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Lates Post
Hematuria

Hematuria

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A Young female in mid 30’s, with a complex history of colovaginal fistula, and cT4N2M0 (stage III) invasive rectal adenocarcinoma,  s/p chemo radiotherapy, proctocolectomy with complex right pelvic surgery and intraoperative radiotherapy and right ureteral reimplant. Now have findings suggestive of progression of recurrent tumor in pelvis. Presented to OSH with massive hematuria.

Lates Post
Venous Interventions

Venous Interventions

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This presentation is part of Medical student curriculum series discussing about role of Interventional radiology in various aspects of health care. This presentation grossly discusses the conditions related to venous thrombo-embolic disease, IVC filters and Superficial Venous incompetence.

Lates Post
Retroperitoneal Bleed

Retroperitoneal Bleed

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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 admitted for conservative management and physical rehabiliation.  

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Dismantled IVC filter removal

Dismantled IVC filter removal

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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 comparison. With the way the filters are designed, the only approach for removal is via the […]

Lates Post
Mycotic aneurysms

Mycotic aneurysms

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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 to optimize patient outcome. An young male with HTN, Type A and B dissection, developed fungal mass after surgery.

Lates Post
Vasculitis

Vasculitis

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A case not be missed. An unfortunate young female presented with unexplained abdominal pain. What followed next are the series of events exploring the complex history,  diagnosis and management at each level based on the clinical presentation.  

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Vascular Access

Vascular Access

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The goal of vascular access devices is to find the best way to administer the therapies required to help the patient recover while doing the least amount of damage to the patient’s vascular system. Veins:    In order of preference, the veins which are commonly accessed are: Internal Jugular vein External Jugular vein Collateral vein […]

Lates Post
Acute abdominal pain

Acute abdominal pain

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An young female presented to the ED with acute abdominal pain. A CT abdomen and pelvis was obtained, concerning for an atypical presentation of appendicitis. CT demonstrated an incidental finding of splenic artery aneurysm. What follows next…..  

Lates Post
Optease Filter retreival

Optease Filter retreival

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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 few weeks of placement. This is a case where the filter was placed 8 weeks ago and […]

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