Clinical history

Case 79

53-year-old man with history of alcoholic cirrhosis. Chest-X ray for liver transplantation work-up.

Radiological images

Radiological findings

CT images

CT findings

Extra Examinations

Past history of the patient revealed a percutaneous vertebroplasty performed several months before.
During this procedure the patient had a cardiac malaise with interruption of the vertebroplasty.
CT performed at the level of the lumbar spine (L3-L4) showed cement located in the vertebral bodies but also migrating into the perivertebral veins.

Final diagnosis

Cement pulmonary embolism following percutaneous vertebroplasty

Yeo Ju Kim MD, Joon Woo Lee MD, Kun Woo Park MD, Jin-Seob Yeom MD,Hee Sun Jeong MD, Jeong Mi Park MD, Heung Sik Kang MD, Pulmonary cement embolism after percutaneous vertebroplasty in osteoporotic vertebral compression fractures: Incidence, Characteristics and risk factors, April 2009 Radiology, 251, 250-259.

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