scholarly journals Intraoperative rupture of tuberculous pseudoaneurysm associated with spinal tuberculosis: A case report and literature review

2019 ◽  
Vol 13 (02) ◽  
pp. 174-178 ◽  
Author(s):  
Haijun Tang ◽  
Yun Liu ◽  
Abu Moro ◽  
Zengming Xiao ◽  
Xinli Zhan
Keyword(s):  
Spontaneous Rupture ◽  
Spinal Tuberculosis ◽  
Aneurysm Rupture ◽  
Massive Hemorrhage ◽  
Surgical Reconstruction ◽  
Successful Management ◽  
Tuberculous Lesion ◽  
Pseudo Aneurysm ◽  
Prevertebral Fascia ◽  
Intraoperative Rupture

Introduction: The increase in the incidence of tuberculosis in developing countries has resulted in increased reporting on more related complications. We report the successful management of an intraoperative spontaneous rupture of a tuberculous pseudo aneurysm associated with spinal tuberculosis. Methodology: We report the case of a 66 years old woman diagnosed with spinal tuberculosis of the T3/T4 vertebrae. During an anterior approach surgical reconstruction for the degenerative vertebrae, massive hemorrhage was observed after the removal of a portion of the prevertebral fascia of the affected vertebrae. This led to the exploration of the hilar fascia for the possibility of hilar hemorrhage, and when no hemorrhage was observed, aneurysm rupture was suspected. A portion of the hilar fascia was then sutured to the prevertebral fascia and the hemorrhage was partially controlled. Results: On the 32nd month post-operative follow-up, the symptoms of chest and back pain had disappeared and the tuberculous lesion eradicated. Conclusion: Presently, there are few reports on the successful treatment of intraoperative spontaneous rupture of tuberculous pseudoaneurysms. We therefore report on the successful management of such a case.

Complete distal deltoid muscle detachment: a case report

2020 ◽  
Author(s):  
Naji S. Madi ◽  
Rayane Issa ◽  
Youssef Koaik ◽  
Muhyeddine Al-Taki
Keyword(s):  
Traumatic Injury ◽  
Deltoid Muscle ◽  
Shoulder Function ◽  
Young Female ◽  
Surgical Reconstruction ◽  
Conservative Approach ◽  
Successful Management ◽  
First Case ◽  
Basic Functions ◽  
Musculoskeletal Examination

Abstract Background The deltoid is a large triangular muscle at the shoulder. It attaches proximally to the clavicle, acromion and scapula, while distally it attaches to the lateral deltoid tuberosity. Ruptures are rare, and the literature only reports cases of proximal detachment. In this article, we report the first case of distal traumatic deltoid muscle detachment and its successful management. Case A young female sustained a traumatic injury following a Jet Ski accident with loss of consciousness. A complete distal rupture of the deltoid muscle was diagnosed after the basic functions were regained and a thorough musculoskeletal examination could be conducted. A conservative approach helped her to regain an acceptable shoulder function, but there was persistent pain upon activity and cosmetic scarring. The patient underwent surgical reconstruction. Postoperatively, she recovered satisfactorily. Discussion Distal detachment of the deltoid muscle is rare. The choice for surgical treatment may be undertaken based on several factors including functional status and patient-based assessment.

scholarly journals Case Report: Ascending Aortic Pseudo-Aneurysm Following Ventricular Septal Defect Repair in a 4-Year-Old Girl

2021 ◽  
Vol 9 ◽  
Author(s):  
Xinya Li ◽  
Hong Zhou ◽  
Rui Zhang ◽  
Jing Zhao ◽  
Tian Li ◽  
...  
Keyword(s):  
Case Report ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Circulatory Arrest ◽  
Massive Hemorrhage ◽  
Purse String ◽  
Defect Repair ◽  
Life Threatening ◽  
Pseudo Aneurysm ◽  
Computed Tomograph

Pseudo-aneurysm is a fatal disease, and the main cause of death is massive hemorrhage secondary to the rupture of the aneurysm. This case report aims to evaluate the effects of pseudo-aneurysm excision procedure on the disease. A 4-year-old girl was readmitted on the 20th day after ventricular septal defect (VSD) closure procedure with a high fever of 40°C; aortic pseudo-aneurysm was suspected based on a spherical cystic echo (82 × 76 mm) of the ascending aorta which was detected by ultrasonic cardiogram, and the diagnosis was confirmed by an aortic computed tomograph angiography (CTA) examination and intraoperative findings. Treatment included emergency pseudo-aneurysm excision procedure and antibiotic therapy. The aortic pseudo-aneurysm was surgically removed under deep hypothermia and circulatory arrest. Antibiotics were applied according to the bacterial culture results. The pseudo-aneurysm was excised successfully, and the patient achieved a good recovery. Our case suggests that the postoperative ascending aortic pseudo-aneurysm was probably due to inappropriate purse-string suture and/or local or systematic infection, so extra precautions should be taken to avoid this life-threatening complication.

