An Unusual Cause of a Pain in the Neck: Pseudoaneurysm from Tuberculous Lymphadenitis

Autor: B. Kennedy, D. R. Curran, A. Brady, T. M. O'Connor
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Case Reports in Medicine, Vol 2012 (2012)
Druh dokumentu: article
ISSN: 1687-9627
1687-9635
DOI: 10.1155/2012/391940
Popis: A pseudoaneurysm is a haematoma which is surrounded by connective tissue and communicates with the lumen of a ruptured blood vessel. It has no true defined capsule. We describe a case of tuberculous pseudoaneurysm. This is a rare complication of tuberculosis. The clinical presentation of these lesions is highly variable. Definitive diagnosis should consist of contrast-enhanced CT and arteriography. Treatment should include repair of the arterial wall by surgery, endovascular stent-graft insertion, or embolization followed by a full course of antituberculous chemotherapy. Our case is highly unusual in that the pseudoaneurysm arose from the subclavian vasculature in a patient with extrapulmonary tuberculosis only.
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