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September 2019 Issue

 




Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Aortoenteric fistula secondary to an Inflammatory Abdominal Aortic Aneurysm by Shuhui Melissa Lee et al.

Published: 2019 Sep
Issue: 13(9) :: Pages: 8-27


Free full text article: Aortoenteric fistula secondary to an  Inflammatory Abdominal Aortic Aneurysm

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Abstract: Primary aortoenteric fistulas are rare, with the annual incidence of such fistulas estimated to be 0.007 per million. The most common predisposing conditions for primary aortoenteric fistulas are atherosclerotic abdominal aortic aneurysms or penetrating atherosclerotic ulcers. We illustrate a rare case of an inflammatory aortic aneurysm causing a primary aortic fistula, with a direct fistulous jet from the aorta to the bowel with resultant catastrophic bleeding. In contrast to atherosclerotic aneurysms, most inflammatory aneurysms are symptomatic and show dense perianeurysmal fibrosis and periaortic wall thickening. A direct jet of contrast extravasation from the aorta into a bowel loop, while rarely seen, remains the most specific sign of a primary aorta-enteric fistula. A comprehensive literature review of the clinical presentation, imaging features, and differential diagnosis of a primary aortoenteric fistula are also discussed.


Available image modalities: (click on modality to browse for other articles)
Ultrasound, Computed Tomography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Metronidazole induced encephalopathy: case report and discussion on the differential diagnoses, in particular, Wernicke`s encephalopathy by Wenlu Hou et al.

Published: 2019 Sep
Issue: 13(9) :: Pages: 1-7


Free full text article: Metronidazole induced encephalopathy: case report and discussion on the differential diagnoses, in particular, Wernicke`s encephalopathy

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Abstract: Metronidazole induced encephalopathy is a rare central nervous system toxicity, which may be completely reversible with prompt cessation of metronidazole usage. We present a case of metronidazole induced encephalopathy in a 59-year-old man with a history of Whipple`s procedure for pancreatic neuroendocrine tumour. The characteristic magnetic resonance imaging features of metronidazole induced encephalopathy and its main differential diagnosis, Wernicke`s encephalopathy, are discussed.


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Magnetic Resonance Imaging, Table





Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

A unique variant of a right persistent hypoglossal artery arising from the common carotid artery with complex cardiovascular anomalies in a female neonatal patient by Paul A Miller et al.

Published: 2019 Sep
Issue: 13(9) :: Pages: 28-35


Free full text article: A unique variant of a right persistent hypoglossal artery arising from the common carotid artery with complex cardiovascular anomalies in a female neonatal patient

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Abstract: Persistent primitive hypoglossal artery is a carotid-vertebrobasilar anastomosis, which commonly arises from the internal carotid artery at the level of the C (cervical) 1-3 vertebrae. We describe a unique case of a female infant patient with this anomaly that has an unusually low origin from the distal common carotid artery just below the bifurcation at the level of roughly C5 and supplies the entire vertebrobasilar system. Additional cardiovascular anatomical variations were present: Tetralogy of Fallot and a right-sided aortic arch with mirror image branching. These singular variations are rare in the general population, but even rarer when combined. Awareness of these unusual vascular variants is clinically significant, as they may predispose the patients to early ischemic injury, hemorrhage, aneurysm formation, and can be essential in surgical planning. Therefore, radiographic imaging is of importance in proper diagnosis of such variants.


Available image modalities: (click on modality to browse for other articles)
Magnetic Resonance Imaging, Computed Tomography, Graph, Table





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