Advanced malignant mesothelioma mimicking acute contained thoracic aortic rupture.
Interact Cardiovasc Thorac Surg. 2013 Oct 30.
Source
Division of Vascular Diseases and Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.Abstract
In the emergent setting, patients presenting with acute interscapular pain
along with haemodynamic instability require immediate evaluation. We
describe the case of a patient in which computed tomographic scanning
demonstrated a large hyper-dense, periaortic collection on post-contrast
imaging. Urgent endovascular repair was performed for descending
thoracic aortic rupture. Her postoperative course, however, was atypical
with a readmission 1 week after discharge with symptoms similar to her
primary presentation. Alternative pathologies were then considered in a
more elective setting in which the correct diagnosis of diffuse
malignant mesothelioma was ultimately discovered in a patient with no
previous exposure to occupational toxins. The tumour burden was advanced
and the patient opted for palliative care.
Herein, we suggest a consideration for oncological thoracic pathology
in patients presenting with signs and symptoms mimicking acute thoracic
aortic rupture or dissection, who may demonstrate atypical symptoms.
No comments:
Post a Comment