Charcot foot

1989 ◽  
Vol 79 (5) ◽  
pp. 213-235 ◽  
Author(s):  
AS Banks ◽  
ED McGlamry
Keyword(s):  
Surgical Reconstruction ◽  
Charcot Foot ◽  
Successful Management ◽  
The Past ◽  
Recent Developments ◽  
Therapeutic Measures

Successful management of the Charcot foot is one of the most challenging undertakings faced by physicians. However, many times such patients undergo prolonged and attentive care only to develop further deformity, and in many cases succumb to amputation. Research in the past few years has yielded a new understanding of the Charcot process that should serve as the basis for improved therapeutic measures. The authors discuss these more recent developments and how this knowledge may be applied to better serve the patient. In addition, surgical reconstruction of the diabetic Charcot foot is introduced and discussed.

Critical spontaneous rupture of a common carotid artery pseudo-aneurysm

The Lancet ◽  
2005 ◽  
Vol 366 (9502) ◽  
pp. 2034 ◽  
Author(s):  
Kanako Masuda ◽  
Hiroyuki Ozawa ◽  
Masato Fujii ◽  
Satoko Kimura ◽  
Kazuhito Nagasaki ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Spontaneous Rupture ◽  
Pseudo Aneurysm

scholarly journals Successful management of renal artery aneurysm rupture after cesarean section

2011 ◽  
Vol 54 (2) ◽  
pp. 519-521 ◽  
Author(s):  
Paul F. Hwang ◽  
Dana C. Rice ◽  
Sunil V. Patel ◽  
Dipankar Mukherjee
Keyword(s):  
Cesarean Section ◽  
Renal Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Renal Artery Aneurysm ◽  
Successful Management

Postpartum Paraplegia Due to Spinal Tuberculosis

1988 ◽  
Vol 18 (2) ◽  
pp. 52-53 ◽  
Author(s):  
B I Nsofor ◽  
O N Trivedi
Keyword(s):  
Thoracic Spine ◽  
Postpartum Haemorrhage ◽  
Spinal Tuberculosis ◽  
Lower Limbs ◽  
Tuberculous Lesion

A case of postpartum paraplegia due to tuberculosis of the spine is reported. The patient presented with postpartum haemorrhage and paraplegia on the 8th postpartum day. She had weakness of both lower limbs on the 4th postpartum day and was unable to walk on the 7th day. Investigations revealed a tuberculous lesion of the thoracic spine. She was treated with chemotherapy and physiotherapy and recovered fully within seven months.

scholarly journals Successful Management of Walled-off Necrosis and Pseudo-aneurysm Related with Severe Acute Pancreatitis；A Case Report

2015 ◽  
Vol 64 (2) ◽  
pp. 109-114
Author(s):  
Ryo OGAWA ◽  
Seiji KAINO ◽  
Syuhei SHINODA ◽  
Michitaka KAWANO ◽  
Hirofumi HARIMA ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Severe Acute Pancreatitis ◽  
Successful Management ◽  
Pseudo Aneurysm ◽  
Walled Off Necrosis

scholarly journals Hemoptysis as a warning sign of thoracic aorta pseudoaneurysm: A case report

Medwave ◽  
2021 ◽  
Vol 21 (01) ◽  
pp. e8112-e8112
Author(s):  
Luis Alejandro Rodríguez-Hidalgo ◽  
Luis Alberto Concepción-Urteaga ◽  
Julio Santos Hilario-Vargas ◽  
Diana Cecilia Ruiz-Caballero
Keyword(s):  
Aortic Aneurysm ◽  
Arterial Wall ◽  
Aneurysm Rupture ◽  
Massive Hemorrhage ◽  
Aortic Aneurysms ◽  
Warning Sign ◽  
Bronchial Arteries ◽  
Aortopulmonary Fistula ◽  
Parenchymal Injury ◽  
Short Time

Pseudoaneurysm is defined as a reperfused pulsatile hematoma, encapsulated and communicated with the damaged vessel's lumen. It originates when there is a disruption of the arterial wall. Hemoptysis is a very rare sign/symptom of a thoracic aortic aneurysm or pseudoaneurysm. There is little information on hemoptysis associated with aortic aneurysm rupture, whose mechanisms are not explained by the presence of an aortopulmonary fistula. Among the hypotheses to explain this phenomenon, is the ability of the bronchial arteries to become hyperplasic and tortuous in the presence of a lesion that modifies the pulmonary architecture, being more susceptible to rupture. There are also descriptions of direct lung parenchymal injury from ruptured aneurysm. The present case illustrates that we must consider the hemoptysis as a warning sign in differential diagnosis of aortic aneurysms and pseudo aneurysms, among other causes, that it can be fatal in a short time due to massive hemorrhage.

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