scholarly journals Ascending Aortic Aneurysm Presenting as Hoarseness of Voice: Case Report

2016 ◽  
Vol 4 (2) ◽  
pp. 61-63
Author(s):  
Md Nazmul Hasan ◽  
Md Khorshed Ahmed ◽  
Md Mukhlesur Rahman ◽  
Abu Sadique Abdullah ◽  
Md Abu Siddique ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Aortic Aneurysms ◽  
Ascending Aortic Aneurysm ◽  
X Ray ◽  
Thoracic Aortic Aneurysms ◽  
Chest X Ray

Symptomatic thoracic aortic aneurysms (TAA) are rare. A 70 year-old man was admitted with hoarseness of voice for the last six months. Postero-anterior chest X-ray showed left hilar enlargement. Computerised thorax tomography (CTT) images were taken and a saccular TAA 8 cm in diameter was found. In this paper, we aimed to show that TAA should be considered as a differential diagnosis of patients with hoarseness of voice and hilar enlargement. Ibrahim Cardiac Med J 2014; 4(2): 61-63

scholarly journals Uveitis in sarcoidosis

2013 ◽  
Vol 154 (45) ◽  
pp. 1798-1801
Author(s):  
Zsuzsanna Szepessy
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Corticosteroid Therapy ◽  
Visual Loss ◽  
Presumptive Diagnosis ◽  
X Ray ◽  
Posterior Synechia ◽  
Chest X Ray

This case report demonstrates signs of uveitis and difficulties of the differential diagnosis of sarcoidosis as the cause of uveitis. A 57-year-old woman, who had visual loss in her both eyes, developed bilateral panuveitis: bilateral precipitates on the cornea with posterior synechia and infiltrates in the vitreous, and multifocal, peripheral retinochoroiditis. Chest X-ray revealed an infiltrate and numerous smaller granulomas in both lungs. The presumptive diagnosis was tuberculosis, however, biopsy of the pulmonal lesion showed sarcoidosis. Pulmonary and ophthalmologic findings rapidly disappeared with corticosteroid therapy. The author concludes that sarcoidosis may present with different signs of uveitis. Histopathology is of great importance for the differentiation between sarcoidosis and tuberculosis, which is very important for the therapy. Orv. Hetil., 154(45), 1798–1801.

scholarly journals Asymptomatic thoracic aortic aneurysm in a resource limited hospital in a 70-year-old man

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Mohammad A. Suwaid
Keyword(s):  
Case Report ◽  
Aortic Aneurysm ◽  
Hypertensive Patient ◽  
Congenital Syphilis ◽  
Incidental Finding ◽  
X Ray ◽  
Medical Checkup ◽  
Resource Limited ◽  
Chest X Ray

Aortic aneurysm is a term used to describe more than 50% dilatation of a segment of the aorta (artery) from its original diameter. The etiological factors include hypertension, artherosclerosis, trauma, congenital syphilis, mycotic bacterial dissection, inflammation etc. A case of a 70-year-old man with well-controlled long-standing hypertension whose check chest X-ray showed aortic aneurysm as an incidental finding which latera ruptured was discussed. The case report discusses the importance of follow up imaging in a hypertensive patient even with regular medication as absence of routine medical checkup including X-ray may lead to missing important complication like aortic aneurysm that can rupture if untreated. This is what prompted this case report so as to underscore the importance of at least check chest radiograph in a hypertensive patient.

scholarly journals Giant Aortic Syphilitic Aneurysm of The Ascending Aorta with Erosion in the Chest Wall: Case Report

2019 ◽  
Vol 22 (5) ◽  
pp. E401-E404
Author(s):  
Ovidiu Stiru ◽  
Roxana Carmen Geana ◽  
Liana Valeanu ◽  
Diana Sorostinean ◽  
Mihai Goicea ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Aneurysm ◽  
Unusual Case ◽  
Cardiovascular Complications ◽  
Ascending Aorta ◽  
Aortic Aneurysms ◽  
Ascending Aortic Aneurysm ◽  
Tertiary Syphilis ◽  
Surgical Aspects ◽  
Syphilitic Aortitis

Since the discovery of penicillin, the incidence of tertiary syphilis dramatically has decreased. However, cases of cardiovascular complications of syphilis still are present. Ascending aortic aneurysms are some of the most devastating complications. Nonetheless, syphilitic aortitis (SA) can appear and should be suspected in patients with syphilis and aortic aneurysm. We report a case of a 57-year-old patient with a large ascending aortic aneurysm with cartilage and rib erosion. The purpose of this article is to discuss the particular surgical aspects of this unusual case.

