Hosting 723 files, 2931 images, and 4 contributors.

Random Case

Meckel Diverticulum with Gastric Mucosa
Joseph Junewick, MD FACR
over 7 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

Premature infant with diminished lower extremity pulses.

Case Detail

Anatomy: Vascular-Lymphatic
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 9 years ago
Updated: over 8 years ago
Tags: PEDS
Modality/Study Types: US
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Clinical Notes

Recent umbilical artery catheter placement.

Reveal Findings

Mural thickening and increased echogenicity of the infrarenal aorta with resultant luminal narrowing.

Reveal Discussion

While improved catheter construction and placement techniques have improved, catheter complications remain real and can be especially significant in fragile premature newborns. Complications of umbilical catheters include infection, thrombosis and vascular injury. Vascular injury can result in dissesction, pseudoaneurym formation, end-organ ischemia and vessel rupture. In this case, disruption of the intima led to separation of the intima and media by exposure to pressurized blood giving rise to an intramural hematoma and luminal narrowing.

Reveal Diagnosis

Aortic dissection secondary to umbilical artery catheter.

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare