tailieunhanh - báo cáo khoa học: " Lower respiratory tract infection and rapid expansion of an abdominal aortic aneurysm: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Lower respiratory tract infection and rapid expansion of an abdominal aortic aneurysm: a case report | Naylor et al. Journal of Medical Case Reports 2010 4 333 http content 4 1 333 jAl JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Lower respiratory tract infection and rapid expansion of an abdominal aortic aneurysm a case report 1 f I z 1 1 2 1 13 Steven Naylor Zakareya Gamie Ravinder S Vohra Sapna Puppala Patrick J Kent D Julian A Scott Abstract Introduction The rate of abdominal aortic aneurysm expansion is related to multiple factors. There is some evidence that inflammation can accelerate aneurysm expansion. However the association between pulmonary sepsis and rapid abdominal aortic aneurysm expansion is rarely reported. Case presentation Here we present a case of a rapidly expanding abdominal aortic aneurysm in a 68-year-old Caucasian man with a concomitant lower respiratory tract infection and systemic sepsis requiring intensive monitoring and urgent endovascular intervention. Our patient had an uncomplicated post-operative recovery and a follow-up computed tomography scan at one month demonstrated no evidence of an endoleak. Conclusion This case highlights the potential association between pulmonary sepsis and rapid abdominal aortic aneurysm expansion. In such cases a policy of frequent monitoring should be adopted to identify those patients requiring definitive management. Introduction Studies suggest that an abdominal aortic aneurysm AAA expands on average at cm per annum 1 . This is proportional to the size of the AAA 2 3 and has been linked to factors such as smoking hypertension advanced age and cardiac disease 4 . There are rare reports that aneurysmal disease can expand in the presence of lung sepsis over a few months 5 6 . The presence of pulmonary disease may increase inflammatory mediators and result in weakening of the aortic wall 5 . Here we report the case of a sudden expansion of an infra-renal AAA in a patient with a lower respiratory tract infection LRTI and sepsis. Case presentation A 68-year-old