Burksvangsgaard6780

Carotid blowout syndrome is described as rupture of the carotid artery most commonly following head and neck dissection. It is an uncommon complication that can be fatal if not diagnosed and managed promptly. This report will discuss the case of a 45-year-old male, who developed carotid blowout syndrome following receiving several therapies for his laryngeal cancer. It will include how careful assessment of the patient's current state and taking into consideration his previous history and risk factors can lead to a case-tailored management plan to be performed in a timely manner, maximizing the chances of a successful life-saving procedure.Segmental spinal dysgenesis (SSD) is a complex spinal anomaly characterized by localized dysgenesis of the lumbar or thoracolumbar spine, and severe congenital kyphosis or kyphoscoliosis. We describe a newborn who presented with severe congenital paraplegia and a lumbar mass. Magnetic resonance imaging confirmed SSD type II associated with open spinal dysraphism and intracranial Chiari II features; this association has not been reported. The association modifies the disease management and outcome. The previous classification of SSD could be revisited based on our case.In this study, we report 2 cases of abnormal systemic artery to left lower lobe (ASALLL) with hemoptysis. In case 1, a 15-year-old boy experienced intermittent hemoptysis for over a year. KU-0063794 datasheet After diagnosis of ASALLL by chest-enhanced computerized tomography (CT), interventional embolization was performed to treat the abnormal arteries, and the patient was cured and discharged. Case 2 is a 36-year-old man with chest pain and hemoptysis recurring for many years and aggravating for 5 days. ASALLL was diagnosed by chest-enhancement CT examination. After thoracoscopic resection of the left lower lobe, the patient was discharged. These cases show that the clinical manifestations of ASALLL are mainly recurrent hemoptysis symptoms. For patients with hemoptysis, the disease should be found and not limited to symptomatic treatment. Chest-enhanced CT scanning can diagnose ASALLL, and interventional embolization or surgical treatment can be selected for treatment.Nondrug therapy for arrhythmia patients had been developed dramatically until recent years. Cardiac resynchronization therapy (CRT), a nondrug therapy for arrhythmia, is especially utilized for the treatment of left ventricular (LV) severe heart failure caused by cardiac dyssynchrony. Prolonged QRS duration (≧130 ms) is strongly used as a CRT indication criterion, but QRS is not the direct clinical index of mechanical contraction delay of the LV myocardium. Therefore, identifying the presence of dyssynchrony by diagnostic imaging is necessary. Echocardiography is widely used for the assessment of dyssynchrony as a standard diagnostic imaging. Several studies have addressed the efficacy of cardiovascular magnetic resonance feature tracking (CMR-FT) in the diagnosis of dyssynchrony for arrythmia patients. In addition, cardiac implantable electronic devices (CIEDs) were not available to examine CMR until recent years; however, new MR-conditional CIEDs have become available for use before and after CRT. Recently, diagnostic imaging using CMR-FT has been attracting attention for the assessment of dyssynchrony. However, a strong metal artifact caused by CIEDs may make the analysis difficult after CRT implantation. Strain analysis using short-axis (SA) cine CMR overcame this issue of artifact by enabling slice selection by avoiding artifact. Moreover, circumferential strain has superiority over other strain methods with respect to sensitivity, and we focused on these advantages. This case illustrates that circumferential strain with CMR-FT using SA cine CMR is useful in the assessment of improvement of myocardial motion after CRT and can provide useful additional information with imaging to determine the responders of CRT.An anomalous anastomosis between the external and internal carotid arteries forming an arterial ring at the level of the cervical internal carotid artery is an extremely rare variant, and its embryological origin remains unclear. This report describes a rare arterial variation at the level of carotid bifurcation incidentally discovered in a 67-year-old man. Computed tomography angiography revealed an anomalous anastomosis between the external and internal carotid arteries at the level of the C2-3 intervertebral space with a small proximal cervical segment of the internal carotid artery and the occipital artery originating at this anomalous anastomosis. This report may be of embryological significance and contribute to understanding the mechanisms of carotid artery formation.Fetal imagers are tasked with diagnosing complex fetal anomalies, but maternal abnormalities that may impact the pregnancy are also of utmost importance to recognize and report. Two rare obstetrical complications are uterine incarceration and torsion which can lead to increased maternal/perinatal mortality. Uterine incarceration occurs secondary to a retroverted uterus that becomes retroflexed and entrapped within the pelvis during the first trimester of pregnancy. Uterine torsion is rotation of more than 45° around its long axis. We report a rare case of an incarcerated uterus with presumed spontaneous resolution on follow-up MRI that was ultimately recognized to be uterine torsion at the time of delivery. Knowledge of these entities may help aid in timely detection and diagnosis of complex imaging presentations and avoid downstream complications.Pseudocyst formation is common in chronic pancreatitis. A rare subset of these patients may develop fistulization between the pseudocyst and the portal vein system. We report a case of spontaneous pancreatic pseudocyst - superior mesenteric vein fistula in a 61-year-old male with a history of chronic recurrent calcifying pancreatitis. The fistulous connection was correctly identified on both computed tomography and magnetic resonance cholangiopancreatography (MRCP), and the patient was treated successfully with a conservative approach. Our case report aims to educate on this rare and potentially fatal vascular complication of chronic pancreatitis and to discuss the role of modern noninvasive imaging techniques, such as T2-weighted MRI/MRCP, in establishing this diagnosis and making a decision regarding its management.