Hemophilia CT: Difference between revisions
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==Overview== | ==Overview== | ||
On CT, hemophilia is characterized by haemorrhage into joints or soft-tissue. | On CT, hemophilia is characterized by haemorrhage into joints or soft-tissue. | ||
==CT== | ==CT scan== | ||
CT scan may be helpful in the diagnosis of hemophilia. Findings on CT scan suggestive of hemophilia include: | |||
*Pseudoaneurysms after arterial trauma<ref name="pmid23337709">{{cite journal |vauthors=Rodriguez-Merchan EC |title=Pseudoaneurysms in haemophilia |journal=Blood Coagul. Fibrinolysis |volume=24 |issue=5 |pages=461–4 |date=July 2013 |pmid=23337709 |doi=10.1097/MBC.0b013e32835e42aa |url=}}</ref> | |||
* | *Muscle hematoma<ref name="pmid22889018">{{cite journal |vauthors=Aouba A, Breton S, Harroche A, Sy-Bah D, Torchet MF, Frenzel L, Lasne D, Padovani JP, Odent T, Rothschild C |title=Spontaneous obturator internus muscle haematoma: a new unpublished cause of ilioipelvic pain in haemophilia |journal=Haemophilia |volume=19 |issue=1 |pages=157–60 |date=January 2013 |pmid=22889018 |doi=10.1111/j.1365-2516.2012.02929.x |url=}}</ref><ref name="pmid25691577">{{cite journal |vauthors=Freeman A |title=Acquired haemophilia A presenting at a District General Hospital |journal=BMJ Case Rep |volume=2015 |issue= |pages= |date=February 2015 |pmid=25691577 |pmc=4336866 |doi=10.1136/bcr-2014-208001 |url=}}</ref> | ||
* | *Intracranial hematoma<ref name="pmid22385799">{{cite journal |vauthors=Peltier J, Baroncini M, Thines L, Leteurtre S, Marey A, Vinchon M |title=[Haemophilia A and intracranial bleedings in infants] |language=French |journal=Neurochirurgie |volume=58 |issue=1 |pages=19–24 |date=February 2012 |pmid=22385799 |doi=10.1016/j.neuchi.2012.01.003 |url=}}</ref><ref name="pmid30341523">{{cite journal |vauthors=Hu Q, Zhang A, Liu AG, Wang SM, Wang YQ, Zhang LQ |title=A Retrospective Analysis of Intracranial Hemorrhage in Children with Hemophilia A |journal=Curr Med Sci |volume=38 |issue=5 |pages=875–879 |date=October 2018 |pmid=30341523 |doi=10.1007/s11596-018-1956-4 |url=}}</ref> | ||
* | *Hemophilic pseudotumour (shown as an expansive and thinly corticated lesion with fluid attenuation)<ref name="pmid22253339">{{cite journal |vauthors=Yang BT, Wang YZ, Wang XY, Wang ZC |title=Imaging features of paediatric haemophilic pseudotumour of the maxillary bone: report of three cases and review of the literature |journal=Br J Radiol |volume=85 |issue=1016 |pages=1107–11 |date=August 2012 |pmid=22253339 |pmc=3587104 |doi=10.1259/bjr/12938443 |url=}}</ref><ref name="pmid27359071">{{cite journal |vauthors=Kwon AY, Huh KH, Yi WJ, Symkhampha K, Heo MS, Lee SS, Choi SC |title=Haemophilic pseudotumour in two parts of the maxilla: case report |journal=Dentomaxillofac Radiol |volume=45 |issue=6 |pages=20150440 |date=2016 |pmid=27359071 |pmc=5124770 |doi=10.1259/dmfr.20150440 |url=}}</ref> | ||
*Intracranial hemorrhage<ref name="pmid30341523">{{cite journal |vauthors=Hu Q, Zhang A, Liu AG, Wang SM, Wang YQ, Zhang LQ |title=A Retrospective Analysis of Intracranial Hemorrhage in Children with Hemophilia A |journal=Curr Med Sci |volume=38 |issue=5 |pages=875–879 |date=October 2018 |pmid=30341523 |doi=10.1007/s11596-018-1956-4 |url=}}</ref><ref name="pmid26433465">{{cite journal |vauthors=Liu J, Wang D, Lei C, Xiong Y, Yuan R, Hao Z, Tao W, Liu M |title=Etiology, clinical characteristics and prognosis of spontaneous intracerebral hemorrhage in children: A prospective cohort study in China |journal=J. Neurol. Sci. |volume=358 |issue=1-2 |pages=367–70 |date=November 2015 |pmid=26433465 |doi=10.1016/j.jns.2015.09.366 |url=}}</ref> | |||
( | *Intraabdominal hematomas involving the viscera<ref name="pmid28784897">{{cite journal |vauthors=Rawat J, Singh S, Chaubey D |title=Spontaneous bladder rupture: unusual presentation in a haemophilic child |journal=BMJ Case Rep |volume=2017 |issue= |pages= |date=August 2017 |pmid=28784897 |doi=10.1136/bcr-2017-220943 |url=}}</ref> | ||
*Muscle ossification (Myositis ossificans)<ref name="pmid26889330">{{cite journal |vauthors=Frioui S, Jemni S |title=[A rare muscular complication of hemophilia: Myositis ossificans] |language=French |journal=Pan Afr Med J |volume=22 |issue= |pages=149 |date=2015 |pmid=26889330 |pmc=4742018 |doi=10.11604/pamj.2015.22.149.7909 |url=}}</ref> | |||
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==References== | ==References== | ||
Revision as of 21:49, 22 January 2019
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Hemophilia Microchapters |
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Hemophilia CT On the Web |
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American Roentgen Ray Society Images of Hemophilia CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
On CT, hemophilia is characterized by haemorrhage into joints or soft-tissue.
