Mechchat A, Idrissi R, El Mahi O, Lekehal B, Sefiani Y, Mesnaoui A, Ammar F, Bensaid Y
Service de chirurgie vasculaire périphérique, internat de l'hôpital Ibn Sina, CHU Ibn Sina, Rabat, Morocco.
J Mal Vasc. 2008 Dec;33(4-5):218-20. doi: 10.1016/j.jmv.2008.09.006. Epub 2008 Nov 20.
Tuberculous aortic aneurysms are rarely seen. Their major complication is unforeseeable and lethal aneurysmal rupture. We report an exceptional case of multiple tuberculous aortic aneurysms in a child.
A 13-year-old girl was admitted to our hospital with abdominal pain. She reported a history of fever, night sweats and weight loss. Physical examination showed a pulsatile mass over the umbilicus. Thoracoabdominal angio-NMR revealed multiple pseudoaneurysms of the thoracic and abdominal aorta. The patient underwent elective laparotomy, resection of the abdominal aortic and in situ prosthetic repair with an aortic graft. The postoperative recovery was uneventful. The histopathologic examination of the aortic wall and para-aortic lymph nodes showed evident features of tuberculosis. Antituberculous chemotherapy was initiated.
Tuberculous aortic aneurysms are rarely seen. Their major complication is rupture. Surgery must not be delayed just like antitubercular therapy.
结核性主动脉瘤罕见。其主要并发症是难以预见且致命的动脉瘤破裂。我们报告一例儿童多发性结核性主动脉瘤的特殊病例。
一名13岁女孩因腹痛入院。她有发热、盗汗和体重减轻病史。体格检查发现脐上有搏动性肿块。胸腹部血管核磁共振成像显示胸主动脉和腹主动脉多发假性动脉瘤。患者接受了择期剖腹手术，切除腹主动脉并用人造血管进行原位修复。术后恢复顺利。主动脉壁和主动脉旁淋巴结的组织病理学检查显示有明显的结核特征。开始进行抗结核化疗。
结核性主动脉瘤罕见。其主要并发症是破裂。手术和抗结核治疗都不应延迟。
