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1.  Spontaneous cholecystocolic fistula and locoregional liver tumour ablation: a cautionary tale 
The British Journal of Radiology  2011;84(1008):e243-e245.
A liver abscess is a feared and potentially fatal complication following transarterial chemoembolisation (TACE) and radiofrequency ablation (RFA) of liver tumours. Iatrogenic bilio-enteric communications, such as bilio-enteric anastomosis, sphincterotomy and biliary stents, are considered major risk factors and are due to bacterial colonisation of the biliary tree with enteric flora. Naturally occurring spontaneous cholecysto-enteric fistula poses a similar risk as its iatrogenic counterparts but is rarely described in the literature. We present a case where abscess formation complicated a combined TACE and RFA in an unrecognised cholecystocolic fistula.
doi:10.1259/bjr/13919678
PMCID: PMC3473819  PMID: 22101592
2.  Mesenteric desmoid tumour masquerading as a fat-containing cystic mass 
The British Journal of Radiology  2010;83(994):e200-e203.
Mesenteric desmoid tumour (MDT) is an uncommon neoplasm that typically presents as a solid soft-tissue mass on cross-sectional imaging. MDT manifesting as a fat-containing cystic mass on CT has not been described in the literature. We report such an unusual case with clinicopathological correlation.
doi:10.1259/bjr/68468861
PMCID: PMC3473748  PMID: 20846976
3.  Multidetector row CT diagnosis of an infected right atrial thrombus following repeated dialysis catheter placement 
The British Journal of Radiology  2009;82(984):e240-e242.
Right atrial thrombus formation is a known complication of dialysis catheter placements. We describe the case of a 61-year-old woman with end-stage renal failure who presented with gram-negative septicaemia. A gas-containing filling defect was noted incidentally in the right atrium during a CT scan of the abdomen and pelvis, indicative of a thrombus infected by a gas-forming organism. The finding correlated with a positive blood culture of Klebsiella pneumoniae and the two-dimensional echocardiography finding of an echogenic atrial thrombus.
doi:10.1259/bjr/86275378
PMCID: PMC3473388  PMID: 19934063

Results 1-3 (3)