Active hemorrhage into a postresection cavity detected by neuro-CT angiography.
We describe a case demonstrating active extravasation of contrast material into a hematoma resection cavity during CT angiography (CTA) that necessitated emergent reexploration, decompression, and hemostatic control. Our case highlights the value of neuro-CTA in the immediate postoperative setting and describes another scenario where CTA has added value. Prompt recognition of contrast extravasation is critical to the diagnosis and ultimately affects the quality of patient care.
Walker
Matthew T
MT
Department of Radiology, Feinberg School of Medi-cine, Northwestern Memorial Hospital, Northwestern University, Chicago, IL 60611, USA.
Wattamwar
Anoop
A
Mellman
David
D
Mo
Jae
J
D000328:Adult; D000792:Angiography / Q000379:methods*; D001930:Brain Injuries / Q000150:complications / Q000601:surgery; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D020300:Intracranial Hemorrhages / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D014057:Tomography, X-Ray Computed