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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Hepatobiliary

Case 43: Post Whipple’s Ascites

03 August 2019

Patient with pancreatic cancer, underwent Whipple’s procedure, Now presenting with large volume of abdominal ascites requiring frequent tapping (3-4 litres every 3 days). CT Abdomen and pelvis demonstrate focal narrowing of...

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Gastrointestinal

Case 42 – Upper GI Bleed

27 July 2019

61 yo F w/sharp abdo pain after leaving a concert. OSH CT shows a large intraabdominal mass, sent to CCF for further eval. - Hx of many surgeries (cholecystectomy, lap band, appendectomy, lap band, roux-en-Y, aborted roux-en-Y...

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Genito-urinary

Case 41: Percutaneous Nephrolithotomy access

22 July 2019

Middle aged female admitted with acute abdominal pain. KUB and CT demonstrate Renal calculi.Planned for percutaneous nephrolithotomy, due to concern for pyelonephritis for stone removal.   [pdf-embedder...

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Genito-urinary

Case 40: Ureteric recanalization

11 June 2019

Young female with ureteric injury during emergency cesarean section, leading to nephrostomy tube placement. Failed attempts by retrograde approach. Presents to IR for possible internalization.   [pdf-embedder...

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Vascular

Case 39: Phrenic artery embolization

02 June 2019

Patient with known pancreatic cancer, developed a large pseudocyst. his was drained by placement of a cystogastrostomy tube. 1 week later presents with an active upper GI bleed.   [pdf-embedder...

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Vascular

Case 38: Optease Filter retreival

29 May 2019

Optease filter is not recommended in the present day due to its design and difficulties associated with removal. Still we do come across cases with these type of filters. The strict recommendation is to get these removed within...

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Chest

Case 37: Pulmonary AVM

18 May 2019

Middle aged female with dyspnea, hypoxia, CHF. SpO2 ~85% despite high flow O2 CHF NYHA IV HF EF 25% Elevated RVSP (47/25 mmHg)   [pdf-embedder...

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Hepatobiliary

Case 36: Post Whipples anastomotic leak

11 May 2019

Middle aged female presents 1 week after whipples procedure, with increasing abdominal pain. CT demonstrate peri-anastomotic collection. Within next few hours, patient becomes HD unstable and on pressors. Transferred to university...

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Hepatobiliary

Case 35: RT Portal Vein + Segment 4 Veins + RT Hepatic vein embolization

09 May 2019

Young male with colorectal mets. Presents with hepatic lesions involving both lobes. Tumor board discussion. Request for RT PVE , segment 4 Embo and RT HV embo.   [pdf-embedder...

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Gastrointestinal

Case 34: Provocative angiogram

27 April 2019

A middle aged person, on anticoagulants for MVR presents with acute drop in Hb, Non invasive tests including endoscopy, colonoscopy along with NM study were negative. Negative angiograms x 2,  still continues to bleed requiring...

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