Hospital: Hospital Ramon y Cajal.
Ciudad:
Nº:
Aut@r o Autores: C. Campos Ferrer, M. Garcia Gomez Muriel, C. Picon, R. Romera Sanchez, J. Montilla Lopez-Gay, I. Pecharroman De Las Heras.,
Presentación:
62-year-old woman with a history of esophageal carcinoma treated with chemotherapy, radiotherapy and esophagectomy type IVOR-LEWIS. It develops post-operative tracheoesophageal fistula with prosthesis placement, and later pleuroesophageal fistula. She attended the emergency department for persistent cough, fever and purulent secretion through a hole in the chest wall (previous thoracic tube), which is complicated by hemoptysis that threatens hemodynamic instability, and multimodal CT scans are requested. Findings: Right pleural effusion and inflammatory changes in mediastinum, identifying aneurysmal lesions in the middle slope of the right inferior lobar vein adjacent to the far end of the esophageal prosthesis, which increases discreetly in size in the portal phase. The patient underwent urgent intervention, performing lower-right lobectomy and confirming the radiological findings.
Discusión:
Thoracic venous pseudoaneurysms are an extremely rare entity that usually occurs in traumatic environments. In our case, the patient suffered from a mediastinal infectious process and was wearing an esophageal prosthesis that conditioned the development of the vascular lesion.
Conclusión:
Thoracic venous pseudoaneurysms are an extremely rare entity that usually occurs in traumatic environments. In our case, the patient suffered from a mediastinal infectious process and was wearing an esophageal prosthesis that conditioned the development of the vascular lesion.
Bibliografía:
– Mui Heng Goh, MBBS et al .Pulmonary vein pseudoaneurysm secondary to blunt trauma. A novel mangenment strategy. An thorac Surg 2016, 101: 1197-2000. – Quartey B, Jessie E. Pulmonary artery and vein pseudoaneurysm after gunshot wound to the chest. J Eme