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An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis
Infected thoracic aneurysms are a rare and potentially life-threatening condition that present with non-specific symptoms. We describe here a case of an 83-year-old female who presented to the emergency department with the chief complaint of vomiting blood. The patient had presented to the emergency...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10356179/ https://www.ncbi.nlm.nih.gov/pubmed/37476141 http://dx.doi.org/10.7759/cureus.40654 |
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author | Sasaki, Hideki Numata, Yukihide Kamiya, Shinji Sone, Yoshiaki Sasaki, Osamu |
author_facet | Sasaki, Hideki Numata, Yukihide Kamiya, Shinji Sone, Yoshiaki Sasaki, Osamu |
author_sort | Sasaki, Hideki |
collection | PubMed |
description | Infected thoracic aneurysms are a rare and potentially life-threatening condition that present with non-specific symptoms. We describe here a case of an 83-year-old female who presented to the emergency department with the chief complaint of vomiting blood. The patient had presented to the emergency department 40 days earlier with abdominal pain, fever, and leukocytosis. She had a medical history of traumatic liver injury resulting in bile duct stenosis, necessitating percutaneous transhepatic gallbladder drainage and subsequent bile duct-jejunal anastomosis 25 years ago. Emergency contrast-enhanced computed tomography (CT) revealed an irregular distal arch aneurysm. According to the patient’s present symptoms, CT findings, and medical history, infected thoracic aneurysm was suspected. Total arch replacement was performed promptly, followed by thorough antibiotic therapy. Following successful treatment, the patient’s condition stabilized, and she was transferred to a rehabilitation facility for further recovery. |
format | Online Article Text |
id | pubmed-10356179 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-103561792023-07-20 An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis Sasaki, Hideki Numata, Yukihide Kamiya, Shinji Sone, Yoshiaki Sasaki, Osamu Cureus Cardiac/Thoracic/Vascular Surgery Infected thoracic aneurysms are a rare and potentially life-threatening condition that present with non-specific symptoms. We describe here a case of an 83-year-old female who presented to the emergency department with the chief complaint of vomiting blood. The patient had presented to the emergency department 40 days earlier with abdominal pain, fever, and leukocytosis. She had a medical history of traumatic liver injury resulting in bile duct stenosis, necessitating percutaneous transhepatic gallbladder drainage and subsequent bile duct-jejunal anastomosis 25 years ago. Emergency contrast-enhanced computed tomography (CT) revealed an irregular distal arch aneurysm. According to the patient’s present symptoms, CT findings, and medical history, infected thoracic aneurysm was suspected. Total arch replacement was performed promptly, followed by thorough antibiotic therapy. Following successful treatment, the patient’s condition stabilized, and she was transferred to a rehabilitation facility for further recovery. Cureus 2023-06-19 /pmc/articles/PMC10356179/ /pubmed/37476141 http://dx.doi.org/10.7759/cureus.40654 Text en Copyright © 2023, Sasaki et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Sasaki, Hideki Numata, Yukihide Kamiya, Shinji Sone, Yoshiaki Sasaki, Osamu An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis |
title | An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis |
title_full | An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis |
title_fullStr | An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis |
title_full_unstemmed | An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis |
title_short | An Escherichia coli-Induced Distal Arch Aneurysm Presenting With Hemoptysis |
title_sort | escherichia coli-induced distal arch aneurysm presenting with hemoptysis |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10356179/ https://www.ncbi.nlm.nih.gov/pubmed/37476141 http://dx.doi.org/10.7759/cureus.40654 |
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