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1/16. Spontaneous rupture of an aneurysmal intrarenal arteriovenous fistula.

    We present a 65-year-old woman who was found to have a spontaneous rupture of an aneurysmal intrarenal arteriovenous fistula. To our knowledge, the present case is only the 3rd reported in the literature. The preferred method of treatment of ruptures of arteriovenous fistulae is embolization. However, the process of choosing among embolization, surgery, or a combination of both procedures must be individualized for each patient based on vital signs and symptoms.
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ranking = 1
keywords = aneurysm
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2/16. Ruptured aneurysm of the sinus of valsalva into the right atrium. An uncommon congenital heart defect.

    rupture of an aneurysm of the sinus of valsalva is an uncommon heart defect. A continuous murmur may be the first clinical sign of this rupture. Additional imaging techniques, and in the first place echocardiography, can be used to confirm the diagnosis. We present a case where, at the age 53 years, the diagnosis was made of a ruptured sinus of valsalva into the right atrium, with a typical windsock image on echocardiogram. Although several cases of a ruptured sinus of valsalva are reported in the literature, it is still an underdiagnosed condition because it is frequently missed during physical examination.
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ranking = 1
keywords = aneurysm
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3/16. urinoma: a rare complication of abdominal aortic aneurysm surgery.

    urinoma or para-renal pseudocyst generally occurs as a result of trauma to the pelvi-ureteric system. It consists of an encapsulated collection of extravasated urine and is usually located in the peri-renal space or more uncommonly in the peritoneal, pleural or mediastinal cavities. There is only one previously reported case of urinoma secondary to abdominal aortic aneurysm (AAA) surgery. We report a case of symptomatic urinoma after infra-renal AAA repair and discuss the etiology, diagnosis and treatment of this unusual condition.
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ranking = 1
keywords = aneurysm
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4/16. Popliteal vascular entrapment syndrome caused by a rare anomalous slip of the lateral head of the gastrocnemius muscle.

    Popliteal vascular entrapment syndrome can result in calf claudication, aneurysm formation, distal arterial emboli, or popliteal vessel thrombosis. The most commonly reported causes of this syndrome have been anomalies of the medial head of the gastrocnemius muscle as it relates to the course of the popliteal artery. We report two cases of rare anomalous slips of the lateral head of the gastrocnemius muscle causing popliteal vascular entrapment syndrome.
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ranking = 0.2
keywords = aneurysm
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5/16. A true aneurysm of the posterior tibial artery: a case report.

    True aneurysm of the posterior tibial artery is very rare. A 69-year-old woman presented with a pulsatile painful mass of the right lower leg.
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ranking = 1
keywords = aneurysm
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6/16. A rare case of jejunal arterio-venous fistula: treatment with superselective catheter embolization with a tracker-18 catheter and microcoils.

    Arterio-venous fistulas may develop spontaneously, following trauma or infection, or be iatrogenic in nature. We present a rare case of a jejunal arterio- venous fistula in a 35-year-old man with a history of pancreatic head resection that had been performed two years previously because of chronic pancreatitis. The patient was admitted with acute upper abdominal pain, vomiting and an abdominal machinery-type bruit. The diagnosis of a jejunal arterio-venous fistula was established by MR imaging. Transfemoral angiography was performed to assess the possibility of catheter embolization. The angiographic study revealed a small aneurysm of the third jejunal artery, abnormal early filling of dilated jejunal veins and marked filling of the slightly dilated portal vein (13-14 mm). We considered the presence of segmental portal hypertension. The patient was treated with coil embolization in the same angiographic session. This case report demonstrates the importance of auscultation of the abdomen in the initial clinical examination. MR imaging and color Doppler ultrasound are excellent noninvasive tools in establishing the diagnosis. The role of interventional radiological techniques in the treatment of early portal hypertension secondary to jejunal arterio-venous fistula is discussed at a time when this condition is still asymptomatic. A review of the current literature is included.
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ranking = 0.2
keywords = aneurysm
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7/16. Thrombosed giant intracavernous aneurysm with subsequent spontaneous ipsilateral carotid artery occlusion.

    We report a case of a 47-year-old man with a giant thrombosed aneurysm of the right cavernous internal carotid artery who initially presented with headache, double vision and trigeminal numbness. He experienced subsequent asymtomatic proximal occlusion of the parent vessel, revealed by follow-up angiography. This case illustrates the possibility that a giant thrombosed aneurysm may exert enough compression upon the parent vessel to induce flow stasis with resultant intraluminal thrombosis progressing to occlude the entire parent artery.
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ranking = 1.2
keywords = aneurysm
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8/16. Asymptomatic aneurysm of the subclavian vein.

    Venous aneurysms are rare entities whose etiology remains unknown. We report an incidental observation of an asymptomatic, saccular aneurysm of the subclavian vein and discuss the possible origin and clinical impact, with special remarks on venous interventions.
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ranking = 1.2
keywords = aneurysm
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9/16. Aneurysmal bone cyst of the rib in a child: report of a case.

    An aneurysmal bone cyst (ABC) is a benign tumor of the skeletal system, which is rare in childhood and mostly occurs in long bones. An aneurysmal bone cyst of the rib is also very rare and it is difficult to distinguish from other rib tumors of childhood, especially Ewing's sarcoma. An unusual case of an aneurysmal bone cyst in the rib of a 12-year-old boy is presented herein. The entity is discussed with special emphasis on the clinicopathologic features, differential diagnosis, and treatment. The most important diagnostic aid in accurately identifying such cysts is to be aware of such a possible diagnosis when a child presents with a rib mass. An en bloc resection of the mass along with the affected portion of the rib is mandatory to obtain a satisfactory outcome.
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ranking = 0.6
keywords = aneurysm
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10/16. Congenital extrahepatic portal vein aneurysm.

    portal vein aneurysm is a rare clinical entity, with only 41 published cases in the English-language literature. Twenty-five of them were congenital. We present the case of a 50-year-old woman who was incidentally diagnosed with a congenital extrahepatic portal vein aneurysm during an investigation for dyspepsia. Ultrasonographic features are described with correlation of computed tomographic and magnetic resonance findings. Etiology, clinical significance, and management strategies for these lesions are discussed and a review of the literature regarding this entity is presented.
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ranking = 1.2
keywords = aneurysm
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