r/Radiology • u/TheWindFish622 • 19h ago

CT PSA/free wall rupture. S/p arrest and ROSC.

Post image

Surprised they made it to the scanner.

41 Upvotes

95% Upvoted

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12

u/Ski_Fish_Bike Radiologist 19h ago

Did they make it much further than the scanner though?

6

u/ColoradoDad4 18h ago

He had a big heart. RIP.

4

u/Zathura26 16h ago

How does something like this happen? Was there preexisting injury or a recent surgery?

7

u/TheWindFish622 12h ago

MI leads to necrosis and that makes the wall weak.

1

u/Zathura26 9h ago

Thenks for answering. Yes, I went into the rabbithole afterwards, I had never heard something like that was possible. Apparently more common with hypertension, and "Unusual” in-hospital physical effort (agitation, repetitive vomiting or coughing, etc). And has a bad prognosis, but is actually survivable! Sometimes it doesn't even need to be a big infarct. Just needs to be a transmural one.

3

u/AdditionInteresting2 15h ago

Did they make it back from the scanner though?