Abstract

This case report describes the clinical and radiological findings of a rare left ventricle pseudoaneurysm presenting with a systemic embolic phenomenon. The patient had no chest complaints but had presented with epilepsy and limb swelling. The patient also had mild testicular pain. Initial investigations which consisted of an MRI brain revealed multiple acute and chronic embolic infarcts. Scrotal ultrasound showed an infarct of testicular parenchyma. A left calcified mediastinal mass was picked up on a routine chest x-ray. Contrast CT showed a partially thrombosed pseudoaneurysm of the left ventricle. Pseudoaneurysm of the left ventricle is rare and can be fatal if not diagnosed and treated. Patients usually present with recurrent chest pain, dizziness, and breathlessness. A few affected patients with thrombosis present with embolic strokes which has been reported in literature. However, testicular infarct occurring as a complication has not been reported to our knowledge. CLINICAL HISTORY: A 28-year-old male patient presented to OPD with recurrent seizure episodes for one year and bilateral limb swelling for one week.

Description