EURORAD ESR

Case 9939

A clinical case of muscular haematoma with vascular complications

Author(s)
Varrassi M1, Di Rocco G2, Fantini S2, Riva A3, Toppetti A4

1Department of Radiology P.O S.Spirito Pescara, Italia Email:mvarrassi27@yahoo.it
2Radiographer Department of Radiology P.O S.Spirito Pescara, Italia
3Department of Radiology Ospedale S. Salvatore L'Aquila, Italia
4Department of Vascular and Interventional Radiology P.O S.Spirito Pescara, Italia
 
Patient
male, 18 year(s)
 
 
  • Figure 1
    Muscular haematoma
     

    Coronal STIR: Muscular haematoma of left thigh with hemorrhagic areas and widespread muscular and subcutaneous tissues edema.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Trauma;

    Coronal T1: Muscular haematoma of left thigh with hemorrhagic areas and widespread muscular and subcutaneous tissues edema.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
  • Figure 2
    Muscular haematoma

    Axial DP: Muscular haematoma mainly involving vastus intermedius of quadriceps femoris.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Trauma;
     
     
  • Figure 3
    Post-traumatic pseudoaneurysm

    CT-Angiography showing a post-traumatic pseudoaneurysm. Evident swelling of left thigh.

     
    Area of Interest: Vascular; Imaging Technique: CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Haemorrhage;
     
     
  • Figure 4
    Post-traumatic pseudoaneurysm

    MIP reconstruction confirming the presence of a post-traumatic pseudoaneurysm arising from a peripherical branch of deep femoral artery.

     
    Area of Interest: Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 5
    Diagnostic DSA procedure

    DSA shows a pseudoaneurysm arising from a peripherical branch of deep femoral artery.

     
    Area of Interest: Vascular; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 6
    Embolisation of the vascular lesion

    Complete embolization of the lesion with coils and liquid embolic agent.

     
    Area of Interest: Interventional vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Haemorrhage;
     
     
Coronal STIR: Muscular haematoma of left thigh with hemorrhagic areas and widespread muscular and subcutaneous tissues edema.
 
Coronal T1: Muscular haematoma of left thigh with hemorrhagic areas and widespread muscular and subcutaneous tissues edema.
 
Axial DP: Muscular haematoma mainly involving vastus intermedius of quadriceps femoris.
 
CT-Angiography showing a post-traumatic pseudoaneurysm. Evident swelling of left thigh.
 
MIP reconstruction confirming the presence of a post-traumatic pseudoaneurysm arising from a peripherical branch of deep femoral artery.
 
DSA shows a pseudoaneurysm arising from a peripherical branch of deep femoral artery.
 
Complete embolization of the lesion with coils and liquid embolic agent.
 
 
 
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