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Aneurysmal rupture of the costo-cervical trunk in a patient with neurofibromatosis type 1: A case report.

Hoonjan B, Thayur N, Abu-Own A - Int J Surg Case Rep (2013)

Bottom Line: Rupture of blood vessels associated with neurofibromatosis type 1 (NF-1) is a rare but life threatening complication.A repeat CT scan showed a reduction in the original cervical haematoma.Ruptured aneurysms require urgent CT angiography, if haemodynamically stable, and further input from the vascular surgeons and vascular radiologists.

View Article: PubMed Central - PubMed

Affiliation: Department of Vascular Surgery, Colchester General Hospital, Colchester CO4 5JL, UK. Electronic address: pinderhoonjan@hotmail.com.

No MeSH data available.


Related in: MedlinePlus

Small size of the trachea (red arrow) and hence difficult insertion of endotracheal tube. Yellow arrow indicates large left cervical haematoma. (For interpretation of the references to color in text, the reader is referred to the web version of this article.)
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fig0025: Small size of the trachea (red arrow) and hence difficult insertion of endotracheal tube. Yellow arrow indicates large left cervical haematoma. (For interpretation of the references to color in text, the reader is referred to the web version of this article.)

Mentions: CT angiography is considered the gold standard in the diagnosis of ruptured aneursysms.7 To provide symptomatic relief, thoracic drainage tubes can be inserted when ruptures cause a significant haemothorax. Our patient had multiple chest wall deformities, including acute severe kyphosis with vertebral body deformities of cervical spine C4–C7. The nature of the skeletal deformities would have made thoracic drainage tube insertion potentially hazardous increasing the likelihood of potential damage of intercostal arteries. His skeletal abnormalities also caused extreme difficulty during insertion of his endotracheal tube (Fig. 5) and he remained intubated during hospital stay.


Aneurysmal rupture of the costo-cervical trunk in a patient with neurofibromatosis type 1: A case report.

Hoonjan B, Thayur N, Abu-Own A - Int J Surg Case Rep (2013)

Small size of the trachea (red arrow) and hence difficult insertion of endotracheal tube. Yellow arrow indicates large left cervical haematoma. (For interpretation of the references to color in text, the reader is referred to the web version of this article.)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921660&req=5

fig0025: Small size of the trachea (red arrow) and hence difficult insertion of endotracheal tube. Yellow arrow indicates large left cervical haematoma. (For interpretation of the references to color in text, the reader is referred to the web version of this article.)
Mentions: CT angiography is considered the gold standard in the diagnosis of ruptured aneursysms.7 To provide symptomatic relief, thoracic drainage tubes can be inserted when ruptures cause a significant haemothorax. Our patient had multiple chest wall deformities, including acute severe kyphosis with vertebral body deformities of cervical spine C4–C7. The nature of the skeletal deformities would have made thoracic drainage tube insertion potentially hazardous increasing the likelihood of potential damage of intercostal arteries. His skeletal abnormalities also caused extreme difficulty during insertion of his endotracheal tube (Fig. 5) and he remained intubated during hospital stay.

Bottom Line: Rupture of blood vessels associated with neurofibromatosis type 1 (NF-1) is a rare but life threatening complication.A repeat CT scan showed a reduction in the original cervical haematoma.Ruptured aneurysms require urgent CT angiography, if haemodynamically stable, and further input from the vascular surgeons and vascular radiologists.

View Article: PubMed Central - PubMed

Affiliation: Department of Vascular Surgery, Colchester General Hospital, Colchester CO4 5JL, UK. Electronic address: pinderhoonjan@hotmail.com.

No MeSH data available.


Related in: MedlinePlus