Spontaneous hepatic haemangioma rupture and hemoperitoneum: a double problem with a single stage interventional radiology solution

Hepatic haemangioma is a congenital vascular malformation, considered the most common benign mesenchymal hepatic tumour. Spontaneous or traumatic rupture is the most severe complication. In case of rupture, surgical resection and enucleation, as a single therapy or after trans-arterial embolization are considered the treatments of choice. We report a case of spontaneous rupture of a hepatic haemangioma with massive hemoperitoneum successfully treated by percutaneous hepatic trans-arterial embolization and pelvic drainage alone

Materials and techniques for percutaneous retrieval of intravascular foreign bodies

The presence of an intravascular foreign body represents a well-known risk of serious complications. While in the past surgical removal of intravascular foreign body was the most common intervention, nowadays a percutaneous approach in the retrieval of an intravascular foreign body is widely accepted as the first-line technique. In the literature, many case reports describe different techniques and materials. This article summarizes and illustrates the main materials and techniques currently applied for percutaneous retrieval of intravascular foreign body, providing a simplified tool with different interventional possibilities, adaptable to different clinical situations

Report from the OECI Oncology Days 2014

The 2014 OECI Oncology Days was held at the ‘Prof. Dr. Ion Chiricuta’ Oncology Institute in Cluj, Romania, from 12 to 13 June. The focus of this year’s gathering was on developments in personalised medicine and other treatment advances which have made the cost of cancer care too high for many regions throughout Europe

Case report: imaging of bile duct hamartomas.

A rare case of multiple bile duct hamartomas of the liver has been evaluated with ultrasound (US), computed tomography (CT), magnetic resonance imaging (MRI) and digital subtraction angiography (DSA). The CT and angiographic features of the hamartomas described here differ significantly from previously reported cases. In addition, the MR appearance of these tumours is reported for the first time

Effectiveness of magnetic resonance imaging and MDCT- enteroclysis in the diagnosis of bowel endometriosis

Introduction: Although various techniques have been proposed for the diagnosis of bowel endometriosis, no gold standard is currently available. The objective of this study is to compare the effectiveness of magnetic resonance imaging (MRI) and multidetector computerized tomography enteroclysis (MDCTe) in determining the presence of bowel endometriotic nodules and the depth of infiltration of the nodules in the bowel wall. Materials and methods: This prospective study included 26 women (median age, 32 years; range, 19 \u2013 38) with pain and gastrointestinal symptoms suggestive of colorectal endometriosis (diarrhea, constipation, painful bowel move- ments, dyschezia, rectorrhagia). Patients underwent MRI (1T magnet, phased array coil, multiplanar FSET1, T1 fat sat, T2, T1 post-Gado sequences) and MDCTe (16-row MDCT scanner). MDCTe was performed after intestinal preparation, hypotonisation, and retrograde colon distension (obtained introducing 2000 ml of water). After the injection of iodinated contrast medium, the patient was scanned from the dome of the diaphragm to the pubic symphysis. The exams were reviewed independently and blindly by two radiologists. All women underwent laparoscopy within 2 weeks from imaging. After ade- quate adhesiolysis, last part of the ileum, caecum, colon, and rectum were systematically examined; all endometriotic nodules were excised by either nodulectomy (partial or full thickness) or bowel resection. Radiological findings were compared with surgical and histological data. Statistical analysis was performed by using SPSS 13.0; sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated by using the CATmaker software. Results: Bowel endometriosis was detected by MRI in 11 (42.3%) women and by MDCTe in 12 (46.2%) women. Surgery confirmed the presence of bowel endometriosis in the 12 patients identified by MDCTe. In the diagnosis of patients with bowel endometriosis, sensibility, specificity, PPV, and NPV were 91.7%, 100%, 100%, 93.3% for MRI and 100%, 100%, 100%, 100% for MDCTe. 21 nodules were identified by MRI and 22 by MDCTe; surgery identified a total of 25 nodules, they were located on the rectum (n 1\u20444 13), the sigmoid colon (n 1\u20444 11), caecum (n 1\u20444 1). All nodules missed by MRI andMDCTe were located on the rectum. One false positive nodule was observed at MDCTe and it was judged to reach the serosa. Among the nodules correctly identified at MRI, the depth of infiltration in the bowel wall was estimated to reach the serosa in 8 cases and the muscularis in 13 cases. At MDCTe, 4 nodules were judged to infiltrate the serosa, 16 nodules to reach the muscularis propria, and 1 reached to reach the mucosa. MDCTe correctly estimated the depth of infiltration of the nodules significantly more frequently than MRI (P 1\u20444 0.048). Conclusions: Both MRI and MDCTe can reliably detect the presence of bowel endometriotic nodules; however, MDCTe is more accurate in estimating the depth of infiltration of the nodules in the bowel wall