introduction delayed splenic rupture (dsr) is an unusual outcome following blunt abdominal trauma. although dsr is defined as bleeding more than 48 hours after blunt trauma in a previously hemodynamically stable patient, a review of the reported cases in the literature shows that in almost all of the cases the initial ct imaging revealed some form of damage to the spleen. case presentation here...

Superior vena cava obstruction is associated with multiple venous collaterals. There is an unusual pathway involving pulmonary venous collaterals in which systemic veins drain directly into the left heart, resulting in a right-to-left shunt. We report here a rare case of systemic to pulmonary venous shunt on both hemithoraces in superior vena cava obstruction associated with Budd-Chiari syndrom...

coronary-cameral fistulas (ccfs) constitute a rare anomaly that can be incidentally detected during angiography. ccfs are solitary, large or small assemblies that originate from coronary arteries and enter one of the cardiac chambers. we describe a 29-year-old woman, who referred to our clinic with the chief complaints of palpitation, atypical chest pain, and dyspnea on exertion (functional cla...

Spontaneous, isolated focal renal artery dissection is an extremely rare cause of renovascular hypertension. Imaging technology for the renal arteries has evolved recently with the development of multidetector computed tomography angiography (CTA), and intravascular ultrasound. We describe a 52-year-old man with spontaneous renal artery dissection complicated by renovascular hypertension, succe...

An anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA syndrome) or Bland-White-Garland syndrome is a rare congenital cardiac anomaly. We report a 65-year old female patient who presented with atypical chest discomfort. Coronary angiography and three-dimensional multidetector computed tomography coronary angiography demonstrated the ectatic right coronary artery...

Vascular malformation of the small bowel is an uncommon cause of gastrointestinal haemorrhage. Phlebectasia or venous ectasia is a rare benign vascular anomaly of the gastrointestinal tract. We report a 39-year-old Egyptian man presenting with multiple jejunal phlebectasia, liver haemangioma and port-wine naevus. Despite recurrent melaena, the results of various routine investigations, includin...

An 82-year-old female with history of hyperlipidemia and hypertension presented to the clinic with chief complaint of nonradiating chest tightness accompanied by exertional dyspnea. Cardiac catheterization showed the absence of left coronary system; the entire coronary system originated from the right aortic sinus as a common trunk which then gave off the right coronary artery and the left main...

Anomalous left coronary artery arising from the pulmonary artery (ALCAPA) is a rare but very serious congenital coronary artery anomaly. Multidetector computed tomography (MDCT) coronary angiography has recently become the gold standard for depicting anatomical variations and anomalies of the coronary arteries because the origin and course of anomalous arteries can be demonstrated very accurate...