Tuberculous false aneurysm of the aorta is rare and has an unpredictable complication of aneurysm rupture. We report a case of a 32-year old woman who was referred to the Department of Vascular Surgery, Avicenne Hospital for severe abdominal pain. Chest x-ray revealed miliary tuberculosis. Contrast enhanced computed tomography (CT) scan showed a false aortic aneurysm involving the juxtarenal aorta. Antituberculous treatment was started because of high presumption of tuberculosis. Five days later, the patient presented with symptoms of aneurysm rupture. She underwent an emergency a surgical resection of the aneurysm with repair of the aortic wall defect by a Dacron Silver patch. The histopathologic examination of the aortic wall showed features of tuberculosis.

Osteochondroma constitutes the most frequent bone tumor. It is exceptionally responsible for vascular complications from which pseudo-aneurysms constitute the most frequent entity. We report the case of a 20-year-old patient who presented with acute pain of the left knee following a sports' accident. Vascular ultrasonography showed the rupture of a false aneurysm of the popliteal artery. An arteriography confirmed the diagnosis by showing contrast leakage at the level of the below-knee popliteal artery projecting over an osteochondroma. Surgery was undertaken to close the aneurysm an insert a venous graft. The procedure was completed by excision of the bone tumor. Vascular complications of osteochondroma are rare but should be considered in young patients with a false aneurysm of the popliteal artery. Surgery is required for the treatment of false aneurysms on exostosis.

L’ostéochondrome constitue la tumeur osseuse la plus fréquente. Exceptionnellement, elle est responsable de complications vasculaires dont les faux-anévrismes constituent l’entité la plus fréquente. Nous rapportons le cas d’un jeune patient âgé de 20 ans qui présentait une douleur brutale du genou gauche à la suite d’un accident de sport. L’échodoppler artériel objectivait un faux anévrisme rompu de l’artère poplitée basse. Une artériographie a permis de confirmer le diagnostic en montrant une extravasation du produit de contraste au niveau de l’artère poplitée basse en regard d’une image radiologique d’ostéochondrome. Le traitement était chirurgical et a consisté en une mise à plat du faux anévrisme avec un remplacement veineux, complété par une résection de la tumeur osseuse. Malgré la rareté de ses complications vasculaires, le diagnostic de l’exostose ostéogénique doit être évoqué devant tout anévrisme poplité chez un sujet jeune. Le traitement des faux anévrismes sur exostose est plutôt chirurgical.

Aneurysms of the intra-thoracic subclavian artery (SCA) are rare.They are often revealed by complications.Surgical treatment is always indicated.Endovascular treatment is a less invasive alternative.We report a case of a 60 years-old woman admitted for right chest pain and dysphonia.Laryngoscopy noted a right vocal cord palsy.Chest computed tomography and angiography showed a giant aneurysm of the intra-thoracic right SCA.A resection-ligation of the aneurysm was performed by a supra-clavicular approach.Postoperative course was uneventful.The histology defined an atherosclerotic aneurysm.The patient underwent voice reeducation with partial improvement after six months.

Background. - Carotid paragangliomas are rare. Surgical resection is the primary treatment. However, when surgery is impossible, radiation therapy is an alternative potentially enabling local control with less morbidity. We report a case of good local control of an unresectable paraganglioma after external beam radiation.Case report. - A 72-year-old-woman, had a 4-year history of right facial palsy associated with pulsatile tinnitus, episodic ear bleeding and ipsilateral hearing loss. Physical examination revealed a retro-mandibular and sub-mastoid pulsatile mass. Magnetic resonance imaging showed a large carotid paraganglioma involving the temporal bone. Since surgical resection was impossible, our patient was given external beam radiation therapy at a dose of 60 Gy. At 12 months follow-up, local control was good without significant toxicity.Conclusion. - External beam radiation therapy seems to be a good alternative therapy for local control of carotid paragangliomas if surgical resection is impossible. (C) 2010 Elsevier Masson SAS. All rights reserved.

