Cases

The cases presented in this website are those performed by IR physicians at various institutes. These include a mix of simple to complex cases. These are meant to be educational and didactic in nature. Some are self-explanatory while some require additional reading. As these are very time consuming, efforts were made to include as much information as possible.

This is compilation of contributions from various IR physicians from multiple institutions.

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Endocrine

Case 71: Parathyroid Venous Sampling

27 October 2020

A middle aged female in 60's presents with uncontrollable elevated calcium levels and PTH levels.  Past history includes right superior parathyroidectomy. Non invasive imaging, biochemical tests were performed.  Venous...

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Vascular

Case 70: Greenfield Filter Removal

17 October 2020

 A 60 year old male with 2 permanent IVC filters placed at OSH, presents to vascular medicine with concern of complications as was told by OSH that one of the filter had fractured. Currently, cleared of any DVT or PE and not on...

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Vascular

Case 69: Retroperitoneal Bleed

20 September 2020

A woman in 80's transferred from outside hospital with right hemiparesis, concerning for acute stroke. With other comorbid conditions, CT demonstrating acute infarct and out of window for thrombolysis and thrombectomy, she was...

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Gynaecology

Case 68: Active uterine/Vaginal bleeding

14 September 2020

A female in mid 60s presents from outside hospital with active uterine/vaginal bleed, Uncontrollable by conservative measures. Had almost 20 units of blood transfusion, on pressors. Taken to OR for surgical fixation.  Failed...

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Cardiac

Case 67: Chest wall hematoma during pericardial drain placement

30 August 2020

A patient in early 70's presented to the clinic with type A and B acute aortic dissection. Underwent emergency surgical intervention where TEVAR was placed from the arch to the mesenteric segment of the aorta. The dissection...

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Vascular

Case 66: Dismantled IVC filter removal

30 August 2020

A patient in his mid 60's has an IVC filter placed at an outside hospital presents now for removal as he is on adequate anticoagulation.   The procedure was performed as an elective procedure. No prior imaging available for...

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Case presentations

Residents case conference

30 July 2020

Following are case series prepared for residents teachings. These are mix of cases ranging from simple to complex.  Hope you enjoy       [pdf-embedder...

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Gastrointestinal

Case 65: Post colonoscopy splenic hematoma

21 July 2020

Presented to ED with acute abdominal pain •S/P Colonoscopy 8 hrs ago •Experienced lot of pain during the colonoscopy •Small sessile polyp removed from ascending colon •Presently hypotensive, tachycardic, elevated...

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Hepatobiliary

Case 64: TIPS Revision (Snaring)

21 July 2020

Patient with H/O NASH Cirrhosis, had TIPS-Placed 6 months ago. Now presents with a large variceal bleed, uncontrollable by endoscopy No technical issues while placement No follow up studies until this...

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Genito-urinary

Case 63: Persistent Renal Bleed

21 July 2020

Male with Autosomal polycystic kidney disease presenting with flank pain and drop in Hb.     [pdf-embedder url="http://ir4u.info/wp-content/uploads/2020/07/case-63-Renal-bleed-persistent.pdf"]...

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