Cases

Keep up to date with latest cases in interventional radiology.

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Gastrointestinal

Case 61: UGI Bleed – Guess the diagnosis

12 January 2020

Old male with history of esophageal cancer, status post esophagectomy (McKeown) and chemoradiation 1 year ago. Had multiple upper GI bleeding episodes. Now presenting with massive hematemesis and hemorrhagic shock. [gview...

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Gastrointestinal

Case 60: A rare presentation of Upper GI Bleed

03 January 2020

A middle aged male with known history of HTN, Alcohol abuse, Pancreatitis presents wit upper GI bleed. Due to failed conservative management, undergoes Endoscopy.   [gview...

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Vascular

Case 59: Pancreatitis resulting in pseudoaneurysm

27 December 2019

A middle aged female with multiple admissions due to pancreatitis. CT revealed multiple pseudocysts. CT performed in portal venous phase a few days ago suggested a possible pseudoaneurysm. Repeat CTA performed due to drop in...

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Trauma

Case 58: Post trauma Splenic injury

20 December 2019

A middle aged man presents to ER, post fall 6 days ago. No prior relevant medical history. CT chest, abdomen and pelvis were performed as part of trauma protocol. Hemodynamically stable, but Hb dropped by 3 units. [gview...

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Genito-urinary

Case 57: Post Radical Prostatectomy bleed

13 December 2019

A middle aged male presented with acute drop in Hb, post radical prostatectomy. Underwent a pelvic exploration, clot evacuation, suture ligation of pelvic side wall bleeding on day 2. Still uncontrollable bleeding. Sent to IR for...

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Hepatobiliary

Case 56: Lipoidal assisted Microwave Ablation of Liver Tumor

08 December 2019

A middle aged male with a solitary mets to the liver from CR cancer. The mets is at the dome of the liver, tricky position along wit challenging to perform definitive therapy. based on the options, it was decided to perform...

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Vascular

Case 55: Mycotic aneurysms

29 November 2019

Mycotic aneurysms are infectious break in the wall of an artery with formation of a blind, saccular outpouching that is contiguous with the arterial lumen. Earlier detection of infected aneurysms is critical for timely treatment...

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Genito-urinary

Case 53: Angiomyolipoma

24 November 2019

Patient with known history of left renal angiomyolipoma, Prior significant bleeding episodes, 20 years ago and most recently 3 yrs ago. Now presents with intermittent flank pain, concern for recurrent bleeding. [gview...

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Gynaecology

Case 54: Uterine artery embolization

21 November 2019

23 y/o female with 1 year history of intermittent menorrhagia Failed attempts of conservative management with hormone therapy. Patient is a Jehovah's witness, and received iron infusions to maintain Hb.  Baseline Hb trending...

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Genito-urinary

Case 52: Renal arterio-venous fistula

22 October 2019

An old male presenting with hematuria, post random renal biopsy. Drop in Hb requiring transfusions. No prior imaging available.   [gview...

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