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| http://dx.doi.org/10.1097/00000658-196107000-00014 | DOI Listing |
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Rupture of huge thoracic aortic aneurysm in a young man: Case report and literature review.
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Department of Diagnostics and Public Health, Section of Forensic Medicine, University of Verona, P.le L.A. Scuro 10, 37134, Verona, Italy.
Thoracic aortic aneurysms are considered more dangerous than abdominal aneurysms because they are often silent until rupture and, therefore, are more challenging to diagnose and have a high mortality rate. In addition, a thoracic aneurysm differs from an abdominal one in terms of causes and risk factors: the former is associated with the degeneration of the vessel's middle tunica, while the latter is related to atherosclerosis. We report the case of the sudden death of a 20-year-old man, with no apparent risk factors and suffering only from a persistent cough for a month, in whom the autopsy revealed the rupture of a massive aneurysm of the ascending thoracic aorta.
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Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.
Bone fracture ruptures blood vessels and disrupts the bone marrow, the site of new red blood cell production (erythropoiesis). Current dogma holds that bone fracture causes severe hypoxia at the fracture site, due to vascular rupture, and that this hypoxia must be overcome for regeneration. Here, we show that the early fracture site is not hypoxic, but instead exhibits high oxygen tension (> 55 mmHg, or 8%), similar to the red blood cell reservoir, the spleen.
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Department of Obstetrics and Gynecology, Airlangga University, Soetomo General Hospital, Surabaya, Indonesia.
Abdominal pregnancy (AP) is a rare event of globally reported pregnancy and is significantly challenging to diagnose because of various symptoms. Therefore, we aimed to present a case of a 26-year-old female with unexpected AP of third pregnancy found during emergency fetal evacuation laparotomy. The possible scenario was found to be fetus implanted into the fibroid scar of her obstetric history, leading to complications with uterine rupture.
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Cerebral hydatid disease, caused by Echinococcus granulosus, is uncommon in children but presents significant diagnostic challenges due to its potential to mimic malignancy. Only a handful of cases with such a dilemma have been reported yet in the literature. We report a case of a 12-year-old female presenting with progressive headache and seizures, initially suspected to be a pilocytic astrocytoma.
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Division of Cardiovascular Surgery, Department of Surgery, Kurume University, Kurume, JPN.
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