Chronic contained rupture of an abdominal aortic aneurysm with vertebral erosion: report of a case

A 73-year-old man had lumbago of unknown cause for several months prior to presentation. At examination prior to surgery for gastric cancer, an abdominal aortic aneurysm (AAA) of 6 cm in maximum diameter, retroperitoneal hematoma and vertebral erosion were found on abdominal computed tomography (CT)...

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Bibliographic Details
Published in:	Annals of thoracic and cardiovascular surgery Vol. 12; no. 4; pp. 300 - 302
Main Authors:	Saiki, Munehiro, Urata, Yasuhisa, Katoh, Ippei, Hamasaki, Takafumi
Format:	Journal Article
Language:	English
Published:	Japan 01-08-2006
Subjects:	Aged Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - pathology Aortic Aneurysm, Abdominal - surgery Aortic Rupture - complications Aortic Rupture - pathology Aortic Rupture - surgery Chronic Disease Humans Low Back Pain - etiology Low Back Pain - surgery Male Spinal Diseases - etiology Spinal Diseases - pathology Spinal Diseases - surgery Tomography, X-Ray Computed
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Summary:	A 73-year-old man had lumbago of unknown cause for several months prior to presentation. At examination prior to surgery for gastric cancer, an abdominal aortic aneurysm (AAA) of 6 cm in maximum diameter, retroperitoneal hematoma and vertebral erosion were found on abdominal computed tomography (CT). Hematological examination revealed mild anemia and stable hemodynamics. A diagnosis of chronic contained rupture of an AAA was made and knitted Dacron bifurcated graft replacement was performed. When an intraluminal thrombosis at the posterior wall was removed, a punched-out defect (3 x 2 cm) was discovered. When the old hematoma was removed, a destroyed vertebral body was found. After surgery, the lumbago was alleviated. The patient was transferred to the Department of Surgery and a gastrectomy was performed. The patient's postoperative course was uneventful.
Bibliography:	ObjectType-Case Study-3 SourceType-Scholarly Journals-1 content type line 23 ObjectType-Review-1 ObjectType-Feature-5 ObjectType-Report-2 ObjectType-Article-4
ISSN:	1341-1098