A Contained Ruptured Abdominal Aortic Aneurysm Presenting with Vertebral Erosion

Li, Yongqi; Li, Lei; Zhang, Dongming; Wang, Xiaomei; Sun, Weidong; Wang, Han

doi:10.1016/j.avsg.2016.09.025

Cited by 8 publications

(10 citation statements)

References 18 publications

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“…A ruptured abdominal aortic aneurysm is typically treated with open repair, although endovascular aneurysm repair has also recently been reported to be effective [11]. On the other hand, CCR-AAA has been treated in all reports with vascular prosthesis implantation or bypass surgery [1, 2, 4–6]. As in the present case, endovascular aneurysm repair is difficult to perform in cases with arterial occlusion.…”

Section: Discussionmentioning

confidence: 82%

“…The diagnostic criteria for CCR-AAA consist of the following: (1) known AAA; (2) previous pain symptoms; (3) stable condition and normal hematocrit; (4) a CT scan showing a retroperitoneal hematoma; and (5) pathological confirmation of an organized hematoma [1, 2]. Although back pain is common, cases of CCR-AAA present with a wide variety of clinical findings, including cases which are asymptomatic [4–6]. The diagnosis of CCR-AAA thus poses a dilemma.…”

Section: Discussionmentioning

confidence: 99%

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Chronic contained rupture of abdominal aortic aneurism complicated with aortic occlusion: a case report

et al. 2019

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Background Chronic contained rupture is a subtype of an abdominal aortic aneurysm rupture. Its diagnosis is sometimes difficult due to lack of typical symptoms. We would like to report the challenge of diagnosing chronic contained rupture of abdominal aortic aneurysm with a retroperitoneal tumor. Case presentation A 60-year-old man reported perceived lower abdominal pain 7 months earlier that spontaneously remitted. A contrast-enhanced computed tomography (CT) indicated an abdominal aortic aneurysm and a mass lesion surrounding the abdominal aorta and iliac arteries. Fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET) showed an increased accumulation of FDG in the margin of the lesion, indicating a retroperitoneal tumor. A CT-guided biopsy revealed only retroperitoneal fibrous tissue with chronic inflammation. We were thus unable to reach a definitive diagnosis. At 1 month after the initial examination, intermittent claudication was newly observed. A follow-up contrast-enhanced CT scan revealed abdominal aortic occlusion. Mass resection and bypass surgery were performed for diagnosis and treatment. Intraoperative and pathological findings led to the diagnosis of chronic contained rupture of an abdominal aortic aneurysm. The patient was discharged 19 days after surgery. Conclusion The mass peripheral to the abdominal aorta should be considered the possibility not only of tumor but also of chronic contained rupture of an abdominal aortic aneurysm.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Chronic contained rupture of abdominal aortic aneurism complicated with aortic occlusion: a case report

et al. 2019

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“…Aneurysmal degeneration into neighboring organs has been well described in cases of abdominal aortic aneurysm rupture into the duodenum or erosion into adjacent vertebral bodies. 6 , 7 These can occur in atherosclerotic, traumatic, or mycotic aneurysms. 8 In addition, there have been several reports of iliac artery-ureteral fistulas secondary to iliac artery aneurysms, chronic ureteral stents, and combination vascular and urologic procedures.…”

Section: Discussionmentioning

confidence: 99%

Aneurysmal degeneration and rupture of deep vein conduit with formation of an arterial-vaginal fistula 13 years after creation of a femoral-femoral bypass

Klein

Chamseddin

Kirkwood

et al. 2018

Journal of Vascular Surgery Cases, Innovations and Techniques

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The autologous deep vein is a suitable alternative to prosthetic or cadaveric grafts as a bypass conduit because of its superior durability and lower risk of complications. Aneurysmal degeneration of deep vein grafts is rarely seen but can potentially be fatal when it does occur. We describe the case of an 87-year-old woman who presented with acute vaginal bleeding due to the rupture of an aneurysmal femorofemoral bypass vein graft into the vagina. The patient presented 13 years after the initial procedure, highlighting the need for long-term monitoring and the early recognition of this potentially catastrophic complication.

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“…Erosion of vertebral bodies resulting from chronic contained rupture of an abdominal aortic aneurysm (AAA) is extremely rare. 1 The preoperative diagnosis can be difficult because of the variety of clinical presentations such as back pain, sciatic pain, or a pulsatile abdominal mass. In this regard, computed tomography is the best way to diagnose and define the disease.…”

Section: Introductionmentioning

confidence: 99%

Chronic contained abdominal aortic aneurysm rupture causing vertebral erosion

Nguyên

Doan

2018

Asian Cardiovasc Thorac Ann

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Erosion of vertebral bodies by an abdominal aortic aneurysm is extremely rare. Chronic contained rupture can cause difficulties in diagnosis because there are many clinical presentations: back pain, sciatic pain, or an expansive abdominal mass. Computed tomography is the gold-standard diagnostic tool. We report the case of a 49-year-old man who suffered from back pain because of a chronic ruptured aortic aneurysm.

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A Contained Ruptured Abdominal Aortic Aneurysm Presenting with Vertebral Erosion

Cited by 8 publications

References 18 publications

Chronic contained rupture of abdominal aortic aneurism complicated with aortic occlusion: a case report

Chronic contained rupture of abdominal aortic aneurism complicated with aortic occlusion: a case report

Aneurysmal degeneration and rupture of deep vein conduit with formation of an arterial-vaginal fistula 13 years after creation of a femoral-femoral bypass

Chronic contained abdominal aortic aneurysm rupture causing vertebral erosion

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