Acute myocarditis
Diagnosis almost certain
Updates to Case Attributes
Title
was changed:
Presentation
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Ultrasound revealed right-sided pleural effusion and ascites.
Lack and lack of flow in the portal veins, suggestive of hepatitis.
Body
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The CT findings of venous engorgement of the IVC and SMV, in conjunction with the significant reflux of contrast in to the IVC and the ascities, are suggestive of heart faliure, possible seondarysecondary to myocarditis in view of the myocardium hyper-enhancement.
Importantly, there is no thrombus within the IVC and the appearances of the inhomogeneous enhancement within the IVC are a result of abnormal admixing. This is due in-part to the increased venous pressures within the IVC.
An echocardiogram confirmed the diagnosis of acute myocarditis.
Case presented with Dr. Julian Hague FRCR Interventional Consultant UCLH
-<p>The CT findings of venous engorgement of the IVC and SMV, in conjunction with the significant reflux of contrast in to the IVC and the ascities, are suggestive of heart faliure, possible seondary to myocarditis in view of the myocardium hyper-enhancement.</p><p>Importantly, there is no thrombus within the IVC and the appearances of the inhomogeneous enhancement within the IVC are a result of abnormal admixing. This is due in-part to the increased venous pressures within the IVC.</p><p>An echocardiogram confirmed the diagnosis of myocarditis.</p><p>Case presented with Dr. Julian Hague FRCR Interventional Consultant UCLH</p>- +<p>The CT findings of venous engorgement of the IVC and SMV, in conjunction with the significant reflux of contrast in to the IVC and the ascities, are suggestive of heart faliure, possible secondary to myocarditis in view of the myocardium hyper-enhancement.</p><p>Importantly, there is no thrombus within the IVC and the appearances of the inhomogeneous enhancement within the IVC are a result of abnormal admixing. This is due in-part to the increased venous pressures within the IVC.</p><p>An echocardiogram confirmed the diagnosis of acute myocarditis.</p><p>Case presented with Dr. Julian Hague FRCR Interventional Consultant UCLH</p>