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Case Reports
. 2015 Aug 12:16:74-6.
doi: 10.1016/j.rmcr.2015.08.003. eCollection 2015.

Rasmussen's aneurysm: A forgotten scourge

Kshitij Chatterjee  1 , Brendon Colaco  2 , Clinton Colaco  2 , Michael Hellman  3 , Nikhil Meena  2
Affiliations
Case Reports

Rasmussen's aneurysm: A forgotten scourge

Kshitij Chatterjee et al. Respir Med Case Rep. .

Abstract

Rasmussen's aneurysm is an inflammatory pseudo-aneurysmal dilatation of a branch of pulmonary artery adjacent to a tuberculous cavity. Life threatening massive hemoptysis from the rupture of a Rasmussen's aneurysm is an uncommon yet life threatening complication of cavitary tuberculosis (TB). We present a case of a young woman who presented with low-grade fever and hemoptysis. Computed tomographic (CT) angiography showed biapical cavitary lesions and actively bleeding aneurysms involving pulmonary artery, which successfully underwent glue embolization.

Keywords: Pulmonary artery aneurysm embolization; Pulmonary tuberculosis; Rasmussen's aneurysm.

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Figures

Fig. 1
Fig. 1
(a) Chest x-ray demonstrating calcification in the hilum, (b) large biapical cavities, left larger than right.
Fig. 2
Fig. 2
(a) CT axial view demonstrating thick cavitary lesions in the both upper lobes. (b) CTA axial views demonstrating a contrast filled aneurysm in the left upper lobe (c) CTA sagittal view demonstrating with left upper lobe aneurysm.
Fig. 3
Fig. 3
(a) Bronchial angiogram demonstrating a large aneurysm (b) digital angiography of the same aneurysm.
Fig. 4
Fig. 4
Digital subtraction angiography demonstrating a non filling aneurysm. After glue injection.
See this image and copyright information in PMC

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