Radiographic detection of perflubron fluoromediastinum and fluororetroperitoneum 9 years after partial liquid ventilation

A 17-year-old patient presented, after a motor vehicle collision, with right hip pain and unusual radiographs of the chest and pelvis. Multiple radiopacities obscured detail. These partly obscured and distracted attention from a right acetabular fracture. The etiology was persistent perflubron 9 yea...

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Bibliographic Details
Published in:Emergency radiology 2008-01, Vol.15 (1), p.71-75
Main Authors: Hagerty, R. Daniel, Phelan, Michael P., Morrison, Stuart C., Hatem, Stephen F.
Format: Article
Language:English
Subjects:
Adolescent
Cases from the Cleveland Clinic
Contrast Media - pharmacology
Emergency Medicine
Female
Fluorocarbons - pharmacology
Humans
Imaging
Liquid Ventilation - adverse effects
Mediastinum - diagnostic imaging
Medicine
Medicine & Public Health
Radiography
Radiology
Respiratory Distress Syndrome, Adult - therapy
Retroperitoneal Space - diagnostic imaging
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Description
Summary:A 17-year-old patient presented, after a motor vehicle collision, with right hip pain and unusual radiographs of the chest and pelvis. Multiple radiopacities obscured detail. These partly obscured and distracted attention from a right acetabular fracture. The etiology was persistent perflubron 9 years after partial liquid ventilation for acute respiratory distress syndrome. Persistence of perflubron beyond 138 days has not been previously reported. We review the imaging appearance of perflubron and the mechanism likely related to its distribution and persistence in this case, and emphasize the importance of obtaining clinical history and avoiding distraction when faced with unusual radiographic findings.
ISSN:1070-3004
1438-1435
DOI:10.1007/s10140-007-0673-2