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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2011
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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. |
format | Online Article Text |
id | pubmed-3389901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
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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