RESUMO
Tuberculous aneurysm is a rare but lethal disease. It preferentially affects the aorta. The contamination occurs either secondarily to a tuberculosis site in contact with the aorta or by blood contamination. It presents an increased and unpredictable risk of rupture, hence the interest of urgent diagnostic and therapeutic management. His treatment was long based on surgery, but currently the endovascular approach is increasingly used. The treatment, whatever its type, will always be associated with a medical treatment for tuberculosis. We report the case of a patient with a descending thoracic aortic aneurysm considered tuberculous on the basis of epidemiological, clinical and biological arguments; who was treated by deployment of an endoprosthesis with good clinical and radiological evolution.
Assuntos
Aneurisma , Aneurisma da Aorta Torácica , Implante de Prótese Vascular , Tuberculose , Humanos , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/cirurgia , Stents , Aneurisma da Aorta Torácica/diagnóstico por imagem , Aneurisma da Aorta Torácica/cirurgia , Aneurisma/cirurgia , Tuberculose/cirurgia , Resultado do TratamentoRESUMO
The techniques of derivation of the high urinary tract are indispensable in common practice for the management of ureteral obstructions. Like any surgical gesture, its techniques are not without complications; Among those common are hematuria, urinary incontinence, migration in the bladder and rupture of the probe. However, intracardiac probe migration has rarely been described. We report the case of a 68-year-old patient treated for cervical cancer who benefited from the rise of a bilateral single-J probe, admitted for accidental migration of the left probe into the heart. The diagnosis was made by plain abdominal X-ray and confirmed by thoraco-abdominal CT angiography. The patient benefited, in the catheterization room, from a withdrawal of the probe by endoscopic way and under radioscopic control successfully and without any incident.
Assuntos
Fluoroscopia , Migração de Corpo Estranho , Neoplasias do Colo do Útero , Idoso , HumanosAssuntos
Trombose das Artérias Carótidas/etiologia , Face/irrigação sanguínea , Dermatoses Faciais/etiologia , Acidentes por Quedas , Trombose das Artérias Carótidas/diagnóstico por imagem , Angiografia por Tomografia Computadorizada , Progressão da Doença , Dermatoses Faciais/patologia , Evolução Fatal , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Necrose , Fatores de Risco , Fumar/efeitos adversos , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/etiologiaRESUMO
We report the case of a 28-year-old man who presented in emergency for recurrent drop-attacks. Ultrasound imaging and angio computed tomography revealed a left cervical tumor, and the patient underwent surgery. The diagnosis of cystic lymphangioma was done on the anatomic characteristics of the surgical specimen and the results of the histological study. This is the first reported case of late diagnosis of a cervical cystic lymphangioma revealed by recurrent drops attack.