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[A case of multiple tuberculous aneurysm of the abdominal aorta]

Jin Tao Han1, Jun Zhao, Jing Yuan Luan

  • 1Department of Vascular Surgery, Peking University Third Hospital, Beijing 100083, China.

Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences
|July 28, 2007
PubMed

Insights

Tuberculous aortic aneurysms are rare, often presenting as false aneurysms. Prompt surgical intervention combined with medical treatment is crucial for managing this condition.

Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Aortic Aneurysm Research

Background:

  • Tuberculous aneurysm of the aorta is an exceedingly rare condition, with fewer than 50 cases reported since 1895.
  • The majority of reported cases (88%) are false aneurysms, typically solitary, with multiple tuberculous aneurysms being exceptionally uncommon.

Observation:

  • A case study of a 70-year-old male with multiple false tuberculous aneurysms of the abdominal aorta is presented.
  • The patient presented with abdominal pain after inadequate antitubercular therapy for pulmonary tuberculosis.
  • Imaging revealed a large aneurysm (5 cm x 6 cm) near the celiac trunk and two smaller aneurysms (1 cm diameter) at the aorto-mesenteric and aorto-renal junctions.

Findings:

  • The patient underwent Endovascular Exclusion of Abdominal Aortic Aneurysm for a ruptured aneurysm.
  • Despite initial treatment, smaller aneurysms ruptured before a second surgical procedure could be performed.
  • The patient ultimately succumbed to gastrointestinal hemorrhage.

Implications:

  • This case underscores the critical need for prompt surgical intervention in tuberculous aortic aneurysms, regardless of size.
  • Combined medical and surgical management is essential for effective treatment.
  • The high mortality associated with untreated or inadequately treated tuberculous aortic aneurysms highlights the importance of timely diagnosis and comprehensive management strategies.

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