An aortic intra mural hematoma in ventilation/perfusion SPECT/CT: A case report

Rationale: Ventilation/perfusion (V/Q) single-photon-emission computed tomography (SPECT) has arisen as an alternative to computed tomography pulmonary angiography (CTPA) in patients with pulmonary embolism (PE) suspicion. The addition of low dose CT (ldCT) to V/Q SPECT improves the specificity of the test, allowing for potential alternative diagnosis. Patient concerns and diagnosis: Here we presented a case of an aortic intramural hematoma (IMH) diagnosed on the ldCT portion of V/Q SPECT combined with CT. A 74-year-old man suffering from sudden-onset chest pain was referred to our nuclear medicine department for PE suspicion. Intervention and outcome: A V/Q SPECT combined with nonenhanced ldCT ruled out PE diagnosis. Nevertheless, ldCT revealed high attenuation aortic wall thickening suggestive of aortic IMH. Chest CT angiography showed mild dilatation and circumferential thickening of aortic wall confirming Stanford type A IMH involving the entire ascending aorta. Lesson: This case illustrates the potential usefulness of combining ldCT to V/Q SPECT in providing alternative diagnosis in suspected PE patients.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

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ConclusionThis pathology is an exceptional entity in Oman. Therefore, awareness of this unique condition is required so that clinicians will be vigilant, exploring similar cases with imaging and avoiding unnecessary surgical interventions.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
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AbstractPurpose of ReviewThe present review discusses in-depth about neurological complications following acute venous thromboembolism (VTE).Recent FindingsIntracranial hemorrhage, acute ischemic cerebrovascular events, and VTE in brain tumors are described as central nervous system (CNS) complications of PE, while peripheral neuropathy and neuropathic pain are reported as peripheral nervous system (PNS) sequelae of PE. Syncope and seizure are illustrated as atypical neurological presentations of PE.SummaryMounting evidence suggests higher risk of venous thromboembolism (VTE) in patients with neurological diseases, but dat...
Source: Current Neurology and Neuroscience Reports - Category: Neuroscience Source Type: research
CONCLUSIONS: Totally extraperitoneal endoscopic hernia surgery is a safe and promising new technique that is also feasible in complex hernias and with satisfactory 1 year results. This technique can combine the advantages of minimally invasive surgery with those of extraperitoneal mesh placement.PMID:34666400 | DOI:10.1055/a-1640-0714
Source: Zentralblatt fur Chirurgie - Category: Surgery Authors: Source Type: research
CONCLUSIONS: Spleen artery thrombosis is a rare complication of COVID-19. In this report, we described a 59 years old female with a history of COVID-19. She was discharged home and in follow-up, there was no evidence of thrombosis anymore.PMID:34659749 | PMC:PMC8500846 | DOI:10.1016/j.amsu.2021.102935
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
CONCLUSION: Addressing each of these four themes by realigning ED processes could provide patient-centered PE testing.PMID:34661318 | DOI:10.1111/acem.14400
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
CONCLUSIONS: Spleen artery thrombosis is a rare complication of COVID-19. In this report, we described a 59 years old female with a history of COVID-19. She was discharged home and in follow-up, there was no evidence of thrombosis anymore.PMID:34659749 | PMC:PMC8500846 | DOI:10.1016/j.amsu.2021.102935
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
CONCLUSION: Addressing each of these four themes by realigning ED processes could provide patient-centered PE testing.PMID:34661318 | DOI:10.1111/acem.14400
Source: Accident and Emergency Nursing - Category: Emergency Medicine Authors: Source Type: research
I was reading ECGs in the system and came across this one:What do you think?Computer diagnosis: --ST DEVIATION AND MARKED T-WAVE ABNORMALITY, ANTEROLATERAL ISCHEMIA --ST DEVIATION AND MODERATE T-WAVE ABNORMALITY, CONSIDER INFERIOR ISCHEMIA I thought the ECG diagnosis was obvious, but no comment was made by the providers who ordered it.  That could be because they never saw it, as the patient eloped before full evaluation.  But then I showed it to multiple smart providers and not a single one saw it.  So I thought it would be good to show it to blog readers.Everyone went straight to the ST...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
The objective of this study is to generate DRLs and median doses for these indications using data from the UCSF CT  International Dose Registry.MethodsStandardized data on 3.7 million CTs in adults were collected between 2016 and 2019 from 161 institutions across seven countries (United States of America (US), Switzerland, Netherlands, Germany, UK, Israel, Japan). DRLs (75th percentile) and median doses for volumetric CT-dose index (CTDIvol) and dose-length product (DLP) were assessed for each EUCLID category (chronic sinusitis, stroke, cervical spine trauma, coronary calcium scoring, lung cancer, pulmonary embolism, ...
Source: European Radiology - Category: Radiology Source Type: research
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