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Contrast-enhanced ultrasonography revealed active thoracic bleeding

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Abstract

A 61-year-old woman with a hepatocellular carcinoma located in the subphrenic region was treated by radiofrequency ablation (RFA) under artificial pleural effusion. During RFA, B-mode ultrasonography showed a swirling high echoic lesion in the artificial pleural effusion. A real-time scan performed using contrast-enhanced ultrasonography (CEUS) revealed a jet-like extravasation of contrast medium and pooling of microbubbles in the pleural cavity, which were confirmed by angiography. CEUS successfully identified the site of bleeding and can be regarded an effective tool for detecting active bleeding in an emergency.

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Authors and Affiliations

  1. Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, Tottori University School of Medicine, 36-1 Nishimachi, Yonago, Tottori, 683-8504, Japan

    Takaaki Sugihara, Masahiko Koda, Shiho Tokunaga, Tomomitsu Matono, Takakazu Nagahara, Masaru Ueki & Yoshikazu Murawaki

  2. Division of Radiology, Department of Pathophysiological and Therapeutic Science, Tottori University School of Medicine, 36-1 Nishimachi, Yonago, 683-8504, Japan

    Toshio Kaminou

Authors
  1. Takaaki Sugihara
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  2. Masahiko Koda
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  3. Shiho Tokunaga
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  4. Tomomitsu Matono
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  5. Takakazu Nagahara
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  6. Masaru Ueki
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  7. Yoshikazu Murawaki
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  8. Toshio Kaminou
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Corresponding author

Correspondence to Masahiko Koda.

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Sugihara, T., Koda, M., Tokunaga, S. et al. Contrast-enhanced ultrasonography revealed active thoracic bleeding. J Med Ultrasonics 37, 143–145 (2010). https://doi.org/10.1007/s10396-010-0257-8

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  • DOI: https://doi.org/10.1007/s10396-010-0257-8

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