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January 2017 Issue

 




Other Radiology articles from the Interventional Radiology section Interventional Radiology

Lateral Thoracic Artery Pseudoaneurysm as a Result of Penetrating Chest Trauma by Matthew Pontell et al.

Published: 2017 Jan
Issue: 11(1) :: Pages: 14-19


Free full text article: Lateral Thoracic Artery Pseudoaneurysm as a Result of Penetrating Chest Trauma

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Abstract: Pseudoaneurysms are potentially fatal complications of vascular trauma; however, they are rarely seen as the sole complication of penetrating injury. We present a case of a pseudoaneurysm with an associated arteriovenous fistula of the left lateral thoracic artery as a result of direct trauma from a knife stab. The patient presented only with a painful, swollen left pectoralis muscle. Upon diagnosis, he was taken to the interventional radiology suite and treated successfully with fluoroscopic guided coil embolization. Cases such as these are infrequent and should encourage more aggressive use of contrast enhanced computed tomography imaging for soft tissue injury, as a missed traumatic pseudoaneurysm may result in life-threatening hemorrhage.


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Computed Tomography, Angiography, Interventional, Table

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Other Radiology articles from the Neuroradiology section Neuroradiology

Imaging Findings of Ulceroglandular Tularemia by Neil Anand et al.

Published: 2017 Jan
Issue: 11(1) :: Pages: 1-6


Free full text article: Imaging Findings of Ulceroglandular Tularemia

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Abstract: Francisella tularensis, the causative organism in Tularemia, is a relatively rare disease. There are a few radiological clues to elucidate its presence when suspicion arises. There should be strong consideration for Tularemia in the differential of any patient with its classic symptoms, diffuse cervical lymphadenopathy with evidence of necrosis, and enlarged adenoids. Ultrasound may demonstrate suppurative lymphadenopathy suggestive of infection, as in the case presented. CT often will demonstrate the extent of lymphadenopathy. On chest radiography, tularemia pneumonia is often the presenting finding, which may demonstrate bilateral or lobar infiltrates. Additionally, hilar lymphadenopathy and pleural effusions are often associated findings. Cavitary lesions may be present, which are better delineated on CT scan. We present a case of a 7-year-old male who presented with a painful right-sided palpable neck mass for 9 days, who was diagnosed with Tularemia after numerous admissions.


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Ultrasound, Computed Tomography, Conventional Radiography, Table

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Other Radiology articles from the OB/GYN section OB/GYN

Spontaneous Rupture of the Uterine Artery in an Otherwise Normal Pregnancy by Nicholas Hardin et al.

Published: 2017 Jan
Issue: 11(1) :: Pages: 7-13


Free full text article: Spontaneous Rupture of the Uterine Artery in an Otherwise Normal Pregnancy

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Abstract: Spontaneous rupture of a uterine artery in pregnancy is associated with a high rate of mortality. Although uterine artery rupture has been associated with postpartum hemorrhage, it is rarely found during pregnancy. Unfortunately, clinical signs and symptoms are usually vague and nonspecific. We report a case of a 36-year-old woman at 20 weeks gestation presenting with abdominal pain who was found to have a spontaneous uterine artery rupture. To our knowledge, this is the first case report demonstrating imaging findings in a patient with this condition. Our patient underwent successful ligation of the uterine vessel with preservation of both mother and fetus. We will discuss possible etiologies of uterine artery rupture during pregnancy, associated imaging findings, and management options.


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Ultrasound, Computed Tomography, Microscopic pathology, Table

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