A case of Aortic Aneurysm due to syphilis infection
This patient presented with a large pulsatile swelling of 4 months' duration on the left side of the chest. Initially, he noticed a small 4 × 4 cm swelling below the left clavicular region, which rapidly increased in size to about 10 × 10 cm in 4 months. He complained about breathlessness. No history of trauma. Local examination (right figure) showed a large swelling on the left side of the anterior chest wall. Chest roentgenogram (left) showing widening of the mediastinum with a radiopaque mass extending into the superior mediastinum occupying the left upper and mid-zone with a right tracheal shift. His blood serology was positive for syphilis and hepatitis B surface antigen. The patient was immediately admitted to the cardiothoracic surgery division for management.