RESUMO
We report in the case of a patient with an intra-abdominal aortic aneurysm treated with endovascular aneurysm repair (EVAR) who developed renal impairment during the period of follow up. The repair was complicated with an early-onset type II endoleak which later evolved into a late-onset type I endoleak. It was treated with proximal extension of stent graft, with treatment success and follow-up documented on contrast enhanced ultrasound (CEUS). This case illustrates the usefulness of CEUS in post-EVAR surveillance and emphasizes the need for life-long monitoring as late-onset complications are not uncommon.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Meios de Contraste , Endoleak/diagnóstico por imagem , Procedimentos Endovasculares/métodos , Aumento da Imagem/métodos , Ultrassonografia/métodos , Idoso de 80 Anos ou mais , Aorta Abdominal/diagnóstico por imagem , Aorta Abdominal/cirurgia , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Endoleak/cirurgia , Humanos , Masculino , Fosfolipídeos , Reoperação , Hexafluoreto de EnxofreRESUMO
Oesophageal rupture is a life-threatening complication of balloon tamponade for bleeding oesophageal varices. We herein describe the clinical course and imaging findings in a 33-year-old Indian man who had a Sengstaken-Blakemore (SB) tube inserted for uncontrolled haematemesis, which was unfortunately complicated by malposition of the gastric balloon with resultant oesophageal rupture. The inflated SB tube gastric balloon was visualised within the right hemithorax on chest radiography after the SB tube insertion. Further evaluation of the thorax on computed tomography confirmed the diagnosis of oesophageal rupture associated with right-sided haemopneumothorax. It is crucial for both the referring clinician and reporting radiologist to recognise early the imaging features of an incorrectly positioned SB tube gastric balloon, so as to ensure prompt intervention and a reduction in patient morbidity and mortality.
Assuntos
Esôfago/lesões , Balão Gástrico/efeitos adversos , Hemorragia Gastrointestinal/etiologia , Intubação Gastrointestinal/efeitos adversos , Radiografia Torácica/métodos , Tomografia Computadorizada por Raios X/métodos , Adulto , Diagnóstico Diferencial , Hemorragia Gastrointestinal/diagnóstico , Humanos , Intubação Gastrointestinal/instrumentação , Masculino , RupturaRESUMO
Musculoskeletal complaints are common in the elderly population. The main concerns in geriatric orthopedics are the increased incidence of trauma, degeneration, and malignancy, commonly compounded by comorbidities and the effects of ageing. Imaging of common and important diseases of the axial and peripheral skeleton in the elderly is reviewed in this article.