scholarly journals Acute Hemoptysis Redefined: A Deadly Presentation

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Claudio Galvis ◽  
Juan M. Galvis ◽  
Juan Guardiola ◽  
Adrian P. Umpierrez De Reguero
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Aortic Aneurysm ◽  
Hypovolemic Shock ◽  
Abrupt Onset ◽  
Massive Hemoptysis ◽  
X Ray ◽  
Chest X Ray ◽  
Arterial Dilation ◽  
Poor Functional Status

An aortic aneurysm is a permanent localized arterial dilation with more than 50% of the artery diameter. Among the complications of an aortic aneurysm, one of the rarest is the aorto-bronchial fistula, which presents with massive hemoptysis; this condition is lethal if not treated surgically. We report a 90-year-old man with no significant medical history who presented to the emergency department with abrupt onset of hemoptysis; his chest X-ray displayed left upper lobe opacity with widened mediastinum. CT chest revealed aneurysmatic dilatation of the aorta, left upper lobe opacity suspicious of pulmonary aortic fistula. Thoracic surgery was consulted but due to his poor functional status surgery was deferred. On the second day of hospitalization, the patient developed another episode of massive hemoptysis resulting in hypovolemic shock and expired. This case epitomizes the relevance of broad differential diagnosis for hemoptysis and the prompt assessment and management of the patients with this condition.

scholarly journals Multiple Pulmonary Calssified Nodules and Cavitation Filled With the Dense Body on Chest X-Ray: A Case Report

2019 ◽  
Vol 9 (4) ◽  
pp. 255-260
Author(s):  
Khosrow Agin ◽  
Marymo Sadat Moin Azad Tehrani ◽  
Bita Dadpour ◽  
Maryam Vahabzadeh ◽  
Babak Mostafazadeh
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Study ◽  
Pulmonary Tuberculosis ◽  
Clinical Assessment ◽  
Dense Body ◽  
Pulmonary Diseases ◽  
X Ray ◽  
Chest X Ray ◽  
Initial Imaging

Imaging in the clinical study has a significant value in medical diagnosing and the following diseases. The characteristic signs of imaging are a clue in approach to differential diagnosis. A conventional chest x-ray radiography is a more prevalent image used in the initial clinical assessment of pulmonary diseases. Iran is one of the 9 countries with a 95% burden of tuberculosis in the Eastern Mediterranian region. Chest radiography is the initial imaging for the evaluation of pulmonary tuberculosis.

Successful Repair of Ascending Aortic Aneurysm Due to Takayasu's Arteritis

2002 ◽  
Vol 10 (2) ◽  
pp. 184-185 ◽  
Author(s):  
Emin Tireli ◽  
A Kubilay Korkut ◽  
Eylül Kafali ◽  
Murat Basaran
Keyword(s):  
Differential Diagnosis ◽  
Aortic Aneurysm ◽  
Takayasu’S Arteritis ◽  
Aortic Aneurysms ◽  
Takayasu's Arteritis ◽  
Graft Replacement ◽  
Ascending Aortic Aneurysm ◽  
Great Vessels ◽  
Successful Repair

A 2-year-old girl with Takayasu's arteritis and an ascending aortic aneurysm underwent successful graft replacement. Although aneurysms of the great vessels are rarely encountered, this disease should be considered in the differential diagnosis of ascending aortic aneurysms in children.

Epigenetic Profiling Identifies Novel Genes for Ascending Aortic Aneurysm Formation with Bicuspid Aortic Valves

2015 ◽  
Vol 18 (4) ◽  
pp. 134 ◽  
Author(s):  
Asad A Shah
Keyword(s):  
Gene Expression ◽  
Aortic Aneurysm ◽  
Methylation Status ◽  
Aortic Aneurysms ◽  
Aortic Valves ◽  
Ascending Aortic Aneurysm ◽  
Novel Genes ◽  
Aneurysm Formation ◽  
Aortic Replacement ◽  
Bicuspid Aortic Valves

