Multidetector Computed Tomography Angiography Findings of Chronic-Contained Thoracoabdominal Aortic Aneurysm Rupture with Severe Thoracal Vertebral Body Erosion

Yüksekkaya, Ruken; Köner, Ali; Çelikyay, Fatih; Beyhan, Murat; Almus, Ferdağ; Acu, Berat

doi:10.1155/2013/596517

Cited by 9 publications

(15 citation statements)

References 17 publications

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“…The pseudotumoral aspect of bone erosion can orientate as in our case towards a tumoral (metastasis, multiple myeloma) or infectious (tuberculosis) origin [5].…”

Section: Discussionmentioning

confidence: 80%

“…The main signs that reveal the diagnosis are spinal pain and neurological deficits (paraparesis or paraplegia); however, infection and inflammation are not uncommon [4,5].…”

Section: Discussionmentioning

confidence: 99%

“…The thoracoabdominal CT angiography is the reference examination, and it allows studying the whole thoracoabdominal aorta and its branches and assessing the relationship with the different adjacent structures (vertebrae, psoas, and the peritoneal retro); it also makes it possible to objectify the signs of aneurysmal rupture (intra-or retroperitoneal hematoma) or predictive signs of rupture, such as rupture of the continuity of parietal calcifications and the sign of the crescent or the sign of the draped aorta [6]; the latter is of great diagnostic value, and it is considered positive when the posterior wall of an aortic aneurysm is draped or molded on the anterior surface of the vertebra, with loss of the fat planes located between the aneurysm and the vertebra. Its presence indicates a weakening of the aortic wall and an imminent risk of rupture [5,6].…”

Section: Discussionmentioning

confidence: 99%

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Vertebral Erosion Secondary to Aortic Aneurysm

Toufga¹,

F²,

Billah³

et al. 2020

Case Reports in Radiology

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We report the case of a patient who presented for back pain with paresthesia, and the CT showed vertebral lysis of aneurysmal origin. The aneurysm of the thoracic aorta compresses the anterior surface of the dorsal vertebrae and by mechanical effect is responsible for the destruction of the opposite bone. The knowledge of this cause is very important considering the frequency of other tumoral and infectious causes of this affection.

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“…The pseudotumoral aspect of bone erosion can orientate as in our case towards a tumoral (metastasis, multiple myeloma) or infectious (tuberculosis) origin [5].…”

Section: Discussionmentioning

confidence: 80%

“…The main signs that reveal the diagnosis are spinal pain and neurological deficits (paraparesis or paraplegia); however, infection and inflammation are not uncommon [4,5].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Vertebral Erosion Secondary to Aortic Aneurysm

Toufga¹,

F²,

Billah³

et al. 2020

Case Reports in Radiology

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“…Thoracic aortic aneurysm (TAA) may include adjacent bone deformities secondary to infections or inflammatory diseases. 1 But associated bone deformities caused by the aneurysm itself are rare. 1,2 Herein we present X-ray radiography, ultrasonography, computed tomography, and magnetic resonance imaging (MRI) findings of a giant, dissected, and contained rupture of TAA.…”

Section: Introductionmentioning

confidence: 99%

“…1 But associated bone deformities caused by the aneurysm itself are rare. 1,2 Herein we present X-ray radiography, ultrasonography, computed tomography, and magnetic resonance imaging (MRI) findings of a giant, dissected, and contained rupture of TAA. The aneurysm destructed vertebral body and extended into the neural foramina mimicking symptoms of a herniated disc.…”

Section: Introductionmentioning

confidence: 99%

Bone Deformities as a Complication of Giant Thoracic Aortic Aneurysm

Aslan

Kartal

Ayaz

et al. 2017

Vasc Endovascular Surg

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The contained rupture of thoracic aortic aneurysm and related bone deformities is a rare condition. The diagnosis is critical due to potential and fatal complications. Radiologic evaluation is required to show the location, extension, and complications. Herein we present the X-ray radiography, ultrasonography, computed tomography, and magnetic resonance images of a giant dissected and contained rupture of the thoracic aortic aneurysm. The aneurysm destructed the adjacent vertebrae and rib, resulting in compression of dural sac and spinal cord, and obliteration of the neural foramina. Our case demonstrates a gigantic expansion of an aneurysm (14 cm) with chronic skeletal complications.

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Chronic contained ruptured abdominal aortic aneurysm with a rare presentation of lower limb neuropathic claudication: a report of two cases

Hariri

Laham

Mohammad

2023

Annals of Medicine &Amp; Surgery

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Introduction and importance: A vertebral body erosion that takes place due to a chronic contained rupture of an abdominal aortic aneurysm is an especially rare vascular pathology that comprises less than 5% of all causes of vertebral body erosion. Chronic contained rupture of an abdominal aortic aneurysms are primarily observed in hemodynamically stable patients whose chief complaint is lower limb neuropathic pain. This entity is extremely misleading and this results in delayed management of those patients increasing the morbidity and mortality rates. Case presentation: We present the two cases of 62-year-old and 65-year-old males. Preoperative radiology for each patient showed an infrarenal aortic aneurysm with a retroperitoneal hematoma in contact with the lumbar vertebral bodies and psoas muscle. The draped aorta sign was evident in both cases. Clinical discussion: A curative surgical intervention was accomplished for both patients, respectively. This was achieved through the removal of the existing hematomas that were compressing the vertebrae in addition to the complete isolation and resection of the respective abdominal aortic aneurysms along with thorough reconstruction of the aortoiliac spindles with patent synthetic grafts to ensure the patency of the preexisting vascular axis. Conclusion: A contained rupture of an abdominal aortic aneurysm is a rare occurring vascular pathology that manifests with nonspecific symptoms, such as femoral neuropathy and lower back pain proportionate to the degree of the level of erosion of the affected lumbar vertebrae. This will increase the possibility of misdiagnosis and delays in treatment. Such a life-threatening vascular emergency should be timely detected and treated to avoid its complications and patient mortality.

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Multidetector Computed Tomography Angiography Findings of Chronic-Contained Thoracoabdominal Aortic Aneurysm Rupture with Severe Thoracal Vertebral Body Erosion

Cited by 9 publications

References 17 publications

Vertebral Erosion Secondary to Aortic Aneurysm

Vertebral Erosion Secondary to Aortic Aneurysm

Bone Deformities as a Complication of Giant Thoracic Aortic Aneurysm

Chronic contained ruptured abdominal aortic aneurysm with a rare presentation of lower limb neuropathic claudication: a report of two cases

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