Hayashi Kazuki, Hanaoka Jun, Kita Yusuke
Department of General Thoracic Surgery Omi Medical Center Kusatsu Japan.
Division of General Thoracic Surgery, Department of Surgery Shiga University of Medical Science Otsu Japan.
Respirol Case Rep. 2022 May 17;10(6):e0960. doi: 10.1002/rcr2.960. eCollection 2022 Jun.
A 64-year-old man presented to the emergency department with a chief complaint of epigastric pain that improved with vomiting. He was initially treated for gastrointestinal disease, but computed tomography (CT) showed a mediastinal haematoma and contrast-enhanced CT and bronchial arteriography showed a bronchial aneurysm. Bronchial artery aneurysm is a rare but potentially life-threatening condition that can lead to haemorrhagic shock if it ruptures. Patients with bronchial aneurysms may present with symptoms similar to that of gastrointestinal diseases owing to increased pressure in the mediastinum caused by mediastinal haematoma.
一名64岁男性因上腹部疼痛伴呕吐后缓解为主诉就诊于急诊科。他最初因胃肠道疾病接受治疗，但计算机断层扫描（CT）显示纵隔血肿，增强CT和支气管动脉造影显示支气管动脉瘤。支气管动脉动脉瘤是一种罕见但可能危及生命的疾病，如果破裂可导致失血性休克。由于纵隔血肿导致纵隔压力升高，支气管动脉瘤患者可能出现与胃肠道疾病相似的症状。
