EURORAD ESR

Case 13289

Septic embolism and embolic source, what and how to look for?

Author(s)
Dr. Rolando Cocio Arcos 1, Dr. Mario Zérega Ruiz 2, Dr. Sebastián Yévenes Aravena 2, Dr. Leonardo Lidid Alonso 2, Dr. Felipe Zumaeta Valenzuela 1, Dr. Alejandro Hollstein Gutiérrez 1

1. Residente. Servicio de Imagenología. Hospital San Juan de Dios, Comuna de Santiago; Huérfanos 3255, Santiago. Chile

2. Radiólogo. Servicio de Imagenología. Hospital San Juan de Dios, Comuna de Santiago; Huérfanos 3255, Santiago. Chile

Email:rolandococio@hotmail.com
 
Patient
female, 52 year(s)
 
 
  • Figure 1
    Coronal CTA abdomen and pelvis

    Image shows a partially occlusive thrombus in the aorto-iliac bifurcation that extends to the common left iliac-artery.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: eLearning; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 2
    Axial CTA abdomen and pelvis

    Image shows the partially occlusive thrombus that extends to the common left iliac artery.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: eLearning; Special Focus: Obstruction / Occlusion;
     
     
  • Figure 3
    Axial CTA abdomen and pelvis image in venous phase

    Image shows hypodense focus of the splenic parenchyma of embolic origin.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: eLearning; Special Focus: Abscess;
     
     
  • Figure 4
    Coronal CTA abdomen and pelvis image, arterial phase.

    Image shows a cuneiform zone of absence of parenchymal enhancement that corresponds to a renal infarction of embolic origin.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: eLearning; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 5
    CTA axial image at aortic bifurcation level

    One month since beginning of symptoms. Image showed a pseudoaneurysm of a thicker lateral wall of the common left iliac artery, ssociated to a hypodense area of the left psoas muscle.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: eLearning; Special Focus: Aneurysms;
     
     
  • Figure 6
    CTA coronal image in venous phase

    Image shows a pseudoaneurysm of the lateral wall of the common let iliac artery and a large abcess of the entire left psoas muscle.

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: eLearning; Special Focus: Abscess;
     
     
Image shows a partially occlusive thrombus in the aorto-iliac bifurcation that extends to the common left iliac-artery.
 
Image shows the partially occlusive thrombus that extends to the common left iliac artery.
 
Image shows hypodense focus of the splenic parenchyma of embolic origin.
 
Image shows a cuneiform zone of absence of parenchymal enhancement that corresponds to a renal infarction of embolic origin.
 
One month since beginning of symptoms. Image showed a pseudoaneurysm of a thicker lateral wall of the common left iliac artery, ssociated to a hypodense area of the left psoas muscle.
 
Image shows a pseudoaneurysm of the lateral wall of the common let iliac artery and a large abcess of the entire left psoas muscle.
 
 
 
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