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Pulmonary artery aneurysm rupture

Pulmonary artery aneurysm is a disorder of varying etiology and should be diagnosed early for appropriate interventions. A 45-year-old man was hospitalized for chest pain, dyspnea, cough, chills, diarrhea, and vomiting, which had started 3 weeks before admission. Physical examination indicated a red...

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Autores principales: Campos, Leticia Goulart, da Silva, Eveline Cristina, Rangel, Ana Fernanda Ribeiro, de Souza, Marina Dias, Musso, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6945309/
https://www.ncbi.nlm.nih.gov/pubmed/32039062
http://dx.doi.org/10.4322/acr.2019.131
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author Campos, Leticia Goulart
da Silva, Eveline Cristina
Rangel, Ana Fernanda Ribeiro
de Souza, Marina Dias
Musso, Carlos
author_facet Campos, Leticia Goulart
da Silva, Eveline Cristina
Rangel, Ana Fernanda Ribeiro
de Souza, Marina Dias
Musso, Carlos
author_sort Campos, Leticia Goulart
collection PubMed
description Pulmonary artery aneurysm is a disorder of varying etiology and should be diagnosed early for appropriate interventions. A 45-year-old man was hospitalized for chest pain, dyspnea, cough, chills, diarrhea, and vomiting, which had started 3 weeks before admission. Physical examination indicated a reduced vesicular murmur in the right hemithorax. A chest x-ray performed indicated a pneumothorax and pulmonary abscess in the right hemithorax. Thoracostomy released abundant purulent and fetid fluid. Direct examination of the pleural fluid using saline revealed structures similar to Trichomonas. Non-contrast chest computed tomography revealed right pneumothorax along with an irregular cavitation located at the pleuropulmonary interface of the posterior margin of the right lower lobe. A pleurostomy was performed. On the second postoperative day, the patient suffered a sudden major hemorrhage through the surgical wound and died on the way to the operating room. The autopsy revealed an abscess and ruptured aneurysm of the lower lobar artery in the lower right lung. Microscopic examination revealed extensive liquefactive necrosis associated with purulent inflammation and the presence of filamentous fungi and spores. This case can be characterized as a severe disorder that requires early diagnosis to achieve a good therapeutic response and to avoid fatal outcomes.
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spelling pubmed-69453092020-02-07 Pulmonary artery aneurysm rupture Campos, Leticia Goulart da Silva, Eveline Cristina Rangel, Ana Fernanda Ribeiro de Souza, Marina Dias Musso, Carlos Autops Case Rep Article / Autopsy Case Report Pulmonary artery aneurysm is a disorder of varying etiology and should be diagnosed early for appropriate interventions. A 45-year-old man was hospitalized for chest pain, dyspnea, cough, chills, diarrhea, and vomiting, which had started 3 weeks before admission. Physical examination indicated a reduced vesicular murmur in the right hemithorax. A chest x-ray performed indicated a pneumothorax and pulmonary abscess in the right hemithorax. Thoracostomy released abundant purulent and fetid fluid. Direct examination of the pleural fluid using saline revealed structures similar to Trichomonas. Non-contrast chest computed tomography revealed right pneumothorax along with an irregular cavitation located at the pleuropulmonary interface of the posterior margin of the right lower lobe. A pleurostomy was performed. On the second postoperative day, the patient suffered a sudden major hemorrhage through the surgical wound and died on the way to the operating room. The autopsy revealed an abscess and ruptured aneurysm of the lower lobar artery in the lower right lung. Microscopic examination revealed extensive liquefactive necrosis associated with purulent inflammation and the presence of filamentous fungi and spores. This case can be characterized as a severe disorder that requires early diagnosis to achieve a good therapeutic response and to avoid fatal outcomes. São Paulo, SP: Universidade de São Paulo, Hospital Universitário 2019-12-13 /pmc/articles/PMC6945309/ /pubmed/32039062 http://dx.doi.org/10.4322/acr.2019.131 Text en Autopsy and Case Reports. ISSN 2236-1960. Copyright © 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the article is properly cited.
spellingShingle Article / Autopsy Case Report
Campos, Leticia Goulart
da Silva, Eveline Cristina
Rangel, Ana Fernanda Ribeiro
de Souza, Marina Dias
Musso, Carlos
Pulmonary artery aneurysm rupture
title Pulmonary artery aneurysm rupture
title_full Pulmonary artery aneurysm rupture
title_fullStr Pulmonary artery aneurysm rupture
title_full_unstemmed Pulmonary artery aneurysm rupture
title_short Pulmonary artery aneurysm rupture
title_sort pulmonary artery aneurysm rupture
topic Article / Autopsy Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6945309/
https://www.ncbi.nlm.nih.gov/pubmed/32039062
http://dx.doi.org/10.4322/acr.2019.131
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