title: Fatal abdominal thorotrast granuloma.
abstract: We report a case of fatal abdominal thorotrast granuloma seen in a 65-year-old man who had undergone a femoral angiography of thorotrast with some accidental extravasation 49 years previously. As the thorotrast granuloma gradually increased in size, it caused ureteral obstruction, venous thrombosis, and perforation of the urinary bladder and rectum. Symptomatic abdominal thorotrast granuloma is quite rare and this is the first reported case of the granuloma associated with perforation through the urinary bladder and rectum.
authors.affiliation: Division of Internal Medicine, Moji Rosai Hospital, Kitakyushu, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Ishii
authors.forename: A
authors.initials: A
authors.lastname: Tanaka
authors.forename: Y
authors.initials: Y
authors.lastname: Nakayama
authors.forename: Y
authors.initials: Y
authors.lastname: Kuroda
authors.forename: H
authors.initials: H
authors.lastname: Kuramoto
authors.forename: H
authors.initials: H
authors.lastname: Ibayashi
mesh_terms: D000008:Abdominal Neoplasms / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D000368:Aged; D001774:Blood Chemical Analysis; D001803:Blood Transfusion; D015377:Cilastatin / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D006099:Granuloma / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D008297:Male; D010289:Parenteral Nutrition, Total; D012007:Rectum / Q000473:pathology; D013911:Thorium Dioxide / Q000009:adverse effects*; D013924:Thrombophlebitis / Q000209:etiology; D014517:Ureteral Obstruction / Q000209:etiology; D001743:Urinary Bladder / Q000473:pathology
chemical_list: D015377:Cilastatin; D002981:Clindamycin; D015378:Imipenem; D013911:Thorium Dioxide