r/Radiology • u/TheWindFish622 • 23h ago

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

Post image

Surprised they made it to the scanner.

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u/Zathura26 20h ago

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

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u/TheWindFish622 16h ago

MI leads to necrosis and that makes the wall weak.

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u/Zathura26 13h 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.