The forgotten bomb: Ramussens’s aneurysm

Introduction Rasmussen’s aneurysm is an inflammatory pseudoaneurysmal dilatation of a branch the pulmonary artery adjacent to tuberculous cavity. It often presents with hemoptysis resulting from its rupture. Massive seen in giant aneurysms rare but life-threatening complication cavitary tuberculosis. Aim In this case, we aimed present case rasmussen that did not bleed and was diagnosed incidentally. Case study article, female patient who surprisingly during her follow-up after having been admitted our emergency department due diabetic ketoacidosis, fever, shortness breath responding tuberculosis treatment. She using multi-detector computed tomography angiography underwent embolization percutaneous thrombin injection. On day procedure, thoracotomy had be performed because pseudoaneurysm continued show contrast enhancement on imaging. successfully treated surgery. Results discussion Although are rare, it should kept mind they may related Pulmonary large asymptomatic can reach gigantic dimensions as case. Rupture size predicted mortal. Percutaneous injection used for However, treatment recur aneurysms, which surgical curative. Conclusions Rasmussen very when asymptomatic, diagnosis delayed until reaches dimensions. Contrast-enhanced thorax especially helpful diagnosis.