Takayasu arteritis: the role of multimodality imaging

Takayasu arteritis is a rare, chronic granulomatous inflammatory disease of the large arteries. The disease mainly affects females of reproductive age. Patients present with a wide range of non-specific symptoms. Diagnosis mainly relies on imaging features as laboratory investigations are non-specific. We present a case of a 31-year-old Indian female who presented with chest pain and uncontrolled hypertension. Chest X-ray revealed aneurysmal thoracic aorta, which prompted further diagnostic investigations and was ultimately diagnosed as type V Takayasu arteritis

Super-selective hepatic angioembolization for traumatic hepatic artery laceration in a child

The liver is commonly injured through blunt abdominal trauma in children. Transaction of the hepatic artery and subsequent angioembolization is well reported in the adult population; however, the evidence of its effectiveness is lacking in pediatrics. We report a case of a child who sustained a grade 3/4 liver injury with contrast blush as evidenced on CT scan. The case was treated by super-selective angioembolization with no major or minor complications. To our knowledge, this is the first case report of pediatric hepatic angioembolization in the Middle East

Prostatic artery embolization as a treatment for benign prostatic hyperplasia

Benign prostatic hyperplasia [BPH] is a common problem affecting elderly males, causing symptoms of lower urinary tract obstruction. The medical and surgical treatment modalities have their complications and limitations. Recently, prostatic artery embolization [PAE] was proven to be a safe, effective treatment modality for BPH

We report a case of a 55-year-old male with severe urinary obstructive symptoms and prostatic volume of 128 gm on magnetic resonance imaging. The patient underwent successful bilateral prostatic artery embolization without any short-term minor or major complications after ten months follow-up

Juvenile nasopharyngeal angiofibroma: imaging characteristics and pre-operative embolization

Juvenile nasopharyngeal angiofibroma [JNA] is a benign highly vascular tumor. It almost exclusively affects male adolescents and young adults. Nasal blockage and recurrent epistaxis are the classic symptoms. Cross-sectional imaging is vital for accurate diagnosis and operative planning. Pre-operative embolization is frequently performed to decrease blood loss and has especially facilitated endoscopic resection. A sixteen-year-old male presented with one-month complaint of unilateral nasal blockage and frequent epistaxis. Angiofibroma was diagnosed by CT and MRI. Angiography followed by embolization was performed 24 hours prior to endoscopic surgical resection. The reported blood loss was less than 50 ml. No complications were encountered