RESUMEN
We report a 20-year-old male with rare asymptomatic aneurysm of the left ventricle that was concluded to be a pseudoaneurysm given its calcified walls and the history of severe blunt chest trauma 8 years ago. Multidetector computed tomography (CT) angiography of the coronary vessels helped exclude vascular insult and suggest traumatic intramyocardial dissection as underlying etiopathogenesis, besides providing a good view of aneurysm and cardiac morphology in relation to coronary vessels.
Asunto(s)
Aneurisma Falso/diagnóstico por imagen , Calcinosis/diagnóstico por imagen , Angiografía Coronaria/métodos , Lesiones Cardíacas/complicaciones , Tomografía Computarizada por Rayos X , Heridas no Penetrantes/complicaciones , Aneurisma Falso/etiología , Calcinosis/etiología , Ventrículos Cardíacos/diagnóstico por imagen , Ventrículos Cardíacos/lesiones , Humanos , Hallazgos Incidentales , Masculino , Valor Predictivo de las Pruebas , Adulto JovenRESUMEN
Subcutaneous emphysema is the inadvertent introduction of air into tissues under the skin covering the chest wall or neck. The common causes of subcutaneous emphysema are rib fracture, parenchymal lung wound and esophageal trauma. Rarely, it occurs after oral and nasal surgery or maxillofacial trauma. We observed subcutaneous emphysema spread out from periorbital region to upper mediastinum in a patient presented to em e rgency department following minor maxillofacial trauma and admitted due to a simple fracture at his frontal maxillary wall. We present this present case to emphasize early initial management and close observation of minor facial traumas which can prevent further unexpected complications.
Asunto(s)
Fracturas Maxilares/diagnóstico , Traumatismos Maxilofaciales/diagnóstico , Enfisema Subcutáneo/etiología , Diagnóstico Diferencial , Tratamiento de Urgencia , Cara/patología , Humanos , Masculino , Fracturas Maxilares/complicaciones , Fracturas Maxilares/diagnóstico por imagen , Fracturas Maxilares/patología , Traumatismos Maxilofaciales/complicaciones , Traumatismos Maxilofaciales/diagnóstico por imagen , Traumatismos Maxilofaciales/patología , Enfisema Mediastínico/etiología , Persona de Mediana Edad , Cuello/patología , Tomografía Computarizada por Rayos XAsunto(s)
Aneurisma de la Aorta Torácica/diagnóstico , Coartación Aórtica/diagnóstico , Disección Aórtica/diagnóstico , Disección Aórtica/complicaciones , Disección Aórtica/patología , Aneurisma de la Aorta Torácica/complicaciones , Aneurisma de la Aorta Torácica/patología , Coartación Aórtica/complicaciones , Coartación Aórtica/patología , Diagnóstico Diferencial , Humanos , Masculino , Persona de Mediana Edad , Tomografía Computarizada por Rayos XRESUMEN
Acute aortic dissection is an uncommon disease; however, it has a high mortality rate. Classically, aortic dissection presents with sudden and severe pain in the chest, back, or abdomen. Patients often describe tearing or ripping pain. There are a few reports of atypical findings or no pain in the literature. We report a case of painless, acute aortic dissection presenting as acute stroke.
Asunto(s)
Aneurisma de la Aorta/diagnóstico , Disección Aórtica/diagnóstico , Accidente Cerebrovascular/diagnóstico , Enfermedad Aguda , Disección Aórtica/fisiopatología , Aneurisma de la Aorta/fisiopatología , Humanos , Masculino , Persona de Mediana Edad , Dolor/etiología , Accidente Cerebrovascular/fisiopatología , Tomografía Computarizada de EmisiónRESUMEN
Bilateral third nerve palsy often points to the involvement of its nucleus. Third nerve palsy as a result of posttraumatic nuclear involvement is an extremely rare condition. A 23-year-old man presented with a depressed skull fracture after acute head trauma and had Glasgow Coma Scale Score of 9. The diameters of the pupils were 6.5 and 7.5 mm and they were not reactive to light stimulation. There was bilateral ptosis. Computed tomography (CT) relieved bilateral perimesensephalic pneumocephalus. We suggested that bilateral oculomotor nerve paresis might develop in association with posttraumatic bilateral perimesensephalic pneumocephalus, which affected the nucleus of the third nerve.