A TUBERCULOUS PSEUDOANEURYSM OF THE THORACIC AORTA PRESENTING AS MASSIVE HEMOPTYSIS - A CASE OF SUCCESSFUL SURGICAL-TREATMENT

被引:17
作者
OGAWA, J
INOUE, H
INOUE, H
KOIDE, S
KAWADA, S
SHOHTSU, A
机构
[1] The First Department of Surgery, Tokai University School of Medicine, Isehara-shi, Kanagawa, 259-11, Bohseidai
来源
JAPANESE JOURNAL OF SURGERY | 1990年 / 20卷 / 01期
关键词
pseudoaneurysm; thoracic aorta; tuberculosis;
D O I
10.1007/BF02470722
中图分类号
R61 [外科手术学];
学科分类号
摘要
Tuberculous aneurysms of the aorta need early diagnosis and prompt surgical intervention because if untreated, they lead to severe consequences. We report herein, a case of a 63 year old woman who underwent successful resection of a tuberculous pseudoaneurysm which had ruptured into the left upper lobe of the lung after a punch biopsy, performed under bronchoscopy, had caused severe bleeding. Subsequent CT and MRI examinations suggested a fistula between the mass and the aorta and proved useful in establishing the diagnosis of a pseudoaneurysm. We wish to emphasize the need for bronchoscopy to be done carefully because of the risk of inducing massive hemoptysis. © 1990 The Japan Surgical Society.
引用
收藏
页码:107 / 110
页数:4
相关论文
共 7 条
[1]
Stiefel J.W., Memphis B.A., Rupture of a tuberculous aneurysm of the aorta, Arch Pathol, 65, pp. 506-512, (1958)
[2]
Volini F.I., Olfield R.C., Thompson J.R., Kent G., Tuberculosis of the aorta, JAMA: The Journal of the American Medical Association, 181, pp. 78-83, (1962)
[3]
Silbergleit A., Arbulu A., Defever B.A., Nedwicki E.G., Tuberculous aortitis, JAMA, 193, pp. 333-335, (1965)
[4]
Masjedi, Davoodian P., Forouzesh M., Abttahi S.J., Bronchoaortic fistula secondary to pulmonary tuberculosis, Chest, 94, pp. 199-200, (1988)
[5]
Demester S.L., Cordasco E.M., Aortobronchial fistula: Keys to successful management, Angiology, 31, pp. 431-435, (1980)
[6]
Efremidis S.C., Lakshmanan S., Hsu J.T., Tuberculous aortitis: A rare cause of mycodic aneurysm of the aorta, Am J Roentgenol, 127, pp. 859-861, (1976)
[7]
Felson B., Akers P.V., Hall G.S., Schreiber J.T., Greene R.E., Pedrosa C.S., Mycotic aneurysm of the thoracic aorta, JAMA, 237, pp. 1104-1108, (1977)