RESUMO
Arteriosclerosis is an alteration of the blood vessels whose walls calcify, lose their elasticity and thicken. The result is a decrease in circulating blood flow and ischemic manifestations. Calcification of the arteries is a physiological phenomenon in the elderly but young subjects may also be affected. Indeed, certain risk factors can favor the formation of plaques at the level of the vessels. These include classic cardiovascular risk factors, as well as systemic inflammatory diseases, connective tissue diseases, chronic hypercalcemia We report the case of a 26-year-old female patient with diffuse arteriosclerosis discovered accidentally, and whose exhaustive etiological investigation remained negative.
Assuntos
Artérias/patologia , Arteriosclerose/diagnóstico , Arteriosclerose/etiologia , Adulto , Calcinose/complicações , Calcinose/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Achados Incidentais , Fatores de RiscoRESUMO
Vertebral primary malignant germ cell tumors are rarely located in thoracic spine. We report the case of a 44-year-old female, in which a symptomatology including dorsal rachidial pain, intercostal neuralgia, straight and transit disorder revealed a thoracic vertebral primary malignant germ cell tumor. The sole location of a vertebral primary malignant germ cell tumor in adult, exceptionally reported in the literature, prompted us to relate this observation.
Assuntos
Neoplasias Embrionárias de Células Germinativas/patologia , Neoplasias da Coluna Vertebral/patologia , Adulto , Antineoplásicos/uso terapêutico , Medula Óssea/patologia , Cisplatino/uso terapêutico , Feminino , Humanos , Laminectomia , Imageamento por Ressonância Magnética , Neoplasias Embrionárias de Células Germinativas/cirurgia , Neuralgia/etiologia , Procedimentos Neurocirúrgicos , Neoplasias da Coluna Vertebral/cirurgia , Vértebras Torácicas/patologia , Tomografia Computadorizada por Raios XRESUMO
Aortic aneurysms and stenosis occurring in Takayasu arteritis may require aortic prosthesis that can be complicated by aorto-digestive fistula. We report a 41-year-old female who presented with an isolated abdominal pain revealing a para-prosthetic aorto-duodenal fistula complicating a Takayasu arteritis. The diagnosis of aorto-digestive fistula may be difficult if abdominal pain is isolated and imaging inconclusive. Surgical procedure may be necessary to obtain the diagnosis and constitutes the main part of the treatment before fatal outcome.