Aneurysms of the aorta

Crisler, Crile; Bahnson, Henry T.

doi:10.1016/s0011-3840(72)80009-1

Cited by 7 publications

(7 citation statements)

References 149 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The abdominal distension and the hyperperistalsis present are quite usual after any prolonged abdominal operation and are therefore not specific signs. 2,4, 6 The presence of tachycardia and tachypnea may suggest the possibility of pulmonary emboli which are not unusual after such interventions. Hypotension and shock are of late occurrence in the clinical course.…”

Section: Case Reportmentioning

confidence: 99%

Necrosis of the Colon Following Elective Resection of Abdominal Aortic Aneurysms

1975

View full text Add to dashboard Cite

Ischemic gangrene of the colon is a severe complication of abdominal aortic surgery. It has been noted in 0.5 to 2.0% of' the series.'-3 Early recognition of this complication is therefore of the utmost importance to the vascular surgeon since the mortality rate following gangrene of the left colon is very high, f'rom 50 to 90% of the patients. 1. 2, 4, 5 The syndrome is also of interest since it represents a model of acute devascularization of the left colon in the human by deliberate ligation of the inferior mesenteric artery.The severity of the clinical picture depends upon the depth of involvement of the intestinal wall and the symptomatology accompanying this complication is neither obvious nor typical.A case of extensive gangrene of the left colon following the resection of an abdominal aortic aneurysm is hereby presented. The patient survived the complication in spite of the delay in diagnosis. The experience of other authors is reviewed and the clinical signs of' this complication and especially the heralding ones are emphasized. Preventive measures are given consideration. CASE REPORTA 58-year-old patient presented with a pulsating mass in the abdomen. The patient had been complaining of vague epigastric discomfort for the last month. He had been treated for hypertension for the last four years and had suffered an inferior wall myocardial infarction thirteen years previously.On admission, the patient was in good general condition. The blood pressure was 220/120 mm. Hg. The pulse was regular, 72/min. The first heart sound was pronounced over the apex and the second heart sound over the base. A faint systolic murmur was heard over the heart. A pulsating mass, 10 cms. in diameter was felt on palpation in the mid-abdomen. Systolic murmurs were heard over both carotid and femoral arteries. A first degree hypertensive retinopathy was also present.The plain abdominal X-ray film showed a calcified rim lateral to the lumbar spine. The chest roentgenogram showed enlargement of the heart and of' the ascending aorta. The E.C.G. confirmed the diagnosis of old inferior wall myocardial infarction with the left ventricular hypertrophy and strain. All other laboratory examinations were within normal limits.At operation, an infra-renal, heavily calcified and firmly adherent aneuat NORTH DAKOTA STATE UNIV LIB on May 30, 2015 ves.sagepub.com Downloaded from

show abstract

Section: Case Reportmentioning

confidence: 99%

Necrosis of the Colon Following Elective Resection of Abdominal Aortic Aneurysms

1975

View full text Add to dashboard Cite

show abstract

“…Abdominal aortic aneurysm (AAA) occurs most commonly in men in the sixth and seventh decades (12)(13)(14). Arteriosclerosis is by far the commonest cause (13).…”

mentioning

confidence: 99%

“…Abdominal aortic aneurysm (AAA) occurs most commonly in men in the sixth and seventh decades (12)(13)(14). Arteriosclerosis is by far the commonest cause (13). Patients are frequently asymptomatic even when the aneurysm is large (12)(13)(14).…”

mentioning

confidence: 99%

“…Arteriosclerosis is by far the commonest cause (13). Patients are frequently asymptomatic even when the aneurysm is large (12)(13)(14). Most studies cite a 30-60% incidence of rupture of unoperated aneurysms (12,13,15).…”

mentioning

confidence: 99%

“…Patients are frequently asymptomatic even when the aneurysm is large (12)(13)(14). Most studies cite a 30-60% incidence of rupture of unoperated aneurysms (12,13,15). Prior to rupture, only 14-23% of patients were known to have the condition (12,13,16,17).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Disappearing lumbar hyperostosis in a patient with forestier's disease: An ominous sign

Chaiton¹,

Fam²,

Charles³

1979

Arthritis & Rheumatism

View full text Add to dashboard Cite

Forestier's disease, ankylosing hyperostosis of the spine, or diffuse idiopathic skeletal hyperostosis (DISH), is a relatively common disorder affecting middle aged and elderly individuals (1–11). It is characterized by a distinctive type of spinal ossification. Extraspinal heterotropic ossifications at sites of ligamentous and tendinous attachments are not uncommon (2,4,7,9–11). Although frequently asymptomatic, many patients complain of spinal stiffness and backache (2,4,9,11). Pathologic and radiologic studies have shown that the abnormal ossification process is a slowly progressive one, which may take several years for its completion (2,5,8,11). We report here a 77‐year‐old man who developed progressive backache which was initially thought to result from advanced diffuse idiopathic skeletal hyperostosis. Serial radiographs, however, showed progressive disappearance of the distinctive lumbar hyperostosis. He was later discovered to have a leaking abdominal aortic aneurysm.

show abstract

Ruptured Abdominal Aneurysm

Sreenivas

1980

Acute Disorders of the Abdomen

View full text Add to dashboard Cite

Aneurysms of the aorta

Cited by 7 publications

References 149 publications

Necrosis of the Colon Following Elective Resection of Abdominal Aortic Aneurysms

Necrosis of the Colon Following Elective Resection of Abdominal Aortic Aneurysms

Disappearing lumbar hyperostosis in a patient with forestier's disease: An ominous sign

Ruptured Abdominal Aneurysm

Contact Info

Product

Resources

About