November Case of the Month

 

Access Case

Authors: Mohammed Hoque, MD, R1, Resident, Department of Radiology, Jay Shah, MD, R2, Resident, Department of Radiology, Eric F. Greif, DO, R2, Resident, Department of Radiology, Samah Jan, MD, Clinical Assistant Professor of Medical Imaging, Body Imaging, Department of Radiology

Institution: Maimonides Medical Center, Brooklyn, N.Y.

Why did you select this case for submission?

We chose this case because it is a subtle finding yet a very clinically impactful finding to recognize. 

What should readers learn from this case?

Readers should learn to keep a specific eye toward vasculature in every patient, not just those with cardiovascular risk factors. It is a necessary part of every training radiologist's search pattern yet is sometimes overlooked.

What did you learn from working on the case?

Clinically we learned a lot about what is known and unknown about this finding (isolated superior mesenteric artery dissection), but furthermore we learned about the clinical findings and context of such a finding.

How did guidance from senior staff at your institution impact your learning and case development?

As a part of a community-academic hybrid program, we often use real cases and call cases for learning. Cases such as this one are often discussed in the corners of the reading room, and residents teach each other and share the learning points.

Why did you choose Case in Point for submission of your case?

There is no better way of visually and academically sharing salient knowledge from cases with others in radiology.

What is the appeal of online learning tools such as Case in Point as opposed to print learning venues?

Case in Point is available from anywhere, no packing or planning required!

Are you a regular reader of Case in Point? What are your favorite types of cases?

We are regular readers; our favorite cases are the ones that reinforce our knowledge and search patterns but also teach us something new.

What else should we know about the case that you'd like to share?

In the end, our patient fared well and did not have the feared catastrophic consequences such as superior mesenteric artery rupture or bowel ischemia.

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