Bone Deformities as a Complication of Giant Thoracic Aortic Aneurysm

Abstract

The contained rupture of thoracic aortic aneurysm and related bone deformities is a rare condition. The diagnosis is critical due to potential and fatal complications. Radiologic evaluation is required to show the location, extension, and complications. Herein we present the X-ray radiography, ultrasonography, computed tomography, and magnetic resonance images of a giant dissected and contained rupture of the thoracic aortic aneurysm. The aneurysm destructed the adjacent vertebrae and rib, resulting in compression of dural sac and spinal cord, and obliteration of the neural foramina. Our case demonstrates a gigantic expansion of an aneurysm (14 cm) with chronic skeletal complications.

A Rare Case of Contained Chronic Rupture of Abdominal Aortic Aneurysm Associated With Vertebral Erosion: Pre- and Post-operative Findings on Computed Tomography and a Narrative Review

“…They tend to cause fever, leukocytosis and back pain; at imaging they are characterized by saccular outpouching, adjacent collection with or without gas, periaortic inflammatory soft tissue with edema and stranding and abnormal contrast enhancement around the sac. 19…”

“…They tend to cause fever, leukocytosis and back pain; at imaging they are characterized by saccular outpouching, adjacent collection with or without gas, periaortic inflammatory soft tissue with edema and stranding and abnormal contrast enhancement around the sac. 19 Inflammatory diseases like SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis, osteitis), ankylosing spondylitis and Behçet's disease, can produce VBE but in these cases are typically involved only the "corners" of the vertebral bodies (enthesitis). 15 Spondylodiscitis (especially in the case of tuberculous Pott's disease), can lead to the formation of VBE and large abscesses; nevertheless, the epicenter of the pathology is centered on the disco-somatic unit with irregular and poorly defined margins.…”

Anoni̇m Şi̇rket Genel Kurul Kararinin İptali̇nde Dava Di̇lekçesi̇ni̇n Islahi

“…Oysaki davanın geri alınmasının en tipik sonucu davanın sona ermesidir. Buna bağlı olarak, davanın esasına ilişin inceleme yapılmamalıdır 112 . Dava sebebi değiştirildiğinde ise açılmış davaya yeni dava sebebi itibariyle devam edilir.…”