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An Autopsy Case of a Dissectmg Aneurysm in a Patient Complaining of Fever and Who Died of Hemoptysis Shoichiro Shibata 1 , Shuji Nagano 1 , Motoi Maeda 1 , Takumasa Kobayasi 1 , Eisuke Yokota 1 , Isao Matsumoto 1 , Mamoru Nakanishi 2 1Department of Internal Medicine, Matsuyama Red Cross Hospital 2Department of Pathology, Matsuyama Red Cross Hospital Keyword: 解離性大動脈瘤 , 喀血 , dissecting aneurysm , Hemoptysis pp.399-402
Published Date 1997/4/15
DOI https://doi.org/10.11477/mf.1404900034
  • Abstract
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We report a rare occurrence of a dissecting aneurysm in a patient who died of hemoptysis. A 67-year-old man was admitted to the Matsuyama Red Cross Hospital because of fever but he had no episodes of chest pain. Physical examination revealed the laterality of his radial pulse and blood pressure. Laboratory examina-tion showed the presence of inflammation and chest X-ray film showed enlargement of the aortic arch and the mediastinum. On the fifth day of his admission, he coughed up fresh blood. Chest CT disclosed the dissec-tion of a thoracic aortic aneurysm. An emergency opera-tion was unable to be carried out because of the possibil-ity of local infection. He died of repeated hemoptysis during conservative treatment.

An autopsy finding disclosed penetration from the dissecting lumen of the descending aorta to the upper lobe of the left lung. Although hemoptysis has rarely occurred in patients with dissecting aneurysms, it is thought that compression by the enlarged aneurysm had caused, in this case, adhesion, secondary infection, weakening of the arterial wall and finally penetration of the emphysematous lung.


Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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