RESUMO
Ehlers-Danlos syndrome (EDS) type IV is a hereditary autosomal dominant disease associated with skin and vascular fragility, hyperextensibility and joint hypermobility. Spontaneous arterial rupture is one of its higher-risk features.The authors describe a case of a woman with EDS type IV who presented with a spontaneous breast haematoma associated with a pseudoaneurysm of a branch of the left internal mammary artery. The patient underwent a minimally invasive endovascular approach that was uneventful. However, 6 months later, she presented in the emergency room with a similar episode on the contralateral breast. There were no signs of active bleeding, and she stayed under surveillance. Nine months later, she was asymptomatic.Aneurysms of branches of the internal mammary artery are rare and prone to rupture. Early diagnosis and treatment are imperative, and this case demonstrates that an endovascular approach is a safe treatment option.
Assuntos
Falso Aneurisma , Aneurisma , Síndrome de Ehlers-Danlos Tipo IV , Síndrome de Ehlers-Danlos , Artéria Torácica Interna , Feminino , Humanos , Síndrome de Ehlers-Danlos/complicações , Síndrome de Ehlers-Danlos/diagnóstico , Falso Aneurisma/complicações , Falso Aneurisma/diagnóstico por imagem , Ruptura Espontânea/cirurgia , Ruptura Espontânea/complicações , Aneurisma/complicaçõesRESUMO
The authors describe the case of a man in his 60s who presented with progressive pain and swelling of the right hip. Imaging features showed a densely calcified lesion associated with 'sedimentation sign'. Laboratory tests revealed slight hyperphosphataemia. Surgical excision of the lesion was performed. Histological examination revealed chalky material surrounded by fibrosis and giant multinucleated cells, compatible with tumorous calcinosis. Patient made a full recovery. We report a rare case of tumorous calcinosis and compare this condition with its common mimics.
Assuntos
Calcinose , Hiperfosfatemia , Calcinose/complicações , Calcinose/diagnóstico por imagem , Calcinose/cirurgia , Quadril/patologia , Humanos , MasculinoAssuntos
Infecções por Chlamydia , Gonorreia , Hepatite , Doença Inflamatória Pélvica , Peritonite , Infecções por Chlamydia/complicações , Infecções por Chlamydia/diagnóstico , Infecções por Chlamydia/tratamento farmacológico , Chlamydia trachomatis , Hepatite/diagnóstico por imagem , Humanos , Doença Inflamatória Pélvica/diagnóstico por imagem , Doença Inflamatória Pélvica/tratamento farmacológico , Peritonite/diagnóstico por imagemRESUMO
Leiomyosarcomas arising directly from the blood vessels are rare. These tumours are formed from the muscular wall of either a major vein or artery. The authors describe the case of an 84-year-old woman with lower back pain with bilateral abdominal irradiation and marked peripheral oedema, who was diagnosed with leiomyosarcoma of the inferior vena cava after biopsy of an infrahepatic mass. An endovascular prosthesis was placed as the patient was proposed for palliative care. Leiomyosarcomas of the inferior vena cava may present with non-specific symptoms. Therefore, the authors aim to draw attention to the diagnosis process, as well as imaging findings related to this pathology.