Gufler H, Buitrago-Tellez C H, Nesbitt E, Hauenstein K H
Department of Radiology, Albert-Ludwigs-Universität, Hugstetterstrasse 55, D-79 106 Freiburg, Germany.
Eur Radiol. 1998;8(2):295-7. doi: 10.1007/s003300050383.
A 69-year-old diabetic male with salmonella bacteremia developed hypovolemic shock and swelling of the neck. A CT examination revealed massive mediastinal hemorrhage extending into the neck soft tissues caused by false aneurysm rupture of the descending thoracic aorta. Aortography showed continuous extravasation from a large leak at the medial side of the descending thoracic aorta. Although surgical intervention was immediately performed, the patient died 3 weeks later from multiple-organ failure. In this report, CT and angiographic findings of mycotic aneurysm rupture are presented and a review is given.
一名69岁的糖尿病男性沙门菌血症患者出现了低血容量性休克和颈部肿胀。CT检查显示，降主动脉假性动脉瘤破裂导致大量纵隔出血延伸至颈部软组织。主动脉造影显示降主动脉内侧有一个大的渗漏处持续外渗。尽管立即进行了手术干预，但患者在3周后死于多器官功能衰竭。本报告展示了霉菌性动脉瘤破裂的CT和血管造影表现并进行了综述。
