1887
Volume 2013, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Rupture of an aneurysm is a rare complication although it is considered a common cause of death. Some of these patients present with the classic triad of symptoms such as abdominal pain, pulsatile abdominal mass and shock. Most symptoms are misleading and will only present as vague abdominal pain. Here we describe one such patient with an unusual presentation of a misleading abdominal mass which was eventually diagnosed as a ruptured abdominal aortic aneurysm after an emergency MRI.

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2014-03-01
2024-11-05
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References

  1. Scot RA, Aston HA, Kay DN. Abdominal aorta aneurysm in 4,237 screened patients: prevalence, development and management over 6 years. Br J Surg. 1991; 78::11221125.
    [Google Scholar]
  2. Assar AN, Zarins CK. Ruptured abdominal aortic aneurysm: a surgical emergency with many clinical presentations. Postgrad Med J. 2009; 85::268273.
    [Google Scholar]
  3. Choke E, Cockerill G, Wilson WRW, Sayed S, Dawson J, Loftus I, Thompson MM. A review of biological factors implicated in abdominal aortic aneurysm rupture. Eur J Vasc Endovasc Surg. 2005;  30:3:227244.
    [Google Scholar]
  4. Satta J, Haukipuro K, Kairaluoma MI, Juvonen T. Aminoterminal propeptide of type III procollagen in the follow-up of patients with abdominal aortic aneurysms. J Vasc Surg. 1997; 25::909915.
    [Google Scholar]
  5. Durdu T, Yilmaz F, Sönmez BM, Ülgen S, Demir A, Yılmaz MS, Arslan ED, Hakbilir O. An unusual presentation of ruptured abdominal aorta aneurysm. Am J Case Rep. 2013; 14::267269.
    [Google Scholar]
  6. Lederle FA, Johnson GR, Wilson SE, Ballard DJ, Jordan WD, Blebea J, Littooy FN, Freischlag JA, Bandyk D, Rapp JH, Salam AA. Rupture rate of large abdominal aortic aneurysms in patients refusing or unfit for elective repair. JAMA. 2002; 287:22:29682972.
    [Google Scholar]
  7. Brewster DC, Cronenwett JL, Hallett JW Jr, Johnston KW, Krupski WC, Matsumura JS. Guidelines for the treatment of abdominal aortic aneurysms. Report of a subcommittee of the Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. J Vasc Surg. 2003 May; 37:5:11061117.
    [Google Scholar]
  8. Moissinac K, Boon Chong Se To, Liew NC, Yunus Gul. Abdominal aortic aneurysm rupture masquerading as strangulated inguinal hernia. Am J Emerg Med. 2001; 19::604605.
    [Google Scholar]
  9. Mahmood F, Ahsan F, Hockey M. Ruptured abdominal aortic aneurysm presenting as buttock pain. Emerg Med J. 2005; 22::453454.
    [Google Scholar]
  10. Garb M. Appendicitis: an unusual cause of infected abdominal aortic aneurysm. Australas Radiol. 1994; 3::6869.
    [Google Scholar]
  11. Sufi P. A rare case of leaking abdominal aneurysm presenting as isolated right testicular pain. Can J Emerg Med. 2007; 9::124126.
    [Google Scholar]
  12. Rakita D, Newatia A, Hines JJ, Siegel DN, Friedman B. Spectrum of CT findings in rupture & impending rupture of abdominal aortic aneurysms. Radiographics. 2007; 27::497507.
    [Google Scholar]
  13. Takayama T, Yamanouchi D. Aneurysmal disease: the abdominal aorta. Surg Clin North Am. 2013;  93:4:877891.
    [Google Scholar]
  14. Kramer CM, Cerilli LA, Hagspiel K, Di Maria JM, Epstein FH, Kern JA. Magnetic resonance imaging identifies the fibrous cap in atherosclerotic abdominal aortic aneurysm. Circulation. 2004; 109::10161021.
    [Google Scholar]
  15. The UK  Small Aneurysm Trial Participants. Mortality results for randomized controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. Lancet. 1998; 353::16491655.
    [Google Scholar]
  16. Marston WA, Ahlquist R, Johnson G Jr, Meyer AA. Misdiagnosis of ruptured abdominal aortic aneurysms. J Vasc Surg. 1992; 16:1:1722.
    [Google Scholar]
  17. Chaikof EL, Brewster DC, Dalman RL, Makaroun MS, Illig KA, Sicad GA, Timaran CH, Upchurch GR Jr, Vieth FJ. SVS practice guidelines for the care of patients with an abdominal aortic aneurysm: executive summary. J Vasc Surg. 2009;  50:4:880896.
    [Google Scholar]
  18. McGloughin TM, Doyle BJ. New approaches to abdominal aortic rupture risk assessment: engineering insights with clinical gain. Arterioscler Thromb Vasc Biol. 2010; 30::16871694.
    [Google Scholar]
  19. Visser JJ, van Sambeek MR, Hamza TH, Hunink MG, Bosch JL. Ruptured abdominal aortic aneurysms: endovascular repair versus open surgery—systematic review. Radiology. 2007; 245::122129.
    [Google Scholar]
  20. Greenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D, Sculpher MJ. United Kingdom EVAR Trial Investigators . Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med. 2010; 362::18631871.
    [Google Scholar]
  21. De Bruin JL, Baas AF, Buth J, Prinssen M, Verhoeven EL, Cuypers PW, van Sambeek MR, Balm R, Grobbee DE, Blankensteijn JD, DREAM Study Group . Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2010; 362::18811889.
    [Google Scholar]
  22. Lederle FA, Freischlag JA, Kyriakides TC, Padberg FT Jr, Matsumura JS, Kohler TR, Lin PH, Jean-Claude JM, Cikrit DF, Swanson KM, Peduzzi PN, Open Versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group . Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. JAMA. 2009; 302::15351542.
    [Google Scholar]
  23. Schanzer A, Messina L. Two Decades of Endovascular Abdominal Aortic Aneurysm Repair: Enormous Progress With Serious Lessons Learned. J Am Heart Assoc. 2012; 1::e000075.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): abdominal aortaaneurysm and rupture
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