Radiology case reports
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Radiology case reports · Sep 2017
Case ReportsAcute superior mesenteric artery occlusion complicated by basilar artery occlusion.
Acute mesenteric ischemia is a rare cause of abdominal pain with a very high mortality rate. Vague presentation and often misleading clinical findings make the diagnosis elusive. Here, a unique case of complete superior mesenteric artery occlusion further complicated by basilar artery occlusion is illustrated.
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Radiology case reports · Mar 2017
Case Reports"Tennis leg": gastrocnemius injury is a far more common cause than plantaris rupture.
We report a typical case of "tennis leg", in which the main finding was a fluid collection between the medial head of the gastrocnemius and soleus muscles. Since the first clinical description of this entity in 1883, the injury has been attributed to rupture of the plantaris tendon. However, recent studies of this condition with sonography and magnetic resonance imaging have shown that most of these cases are actually due to injury to the gastrocnemius and/or soleus muscles, and up to 10% are due to deep venous thrombosis masquerading as muscle injury. The plantaris muscle and tendon are only rarely involved in this injury.
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Radiology case reports · Dec 2016
Case ReportsUtilization of bedside ultrasound in the diagnosis and management of massive pulmonary embolism: a case report.
The prompt diagnosis and treatment of massive pulmonary embolism is a well-known challenge for physicians. We report a case of a 61-year-old hemodynamically unstable man who presented to the emergency department with complaints of acute dyspnea. ⋯ This diagnosis was further supported by the visualization of deep venous thrombosis in the left lower extremity. The patient was treated with IV tissue plasminogen activator in the emergency department and survived to discharge in his usual state of health.
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Radiology case reports · Dec 2016
Case ReportsBalloon-occluded retrograde transvenous obliteration for treatment of bleeding gastric varices: case report and review of literature.
Gastric variceal bleeding is a major complication of portal hypertension and is associated with high morbidity and mortality. While esophageal varices are more common, gastric varices are often more challenging to treat. ⋯ Herein, we present a case of a 68-year-old female patient with cirrhosis who presented with bleeding gastric varices and successfully treated. This case highlights the procedural steps and the importance of detailed knowledge of the patient's portosystemic anatomy for determining suitability for balloon-occluded retrograde transvenous obliteration of gastric varices.
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A four-day-old boy presented with persistent bilious vomiting, bloody stained stool, and mild abdominal distension. Transabdominal ultrasound demonstrated a round soft-tissue mass-like structure in the right upper quadrant. With color Doppler ultrasound, the whirlpool sign was observed. ⋯ Intestinal malrotation is congenital abnormal positioning of the bowel loops within the peritoneal cavity resulting in abnormal shortening of mesenteric root that is predisposed to midgut volvulus. Neonates and infants with persistent bilious vomiting should undergo diagnostic workup and preferably ultrasound as the first step. With classic sonographic appearance of whirlpool sign, even further imaging investigations is often not needed, and the surgeon should be alerted to plan surgery.