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Case of the Month

January 2014

Patient Data: Male patient 42 years old

Clinical Info: Dicrete swelling over the radial artery


55318-Afbeelding1.jpg
Transverse image of the abnormal arterial wall


55319-Afbeelding2.jpg
Another transverse image of the same radial artery. Do you think this is another case of cystic adventitial disease?


55320-Afbeelding3.jpg
Transverse image with flow The lumen of the artery is normal. There is no flow is the cystic structures in the wall


55321-Afbeelding4.jpg
Transverse image showing again the cystc structures in the wall


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Longitudinal view of the artery


55323-Afbeelding6.jpg
Longitudinal view of the artery


55324-Afbeelding7.jpg
Longitudinal image with flow


55329-1223570_20120730155838.swf video


55330-1223570_20120730155915.swf video


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Of course we also compared with the normal side. This is the transverse view


55326-Afbeelding9.jpg
This is the normal side transverse with flow


55327-Afbeelding10.jpg
This is the normal side longitudinal


55328-Afbeelding13.jpg
And this is the normal side with flow. When we asked the patient he admitted that he had sustained a trauma to the wrist some time ago. We concluded that perhaps the changes were post traumatic. We decided to do an MRI


55331-wrist.swf MRI


55332-wrist2.swf MRI


55333-wrist3.swf MRI


55334-wrist4.swf MRI We concluded that the lesion was probabbly postraumatic with edema and some hemmorhage and waited a number of months and repeated the examination


55335-Afbeelding10.jpg
This the longitudinal image of the same abnormal artery. The abnormalities are gone


55337-Afbeelding12.jpg
Normal transvere image with flow


55338-Afbeelding13.jpg
Longitudinal image with flow

The abnormalities in the arterial wall of the radial atery are not caused by adventitial cysts but by post traumatic changes


Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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