Retinal artery occlusion by left atrial myxoma misdiagnosed as thrombus.

INTRODUCTION: Left atrial mass has been known to have a benign course. CASE DESCRIPTION: A 55-year-old Asian woman visited to our hospital because of right sided hemiparesis and sudden vision loss in her left eye. She diagnosed as acute cerebral infarction and central retinal artery occlusion by several studies. We detected a large mass in the left atrium and thought this mass as thrombus causing multiple emboli. But her neurologic symptom was aggrevated during therapy and coronary computed tomography angiogram suggested a left atrial myxoma, not thrombus. She underwent the resection of the myxoma. DISCUSSION AND EVALUATION: Sometimes it could be fatal because it could be source of systemic embolization. Moreover, when the mass is located at unusual site, it is difficult to differentiate thrombus and other benign mass. CONCLUSIONS: We report a patient with a left atrial mass initially presented as multiple embolic infarction. Our case will let ophthalmologists know about the possibility of retinal artery occlusion by cardiac myxoma.

Phlebosclerotic Colitis in a Healthy Young Woman.

Phlebosclerotic colitis is a rare disease of intestinal ischemia and differentiating it from the typical ischemic colitis. It is caused by venous obstruction due to colonic and mesenteric venous calcification. We report a 36-year-old woman presenting with intermittent abdominal pain. Initial radiologic findings showed multiple tortuous thread-like calcifications in the region of the right side of the colon and transverse colon on plain abdominal radiographs and computed tomography images. In the colonoscopy, edematous dark-bluish colonic mucosa, sclerotic colon wall, and multiple ulcers without clear boundaries were observed from the ascending colon to the transverse colon. In the sigmoid colon only showed the edematous dark-bluish colonic mucosa, sclerotic colon wall. On the basis of these findings, we diagnosed the patient as having phlebosclerotic colitis. We report a rare case of phlebosclerotic colitis in healthy young woman.

Post-Operative Multiple Thrombosis Associated with Patent Foramen Ovale: Embolic Stroke, Right Atrial Thrombi, Pulmonary Embolism and Deep Vein Thrombosis.

Patients undergoing total joint arthroplasty frequently develop post-operative complication, such as deep vein thrombosis and pulmonary thromboembolism. However, it is not common coexisting deep vein thrombosis, pulmonary thromboembolisms, right atrial thrombus and acute cerebral infarction raised by thrombus through patent foramen ovale. We reported the patient who had multiple thrombi which were accompanied with a cryptogenic ischemic stroke and associated with patent foramen ovale after operation.