Penetrating Atherosclerotic Ulcer: Another Differential Diagnosis of Widened Mediastinum
Journal of the Korean Society of Emergency Medicine
; : 566-569, 2011.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-76026
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Aorta, Thoracic
/
Aortic Aneurysm
/
Aortic Rupture
/
Pericardial Effusion
/
Ulcer
/
Chest Pain
/
Diagnosis, Differential
/
Emergencies
/
Hematoma
Type of study:
Diagnostic study
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2011
Document type:
Article