Sengupta P, Mitra B, Saha Kanchan, Maitra S, Pal J, Sarkar N
Department of Internal Medicine, Institute of Postgraduate Medical Education & Research and SSKM Hospital, Kolkata.
J Assoc Physicians India. 2007 Apr;55:297-300.
Aneurysm of descending thoracic aorta, in majority of cases is diagnosed either by chance in routine chest imaging for some other reasons or rarely due to it's symptomatic presentation like chest pain and other mediastinal compression symptoms. In this case report we present a case of 69 year old smoker who presented with cough, hemoptysis and left sided massive painless hemorrhagic pleural effusion. Further investigation revealed a large aneurysm of descending thoracic aorta which infiltrated the left lung. We suggest descending thoracic aneurysm be included in the differential diagnosis of this sort of clinical presentation which otherwise imperative with the clinical scenario of bronchogenic carcinoma.
胸降主动脉瘤，在大多数情况下是在因其他原因进行的常规胸部影像学检查中偶然发现的，或很少因胸痛及其他纵隔压迫症状等症状性表现而被诊断出来。在本病例报告中，我们呈现了一名69岁吸烟者的病例，该患者表现为咳嗽、咯血及左侧大量无痛性血性胸腔积液。进一步检查发现一个巨大的胸降主动脉瘤，该动脉瘤侵犯了左肺。我们建议将胸降主动脉瘤纳入此类临床表现的鉴别诊断中，否则在支气管源性癌的临床情况下这是必不可少的。