<p><strong>Background:  </strong>Bicuspid aortic valves predispose to ascending aortic aneurysms, but the mechanisms underlying this aortopathy remain incompletely characterized.  We sought to identify epigenetic pathways predisposing to aneurysm formation in bicuspid patients.</p><p><strong>Methods:  </strong>Ascending aortic aneurysm tissue samples were collected at the time of aortic replacement in subjects with bicuspid and trileaflet aortic valves.  Genome-wide DNA methylation status was determined on DNA from tissue using the Illumina 450K methylation chip, and gene expression was profiled on the same samples using Illumina Whole-Genome DASL arrays.  Gene methylation and expression were compared between bicuspid and trileaflet individuals using an unadjusted Wilcoxon rank sum test.  </p><p><strong>Results:  </strong>Twenty-seven probes in 9 genes showed significant differential methylation and expression (P&lt;5.5x10<sup>-4</sup>).  The top gene was protein tyrosine phosphatase, non-receptor type 22 (<em>PTPN22</em>), which was hypermethylated (delta beta range: +15.4 to +16.0%) and underexpressed (log 2 gene expression intensity: bicuspid 5.1 vs. trileaflet 7.9, P=2x10<sup>-5</sup>) in bicuspid patients, as compared to tricuspid patients.  Numerous genes involved in cardiovascular development were also differentially methylated, but not differentially expressed, including <em>ACTA2</em> (4 probes, delta beta range:  -10.0 to -22.9%), which when mutated causes the syndrome of familial thoracic aortic aneurysms and dissections</p><p><strong>Conclusions:  </strong>Using an integrated, unbiased genomic approach, we have identified novel genes associated with ascending aortic aneurysms in patients with bicuspid aortic valves, modulated through epigenetic mechanisms.  The top gene was <em>PTPN22</em>, which is involved in T-cell receptor signaling and associated with various immune disorders.  These differences highlight novel potential mechanisms of aneurysm development in the bicuspid population.</p>

scholarly journals Negative-pressure-related diffuse alveolar hemorrhage after monitored anesthesia care for vertebroplasty: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yumin Jo ◽  
Jagyung Hwang ◽  
Jieun Lee ◽  
Hansol Kang ◽  
Boohwi Hong
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Negative Pressure ◽  
Diffuse Alveolar Hemorrhage ◽  
Alveolar Hemorrhage ◽  
Unknown Etiology ◽  
Anesthesia Care ◽  
Monitored Anesthesia Care ◽  
X Ray ◽  
Chest X Ray

Abstract Background Diffuse alveolar hemorrhage (DAH) is a rare, life-threatening condition that can present as a spectrum of nonspecific symptoms, ranging from cough, dyspnea, and hemoptysis to severe hypoxemic respiratory failure. Perioperative DAH is frequently caused by negative pressure pulmonary edema resulting from acute airway obstruction, such as laryngospasm, although hemorrhage itself is rare. Case presentation This case report describes an unexpected hemoptysis following monitored anesthesia care for vertebroplasty. A 68-year-old Asian woman, with a compression fracture of the third lumbar vertebra was admitted for vertebroplasty. There were no noticeable events during the procedure. After the procedure, the patient was transferred to the postanesthesia care unit (PACU), at which sudden hemoptysis occurred. The suspected airway obstruction may have developed during transfer or immediate arrive in PACU. In postoperative chest x-ray, newly formed perihilar consolidation observed in both lung fields. The patients was transferred to a tertiary medical institution for further evaluation. She diagnosed with DAH for hemoptysis, new pulmonary infiltrates on chest x-ray and anemia. The patient received supportive care and discharged without further events. Conclusions Short duration of airway obstruction may cause DAH, it should be considered in the differential diagnosis of postoperative hemoptysis of unknown etiology.

Chilaiditi Syndrome and Recurrent Colonic Volvulus: A Case Report

2001 ◽  
Vol 87 (2) ◽  
pp. 111-112
Author(s):  
Jon Matthews ◽  
Giles W Beck ◽  
Douglas M G Bowley ◽  
Andrew N Kingsnorth
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Case Report ◽  
Optimal Treatment ◽  
X Ray ◽  
Colonic Volvulus ◽  
Chilaiditi’S Syndrome ◽  
Chest X Ray ◽  
Chilaiditi’S Sign ◽  
Chilaiditi's Syndrome

AbstractThe case of a 31 year old male presenting as an emergency with a recurrent colonic volvulus is described. A chest X-ray on admission to hospital showed the presence of hepato-diaphragmatic interposition of the colon, Chilaiditi’s Sign, which is known to be a risk factor for colonic volvulus. This is only the fourth reported case of colonic volvulus in association with Chilaiditi’s Syndrome and the first with recurrent colonic volvulus. The optimal treatment for recurrent volvulus in patients with risk factors such as Chilaiditi’s Syndrome or megacolon is also discussed.

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