1.Celiac Artery Thrombosis and Splenic Infarction in a Patient with Protein S Deficiency.
Chan Woong KIM ; Jeong Wook KIM
The Korean Journal of Gastroenterology 2007;49(6):390-394
Protein S deficiency is a rare blood disorder associated with an increased risk of thrombosis. Only a few cases of arterial thrombosis of digestive tract have been noted. We report a case of celiac arterial thrombosis and splenic infarction in 46-year-old male with protein S deficiency. Abdominal computed tomography and angiography revealed thrombotic obstruction of the proximal celiac and common hepatic artery with splenic infarction. His total and free antigen of protein S were normal, however, the activity of protein S was low. Percutaneous transluminal angioplasty was performed to revascularise celiac and common hepatic artery.
*Celiac Artery/radiography
;
Humans
;
Male
;
Middle Aged
;
Protein S Deficiency/*complications/genetics
;
Splenic Infarction/etiology/*radiography
;
Thrombosis/etiology/*radiography
;
Tomography, Spiral Computed
2.Evaluating a Thrombosed Azygous Vein Aneurysm Combined with Pulmonary Arterial Thromboembolism by ECG-Gated Multidetector CT: a Case Report.
Ji Yeon YANG ; Dong Hun KIM ; June Hyuk LEE ; Eun Ha SUK
Korean Journal of Radiology 2011;12(6):754-756
Azygous vein aneurysm is a rare congenital lesion that needs to be differentiated from mediastinal mass lesions. Although almost of these anomalies are asymptomatic lesions, we experienced an interesting case in which a thrombus within an azygous vein aneurysm in a 75-year-old woman caused pulmonary thromboembolism. The patient was managed by medical treatment for one month and then the thrombus within both the azygous vein aneurysm and the pulmonary arteries completely resolved.
Aged
;
Aneurysm/complications/*radiography
;
*Azygos Vein
;
*Cardiac-Gated Imaging Techniques
;
Female
;
Humans
;
*Multidetector Computed Tomography
;
Pulmonary Embolism/etiology/*radiography
;
Thrombosis/complications/*radiography
4.Myocardial Contrast Defect Associated with Thrombotic Coronary Occlusion: Pre-Autopsy Diagnosis of a Cardiac Death with Post-Mortem CT Angiography.
Heon LEE ; Hyejin PARK ; Jang Gyu CHA ; Sookyoung LEE ; Kyungmoo YANG
Korean Journal of Radiology 2015;16(5):1024-1028
We report the case of a female who died of suspected acute myocardial infarction. Post-mortem CT angiography (PMCTA) was performed with intravascular contrast infusion before the standard autopsy, and it successfully demonstrated the complete thrombotic occlusion of a coronary artery and also a corresponding perfusion defect on myocardium. We herein describe the PMCTA findings of a cardiac death with special emphasis on the potential benefits of this novel CT technique in forensic practice.
*Autopsy
;
Coronary Occlusion/*diagnosis/etiology/radiography
;
Coronary Vessels/pathology/radiography
;
Female
;
Humans
;
Middle Aged
;
Myocardial Infarction/etiology/pathology
;
Myocardium
;
Thrombosis/complications/*diagnosis
;
Tomography, X-Ray Computed
5.Occlusion of Traumatic Carotid Cavernous Fistula by Incidentally Formed Thrombus During the Interventional Procedure: A Case Report.
Kum WHANG ; Myeong Sub LEE ; Myung Soon KIM ; Ji Yong LEE ; Woocheol KWON
Korean Journal of Radiology 2006;7(3):215-217
In this report, we present a rare case of traumatic carotid cavernous fistula that was occluded during the interventional procedure by incidentally formed blood clot. Sudden occlusion of the fistula and the resolution process of the precarious blood clot can be clearly seen on the serial angiogram.
Vascular Surgical Procedures/*adverse effects
;
Treatment Outcome
;
Male
;
Incidental Findings
;
Humans
;
Craniocerebral Trauma/*complications
;
Carotid-Cavernous Sinus Fistula/etiology/*radiography/*surgery
;
Carotid Artery Thrombosis/*etiology/*radiography
;
Adult
6.Rapidly Progressing Budd-Chiari Syndrome Complicated by Hepatocellular Carcinoma.
Jeong Won JANG ; Seung Kew YOON ; Si Hyun BAE ; Jong Young CHOI ; Kyu Won CHUNG ; Hee Sik SUN
The Korean Journal of Internal Medicine 2003;18(3):191-195
Budd-Chiari syndrome (BCS) is a disorder caused by occlusion of the hepatic vein or inferior vena cava. The clinical presentation include abdominal pain, hepatomegaly, ascites, leg edema, collateral venous dilatation of the body trunk, and portal hypertension. In addition, BCS can cause hepatocellular carcinoma (HCC) in some patients, although its pathogenesis is not yet completely understood. The average reported time lag from diagnosis of BCS to full-blown HCC ranges from several years to several decades. Hepatic carcinogenesis in patients with BCS perhaps reflects a prolonged and persistent liver injury in that it occurs in the primary inferior vena cava obstruction rather than the primary hepatic vein thrombosis. Among patients with BCS, membranous obstruction of the vena cava (MOVC) usually presents an insidious and chronic illness, whereas primary hepatic vein thrombosis presents an acute or subacute illness. We experienced a case of a patient with BCS, which progressed rapidly that HCC developed only nine months after the diagnosis of BCS. The factors causing this rapid progression are still unclear and remain to be investigated.
