RESUMEN
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.
Asunto(s)
Aneurisma de la Aorta Abdominal/cirugía , Medios de Contraste , Endofuga/diagnóstico por imagen , Procedimientos Endovasculares/métodos , Aumento de la Imagen/métodos , Ultrasonografía/métodos , Anciano de 80 o más Años , Aorta Abdominal/diagnóstico por imagen , Aorta Abdominal/cirugía , Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Endofuga/cirugía , Humanos , Masculino , Fosfolípidos , Reoperación , Hexafluoruro de AzufreRESUMEN
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.
Asunto(s)
Esófago/lesiones , Balón Gástrico/efectos adversos , Hemorragia Gastrointestinal/etiología , Intubación Gastrointestinal/efectos adversos , Radiografía Torácica/métodos , Tomografía Computarizada por Rayos X/métodos , Adulto , Diagnóstico Diferencial , Hemorragia Gastrointestinal/diagnóstico , Humanos , Intubación Gastrointestinal/instrumentación , Masculino , RoturaRESUMEN
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.