2015
DOI: 10.1136/bcr-2015-209788
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Ruptured intercostal artery pseudoaneurysm: a rare cause of acute back pain

Abstract: A 63-year-old man with no relevant medical history presented with acute non-traumatic back pain and was found to have a T8 intercostal artery pseudoaneurysm associated with haemomediastinum on CT of the chest. He was taken to angiography with interventional radiology and the aneurysm was coiled without complication.

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Cited by 6 publications
(6 citation statements)
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“…In our case, these tools indicated the low likelihood of pulmonary embolism or acute aortic dissection, suggesting that additional CT examinations were unnecessary. As in the present case, bleeding at the posterior mediastinum would not be recognized by CXR, AXR, or US examinations [ 14 , 16 ]. If the CT scan had not been performed, the spontaneous rupture of the intercostal artery would not have been diagnosed.…”
Section: Discussionmentioning
confidence: 84%
“…In our case, these tools indicated the low likelihood of pulmonary embolism or acute aortic dissection, suggesting that additional CT examinations were unnecessary. As in the present case, bleeding at the posterior mediastinum would not be recognized by CXR, AXR, or US examinations [ 14 , 16 ]. If the CT scan had not been performed, the spontaneous rupture of the intercostal artery would not have been diagnosed.…”
Section: Discussionmentioning
confidence: 84%
“…It is even observed after liver biopsy, biliary procedures, or nephrectomy [ 1 ]. Furthermore, non-procedure–related IAPs may present as acute back pain [ 3 ]. Symptoms are largely nonspecific, including acute or chronic pain of increasing intensity, dyspnea, or presence of a pulsatile thoracic mass [ 4 ].…”
Section: Discussionmentioning
confidence: 99%
“…Intercostal artery aneurysms/pseudoaneurysms can occasionally rupture, resulting in hemothorax with acute chest pain or back pain requiring urgent surgical intervention. Unruptured intercostal aneurysms are usually asymptomatic, with the risk of rupture and hemorrhage directly related to their size [ 5 , 6 ]. Mycotic aneurysms, in general, have a higher tendency for rupture.…”
Section: Discussionmentioning
confidence: 99%