CT scan
CT scan may be helpful in the diagnosis of hemophilia. Findings on CT scan suggestive of hemophilia include:
- Pseudoaneurysms after arterial trauma[1]
- Muscle hematoma[2][3]
- Intracranial hematoma[4][5]
- Hemophilic pseudotumour (shown as an expansive and thinly corticated lesion with fluid attenuation)[6][7]
- Intracranial hemorrhage[5][8]
- Intraabdominal hematomas involving the viscera[9]
- Muscle ossification (Myositis ossificans)[10]
References
- ↑ Rodriguez-Merchan EC (July 2013). "Pseudoaneurysms in haemophilia". Blood Coagul. Fibrinolysis. 24 (5): 461–4. doi:10.1097/MBC.0b013e32835e42aa. PMID 23337709.
- ↑ Aouba A, Breton S, Harroche A, Sy-Bah D, Torchet MF, Frenzel L, Lasne D, Padovani JP, Odent T, Rothschild C (January 2013). "Spontaneous obturator internus muscle haematoma: a new unpublished cause of ilioipelvic pain in haemophilia". Haemophilia. 19 (1): 157–60. doi:10.1111/j.1365-2516.2012.02929.x. PMID 22889018.
- ↑ Freeman A (February 2015). "Acquired haemophilia A presenting at a District General Hospital". BMJ Case Rep. 2015. doi:10.1136/bcr-2014-208001. PMC 4336866. PMID 25691577.
- ↑ Peltier J, Baroncini M, Thines L, Leteurtre S, Marey A, Vinchon M (February 2012). "[Haemophilia A and intracranial bleedings in infants]". Neurochirurgie (in French). 58 (1): 19–24. doi:10.1016/j.neuchi.2012.01.003. PMID 22385799.
- ↑ 5.0 5.1 Hu Q, Zhang A, Liu AG, Wang SM, Wang YQ, Zhang LQ (October 2018). "A Retrospective Analysis of Intracranial Hemorrhage in Children with Hemophilia A". Curr Med Sci. 38 (5): 875–879. doi:10.1007/s11596-018-1956-4. PMID 30341523.
- ↑ Yang BT, Wang YZ, Wang XY, Wang ZC (August 2012). "Imaging features of paediatric haemophilic pseudotumour of the maxillary bone: report of three cases and review of the literature". Br J Radiol. 85 (1016): 1107–11. doi:10.1259/bjr/12938443. PMC 3587104. PMID 22253339.
- ↑ Kwon AY, Huh KH, Yi WJ, Symkhampha K, Heo MS, Lee SS, Choi SC (2016). "Haemophilic pseudotumour in two parts of the maxilla: case report". Dentomaxillofac Radiol. 45 (6): 20150440. doi:10.1259/dmfr.20150440. PMC 5124770. PMID 27359071.
- ↑ Liu J, Wang D, Lei C, Xiong Y, Yuan R, Hao Z, Tao W, Liu M (November 2015). "Etiology, clinical characteristics and prognosis of spontaneous intracerebral hemorrhage in children: A prospective cohort study in China". J. Neurol. Sci. 358 (1–2): 367–70. doi:10.1016/j.jns.2015.09.366. PMID 26433465.
- ↑ Rawat J, Singh S, Chaubey D (August 2017). "Spontaneous bladder rupture: unusual presentation in a haemophilic child". BMJ Case Rep. 2017. doi:10.1136/bcr-2017-220943. PMID 28784897.
- ↑ Frioui S, Jemni S (2015). "[A rare muscular complication of hemophilia: Myositis ossificans]". Pan Afr Med J (in French). 22: 149. doi:10.11604/pamj.2015.22.149.7909. PMC 4742018. PMID 26889330.