Successful Surgical Treatment of an Infrarenal Abdominal Pseudoaneurysm Caused by Tuberculosis: Report of a Case |
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| Authors: | Hiroo Shikata Yasuhiro Nagayoshi Katsunori Takeuchi Yoshimichi Ueda Shigeru Sakamoto Masahiro Kanno Junichi Matsubara |
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| Institution: | (1) Department of Cardiovascular Surgery, Kanazawa Medical University, Ishikawa, Japan;(2) Department of Pathology 2nd, Kanazawa Medical University, Ishikawa, Japan;(3) Department of Thoracic and Cardiovascular Surgery, Keiju Medical Center, Nanao, Japan;(4) Department of General Surgery, Keiju Medical Center, Nanao, Japan;(5) 1-1 Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa 920-0265, Japan |
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| Abstract: | A 76-year-old man was admitted to our hospital for investigation of an apparent abdominal aortic aneurysm detected during
treatment for epididymitis. A chest X-ray showed miliary shadows in the bilateral lung fields strongly suggestive of tuberculosis.
The diameter of the aneurysm increased, and examinations showed impending rupture of a pseudoaneurysm. However, a definitive
disease pathogenesis was not obtained before surgery. We performed a subemergency operation, which revealed an infrarenal
abdominal pseudoaneurysm caused by tuberculosis. The pseudoaneurysm appeared to have resulted from direct extension of tuberculous
lymphadenitis to the aortic wall, which ruptured. We review 24 other cases of tuberculous aortic aneurysms surgically treated
in Japan before 2004. |
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| Keywords: | Tuberculous aneurysm Miliary tuberculo-sis Surgical treatment |
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