Case Report
A rare congenital abnormality mimicking the appearance of a type A aortic dissection
Abstract Type A aortic dissection is a tear in the wall of the ascending aorta and/or arch between the tunica intima and tunica media layers. This is a surgical emergency and requires immediate surgical repair. Aortic CT angiography is essential for classification, assessing extent of the disease and planning the management. An intimal flap on…
Read MoreA rare case of a dog bite leading to bilateral lower limb amputations
Abstract Capnocytophaga canimorsus is a rare cause of bacteraemia, occurring usually after dog bites, and can have devastating consequences for patients. This report describes the case of a 65-year-old woman who presented acutely unwell 6 days after being bitten on the hand by a dog. She suffered consequences of overwhelming sepsis, disseminated intravascular coagulation and…
Read MoreEctopic thyroid tissue presenting as a carotid body paraganglioma
Abstract Ectopic thyroid tissue is a rare developmental abnormality, typically presenting with midline ectopia due to incomplete embryological migration via the thyroglossal duct. The presence of ectopic thyroid tissue lateral to the midline is very rare, accounting for 1–3% of all ectopic thyroid tissue. Clinically, these lesions are often mistaken for other diagnoses including enlarged…
Read MoreA case of classic Kaposi’s sarcoma masquerading as a vascular malformation
Abstract A 45-year-old man presented with painful lumps on his right foot. Imaging suggested a vascular malformation and the patient was referred first to a vascular surgeon, then to a specialist vascular malformation centre. MRA and catheter angiography confirmed a high flow lesion. However, there was clinical and radiological suspicion that an alternative diagnosis was…
Read MorePseudoaneurysm of the anterior tibial artery following arthrodesis on a background of ankle joint tuberculosis
Abstract A 65-year-old man presented with a 6-week history of worsening right anterior ankle swelling following an ankle arthrodesis. Examination revealed a warm pulsatile 8 cm swelling on the dorsum of the foot. Ultrasound doppler and computed tomography angiography revealed an 8 cm pseudoaneurysm arising from the anterior tibial artery. Fluoroscopic-guided embolisation successfully treated the…
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