Case 170 - Peri-Aortic Soft Tissue Biopsy

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CT Guided BiopsyBhavin Jankharia

Current Case:

67-years old lady with fever presented with soft tissue encasing the thoraco-abdominal aorta.

This pattern of disease is most common with idiopathic fibrosis, IgG4-related disease.

The rheumatologist and physician, both wanted histopath proof.

I have shown one similar case before.

Case 89: Biopsy of Retroperitoneal Fibrosis

Biopsy of retroperitoneal fibrosis is possible under CT guidance

CT Guided BiopsyBhavin Jankharia

I decided to use a prone approach from the left.

The video describes the case, the final diagnosis, 4 other similar cases, one with an anterior approach with one new reference.

Click here if you can't see the embedded video in your email.

Region: Retroperitoneum
Age: 67
Findings: Thoraco-abdominal peri-aortic soft tissue
Lesion Biopsied: Same
Size of Lesion: 10.1 mm thickness
Gun: 18G Cook, 10 mm throw, used blunt tip of BARD past nerve
No of cores: 3 for histopath
Sedation: No
Position & Approach: Prone, IV contrast
Time Taken (marker to wash-out): 13 mins
Complication: None
Level of Difficulty: 5/5
Diagnosis: IgG4-related disease, retroperitoneal fibrosis

Table of Contents and Other Pelvic Node Biopsies

Table of Contents

Table of Contents

CT Guided BiopsyBhavin Jankharia

Previous Post:

Case 169: Common Iliac Node Biopsy - Posterior Transiliotransverse Ligament Approach

Pelvic nodes can be approached from the supine or prone positions - intra or extraperitoneal approaches are possible depending on the specific situation of that patient and the exact location of the node

CT Guided BiopsyBhavin Jankharia

Other Sites and Cases:

Case of the Day on YouTube

Snippet 27: Airspace Enlargement with Fibrosis (AEF)

Airspace enlargement with fibrosis (AEF) is a distinct entity where fibrosis within areas of emphysema produces a characteristic appearance in patients with COPD, both in smokers and never-smokers

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Perhaps Smartphone and Other Tech Usage is a Good Idea as We Age

It is possible that the increasing use of smartphones and the internet in the elderly contributes to the reduction in the rate of loss of cognitive decline.

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