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CT imaging of aortic intramural hematoma : report of two cases, and review of literature
computed tomography angiography
thoracic aorta
aortic intramural hematoma
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 nonenhanced scanning. Any delay in proper diagnosis and treatment of IMH may result in serious complications.
dc.abstract.en | 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 nonenhanced scanning. Any delay in proper diagnosis and treatment of IMH may result in serious complications. | pl |
dc.contributor.author | Serafin, Zbigniew | pl |
dc.contributor.author | Laskowska, Katarzyna | pl |
dc.contributor.author | Marzec, Małgorzata | pl |
dc.contributor.author | Lasek, Władysław | pl |
dc.date.accession | 2018-08-27 | pl |
dc.date.accessioned | 2018-08-27T12:46:57Z | |
dc.date.available | 2018-08-27T12:46:57Z | |
dc.date.issued | 2011 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.additional | Bibliogr. s. 87 | pl |
dc.description.number | 1 | pl |
dc.description.physical | 85-87 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 76 | pl |
dc.identifier.articleid | 881415 | pl |
dc.identifier.eissn | 1899-0967 | pl |
dc.identifier.issn | 1733-134X | pl |
dc.identifier.project | ROD UJ / OP | pl |
dc.identifier.uri | https://ruj.uj.edu.pl/xmlui/handle/item/56474 | |
dc.identifier.weblink | http://archiwum.polradiol.com/abstract/index/idArt/881415 | pl |
dc.language | eng | pl |
dc.language.container | eng | pl |
dc.rights | Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa | * |
dc.rights.licence | CC-BY-NC-ND | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl | * |
dc.share.type | otwarte czasopismo | |
dc.subject.en | computed tomography angiography | pl |
dc.subject.en | thoracic aorta | pl |
dc.subject.en | aortic intramural hematoma | pl |
dc.subtype | Article | pl |
dc.title | CT imaging of aortic intramural hematoma : report of two cases, and review of literature | pl |
dc.title.journal | Polish Journal of Radiology | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |
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