Case Reports

Congenital absence of splenic artery: a rare cause of upper gastrointestinal bleed

June 26, 2023

Abstract A 21-year-old woman presented as an emergency with upper abdominal discomfort and one episode of haematemesis. Physical examination, blood results and oesophagogastroduodenoscopy (OGD) were unremarkable. The patient collapsed following a large haematemesis 24 hours later and was intubated, ventilated and resuscitated. Repeat OGD demonstrated multiple areas of gastric angiodysplasia with active bleeding. Attempted haemostasis […]

Blue toe syndrome secondary to multiple spontaneous aortic thrombi following pneumonia

June 26, 2023

Abstract A 65-year-old man presented with bilateral ischaemic toes 11 days following hospital discharge for pneumonia. His initial admission was complicated by atrial fibrillation requiring rivaroxaban on discharge. A thromboembolic cause of his toe ischaemia was suspected. An echocardiogram demonstrated only moderate atherosclerosis. However, repeat echocardiogram revealed five thrombi within the descending aorta. Medical management […]

Carotid EndoVAC: a novel hybrid technique for carotid Dacron patch infection

May 9, 2023

Abstract This paper reports the use of the EndoVAC technique in a case of left carotid artery Dacron patch infection. The EndoVAC technique involves a sequence of endovascular relining with a stent graft, surgical debridement with explantation of infected graft material and secondary intention wound healing with a vacuum-assisted closure (VAC) device and long-term antibiotic […]

Management of large post-crossover inguinal lymphocele

February 27, 2023

Abstract A 73-year-old man with a history of peripheral arterial disease and previous bilateral common femoral artery reconstruction presented with left foot critical limb-threatening ischaemia and underwent right to left femoro-profunda crossover grafting. Postoperatively, he developed a left groin lymph leak that initially dried up but later re-presented as a very large lymphocele. Initial attempts […]

Use of a Heli-FX System Guide steerable sheath for internal iliac artery bridging stent re-intervention following iliac branch procedure via a contralateral femoral approach

January 30, 2023

Abstract Endovascular aneurysm repair (EVAR) offers lower early morbidity and mortality at the expense of increased long-term re-intervention. Dilatation of distal landing zones is increasingly managed with iliac branch procedures. Re-intervention for endoleak from the internal iliac artery (IIA) bridging stent component is usually approached from arm access due to concerns regarding inducement of displacement […]

Carotid web: an important cause of stroke in young people

November 21, 2022

Case report A 40-year-old female presented 3 hours and 15 minutes after acute onset speech disturbance, left-sided weakness, headache and neck discomfort. She was a smoker and had a history of fibromyalgia and anxiety disorder. Her regular medications included a selective serotonin reuptake inhibitor and propranolol. Physical examination showed mild dysphasia and dysarthria, left hemiparesis […]