ABSTRACT
Tuberculous aneurysm is a rare but lethal disease. It preferentially affects the aorta. The contamination occurs either secondarily to a tuberculosis site in contact with the aorta or by blood contamination. It presents an increased and unpredictable risk of rupture, hence the interest of urgent diagnostic and therapeutic management. His treatment was long based on surgery, but currently the endovascular approach is increasingly used. The treatment, whatever its type, will always be associated with a medical treatment for tuberculosis. We report the case of a patient with a descending thoracic aortic aneurysm considered tuberculous on the basis of epidemiological, clinical and biological arguments; who was treated by deployment of an endoprosthesis with good clinical and radiological evolution.
Subject(s)
Aneurysm , Aortic Aneurysm, Thoracic , Blood Vessel Prosthesis Implantation , Tuberculosis , Humans , Aorta, Thoracic/diagnostic imaging , Aorta, Thoracic/surgery , Stents , Aortic Aneurysm, Thoracic/diagnostic imaging , Aortic Aneurysm, Thoracic/surgery , Aneurysm/surgery , Tuberculosis/surgery , Treatment OutcomeABSTRACT
The techniques of derivation of the high urinary tract are indispensable in common practice for the management of ureteral obstructions. Like any surgical gesture, its techniques are not without complications; Among those common are hematuria, urinary incontinence, migration in the bladder and rupture of the probe. However, intracardiac probe migration has rarely been described. We report the case of a 68-year-old patient treated for cervical cancer who benefited from the rise of a bilateral single-J probe, admitted for accidental migration of the left probe into the heart. The diagnosis was made by plain abdominal X-ray and confirmed by thoraco-abdominal CT angiography. The patient benefited, in the catheterization room, from a withdrawal of the probe by endoscopic way and under radioscopic control successfully and without any incident.
Subject(s)
Fluoroscopy , Foreign-Body Migration , Uterine Cervical Neoplasms , Aged , HumansSubject(s)
Carotid Artery Thrombosis/etiology , Face/blood supply , Facial Dermatoses/etiology , Accidental Falls , Carotid Artery Thrombosis/diagnostic imaging , Computed Tomography Angiography , Disease Progression , Facial Dermatoses/pathology , Fatal Outcome , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Necrosis , Risk Factors , Smoking/adverse effects , Stroke/diagnostic imaging , Stroke/etiologyABSTRACT
The antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis mainly affect small vessels. They are an exceptional etiology of visceral artery aneurysms, which are themselves unusual and potentially serious vascular disease. We report the case of a patient followed for vasculitis associated with ANCA with kidney disease who presented with symptomatic aneurysm of the inferior mesenteric artery and aneurysm of the superior mesenteric artery.
Subject(s)
Aneurysm/etiology , Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/complications , Mesenteric Artery, Inferior , Mesenteric Artery, Superior , Aged , Aneurysm/diagnostic imaging , Aneurysm/surgery , Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/diagnosis , Biopsy , Computed Tomography Angiography , Female , Humans , Ligation , Mesenteric Artery, Inferior/diagnostic imaging , Mesenteric Artery, Inferior/surgery , Mesenteric Artery, Superior/diagnostic imaging , Mesenteric Artery, Superior/surgery , Treatment Outcome , Ultrasonography, Doppler, Color , Ultrasonography, Doppler, Pulsed , Vascular Surgical ProceduresABSTRACT
We report the rare observation of a 58-year-old patient presenting 2 degenerative aneurysms of the superficial femoral arteries, with a rupture of the right aneurysm, treated by covered stents, with a satisfying midterm follow-up. The endovascular approach is a minimally invasive procedure which should be proposed as the first-line treatment to all the patients presenting aneurysms of the superficial femoral arteries, both asymptomatic as complicated.
Subject(s)
Aneurysm/diagnosis , Aneurysm/surgery , Endovascular Procedures , Femoral Artery , Stents , Humans , Middle AgedABSTRACT
We report the case of a 28-year-old man who presented in emergency for recurrent drop-attacks. Ultrasound imaging and angio computed tomography revealed a left cervical tumor, and the patient underwent surgery. The diagnosis of cystic lymphangioma was done on the anatomic characteristics of the surgical specimen and the results of the histological study. This is the first reported case of late diagnosis of a cervical cystic lymphangioma revealed by recurrent drops attack.
Subject(s)
Head and Neck Neoplasms/diagnosis , Lymphangioma, Cystic/diagnosis , Syncope/etiology , Adult , Head and Neck Neoplasms/complications , Head and Neck Neoplasms/surgery , Humans , Lymphangioma, Cystic/complications , Lymphangioma, Cystic/surgery , Male , Recurrence , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
We report the case of a 20-year-old male who was operated for a large ruptured aneurysm of the right common carotid artery, revealing a Behcet's disease. The aneurysm was excised and the right common carotid artery was repaired with a polytetrafluoroethylene prosthesis. None of the criteria of the International Study Group for Behcet's disease was present at the time of the diagnosis.
Subject(s)
Aneurysm, Ruptured/etiology , Behcet Syndrome/complications , Carotid Artery Diseases/etiology , Carotid Artery, Common , Aneurysm, Ruptured/diagnosis , Aneurysm, Ruptured/surgery , Behcet Syndrome/diagnosis , Blood Vessel Prosthesis , Blood Vessel Prosthesis Implantation/instrumentation , Carotid Artery Diseases/diagnosis , Carotid Artery Diseases/surgery , Carotid Artery, Common/diagnostic imaging , Carotid Artery, Common/surgery , Dilatation, Pathologic , Humans , Male , Polytetrafluoroethylene , Prosthesis Design , Risk Factors , Tomography, X-Ray Computed , Treatment Outcome , Young AdultABSTRACT
BACKGROUND: Idiopathic thoracic aortic mural thrombi are rare. They can be responsible for dramatic systemic embolization. Early treatment is imperative because of their high morbidity and mortality rate. CASE PRESENTATION: A 55-year-old previously healthy Moroccan male came in an array of acute right lower limbs pain and abdominal sensibility. Severe systemic embolism involving the lower extremities, spleen, kidney, and digestive tract, due to an idiopathic mural thrombus of the thoracic aorta was diagnosed. He received medical treatment leading to the complete disappearance of the thrombus and the effects caused by the latter. CONCLUSIONS: When faced unexplained peripheral embolization, research for a thrombus of the thoracic aorta should be performed. Medical treatment should be considered for its management, especially in patients with high surgical risk.
Subject(s)
Aorta, Thoracic/pathology , Embolism/etiology , Embolism/therapy , Thrombosis/complications , Angiography , Aorta, Thoracic/diagnostic imaging , Embolism/diagnostic imaging , Humans , Leg/diagnostic imaging , Male , Middle Aged , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/pathology , Thrombosis/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Femoral false aneurysms are rare. They are one of the main complications of femoral catheterization, trauma of this area, or the use of intravenous drugs. They usually occur in the days after femoral puncture, and only rarely occur years after the procedure or incident. Treatment often requires complex surgical methods. We report the management of a patient with a ruptured infected femoral false aneurysm that was diagnosed 4 years after a femoral puncture performed in intensive care unit to perform peripheral arterial catheter hemodynamic monitoring. The patient was operated with exclusion of the aneurysm and prosthetic bypass, associated with intravenous antibiotics adapted to the bacterial strain grown from the operative site, which resulted in a favorable outcome.