Subject(s)
Betacoronavirus , Coronavirus Infections/diagnostic imaging , Lung/diagnostic imaging , Pneumonia, Viral/diagnostic imaging , Radiography, Thoracic/standards , COVID-19 , Coronavirus Infections/epidemiology , Humans , Pakistan/epidemiology , Pandemics , Pneumonia, Viral/epidemiology , Radiology/standards , Risk Assessment , SARS-CoV-2 , Tomography, X-Ray Computed/standardsABSTRACT
Hepatic artery is the fourth most common site of the intraabdominal aneurysm, after infra renal aorta, iliac artery and splenic artery aneurysms. Rupture of the aneurysm may lead to the upper gastrointestinal haemorrhage. Here we report a 5 years old boy, who presented with fever, abdominal distension and unexplained upper GI bleed. Upper GI endoscopy revealed a normal esophagus and stomach with clear evidence of haemobilia with blood oozing from the ampulla. Fluoro- guided angiography followed by embolization of hepatic artery branches with 5 metallic coils was performed in this case by an interventional radiologist.
Subject(s)
Aneurysm, Ruptured , Aneurysm , Embolization, Therapeutic/methods , Endoscopy, Digestive System/methods , Gastrointestinal Hemorrhage , Hemobilia , Hepatic Artery , Aneurysm/diagnostic imaging , Aneurysm, Ruptured/diagnosis , Aneurysm, Ruptured/therapy , Angiography/methods , Child, Preschool , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/physiopathology , Gastrointestinal Hemorrhage/therapy , Hemobilia/diagnosis , Hemobilia/etiology , Hemobilia/physiopathology , Hemobilia/therapy , Hepatic Artery/diagnostic imaging , Hepatic Artery/pathology , Humans , Male , Treatment Outcome , Upper Gastrointestinal Tract/diagnostic imagingABSTRACT
Lung cancer disproportionately affects the elderly. Aging is typically associated with higher risk of comorbidity, declines in physical, organ, and cognitive function, and diminished social support. Hence the management of a disease as complex and potentially lethal as lung cancer in this population is challenging. Despite most patients with lung cancer being elderly, most high-level evidence has been derived from studies that included younger patients and only a minority of the fit elderly. This article reviews the literature on the care of older adults with lung cancer. The evolving role of geriatric assessment in lung cancer is discussed.