Tuberculous aortic aneurysms are rarely seen. Their major complication is unforeseeable and lethal aneurysmal rupture. We report an exceptional case of multiple tuberculous aortic aneurysms in a child.A 13-year-old girl was admitted to our hospital with abdominal pain. She reported a history of fever, night sweats and weight loss. Physical examination showed a pulsatile mass over the umbilicus. Thoracoabdominal angio-NMR revealed multiple pseudoaneurysms of the thoracic and abdominal aorta. The patient underwent elective laparotomy, resection of the abdominal aortic and in situ prosthetic repair with an aortic graft. The postoperative recovery was uneventful. The histopathologic examination of the aortic wall and para-aortic lymph nodes showed evident features of tuberculosis. Antituberculous chemotherapy was initiated.Tuberculous aortic aneurysms are rarely seen. Their major complication is rupture. Surgery must not be delayed just like antitubercular therapy.

L’anévrisme géant de l’artère splénique est exceptionnel. Les auteurs rapportent, à travers une revue de la littérature, les particularités épidémiologiques, cliniques et thérapeutiques de cette pathologie. Nous rapportons le cas d’un patient de 62 ans admis pour douleurs épigastriques. L’examen clinique trouve une masse battante de l’hypocondre gauche. L’angioscanner abdominal a retrouvé un gros anévrisme partiellement thrombosé de l’artère splénique mesurant 10 cm de diamètre. L’artériographie a montré un anévrisme de 10 cm aux dépens du tiers moyen de l’artère splénique. Le patient a bénéficié d’une mise à plat avec ligature de l’artère splénique proximale et distale. Les suites opératoires étaient simples. Les anévrismes géants de l’artère splénique (AAS) sont une entité clinique rare. Ils diffèrent des AAS ordinaires par leur terrain de survenue, leur localisation sur l’artère splénique, leurs manifestations cliniques et leur prise en charge thérapeutique. Giant splenic artery aneurysm is exceptional. We report a case and review the literature to ascertain the characteristic epidemiological, clinical and therapeutic features of this condition. A 62-year-old man was admitted for epigastric pain. Physical examination found an epigastric pulsatile mass. A contrast computed scan of the abdomen revealed a 10-cm thrombosed aneurysm of the splenic artery. An abdominal aortography, including selective celiac angiography, confirmed the presence of a 10-cm aneurysm originating from the medial third of the splenic artery. The patient underwent open surgical repair. The proximal and the distal splenic artery were ligated from within the aneurysm. The postoperative period was uneventful. Giant aneurysm of the splenic artery is a rare clinical entity. These aneurysms differ from usual splenic artery aneurysms in several ways involving the predominant gender, localization on the splenic artery, clinical presentation, and treatment.

Introduction. - Giant splenic artery aneurysm is exceptional. We report a case and review the literature to ascertain the characteristic epidemiological, clinical and therapeutic features of this condition.Case report. - A 62-year-old man was admitted for epigastric pain. Physical examination found an epigastric pulsatile mass. A contrast computed scan of the abdomen revealed a 10-cm thrombosed aneurysm of the splenic artery. An abdominal aortography, including selective celiac angiography, confirmed the presence of a 10-cm aneurysm originating from the medial third of the splenic artery. The patient underwent open surgical repair. The proximal and the distal splenic artery were ligated from within the aneurysm. The postoperative period was uneventful.Conclusion. - Giant aneurysm of the splenic artery is a rare clinical entity. These aneurysms differ from usual splenic artery aneurysms in several ways involving the predominant gender, localization on the splenic artery, clinical presentation, and treatment. (C) 2008 Elsevier Masson SAS. Tous droits reserves.

Introduction. - Tuberculous aortic aneurysms are rarely seen. Their major complication is unforeseeable and lethal aneurysmal rupture. We report an exceptional case of multiple tuberculous aortic aneurysms in a child.Case report. - A 13-year-old girl was admitted to our hospital with abdominal pain. She reported a history of fever, night sweats and weight loss. Physical examination showed a pulsatile mass over the umbilicus. Thoracoabdominal angio-NMR revealed multiple pseudoaneurysms of the thoracic and abdominal aorta. The patient underwent elective laparotomy, resection of the abdominal aortic and in situ prosthetic repair with an aortic graft. The postoperative recovery was uneventful. The histopathologic examination of the aortic wall and para-aortic lymph nodes showed evident features of tuberculosis. Antituberculous chemotherapy was initiated.Conclusion. - Tuberculous aortic aneurysms are rarely seen, Their major complication is rupture. Surgery must not be delayed just like antitubercular therapy. (C) 2008 Elsevier Masson SAS. Tous droits reserves.