

scholarly journals Neuroendocrine tumor of the small intestine diagnosed with trans-abdominal ultrasonography: A case report

2020 ◽  
Author(s):  
Kazuma Tsujimura ◽  
Yasukatsu Takushi ◽  
Atsushi Nakachi ◽  
Tsuyoshi Teruya ◽  
Kouji Iha
Keyword(s):  
Small Intestine ◽  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Neuroendocrine Tumor ◽  
Clinical Symptoms ◽  
Abdominal Ultrasonography ◽  
Node Metastasis ◽  
Tumor Lesion ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography

Tumors of the small intestine are rare. In addition, clinical symptoms are nonspecific and neoplasm-related symptoms occur late. We report a case of neuroendocrine tumor (NET) of the small intestine that was diagnosed early with trans-abdominal ultrasonography (US). The patient was a 61-year-old man. Abdominal contrast-enhanced computed tomography (CT) was performed because the patient complained of abdominal pain. The CT showed a tumor lesion in the mesentery. Trans-abdominal US was undertaken to evaluate this tumor lesion, and a tumor lesion of the small intestine was found nearby. A diagnosis of lymph-node metastasis of a small-intestine tumor was made as a preoperative diagnosis. A laparotomy was performed with partial resection of the ileum, together with the small-intestine mesentery including an enlarged lymph node. Histological examination revealed NET of the ileum and lymph-node metastasis. Trans-abdominal US is useful in the diagnosis of small-intestine NET.

scholarly journals Spontaneously ruptured hepatocellular carcinoma in Fontan-associated liver disease: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2092203
Author(s):  
Takahiro Kubo ◽  
Yosuke Aihara ◽  
Hideto Kawaratani ◽  
Tadashi Namisaki ◽  
Ryuichi Noguchi ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Disease ◽  
Transcatheter Arterial Embolization ◽  
Fontan Procedure ◽  
Arterial Embolization ◽  
Palliative Operation ◽  
First Case ◽  
Ruptured Hepatocellular Carcinoma ◽  
Enhanced Computed Tomography

The prognosis of congenital heart disease is dramatically improved by cardiac surgery. The Fontan procedure is the definitive palliative operation for patients with single-ventricle physiology. In parallel with the longer survival time achieved with the Fontan procedure, the incidence of Fontan-associated liver disease is increasing. A 40-year-old man who underwent Fontan procedures at the ages of 9 was referred to our hospital for further evaluation of multiple hepatic tumors. Enhanced computed tomography showed large hepatocellular carcinomas with portal thrombi (Vp3). Spontaneous hepatocellular carcinoma rupture occurred 2 weeks after the first visit to our hospital, and emergent transcatheter arterial embolization of the hepatic artery was performed. Three months later, the patient died of liver failure. Autopsy findings showed moderately differentiated hepatocellular carcinoma with a cirrhotic liver characterized by centrilobular fibrosis and sinusoidal dilation similar to that in Fontan-associated liver disease. We reported the first case of spontaneously ruptured hepatocellular carcinoma treated by emergent transcatheter arterial embolization in Fontan-associated liver disease. As the early diagnosis of liver cirrhosis and hepatocellular carcinoma results in better patients’ outcome, cardiologists and hepatologists should be aware of Fontan-associated liver disease and advise patients to have regular follow-up of the liver.

scholarly journals Midgut malrotation with volvulus - a case report

2013 ◽  
Vol 02 (02) ◽  
pp. 082-085
Author(s):  
Pradipta Ray Choudhury ◽  
Prasant Sarda ◽  
Shobhit Singh ◽  
Prabahita Baruah ◽  
K. L. Talukdar
Keyword(s):  
Abdominal Pain ◽  
Mesenteric Artery ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Recurrent Abdominal Pain ◽  
Midgut Malrotation ◽  
Contrast Enhanced ◽  
Whirlpool Sign ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

AbstractMidgut malrotation is a rare anatomic anomaly that complicates the diagnosis and management of acute abdominal pain. It is a congenital anomaly that arises from incomplete rotation or abnormal position of the midgut during embryonic development. A two years old boy was brought with recurrent abdominal pain and vomiting. On ultrasonography, the intestinal malrotation was suspected and thus contrast enhanced computed tomography (CECT) was done. On CECT, abnormal relationship between the superior mesenteric artery (SMA) and superior mesenteric vein (SMV), colon on the left side of the abdominal cavity, 'Whirlpool sign' etc., were found. All findings were suggestive of midgut malrotation with volvulus. Detection of uncomplicated malrotation should not be trivialized because such patients might experience a future complication.

