ibqt05i3p234.pdf - 234 Raghuram et al Rasmussens Aneurysm...

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Address for correspondence: Dr. A.R. Raghuram. MS, M.Ch. Senior Consultant and Head, Dept of CT Surgery, Meenakshi Mission Hospital & Research Centre, Lake Area, Tamilnadu, India-625107 Phone : (0452) 2588741, 5392741; Fax: (0452) 2586353 E-mail: [email protected] ©IJTCVS 097091342130905/04 Introduction Pulmonary tuberculosis is known to leave behind a lot of devastations even after complete biological cure of the disease. These may be classified as a) parenchymal; tuberculoma, cavity, aspergilloma and carcinoma. b) airway lesions; broncholithiasis, bronchial stenosis and bronchiectasis. c) vascular; pulmonary and bronchial arteritis, and Rasmussen's aneurysm. d) mediastinal; lymphnode calcification, esophagobrochial and mediastinal fistulae, fibrosing mediastinitis and constrictive pericarditis. e) pleural; chronic empyema, fibrothorax, bronchopleural fistula and pneumothorax and f) chest wall lesions. Rasmussen's Aneurysm is a very rare sequalae of Pulmonary Tuberculosis. We present one such case of Rasmussen's aneurysm and review of the relevant literature. Case Report A 50-year-old diabetic gentleman with previous history of pulmonary tuberculosis treated with a full course of standard regimen presented to us with a history of massive hemoptysis two weeks back. That episode was treated conservatively in his native place and then referred to us for further management. No history of cough with expectoration. Patient has been maintaining normal health for the last 7 years after completion of full-course of anti-tuberculous therapy. He was a smoker before 7 years. On examination he was well nourished with normal vital signs. There were no abnormal signs in Rasmussen's aneurysm – A brief report Arni Raghavendrarao Raghuram, M.Ch., Subbaiyan Kumar, MD, Kathamuthu Balamurugan, DA.
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