Acute Intramural Hematoma of the Aorta as a Cause of Positive FDG PET/CT

Type A acute intramural hematoma (IMH) of the ascending aorta is defined as hemorrhage in the aortic wall in the absence of intimal disruption. Proximity to the adventitia may explain the higher incidence of rupture in IMH. We present a case of IMH, diagnosed by the presence of linear intense uptake...

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Bibliographic Details
Published in:	Clinical nuclear medicine Vol. 32; no. 9; pp. 729 - 731
Main Authors:	Ryan, Alex, McCook, Barry, Sholosh, Beatta, Pryma, Daniel A, Jablonowski, Eric, Fuhrman, Carl, Blodgett, Todd M
Format:	Journal Article
Language:	English
Published:	United States Lippincott Williams & Wilkins, Inc 01-09-2007
Subjects:	Acute Disease Aged Aortic Diseases - diagnosis Female Fluorodeoxyglucose F18 Hematoma - diagnosis Humans Positron-Emission Tomography - methods Radiopharmaceuticals Subtraction Technique Tomography, X-Ray Computed - methods
Online Access:	Get full text
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Summary:	Type A acute intramural hematoma (IMH) of the ascending aorta is defined as hemorrhage in the aortic wall in the absence of intimal disruption. Proximity to the adventitia may explain the higher incidence of rupture in IMH. We present a case of IMH, diagnosed by the presence of linear intense uptake of FDG on PET/CT, in a 70-year-old woman undergoing staging for colorectal cancer. There is no current role for FDG-PET in the diagnosis of IMH. This case demonstrates that incidental focal FDG activity in the wall of the aorta may indicate the life-threatening diagnosis of IMH.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0363-9762 1536-0229
DOI:	10.1097/RLU.0b013e318123f7a6