Adult
;
Carcinoma, Hepatocellular/*etiology/pathology/radiography
;
Disease Progression
;
Fatal Outcome
;
Female
;
Hepatic Vein Thrombosis/*complications/pathology/radiography
;
Human
;
Liver/*pathology/radiography
;
Liver Neoplasms/*etiology/pathology/radiography
;
Tomography, X-Ray Computed
7.Complications of Portal Vein Embolization: Evaluation on Cross-Sectional Imaging.
Yoo Kyeong YEOM ; Ji Hoon SHIN
Korean Journal of Radiology 2015;16(5):1079-1085
Portal vein embolization (PVE) is known as an effective and safe preoperative procedure that increases the future liver remnant (FLR) in patients with insufficient FLR. However, some possible major complications can lead to non-resectability or delayed elective surgery that results in increased morbidity and mortality. Although the majority of these complications are rare, knowledge of the radiologic findings of post-procedural complications facilitate an accurate diagnosis and ensure prompt management. We accordingly reviewed the CT findings of the complications of PVE.
Aged
;
Cholangiocarcinoma/radiography/therapy
;
Embolization, Therapeutic/*adverse effects
;
Female
;
Humans
;
Hypertension, Portal/etiology
;
Liver Neoplasms/radiography/*therapy
;
Male
;
Middle Aged
;
Portal Vein/*radiography
;
Tomography, X-Ray Computed
;
Vascular System Injuries/etiology
;
Venous Thrombosis/etiology
8.A case of Behcet's disease with superior and inferior vena caval occlusion.
Wan Hee YOO ; Jin Seong MOON ; Sung Il KIM ; Wan Uk KIM ; Jun Gi MIN ; Sung Hwan PARK ; Sang Heon LEE ; Chul Soo CHO ; Ho Yeon KIM
The Korean Journal of Internal Medicine 1998;13(2):136-139
Behcet's disease is a chronic multisystemic disorder involving many organs and characterized by recurrent oral and genital ulcers and relapsing iritis. A case of BD with large vein thrombosis involving superior and inferior vena cava is presented. Large vein thrombosis in BD is not commonly developed and most commonly observed in the inferior or superior vena cava. A review of the literature emphasizes the rarity of the combined superior and inferior vena caval occlusion. Existence of extensive large vein occlusion in BD is associated with limited therapy and poor prognosis.
Adult
;
Behcet's Syndrome/diagnosis
;
Behcet's Syndrome/complications*
;
Disease Progression
;
Fatal Outcome
;
Female
;
Fibrinolytic Agents/therapeutic use
;
Human
;
Phlebography
;
Thrombosis/etiology*
;
Thrombosis/drug therapy
;
Thrombosis/diagnosis
;
Vena Cava, Inferior/radiography*
;
Vena Cava, Superior/radiography*
;
Substances: Fibrinolytic Agents
9.Spontaneous Dissolution of Isolated Superior Mesenteric Vein Thrombosis in Acute Pancreatitis.
Byung Soo NA ; Byung Min JOHN ; Ki Bum KIM ; Je Soo LEE ; Hyun Woo JO ; Chang Hyeon SEOCK ; Dong Hui KIM ; Ki Sung LEE
The Korean Journal of Gastroenterology 2011;57(1):38-41
Acute pancreatitis can result in many vascular complications in both artery and vein. Venous complication usually occurs as a form of splenic or portal vein thrombosis, and also can simultaneously occur in superior mesenteric vein as well. Rarely, isolated superior mesenteric vein thrombosis occurs as a venous complication. Although it is uncommon, mesenteric vein thrombosis is an important clinical entity because of the possibility of mesenteric ischemia and infarction of small bowel. The treatments of mesenteric venous thrombosis include anticoagulation therapy, transcatheter therapy and surgical intervention. We report a case of 45-year-old man who had acute pancreatitis with isolated superior mesenteric vein thrombosis, which was spontaneously dissolved with the resolution of underlying inflammation without anticoagulation or surgical intervention.
Acute Disease
;
Humans
;
Male
;
*Mesenteric Veins
;
Middle Aged
;
Pancreatitis/complications/*diagnosis
;
Tomography, X-Ray Computed
;
Venous Thrombosis/*diagnosis/etiology/radiography
10.A Large, Free-Floating Right Atrial Thrombus Evoking Periodic Dizziness.
Sun Hwa LEE ; Kyoung Suk RHEE ; Won Ho KIM ; Jae Ki KO
The Korean Journal of Internal Medicine 2012;27(4):480-480
No abstract available.
Coronary Thrombosis/*diagnosis/radiography
;
Dizziness/etiology
;
Heart Atria
;
Humans
;
Male
;
Middle Aged
;
Pulmonary Embolism/diagnosis
;
Tomography, X-Ray Computed