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    Case of the Day
    Connatal Embolisms in the Right Forearm

    Modality: MRI

    View here all images of this case in different sizes !



    Go to the top of the page ID: 20020325113932
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     Connatal Embolisms in the Right Forearm   
     Available images: There are MRI images available for this case. [ MRI ]   
     Author/s:

    G. Hahn (Dresden)  

     
     Email Address:

    Viewable for logged on visitors (Log on)  

     
     Age:

    N/A  

     
     Gender:

    N/A  

     
     History:

    The child was born in another hospital. Even at the time of birth, a discolored right hand was noticed. In the doppler sonography, a decreased flow in the lower arm arteries were found. That is why a complete heparinization was started postnatally. After 5 days, the child was transferred to our institution. The tips of the fingers were mostly already mummified. In our hospital, we also noticed a thrombosis of the vena cava. The child was treated with heparin and protein C under the suspicion of a Protein C deficiency.  

     
     Pathomorphology or Pathophysiology of this disease :

    Prenatal thrombosis of the vena cava and embolism over the foramen ovale in the right lower arm.  

     
     Radiological findings:


    MRI 1 <- view MRI 1

    MRI 1: Bolus-MR-Angiography: Shown is the ulnar and radial arteris up to the hand. The interosseus artery (both posterior and anterior) is only shown partially. The superfical and deep palmar arch was demarcated. Shown are 3 branches, which can be partially followed to the thumb.

     

     
     Diagnosis confirmation:

    Total constellation (Consens)  

     
     Which DD would be also possible with the radiological findings:

    N/A  

     
     Course / Prognosis / Frequency / Other :

    Bad prognosis, danger of infection with increasing necrosis of the right hand.  

     
     Comments of the author about the case:

    N/A  

     
     First description / History:

    N/A  

     
     Literature:

    N/A  

     
     Region-Organ:

    Arm-Vessels  

     
     Most likely etiology:

    circulatory  

     
     Available images: There are MRI images available for this case. [ MRI ]   
    More cases from these authors: Search G. Hahn in Medline G. Hahn (22)     




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