Tubercular pseudoaneurysm of the axillary artery.

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Annals of Pediatric Cardiology Pub Date : 2023-09-01 Epub Date: 2024-04-01 DOI:10.4103/apc.apc_156_23
Lamk Kadiyani, Sivasubramanian Ramakrishnan, Sanjeev Kumar, Pradeep Ramakrishnan
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引用次数: 0

Abstract

Tuberculous (TB) involvement of the vascular system has been reported in the preantibiotic era. We, hereby, report a case involving a teenage boy who presented to us with left upper limb pain followed by gradually progressive motor and sensory deficit over 1 month with preceding history of tuberculosis. Examination revealed a palpable, noncompressible, nonpulsatile swelling superior to the lateral third of the clavicle. Imaging through ultrasonography, computed tomography, and magnetic resonance imaging confirmed the presence of a pseudoaneurysm with compression of the underlying nerves. The child underwent surgical thrombectomy with pseudoaneurysm repair and arteriorrhaphy along with antitubercular medications with complete recovery at 6 months. The tissue staining, nucleic acid amplification tests, and histopathology confirmed TB etiology. Tuberculosis continues to remain a major health concern, especially in the developing world. High index of suspicion is necessary to diagnose such manifestations to avoid catastrophic sequelae.

腋动脉结核性假性动脉瘤。
在前抗生素时代,就有结核病(TB)累及血管系统的报道。我们在此报告了一个病例,患者是一名十几岁的男孩,因左上肢疼痛就诊,随后在一个月内出现逐渐进展的运动和感觉障碍,既往有结核病史。检查发现,锁骨外侧三分之一处上方有一个可触及、不可压迫、无搏动的肿物。通过超声波、计算机断层扫描和磁共振成像检查,证实存在假性动脉瘤,并压迫了下层神经。患儿接受了假性动脉瘤修补术和动脉前路切除术的血栓切除手术,并服用了抗结核药物,6 个月后完全康复。组织染色、核酸扩增试验和组织病理学证实了结核病的病因。结核病仍然是一个主要的健康问题,尤其是在发展中国家。诊断此类表现时必须高度怀疑,以避免灾难性的后遗症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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