Air within surgical arterial graft on computed tomography—An alarming finding of a rare complication

Air within surgical arterial graft on computed tomography—An alarming finding of a rare complication

We present a case of a 61 years old lady operated 2 years back for severe superior mesenteric artery stenosis with a surgical vascular graft and presenting as acute severe abdominal pain and vomiting. Her CT angiography showed occlusion of the surgical vascular graft with graft migration into small...

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Main Authors: Vardhan S. Joshi, DNB, DMRD, Diploma In MSK USG, Advait Kothurkar, MS, DNB, MRCS, FIVS, Kourabhi Banode, DMRD, DNB, Sanjay Kolte, MS
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S193004331930322X
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spelling doaj-b062486d54bc4d56874b749d4ccc22ca2020-11-25T02:04:44ZengElsevierRadiology Case Reports1930-04332019-12-01141215581560Air within surgical arterial graft on computed tomography—An alarming finding of a rare complicationVardhan S. Joshi, DNB, DMRD, Diploma In MSK USG0Advait Kothurkar, MS, DNB, MRCS, FIVS1Kourabhi Banode, DMRD, DNB2Sanjay Kolte, MS3Dept of Radiology, Sahyadri Speciality Hospital, Karve Road, Erandwane, Pune, 411004, Maharashtra, India; Corresponding author.Dept of Vascular Surgery, Sahyadri Speciality Hospital, Karve Road, Erandwane, Pune, 411004, Maharashtra, IndiaDept of Radiology, Sahyadri Speciality Hospital, Karve Road, Erandwane, Pune, 411004, Maharashtra, IndiaDept of General Surgery, Sahyadri Speciality Hospital, Karve Road, Erandwane, Pune, 411004, Maharashtra, IndiaWe present a case of a 61 years old lady operated 2 years back for severe superior mesenteric artery stenosis with a surgical vascular graft and presenting as acute severe abdominal pain and vomiting. Her CT angiography showed occlusion of the surgical vascular graft with graft migration into small bowel. Both the findings of graft occlusion and bowel perforation were optimally demonstrated on the CT angiography study. The alarm of bowel perforation in addition to graft infection was raised by the presence of air pockets within the graft and its communication with bowel lumen. Coexistent graft infection was evident on graft culture. Keywords: Air, Surgical arterial graft, Mesenteric, CT angiography, Perforation, Small bowelhttp://www.sciencedirect.com/science/article/pii/S193004331930322X
collection DOAJ
language English
format Article
sources DOAJ
author Vardhan S. Joshi, DNB, DMRD, Diploma In MSK USG
Advait Kothurkar, MS, DNB, MRCS, FIVS
Kourabhi Banode, DMRD, DNB
Sanjay Kolte, MS
spellingShingle Vardhan S. Joshi, DNB, DMRD, Diploma In MSK USG
Advait Kothurkar, MS, DNB, MRCS, FIVS
Kourabhi Banode, DMRD, DNB
Sanjay Kolte, MS
Air within surgical arterial graft on computed tomography—An alarming finding of a rare complication
Radiology Case Reports
author_facet Vardhan S. Joshi, DNB, DMRD, Diploma In MSK USG
Advait Kothurkar, MS, DNB, MRCS, FIVS
Kourabhi Banode, DMRD, DNB
Sanjay Kolte, MS
author_sort Vardhan S. Joshi, DNB, DMRD, Diploma In MSK USG
title Air within surgical arterial graft on computed tomography—An alarming finding of a rare complication
title_short Air within surgical arterial graft on computed tomography—An alarming finding of a rare complication
title_full Air within surgical arterial graft on computed tomography—An alarming finding of a rare complication
title_fullStr Air within surgical arterial graft on computed tomography—An alarming finding of a rare complication
title_full_unstemmed Air within surgical arterial graft on computed tomography—An alarming finding of a rare complication
title_sort air within surgical arterial graft on computed tomography—an alarming finding of a rare complication
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2019-12-01
description We present a case of a 61 years old lady operated 2 years back for severe superior mesenteric artery stenosis with a surgical vascular graft and presenting as acute severe abdominal pain and vomiting. Her CT angiography showed occlusion of the surgical vascular graft with graft migration into small bowel. Both the findings of graft occlusion and bowel perforation were optimally demonstrated on the CT angiography study. The alarm of bowel perforation in addition to graft infection was raised by the presence of air pockets within the graft and its communication with bowel lumen. Coexistent graft infection was evident on graft culture. Keywords: Air, Surgical arterial graft, Mesenteric, CT angiography, Perforation, Small bowel
url http://www.sciencedirect.com/science/article/pii/S193004331930322X
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