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British Journal of Radiology (2009) 82, e240-e242
© 2009 British Institute of Radiology
doi: 10.1259/bjr/86275378
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Multidetector row CT diagnosis of an infected right atrial thrombus following repeated dialysis catheter placement

C H Tan, MBBS, FRCR U Pua, MBBS, MMED, FRCR and P L Chia, MBBS, MRCP

1 Departments of Diagnostic Radiology and 2 Departments of Cardiology, Tan Tock Seng Hospital, Singapore

Correspondence: Cher Heng Tan, Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433. E-mail: tchers1977{at}yahoo.com.sg

Right atrial thrombus formation is a known complication of dialysis catheter placements. We describe the case of a 61-year-old woman with end-stage renal failure who presented with gram-negative septicaemia. A gas-containing filling defect was noted incidentally in the right atrium during a CT scan of the abdomen and pelvis, indicative of a thrombus infected by a gas-forming organism. The finding correlated with a positive blood culture of Klebsiella pneumoniae and the two-dimensional echocardiography finding of an echogenic atrial thrombus.






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