Intimal Tear Without Hematoma

Intimal tear without hematoma: an important variant of aortic dissection that can elude current imaging techniques.

BACKGROUND The modern imaging techniques of transesophageal echocardiography, CT, and MRI are reported to have up to 100% sensitivity in detecting the classic class of aortic dissection; however, anecdotal reports of patient deaths from a missed diagnosis of subtle classes of variants are increasingly being noted. METHODS AND RESULTS In a series of 181 consecutive patients who had ascending o...

Evidence of intimal tear in type A intramural hematoma of the aorta: A case series☆

INTRODUCTION Aortic intramural hematoma (IMH) is described as "dissection without intimal tear" due to rupture of vasa vasorum, which results in bleeding within the tunica media in the absence of intimal disruption or blood flow communication. The aim of our study is to validate perioperative evidence of intimal entry tear in patients with IMH and to suggest that this entity may represent a par...

Supraspinatus Intramuscular Calcified Hematoma or Necrosis Associated with Tendon Tear

Introduction. Rotator cuff intramuscular calcification is a rare condition usually caused by heterotopic ossification and myositis ossificans. Case Presentation. We describe a patient with voluminous calcified mass entrapped in supraspinatus muscle associated with corresponding tendon tear. Histological examination corresponded to a calcified hematoma or necrosis. Patient was surgically managed...

Proximal Corpus Cavernosum Tear Presenting as Scrotal Hematoma

We present the case of a penile fracture involving the proximal corpus cavernosum, presenting as a hematoma extending into the scrotum. The presentation, diagnosis, and surgical approach, which differ from the more typical penile shaft fracture, are delineated.

Virtual angioscopy finds the intimal tear of an acute thoracic aortic dissection.