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AJR 2000; 175:853-854
© American Roentgen Ray Society


Vascular/Interventional Case of the Day

Pablo Gamboa1, Ricardo Barboza, Dimitrios G. Spigos, Rajul Shah, Patrick Cestone, Charles Mueller, Kannan Natarajan, Hooman Khabiri and Stephen Jung

1 All authors: Department of Radiology, Division of Vascular and Interventional Radiology, Ohio State University Medical Center, 1654 Upham Dr., Columbus, OH 43210-1250.

Address correspondence to P. Gamboa

Case I

A 53-year-old man presented with a 5-day history of progressive acute abdominal pain. A CT examination of the abdomen with oral and IV contrast material was performed.



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Fig. 1A. —53-year-old man who presented with 5-day history of progressive acute abdominal pain. Oral and IV contrast-enhanced axial CT scan at level of hepatic hilum.

 



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Fig. 1B. —53-year-old man who presented with 5-day history of progressive acute abdominal pain. Oral and IV contrast-enhanced axial CT scan below level of pancreas.

 
What is the diagnosis?

  1. Small-bowel obstruction.
  2. Mesenteric artery thrombosis with cavernous transformation of the portal vein.
  3. Mesenteric vein thrombosis with cavernous transformation of the portal vein.

Case 2

A 24-year-old woman with a known congenital cardiovascular abnormality treated with anticoagulation for 3 years presented with new chest pain.



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Fig. 2A. —24-year-old woman with known congenital cardiovascular abnormality treated with anticoagulation for 3 years who presented with new chest pain. Posteroanterior chest radiograph.

 



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Fig. 2B. —24-year-old woman with known congenital cardiovascular abnormality treated with anticoagulation for 3 years who presented with new chest pain. Right posterior oblique perfusion lung scan.

 
What is the cardiovascular abnormality?

  1. Williams syndrome.
  2. Pulmonary branch stenosis (supravalvular pulmonary stenosis).
  3. Swyer-James syndrome.
  4. Pulmonary valve stenosis.

Case 3

A 50-year-old woman, who smokes and has had multiple episodes of epistaxis, presented with dyspnea, cyanosis, and digit clubbing.



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Fig. 3. —50-year-old woman, who smokes and has had multiple episodes of epistaxis, who presented with dyspnea and digit clubbing. Chest radiograph reveals lobulated mass in retrocardiac portion of left lower lobe.

 
What is the diagnosis?

  1. Massive pulmonary embolus.
  2. Pulmonary arteriovenous malformation.
  3. Pulmonary artery aneurysm.
  4. Goodpasture's syndrome.

What complications can this condition give rise to?

  1. Hemoptysis.
  2. Brain abscess.
  3. Stroke.
  4. Dyspnea.
  5. All of the above.





This Article
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