Ruptured Abdominal Aortic Aneurysm Presenting as Incarcerated Epigastric Hernia—A Case Report

Abstract

Reduction in mortality from ruptured abdominal aortic aneurysm can be achieved by prompt recognition of established clinical manifestations. In addi tion to the classic symptoms and signs, incarceration of a previously reducible groin hernia has occasionally led to the diagnosis of aneurysmal rupture. This report details the first known case of acute incarceration of an epigastric (inci sional) hernia secondary to ruptured abdominal aortic aneurysm. It serves to underscore the necessity of maintaining a high index of suspicion for occult aneurysmal rupture when a patient presents with incarceration of any previ ously reducible abdominal wall hernia.

Strangulated epigastric hernia in a 90-year-old man: Point-of-Care Ultrasound (POCUS) as a saving kit: Case report

“…Strangulated epigastric hernias are extremely rare especially true ones having a hernial sac. Epigastric hernias may exist for long time reaching up to 45 years [3] and reach large sizes before getting strangulated [4] . Furthermore, a sudden unexplained strangulation in an elderly patient may indicate sudden increased intra-abdominal pressure possibly caused by more serious conditions like rupture aortic aneurysm [3] or perforated hollow organs associated with ileus [5] .…”