RESUMO
We report a case of hereditary hemorrhagic telangiectasia complicated by high output heart failure caused by intrahepatic arteriovenous malformations. This patient was treated using transcatheter embolization of the intrahepatic arteriovenous malformations with concurrent measurement of cardiac output to monitor progress of the embolization.
Assuntos
Débito Cardíaco Elevado/etiologia , Embolização Terapêutica , Telangiectasia Hemorrágica Hereditária/complicações , Feminino , Humanos , Pessoa de Meia-Idade , Telangiectasia Hemorrágica Hereditária/terapiaAssuntos
Obstrução Intestinal/terapia , Doenças do Colo Sigmoide/terapia , Sigmoidoscopia , Idoso , Humanos , Intubação , MasculinoRESUMO
CT scans of the lower chest were performed before and after elective uncomplicated endoscopic esophageal variceal sclerotherapy in nine patients. CT findings included (1) esophageal wall thickening, (2) low attenuation within the wall giving the esophagus a laminated appearance, (3) a predominantly low attenuation mediastinal effusion that was often masslike, (4) obliteration of mediastinal fat planes, (5) thickening of the diaphragmatic crura, (6) pleural effusions, and (7) subsegmental atelectasis. No mediastinal or pleural gas was seen. Changes were less severe in patients who had received sclerotherapy several times in the past and in those who were given the least amount of sclerosant. An understanding of the CT changes after clinically uncomplicated esophageal sclerotherapy will aid in the interpretation of scans performed on patients with suspected complications.