Subsegmental Transcatheter Arterial Embolization for Hepatocellular Carcinoma in the Caudate Lobe

1998 ◽  
Vol 9 (3) ◽  
pp. 501-508 ◽  
Author(s):  
Noboru Terayama ◽  
Shiro Miyayama ◽  
Hiroki Tatsu ◽  
Tatsuya Yamamoto ◽  
Daishu Toya ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Transcatheter Arterial Embolization ◽  
Arterial Embolization ◽  
Caudate Lobe

scholarly journals Symptomatic Imperforate Hymen in Early Infancy: A Case Report

2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Geha Raj Dahal ◽  
Subash Phuyal ◽  
Pooja Agrawal
Keyword(s):  
Rare Case ◽  
Abdominal Mass ◽  
Pelvic Mass ◽  
Primary Amenorrhea ◽  
Vaginal Opening ◽  
Imperforate Hymen ◽  
Contrast Enhanced ◽  
Abdominal Examination ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Imperforate hymen, though a congenital anomaly, usually presents late in puberty as lowerabdominal pain, primary amenorrhea, and cyclical pain. Blood collects in vagina and uterus,proximal to imperforate hymen leading to their distention. Its presentation at infancy is a rare entity.We report such a rare case of symptomatic imperforate hymen in infancy, who presented with acuteretention of urine, chills and rigor. Abdominal examination revealed an intra-abdominal mass in thelower abdomen and pelvis with the absence of vaginal opening on perineal examination. Contrast enhanced computed tomography abdomen showed large abdominopelvic cystic lesion posterior tothe urinary bladder and anterior to the rectum consistent with a highly distended vagina. She wasmanaged by the incision of the imperforate hymen and drainage of the pus. A high index of suspicionis necessary whenever a female infant presents with abdomino-pelvic mass with symptoms of feveror urinary retention.

scholarly journals THREE SUCCESSFUL CASES OF TRANSCATHETER ARTERIAL EMBOLIZATION FOR MASSIVE ABDOMINAL BLEEDING AFTER GASTRECTOMY

1994 ◽  
Vol 55 (1) ◽  
pp. 103-107
Author(s):  
Hisashi MATSUMOTO ◽  
Masahiro KANNO ◽  
Kazuhiro MORI ◽  
Tetsuo HASHIMOTO ◽  
Yutaka YONEMURA ◽  
...  
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Arterial Embolization ◽  
Abdominal Bleeding

scholarly journals Transcatheter Arterial Embolization for Intra-abdominal Bleeding

2019 ◽  
Vol 03 (01) ◽  
pp. 012-018
Author(s):  
Stephen Gill ◽  
Stephanie Dawson ◽  
Jessie-Anne Kenworthy ◽  
Jarrod Greenhalgh ◽  
Andrew Hely ◽  
...  
Keyword(s):  
Contrast Media ◽  
Transcatheter Arterial Embolization ◽  
Arterial Embolization ◽  
Major Complication ◽  
Gastric Bleeding ◽  
Diverse Range ◽  
Electronic Data Collection ◽  
Abdominal Bleeding ◽  
Post Procedure ◽  
Practice Committee

Abstract Purpose Transcatheter arterial embolization (TAE) is increasingly used for managing hemorrhage. The evidence-base supporting the procedure is accumulating. This study investigated the safety and effectiveness of TAE for intra-abdominal bleeding at a large regional public health service in Australia. Materials and Methods Medical records of all patients undergoing TAE for intra-abdominal bleeding over a 7-year period were retrospectively reviewed, excluding gastric bleeding. Data were extracted into a standardized electronic data collection tool. Technical success of TAE was defined as cessation of active contrast media extravasation on post-procedure angiography. Complications were categorized as intra- and post-procedure. The severity of complications was rated according to the Society of Interventional Radiology Standards of Practice Committee Classifications of Complications by Outcome. Results Ninety-two cases were identified. TAE was technically successful in 70 (94.6%) of the 74 cases when visible contrast media extravasation was evident during angiograph. During procedures, six minor complications occurred such as transient symptomatic hypotension or moderate to severe abdominal pain. Following procedures, eight minor complications were reported: seven cases of hematoma at the catheter access point and one case of contrast reaction. One major complication, bowel ischemia requiring hemicolectomy, occurred post-TAE for a bleeding cecal aneurysm; however, widespread arterial spasm was noted on angiography prior to TAE and interventional colonoscopy had occurred 2 days prior to TAE, suggesting that ischemia was not primarily due to TAE. Conclusion This study supports the use of TAE for a diverse range of cases of intra-abdominal bleeding. TAE produced high rates of complete hemostasis with few complications.

scholarly journals Giant Renal Angiomyolipoma: Unusual Cause of Huge Abdominal Mass

2013 ◽  
Vol 3 ◽  
pp. 56 ◽  
Author(s):  
Rajesh Taneja ◽  
Dig Vijay Singh
Keyword(s):  
Abdominal Mass ◽  
Left Kidney ◽  
Histochemical Staining ◽  
Renal Angiomyolipoma ◽  
Abdominal Girth ◽  
Surgical Specimen ◽  
Contrast Enhanced ◽  
Giant Tumor ◽  
Cect Scan ◽  
Enhanced Computed Tomography

We present the imaging and histopathological characteristics of a giant renal angiomyolipoma (AML) in a 49-year-old female patient, who presented with bloating sensation in the abdomen and a steadily increasing abdominal girth for about 3 years. Contrast enhanced computed tomography (CECT) scan films of abdomen revealed that a large fat containing tumor had replaced the left kidney while displacing the rest of the abdominal contents toward the other side of the midline. Intraoperatively the left kidney was completely replaced by a fat containing tumor. The recovered surgical specimen measured 39 cm × 25 cm × 9 cm and weighed 7500 g. Histopathological investigation with immuno-histochemical staining of the specimen with hydroxy beta-methylbutyric acid-45 confirmed this lesion as AML. CECT scan of the head did not show any lesion suggestive of tuberous sclerosis. The giant tumor of the present case is the heaviest AML in both syndromic and sporadic categories and largest by dimensions as sporadic AML ever reported in the literature.

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