A tuberculous pseudoaneurysm of the thoracic aorta presenting as massive hemoptysis--a case of successful surgical treatment.
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.
Ogawa
J
J
First Department of Surgery, Tokai University School of Medicine, Kanagawa, Japan.
Inoue
H
H
Inoue
H
H
Koide
S
S
Kawada
S
S
Shohtsu
A
A
D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis; D005260:Female; D006469:Hemoptysis / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D014376:Tuberculosis / Q000175:diagnosis*