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Spontaneous cervical and mediastinal hematoma due to rupture of inferior thyroid artery.
Radiol Case Rep
February 2025
Department of Otolaryngology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.
A 62-year-old man was referred to our hospital presenting with a sore throat, dyspnea, and cervical swelling. Initial precontrast CT scans revealed a cervical and mediastinal hematoma, along with a hemothorax. Further dynamic contrast-enhanced CT scans indicated contrast media extravasation dorsal to the right thyroid gland lobe, suggesting a rupture of the right inferior thyroid artery or a parathyroid adenoma.
View Article and Find Full Text PDFA Case Report of Extra-pericardial Tamponade From a Low-Level Fall.
Cureus
November 2024
Cardiothoracic Surgery, Mater Misericordiae University Hospital, Dublin, IRL.
Article Synopsis
- A 61-year-old man with a history of COPD, ongoing anticoagulant therapy, and pneumonia was admitted to the emergency department in critical condition due to chest pain and shortness of breath.
- A chest X-ray and CT scan revealed a large mediastinal hematoma, rib fractures, and significant blood loss requiring urgent reversal of his anticoagulant medication before surgery.
- After an emergency sternotomy to evacuate the hematoma, the patient made a full recovery, highlighting the importance of imaging in older patients with fall-related injuries and the need for careful management of anticoagulants.
Port malposition in the anterior mediastinum resulting in chemotherapy extravasation into the pleural cavity: A case report and literature review.
J Vasc Access
December 2024
Department of Nursing, Yiwu Central Hospital, the affiliated Yiwu Hospital of Wenzhou Medical University, Yiwu, Zhejiang, China.
We present a rare case of port malposition into the anterior mediastinum resulting in chemotherapy extravasation into the pleural cavity. While management of extravasation into soft tissues has been established, the data on treatment of mediastinal and intrapleural extravasation is limited. This case underscores how utilizing state-of-the-art technology like real-time intracavitary electrocardiography(IC-ECG) or transthoracic/subxiphoid ultrasound with the "bubble test", rather than reliance on postoperative chest radiography, can help eliminate catheter malposition and its potential catastrophic consequences.
View Article and Find Full Text PDFPercutaneous transluminal angioplasty is safe and feasible for reinsertion of tunneled cuffed catheters in the right internal jugular vein.
Sci Rep
October 2024
Department of Nephrology, Bengbu Hospital of Shanghai General Hospital, The Second Affiliated Hospital of Bengbu Medical University, No. 633, Longhua Road, Huaishang District, Bengbu, 233040, China.
Article Synopsis
- - The study investigates the use of percutaneous transluminal angioplasty (PTA) to safely and effectively reinsert tunneled cuffed catheters (TCC) in the right internal jugular vein (RIJV) of hemodialysis patients who have experienced prior complications like stenosis or occlusion.
- - Clinical data from 21 patients were analyzed, with successful reinsertion and adequate blood flow for hemodialysis observed in all cases, although one patient experienced minor bleeding during the procedure.
- - The findings suggest that PTA is a reliable method for catheter reinsertion, preserving vascular resources and avoiding the need for new venous access sites in patients with prior catheterization issues.
Endovascular treatment of contained ruptured internal thoracic artery aneurysm mimicking a tumor in a patient with neurofibromatosis type 1: a case report.
Surg Case Rep
August 2024
Department of Cardiovascular Surgery, Juntendo University Hospital, Tokyo, Japan.
Article Synopsis
- - An internal thoracic artery aneurysm (ITAA) is a rare condition often linked to various causes, including iatrogenic factors and diseases like neurofibromatosis type 1 (NF-1), which can lead to severe vascular issues.
- - A case involved a 32-year-old man with NF-1 who experienced persistent pain; imaging revealed an ITAA with a contained rupture, which was successfully treated using emergency angiography and microcoiling.
- - The case underscores the need to consider vascular issues in NF-1 patients with unusual symptoms and highlights the diagnostic value of advanced imaging techniques and the effectiveness of endovascular treatment options.
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