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April 2018 Issue

 




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

Torsion of a Myomatous, Non-gravid Uterus: CT Findings by Elizabeth Hui Ting Cheong et al.

Published: 2018 Apr
Issue: 12(4) :: Pages: 6-14


Free full text article: Torsion of a Myomatous, Non-gravid Uterus:  CT Findings

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Abstract: Uterine torsion is a rare condition which is part of a spectrum of gynecological emergencies. If diagnosis is delayed or the condition is left untreated, severe consequences such as infertility and life-threatening complications can arise. As presenting features are often non-specific and can be similar to commonly encountered gastrointestinal and urinary conditions, computed tomography is usually the first imaging modality utilized in an emergency setting. It is therefore important that the radiologist is familiar with recognizing computed tomography features of uterine torsion. We share our findings in a patient with uterine torsion in a non-gravid uterus, diagnosed on contrast-enhanced computed tomography with multiplanar reconstruction.


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Computed Tomography, Clinical image, Table





Other Radiology articles from the Interventional Radiology section Interventional Radiology

Thrombogenic superior vena cava syndrome from long-standing central venous access in a 5-year-old patient treated with balloon-expandable stents by Dabin Ji et al.

Published: 2018 Apr
Issue: 12(4) :: Pages: 15-22


Free full text article: Thrombogenic superior vena cava syndrome from long-standing central venous access in a 5-year-old patient treated with balloon-expandable stents

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Abstract: Thrombogenic superior vena cava syndrome is an uncommon, dangerous complication of long-standing central venous catheter use. The increased use of central venous catheters has resulted in more non-malignant cases of superior vena cava syndrome across all age groups. We present a 5-year-old male with superior vena cava syndrome associated with acute onset of severe upper extremity and facial swelling, dyspnea, and a right subclavian central venous catheter malfunction. The patient was ultimately treated with percutaneous stenting of the superior vena cava with balloon-expandable Palmaz stents following unsuccessful angioplasty, catheter-directed thrombolysis, and percutaneous thrombectomy. This case highlights a relatively uncommon complication in children from long-term central venous catheter access and describes an emerging, minimally-invasive therapeutic alternative that allows for preservation of age-appropriate superior vena cava luminal diameter as patients grow.


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Ultrasound, Angiography, Interventional, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Pneumorrhachis after Recreational Drug Use by Bilal A Sethi et al.

Published: 2018 Apr
Issue: 12(4) :: Pages: 1-5


Free full text article: Pneumorrhachis after Recreational Drug Use

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Abstract: Pneumorrhachis, the presence of air in the spinal canal, is an unusual and alarming radiographic finding. The etiology is most commonly traumatic or iatrogenic but it can occur as a spontaneous phenomenon in association with pneumomediastinum. We report the case of a 16 year old male who presented with throat discomfort and a feeling of altered voice after recreational drug use. Examination confirmed widespread subcutaneous emphysema above the clavicles and plain radiograph and computed tomography imaging confirmed the presence of extensive pneumomediastinum and pneumorrhachis. The patient was managed conservatively and made a full recovery. The clinical and imaging features of spontaneous pneumorrhachis are presented as well as a review of the literature with regard to pathogenesis, management and outcome. Knowledge and understanding of this unusual phenomenon is important to properly direct patient care.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Computed Tomography, Table





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