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CT imaging of aortic intramural hematoma: Report of two cases, and review of literature

Aortic intramural hematoma (IMH) is a relatively rare, but potentially fatal pathology, which is most commonly diagnosed under emergency conditions with computed tomography angiography (CTA). We present two cases of IMH examined with different CTA protocols, which resulted in diverse diagnoses. In t...

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Autores principales: Serafin, Zbigniew, Laskowska, Katarzyna, Marzec, Małgorzata, Lasek, Władysław
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389901/
https://www.ncbi.nlm.nih.gov/pubmed/22802822
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author Serafin, Zbigniew
Laskowska, Katarzyna
Marzec, Małgorzata
Lasek, Władysław
author_facet Serafin, Zbigniew
Laskowska, Katarzyna
Marzec, Małgorzata
Lasek, Władysław
author_sort Serafin, Zbigniew
collection PubMed
description Aortic intramural hematoma (IMH) is a relatively rare, but potentially fatal pathology, which is most commonly diagnosed under emergency conditions with computed tomography angiography (CTA). We present two cases of IMH examined with different CTA protocols, which resulted in diverse diagnoses. In the first patient, contrast-enhanced CTA revealed dilatation of thoracic aorta and polymorphic wall thickening. It was misdiagnosed as being a mural thrombus and was complicated by acute dissection. In the second patient, non-enhanced CT revealed hyperdense aortic wall thickening. The patient was diagnosed as having type B IMH but he died due to aortic rupture. In our opinion, CT examination of the aorta in emergency cases should always include non-enhanced scanning. Any delay in proper diagnosis and treatment of IMH may result in serious complications.
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spelling pubmed-33899012012-07-16 CT imaging of aortic intramural hematoma: Report of two cases, and review of literature Serafin, Zbigniew Laskowska, Katarzyna Marzec, Małgorzata Lasek, Władysław Pol J Radiol Case Report Aortic intramural hematoma (IMH) is a relatively rare, but potentially fatal pathology, which is most commonly diagnosed under emergency conditions with computed tomography angiography (CTA). We present two cases of IMH examined with different CTA protocols, which resulted in diverse diagnoses. In the first patient, contrast-enhanced CTA revealed dilatation of thoracic aorta and polymorphic wall thickening. It was misdiagnosed as being a mural thrombus and was complicated by acute dissection. In the second patient, non-enhanced CT revealed hyperdense aortic wall thickening. The patient was diagnosed as having type B IMH but he died due to aortic rupture. In our opinion, CT examination of the aorta in emergency cases should always include non-enhanced scanning. Any delay in proper diagnosis and treatment of IMH may result in serious complications. International Scientific Literature, Inc. 2011 /pmc/articles/PMC3389901/ /pubmed/22802822 Text en © Pol J Radiol, 2011
spellingShingle Case Report
Serafin, Zbigniew
Laskowska, Katarzyna
Marzec, Małgorzata
Lasek, Władysław
CT imaging of aortic intramural hematoma: Report of two cases, and review of literature
title CT imaging of aortic intramural hematoma: Report of two cases, and review of literature
title_full CT imaging of aortic intramural hematoma: Report of two cases, and review of literature
title_fullStr CT imaging of aortic intramural hematoma: Report of two cases, and review of literature
title_full_unstemmed CT imaging of aortic intramural hematoma: Report of two cases, and review of literature
title_short CT imaging of aortic intramural hematoma: Report of two cases, and review of literature
title_sort ct imaging of aortic intramural hematoma: report of two cases, and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3389901/
https://www.ncbi.nlm.nih.gov/pubmed/22802822
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