RESUMO
Intrahepatic artery aneuryms are a rare and potentially life-threatening condition. We present the first case in the English literature of multiple intrahepatic artery aneuryms in a patient with Behçet's disease who presented acutely with rupture. The ruptured aneurysm was treated successfully with transcatheter arterial coil embolization-CT and clinical follow-up confirming a good result. We discuss the management dilemma with regard to prophylactic embolization of the numerous other small asymptomatic intrahepatic aneurysms in this same patient.
Assuntos
Aneurisma Roto/terapia , Aneurisma/diagnóstico por imagem , Aneurisma/terapia , Embolização Terapêutica/métodos , Artéria Hepática/diagnóstico por imagem , Adulto , Aneurisma/complicações , Aneurisma/patologia , Aneurisma Roto/complicações , Aneurisma Roto/diagnóstico por imagem , Síndrome de Behçet/complicações , Síndrome de Behçet/diagnóstico , Cateterismo/métodos , Meios de Contraste , Serviço Hospitalar de Emergência , Seguimentos , Humanos , Masculino , Intensificação de Imagem Radiográfica , Medição de Risco , Tomografia Computadorizada por Raios X/métodos , Resultado do TratamentoRESUMO
Percutaneous CT- and ultrasound-guided radiofrequency ablation of renal cell carcinoma (RCC) has been shown to have very promising medium-term results. We present a unique case of recurrent RCC after partial nephrectomy in a patient with a single kidney and impaired renal function. This tumor could not be visualized either with CT or with ultrasound. A combination of magnetic resonance imaging and fluoroscopic guidance was used, to the best of our knowledge for the first time, to ablate the tumor with radiofrequency. The patient was cancer-free and off dialysis at 30-month follow up.
Assuntos
Carcinoma de Células Renais/cirurgia , Ablação por Cateter , Fluoroscopia , Neoplasias Renais/cirurgia , Imagem por Ressonância Magnética Intervencionista , Idoso , Humanos , Masculino , NefrectomiaRESUMO
The Günther Tulip vena cava filter is a safe, effective, well-established device for pulmonary embolism prophylaxis. We report a patient in whom there was migration of the filter to the right atrium, 2 weeks after insertion, caused by a technical error during deployment. An attempt to retrieve the filter percutaneously failed, necessitating removal at open-heart surgery. The potential causes of migration are described and the lessons learned from this unusual case are outlined.