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Thoracic aneurysm rupture presenting as a rapidly enlarging neck mass
Mark Tan1, Francis Lee, Michael Clarke
1Alexandra Hospital, Singapore, Republic of Singapore. minglong@cyberway.com.sg
Summary
A ruptured thoracic aneurysm caused a rapidly growing neck mass and airway obstruction. This rare emergency presentation challenges airway management due to dynamic distortion.
Area of Science:
- Cardiology
- Emergency Medicine
- Thoracic Surgery
Background:
- Thoracic aneurysms are typically asymptomatic until rupture.
- Rapidly enlarging neck masses are uncommon emergency department presentations.
Observation:
- A patient presented with acute left neck swelling.
- The swelling was caused by a hematoma from a ruptured thoracic aneurysm.
Findings:
- The neck hematoma caused dynamic airway distortion and obstruction.
- Airway management was significantly challenged by the acute swelling.
Implications:
- This case highlights the importance of considering thoracic emergencies in patients with neck swelling.
- Prompt diagnosis and multidisciplinary management are crucial for successful airway control in such cases.
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