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Case Reports
. 2019 Jan 17:32:32.
doi: 10.11604/pamj.2019.32.32.17851. eCollection 2019.

[Lysis at the dorsal vertebral bodies showing chronic contained rupture of an aneurysm: about a case]

[Article in French]
Diekouadio Fabrice  1 , Bellamlih Habib  1 , Laamrani Fatim Zahra  1
Affiliations
Case Reports

[Lysis at the dorsal vertebral bodies showing chronic contained rupture of an aneurysm: about a case]

[Article in French]
Diekouadio Fabrice et al. Pan Afr Med J. .

Abstract
in English, French

Chronic contained ruptures of aneurysms are extremely rare. They can result from aneurysm rupture. Indeed, the most dreaded complication of aneurysm is its rupture, which is often fatal. However, haematoma can exceptionally occur after rupture, which is contained by the surrounding anatomical structures, stopping aneurysm from leaking. Unlike the classic rupture, there are no signs of hemorrhagic shock. They are replaced by moderate pain and, often, by atypical signs such as lysis of the dorsal vertebral bodies caused by the occurrence of an hematoma detected by imaging, as in our case. It's important to know this disorder because chronic rupture requires surgical management due to the risk of later rupture of the haematoma.

Les anévrismes chroniques rompus contenus représentent une entité extrêmement rare, qui peut faire suite à une rupture d'anévrisme. En effet, la complication la plus à craindre de l'anévrisme est la rupture, qui est souvent mortelle. Toutefois exceptionnellement, il se formera un hématome suite à la rupture, lequel sera contenu par les structures anatomiques avoisinantes; ce qui permettra en outre d'arrêter la fuite. Contrairement à la rupture classique, les signes de choc hémorragique seront absents; remplacés par une simple douleur modérée, et des signes souvent atypiques tels que la lyse du rachis dorsal par l'hématome constitué, découverte à l'imagerie dans notre cas. La connaissance de cette entité est importante, car la rupture chronique nécessite une prise en charge chirurgicale; du fait du risque de rupture ultérieure de l'hématome.

Keywords: Chronic contained rupture of an aneurysm; lysis; vertebral body.

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Conflict of interest statement

Les auteurs ne déclarent aucun conflit d'intérêts.

Figures

Figure 1
Figure 1
Coupe axiale montrant un volumineux anévrysme de l’aorte thoracique descendante; refoulant en avant les cavités cardiaques gauches
Figure 2
Figure 2
Coupe sagittale montrant une discontinuité des calcifications pariétales de la paroi postérieure de l’aorte thoracique descendante
Figure 3
Figure 3
Coupe sagittale montrant une lyse des corps vertébraux de D7 à D10 par l’hématome
Figure 4
Figure 4
Coupe axiale montrant un effet de masse sur l’artère pulmonaire gauche, qui reste perméable
See this image and copyright information in PMC

References

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