1.Internal Iliac Artery Pseudo aneurysm Occlusion Using Amplatzer Vascular Plug
The Medical Journal of Malaysia 2011;66(5):513-514
Pseudoaneurysm of the internal iliac artery is a rare
occurrence. Our patient presented with pain over the lower
abdomen which also radiated to the back. An Angiogram of
the aorta and the iliac arteries showed a pseudoaneurysm of
the right internal iliac artery which measured about 8 x 8 cm with a proximal branch of the internal iliac artery distended. Initial efforts of trying to embolize the pseudoaneurysm revealed that there was a connection between the pseudoaneurysm and the interanal iliac vein where foam was getting dislodged into the venous system.
Subsequently, we decided to use a vascular plug which has
just been recently being introduced. Post procedure there
was no more flow into the right internal iliac artery
pseudoaneurysm.
2.It's Aneurysmal, it's Stenotic, it's Tuberculosis
The Medical Journal of Malaysia 2011;66(5):515-516
Tuberculous vasculitis is a very rare presentation of
tuberculosis. So far this is the second reported case in the literature. The diagnosis of this disorder is based on the clinical presentation as well as blood investigation results. With the ever improvement in modern medicine and
improvement in endovascular treatment of such diseases,
the morbidity and mortality of these patients have been
dramatically reduced with better clinical and survival results. We present a case of endovascular stenting of a stenotic subclavian artery with good results.
3.The Value of Pre-Operative Embolisation in Primary Inferior Vena Cava Paraganglioma
Faizah Mohd Zaki ; Syazarina Sharis Osman ; Zaleha Abdul Manaf ; Jeyaledchumy Mahadevan ; Mazri Yahya
Malaysian Journal of Medical Sciences 2011;18(2):70-73
We report a case of a 13-year-old boy who complained of progressive abdominal distension and
symptoms of anaemia. Radiological investigations revealed that the child had a hypervascular tumour
of the inferior vena cava (IVC). Unfortunately, the child presented with acute lower gastrointestinal
bleed soon after the investigation. He underwent an urgent pre-operative embolisation, aimed to
reduce the tumour vascularity. A total resection of the tumour, right nephrectomy, and partial
duodenal resection were done within 24 hours post-embolisation. The child was stable postoperatively.
The histopathological examination revealed chromogranin-positive paraganglioma originating from the IVC. We highlight the radiological findings of rare primary IVC paraganglioma and the role of embolisation prior to surgical removal of the tumour.