The diagnosis of delayed expanding traumatic pseudoaneurysm of thoracic aorta caused by self-inflicted penetrating injury with crossbow bolt: A case report

Iatrogenic thoracic aortic injury in esophagectomy – a case report and literature review

Perspectives in Surgery ◽

10.33699/pis.2019.98.6.256-259 ◽

2019 ◽

Vol 98 (6) ◽

pp. 256-259

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Thoracic Aorta ◽

Aortic Rupture ◽

Hypovolemic Shock ◽

Left Lung ◽

Aortic Injury ◽

Thoracoscopic Esophagectomy ◽

Neoadjuvant Radiochemotherapy ◽

Thoracic Aortic Injury

Introduction: This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy. Case report: A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after neoadjuvant therapy. Minimally invasive thoracoscopic esophagectomy in the semi-prone position with selective intuba- tion of the left lung was performed. However, massive bleeding from the thoracic aorta during separation of the tumor resulted in conversion from minimally invasive to conventional right thoracotomy. The bleeding was caused by a five millimeter rupture of the thoracic aorta. The thoracic aortic rupture was treated by suture with a gore prosthesis in collaboration with a vascular surgeon. Esophagestomy was not completed due to hypovolemic shock. Hybrid transhiatal esophagectomy was performed on the seventh day after the primary operation. Definitive histological examination showed T3N3M0 adenocarcinoma. Conclusion: Esophagectomy for cancer of the esophagus is one of the most difficult operations in general surgery in which surgical bleeding from the surrounding structures cannot be excluded. Aortic hemorrhage is hemodynamically significant in all cases and requires urgent surgical treatment.

Download Full-text

Retropharyngeal Penetrating Injury Causing Air Collection And Mediastinitis: Case Report, Management And Review Literature

Journal of General and Emergency Medicine ◽

10.35862/2637-7640/31/41 ◽

2019 ◽

pp. 1-4

Author(s):

Ahmed S.H. Alsheikhly

Keyword(s):

Case Report ◽

Soft Tissue ◽

Medical Literature ◽

Subsequent Treatment ◽

Review Literature ◽

Penetrating Injury ◽

Retropharyngeal Space

Pharyngeal injuries caused by trauma are common and have been reported previously in the medical literature. In some cases of a penetrating injury there is a collection of air in the retropharyngeal space that can be shown on lateral soft tissue radiography of the neck. If this condition is not diagnosed or adequately treated the patient may develop severe complications such as mediastinitis. A case is reported of a patient with penetrating injury caused by a pencil and the subsequent treatment with review literature are described.

Download Full-text

Aortoesophageal fistula caused by aneurysm of the thoracic aorta: Successful surgical treatment, case report, and literature review

Journal of Vascular Surgery ◽

10.1016/s0741-5214(99)70056-x ◽

1999 ◽

Vol 30 (6) ◽

pp. 1150-1157 ◽

Cited By ~ 40

Author(s):

Erasmo Simão da Silva ◽

Fábio Lambertini Tozzi ◽

José Pinhata Otochi ◽

Erasmo Magalhães Castro de Tolosa ◽

Celso Ricardo Bregalda Neves ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Literature Review ◽

Thoracic Aorta ◽

Aortoesophageal Fistula

Download Full-text

Aortic graft perforation by a rib stump after thoracic aorta replacement: A case report and literature review

JTCVS Techniques ◽

10.1016/j.xjtc.2021.03.015 ◽

2021 ◽

Author(s):

Tomoko Ishii ◽

Yusuke Iguchi ◽

Toru Tsukada ◽

Motoo Osaka

Keyword(s):

Case Report ◽

Literature Review ◽

Thoracic Aorta ◽

Aortic Graft ◽

Aorta Replacement

Download Full-text

Forearm Compartment Syndrome Concomitant with Pseudoaneurysm of the Anterior Interosseous Artery after Minor Penetrating Injury

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835518720220 ◽

2018 ◽

Vol 23 (03) ◽

pp. 395-398

Author(s):

Shingo Komura ◽

Akihiro Hirakawa ◽

Yasuharu Matsushita ◽

Tomihiro Masuda ◽

Marie Nohara ◽

...

Keyword(s):

Compartment Syndrome ◽

Penetrating Injury ◽

Successful Outcome ◽

Pseudoaneurysm Formation ◽

Anterior Interosseous Artery ◽

Traumatic Pseudoaneurysm ◽

Interosseous Artery ◽

Forearm Compartment Syndrome ◽

A Minor ◽

Type Of Injury

A 16-year-old man sustained a minor penetrating injury to his forearm, resulting in pseudoaneurysm formation that caused acute compartment syndrome with muscle contracture. Surgical treatment, including fasciotomy, evacuation of the hematoma and aneurysmectomy, followed by intensive hand therapy provided a successful outcome. Traumatic pseudoaneurysm after penetrating injury is a rare cause of acute forearm compartment syndrome. Although minor penetrating injuries tend to be underestimated, this type of injury can cause subsequent serious pathological conditions.

Download Full-text