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CT coronary angiographic approach to delineate terrible triad of coronary-cameral microfistulae, myocardial bridge and hypertrophic obstructive cardiomyopathy presenting with angina: a case report.
Clin Ter
November 2024
Kunwarpal Singh, Department of Radiology, Sri Guru Ram Das Institute of Medical Sciences & Research, Sri Amritsar; India.
Article Synopsis
- The text discusses a rare case of a 38-year-old female with hypertrophic obstructive cardiomyopathy, experiencing severe angina due to multiple coronary microfistulae and a myocardial bridge.
- Diagnosis was confirmed through various tests, including an electrocardiogram and CT coronary angiography, which revealed specific abnormalities like left ventricular enlargement and a left anterior descending artery myocardial bridge.
- The conclusion highlights that in cases of hypertrophic obstructive cardiomyopathy, angina may result from unusual factors like coronary artery fistulae or myocardial bridges, and CT coronary angiography is recommended for effective screening and treatment planning.
Inflammatory back pain as an unusual manifestation of Takayasu arteritis: a case report.
Reumatismo
October 2024
College of Medicine, University of Baghdad.
Takayasu arteritis and spondyloarthritis are two rheumatological diseases whose co-existence is well-documented in the literature. Data on the presence of inflammatory back pain in Takayasu arteritis without a diagnosis of spondyloarthritis, however, is scarce. Here, we present a 33-year-old man who was admitted to the emergency department with acute-onset chest pain associated with left carotidynia, carotid bruit, and left arm claudication, normal electrocardiogram and computed tomography angiographic features suggesting Takayasu arteritis, including stenosis and occlusion of the aorta and its branches.
View Article and Find Full Text PDFDelayed systemic arterial-pulmonary arterial shunt simulating pulmonary embolism: An unusual case.
Radiol Case Rep
November 2024
Department of Diagnostic Radiology, West Virginia University, Morgantown, WV, USA.
This case report describes the imaging findings of an older-aged male presenting with infectious respiratory symptoms. Evaluation with routine contrast-enhanced CT of the chest demonstrated pulmonary artery filling defects initially treated as a pulmonary embolism. However, short-term repeat imaging during pulmonary angiographic and delayed phases demonstrated retrograde filling through a systemic arterial-pulmonary arterial shunt.
View Article and Find Full Text PDFAngiographically silent macular retinoschisis and vitreomacular traction in a patient with same - side Duane retraction syndrome.
Strabismus
September 2024
Department of Ophthalmology, Dokuz Eylül University Faculty of Medicine, İzmir, Türkey.
To report the unusual fundus features of a case with unilateral Duane retraction syndrome (DRS) with same-side extensive macular retinoschisis. A 75-year-old woman was diagnosed to have DRS type 3 and several multimodal fundus imaging modalities were performed. There was limited abduction and adduction, globe retraction, and narrowing of the palpebral fissure on the adduction of the left eye without a compensatory face turn.
View Article and Find Full Text PDFAn unusual case of acute cholecystitis complicated by haemobilia and Mirizzi-like obstruction: a case report and review of literature.
Ann Med Surg (Lond)
June 2024
Galway University Hospital, Co. Galway, Ireland.
Introduction: Cystic artery pseudoaneurysm rupture presents a rare yet potentially fatal aetiology for upper gastrointestinal (GI) bleed. While uncommon, its incidence has been rising with increased hepatobiliary surgical interventions, predominantly attributed to iatrogenic injury and rarely secondary to acute cholecystitis. Clinical manifestations typically include epigastric pain, upper GI haemorrhage, and obstructive jaundice.
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