Authors present a case of spontaneous rupture of internal iliac artery in common iliac venous, and propose a review of cases reported in literature. Abreast of modern imagery and especially computed tomography is able to give a precise diagnosis, but angiography is the Most accurate procedure for detecting arteriovenous fistula and cannot be excluded out of diagnostic approach.
View Article and Find Full Text PDFThe authors report a case of spontaneous rupture of spleen inaugurating the symptomatology of a pheochromocytoma. After presenting the observation, clinical problems are considered with a deceptive abdominal symptomatology and myocardial ischemia that could be part of an "adrenergic myocarditis"; the mechanism of ruptured spleen is analyzed. The diagnosis approach is discussed through a reliability study of various explorations: computed tomography has a sensitivity ranging from 93 to 97% which approaches 100% when associated with magnetic resonance, methyl-iodo-benzyl-guanidine scanning seems to be provided with similar reliability.
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