EBIR case studies
EBIR · Put your knowledge to work in context.
The European Board of Interventional Radiology (EBIR) is a certification of IR knowledge offered within the CIRSE certification framework, and the EBIR pages sit under CIRSE's certification section alongside separate certifications for endovascular specialists and interventional oncology specialists. Candidates typically encounter it as the core European credential for interventional radiologists who want documented, exam-based evidence of their knowledge of the specialty rather than a purely portfolio-based recognition. The EBIR case studies are 5 cases and about 2,912 words.
1Post-biopsy haemobilia with coagulopathy and a contrast-limited kidney
A 58-year-old man is referred 72 hours after an ultrasound-guided percutaneous liver biopsy for a 3 cm indeterminate segment VI lesion. He now has sudden right upper quadrant pain, jaundice and two episodes of haematemesis.
606 words, about 3 min2Critical limb ischaemia in a patient with a recent GI bleed and no vein conduit
A 74-year-old woman with type 2 diabetes and end-stage renal disease on haemodialysis presents with a non-healing forefoot ulcer and rest pain. ABI is 0.42 and toe pressure 28 mmHg.
634 words, about 3 min3Acute iliofemoral DVT with May-Thurner anatomy: lysis, filter or anticoagulation alone?
A 42-year-old woman presents 6 days after a 12-hour flight with a swollen, painful left leg. The leg is tense and dusky, and she has severe pain at rest; distal pulses are present but reduced.
557 words, about 3 min4Subcapsular colorectal liver metastasis adjacent to the gallbladder
A 67-year-old man, 3 years after sigmoid colectomy for pT3N1 cancer, has a rising CEA of 18 ng/mL. CT and PET show a single 3.2 cm metastasis in segment IVb, 6 mm from the gallbladder fossa and 1 cm from the diaphragmatic dome.
569 words, about 3 min5Infected walled-off pancreatic necrosis with gastric varices and no safe transgastric window
A 51-year-old man with gallstone pancreatitis 5 weeks ago develops fever of 39.1°C, white cell count 21 × 10^9/L and hypotension requiring noradrenaline. CT shows a 12 cm walled-off necrosis in the lesser sac extending into the left paracolic gutter.
546 words, about 3 min