RESUMO
Thoracic aortic perforation in the context of a minor trauma is extremely rare. In this article, we describe a case of an 80-year-old man who presented with an aortic perforation after a fall from his height during his hospitalization. The patient had previously undergone a left superior lobectomy, a partial chest wall resection, and reconstruction for a locally invasive lung cancer. He was directly transferred to the operating room, as he presented with hemodynamic instability. A 4-mm laceration in the descending thoracic aorta was identified and repaired. The postoperative course was uneventful. This case illustrates the importance of applying a solid fixation to the rib stumps when performing a chest wall resection, irrespective of the size of the wall defect.
Assuntos
Acidentes por Quedas , Aorta Torácica/lesões , Doenças da Aorta/etiologia , Fraturas das Costelas/complicações , Costelas/lesões , Traumatismos Torácicos/complicações , Procedimentos Cirúrgicos Vasculares/métodos , Idoso de 80 Anos ou mais , Aorta Torácica/cirurgia , Doenças da Aorta/diagnóstico , Doenças da Aorta/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , Fraturas das Costelas/cirurgia , Costelas/cirurgia , Ruptura/diagnóstico por imagem , Ruptura/etiologia , Ruptura/cirurgia , Traumatismos Torácicos/diagnóstico por imagem , Traumatismos Torácicos/cirurgia , Toracoplastia/métodos , Tomografia Computadorizada por Raios XRESUMO
A 50-year-old male patient was admitted for a symptomatic aneurysm of the external jugular vein. Thrombosis of the aneurysm was treated by oral anticoagulant but recurrence of neck swelling and thrombosis occurred 1 year after oral anticoagulant was discontinued. No other vascular anomalies were detected, and blood tests were normal. Surgical resection was done "en bloc" with the muscular fibers in contact. Pathologic examination was compatible with a Masson's vegetant intravascular hemangioendothelioma. To our knowledge, this is the first case of symptomatic Masson's vegetant intravascular hemangioendothelioma diagnosed in a patient with thrombosed aneurysm of a cervical vein.
Assuntos
Aneurisma/complicações , Hemangioendotelioma/cirurgia , Veias Jugulares , Trombose/tratamento farmacológico , Hemangioendotelioma/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Trombose/etiologiaRESUMO
A 62-year-old man was presented to our facility with recurrent right lower limb abscesses. He had an aortobifemoral graft for an aortoiliac occlusive disease. The diagnosis of paraprosthetic fistula was confirmed by performing a high-resolution contrast-enhanced computed tomography, whereas labeled leukocyte imaging provided a negative result. The graft present in the right limb was removed and extra-anatomical femoro-femoral bypass was performed along with segmental ileal resection of the affected loop and a side-to-side anastomosis. Recovery was unremarkable, with no recurrence of abscess 18 months after surgery. To our knowledge, this is the first report in published data on a paraprosthetic fistula presenting as recurrent lower limb abscesses. In this article, we have discussed the clinical features, principal diagnostic findings, and therapeutic options.
Assuntos
Abscesso/etiologia , Aorta/cirurgia , Implante de Prótese Vascular/efeitos adversos , Prótese Vascular/efeitos adversos , Artéria Femoral/cirurgia , Doenças do Íleo/etiologia , Fístula Intestinal/etiologia , Infecções Relacionadas à Prótese/etiologia , Fístula Vascular/etiologia , Abscesso/diagnóstico , Abscesso/microbiologia , Abscesso/cirurgia , Implante de Prótese Vascular/instrumentação , Citrobacter freundii/isolamento & purificação , Remoção de Dispositivo , Procedimentos Cirúrgicos do Sistema Digestório , Enterobacter/isolamento & purificação , Escherichia coli/isolamento & purificação , Humanos , Doenças do Íleo/diagnóstico , Doenças do Íleo/microbiologia , Doenças do Íleo/cirurgia , Fístula Intestinal/diagnóstico , Fístula Intestinal/microbiologia , Fístula Intestinal/cirurgia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Morganella morganii/isolamento & purificação , Infecções Relacionadas à Prótese/diagnóstico , Infecções Relacionadas à Prótese/microbiologia , Infecções Relacionadas à Prótese/cirurgia , Recidiva , Reoperação , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Fístula Vascular/diagnóstico , Fístula Vascular/microbiologia , Fístula Vascular/cirurgia , Procedimentos Cirúrgicos VascularesRESUMO
Bee stings entail allergic reactions that can be severe, sometimes even lethal. These reactions can occur immediately or several days after being stung. In this study, we report a case of severe ischemia of the left lower limb observed in a man, with no medical history, who was stung several times by bees.