Chronic rupture of abdominal aortic aneurysms. (Report of 3 cases)

Rupture of an abdominal aortic aneurysm often presents with an abdominal pain, hypotension and a pulsatile abdominal mass. In the last years same clinical reports describe patients with less apparent clinical signs who were found later in their evaluation to have a contained rupture of an abdominal...

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Bibliographic Details
Published inAnnali italiani di chirurgia Vol. 71; no. 2; p. 247
Main Authors Dorrucci, V, Veraldi, G F, Dusi, R, Rombolà, G
Format Journal Article
LanguageItalian
Published Italy 01.03.2000
Subjects
Aged
Aged, 80 and over
Aortic Aneurysm, Abdominal - diagnosis
Aortic Aneurysm, Abdominal - surgery
Aortic Rupture - diagnosis
Aortic Rupture - surgery
Chronic Disease
Female
Humans
Male
Middle Aged
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Summary:Rupture of an abdominal aortic aneurysm often presents with an abdominal pain, hypotension and a pulsatile abdominal mass. In the last years same clinical reports describe patients with less apparent clinical signs who were found later in their evaluation to have a contained rupture of an abdominal aortic aneurysm. The diagnosis may be delayed by consideration of other disease causing similar symptoms (herniated disc, renal colic). In these patients with confusing abdominal symptoms CT scan provides a rapid and noninvasive diagnosis. We report three cases of contained rupture of an abdominal aortic aneurysm evaluated by computed tomography with different clinical presentation: back pain for erosion into the lumbar vertebral bodies, lower extremity neuropathy and obstructive jaundice. All patients were operated on within 24 hours on admission; there was no operative mortality and survival was 100% at one year.
ISSN:0003-469X