A case of a periaortic lymphoma presenting with the features of descending thoracic aorta dissection.
We report the case of a 68-year-old male in whom an intrathoracic non-Hodgkin's lymphoma was diagnosed late after he presented with the clinical and radiological features of a descending aortic dissection due to penetrating ulcer. An endovascular stent was implanted in the descending aorta. At follow up, a CT scan showed the presence of a mediastinal mass thought to be a periaortic haematoma as a consequence of the endovascular stent implantation. A further CT scan showed an increase in size of the mediastinal mass encasing the whole descending aorta. A biopsy of the mass was performed which was shown to be non-Hodgkin's lymphoma. This is the first report of a penetrating ulcer of the descending aorta due to lymphoma, which probably caused the dissection.
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Cardiothoracic Department, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK.
Kendall
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Hartley
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Walker
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P
D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001416:Back Pain / Q000209:etiology; D001807:Blood Vessel Prosthesis; D006406:Hematoma / Q000209:etiology; D006801:Humans; D008224:Lymphoma, Follicular / Q000150:complications* / Q000175:diagnosis; D018810:Magnetic Resonance Angiography; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000175:diagnosis; D009361:Neoplasm Invasiveness; D010996:Pleural Effusion / Q000209:etiology; D012008:Recurrence; D015607:Stents; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000150:complications* / Q000175:diagnosis