Hiccups: a common problem with some unusual causes and cures

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Presentation transcript:

Hiccups: a common problem with some unusual causes and cures by Juan Brañuelas Quiroga, José Urbano García, and Julio Bolaños Guedes BJGP Volume 66(652):584-586 October 27, 2016 ©2016 by British Journal of General Practice

CTA sagittal image of thoracic aorta intramural haematoma (arrows). CTA sagittal image of thoracic aorta intramural haematoma (arrows). CTA = computed tomography angiography. Juan Brañuelas Quiroga et al. Br J Gen Pract 2016;66:584-586 ©2016 by British Journal of General Practice

MPR coronal image: tissue surrounding aortic wall and diffusely circumferential swell that corresponds to the arterial wall haematoma aortic. MPR coronal image: tissue surrounding aortic wall and diffusely circumferential swell that corresponds to the arterial wall haematoma aortic. (2) Aortic lumen. (1) This haematoma extends, partially occupying the aortopulmonary window (arrows). MPR = multiplanar reconstruction. Juan Brañuelas Quiroga et al. Br J Gen Pract 2016;66:584-586 ©2016 by British Journal of General Practice

CTA axial image of thoracic aorta with parietal haematoma. CTA axial image of thoracic aorta with parietal haematoma. (1) Aortic lumen. (2) Image of penetrating aortic ulcer (arrow). CTA = computed tomography angiography. Juan Brañuelas Quiroga et al. Br J Gen Pract 2016;66:584-586 ©2016 by British Journal of General Practice

Evaluation of persistent hiccups. Evaluation of persistent hiccups. CT = computed tomography. CXR = chest X-ray. ENT = ear, nose, and throat. LFTs = liver function tests. LP = lumbar puncture. MRI = magnetic resonance imaging. Sx = symptoms. Juan Brañuelas Quiroga et al. Br J Gen Pract 2016;66:584-586 ©2016 by British Journal of General Practice