Penetrating Atherosclerotic Ulcer: Another Differential Diagnosis of Widened Mediastinum
Journal of the Korean Society of Emergency Medicine
;
: 566-569, 2011.
Artículo
en Coreano
| WPRIM
| ID: wpr-76026
ABSTRACT
A widened mediastinum is not always caused by aortic dissection, which is the default diagnosis among emergency physicians. Other acute aortic syndromes should be included in differential diagnosis, such as penetrating atherosclerotic ulcer (PAU), intraluminal hematoma, aneurismal leak, and traumatic transection. When an ulcerative lesion is found in the atherosclerotic aorta, especially the descending aorta of an elderly, PAU should be considered as the possible cause of widened mediastinum. We present a case of PAU, the diagnosis of which was delayed without the knowledge of PAU even though thoracic computed tomography showed widened mediastinum and suspious pericardial effusion.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Aorta
/
Aorta Torácica
/
Aneurisma de la Aorta
/
Rotura de la Aorta
/
Derrame Pericárdico
/
Úlcera
/
Dolor en el Pecho
/
Diagnóstico Diferencial
/
Urgencias Médicas
/
Hematoma
Tipo de estudio:
Estudio diagnóstico
Límite:
Anciano
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Año:
2011
Tipo del documento:
Artículo
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