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Updated: Jun 20, 2026

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Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation
Published on: September 22, 2023
[Diagnostic image. A man with an ulcer on his back]
Martine W H Timmermans1, Tom J Stoof
1VU Medisch Centrum, afd. Dermatologie, Amsterdam, The Netherlands. mwh.timmermans@vumc.nl
Nederlands Tijdschrift Voor Geneeskunde
|September 30, 2009
Summary
A patient developed a necrotizing ulcer after a complex fluoroscopy procedure. High radiation doses during interventions can lead to severe skin complications.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Radiation Oncology
Background:
- Fluoroscopy-guided interventions are common procedures.
- High cumulative radiation doses are a known risk factor for radiation-induced skin injuries.
- Necrotizing ulcers are severe skin complications that can arise from excessive radiation exposure.
Observation:
- A 58-year-old male patient presented with a necrotizing ulcer on his back.
- The ulcer developed several months after undergoing a complicated fluoroscopy-guided intervention.
- The patient received a high total radiation dose during the procedure.
Findings:
- The necrotizing ulcer was directly attributed to the high radiation dose received during the fluoroscopy-guided intervention.
- Complicated procedures and prolonged fluoroscopy times increase the risk of radiation-induced tissue damage.
Implications:
- This case highlights the critical importance of radiation dose monitoring and management in interventional radiology.
- Awareness of potential severe skin complications is crucial for clinicians performing image-guided procedures.
- Strategies to minimize radiation exposure should be implemented to prevent adverse events like necrotizing ulcers.
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