Tuberculous aortitis, a case report

Viviana Manuel, José Tiago, Pedro Martins, Carlos Martins, José Silva Nunes, José Fernandes e Fernandes
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引用次数: 1

Abstract

Introduction

Tuberculous aortitis is a rare entity first described by Weigert in 1882.

Report

A 73-year-old male under regular imagiologic surveillance due to a 4 cm abdominal aortic aneurysm, was referred to our department for suspected contained rupture. He was asymptomatic and his CT scan showed an inflammatory mass surrounding the aneurysm. During elective conventional surgery, aneurysm wall infiltration and adenopathies were identified. The histological analysis was compatible with tuberculosis. Eight months after surgery the patient is well, under tuberculostatic therapy.

Conclusion

The combination of surgical treatment and long duration tuberculostatic therapy is the best treatment option for tuberculous aortitis.

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结核性主动脉炎1例报告
结核性主动脉炎是一种罕见的疾病,由Weigert于1882年首次描述。报告一例73岁男性,因腹主动脉瘤4cm,在常规影像学检查下,因怀疑包含性破裂而转介至我科。他没有症状,CT扫描显示动脉瘤周围有炎性肿块。在选择性常规手术中,动脉瘤壁浸润和腺病变被发现。组织学分析符合肺结核。手术后8个月,病人在结核治疗下恢复良好。结论手术治疗与长期结核治疗相结合是治疗结核性主动脉炎的最佳选择。
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