Tiemtoré-Kambou Bénilde Marie-Ange, Koama Adjirata, Kontogom Solange, Zabsonré/Tiendrébéogo Joelle, Bayala Donald, Ndé/Ouédraogo Nina Astrid, Zanga Moussa, Napon Aischa Madina, Diallo Ousséini, Lougue-Sorgho Claudine, Cissé Rabiou
Department of Medical Imaging and Interventional Radiology, Bogodogo CHU (Centre hosptialier universitaire [University Hospital]), Ouagadougou Burkina Faso.
Joseph Ki Zerbo University of Ouagadougou, Ouagadougou Burkina Faso.
Radiol Case Rep. 2022 Jun 3;17(8):2779-2783. doi: 10.1016/j.radcr.2022.04.045. eCollection 2022 Aug.
Aortic dissection is a rare but serious condition Its association with pulmonary embolism is exceptional and produces a real therapeutic dilemma. We are discussing the case of a 67-year-old male patient who presented with paraplegia with infectious syndrome. The chest X-ray performed to screen for an infectious site led to the suspicion of an aortic aneurysm and the CT angiography showed Stanford type B aortic dissection associated with bilateral proximal pulmonary embolism. The treatment was symptomatic and resulted in the patient's death 48 hours after diagnosis. Management of this pathological association is not standardized between establishing anticoagulant therapy and therapeutic abstention. This management depends on the teams and has a very cautious prognosis.
主动脉夹层是一种罕见但严重的病症。它与肺栓塞的关联极为罕见，会引发真正的治疗困境。我们正在讨论一名67岁男性患者的病例，该患者表现为伴有感染综合征的截瘫。为筛查感染部位而进行的胸部X光检查引发了对主动脉瘤的怀疑，CT血管造影显示为B型主动脉夹层并伴有双侧近端肺栓塞。治疗采取了对症治疗，患者在诊断后48小时死亡。在确立抗凝治疗和采取治疗性弃权之间，这种病理关联的管理尚无标准化方案。这种管理取决于医疗团队，预后非常谨慎。
