An Unusual Presentation of Ruptured Abdominal Aortic Aneurysm: A Case Report Rüptüre Abdominal Aort Anevrizmasının Olağandışı Bir Başvurusu: Olgu Sunumu
Anatolian journal of emergency medicine, cilt.5, sa.3, ss.145-148, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 5 Sayı: 3
- Basım Tarihi: 2022
- Doi Numarası: 10.54996/anatolianjem.1051605
- Dergi Adı: Anatolian journal of emergency medicine
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.145-148
- Anahtar Kelimeler: Abdominal aorta aneurysm, mortality, retroperitoneal hematoma
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Ruptured abdominal aortic aneurysm (AAA) is among the surgical emergencies with highest mortality, generally causes death in 90% of cases. Most AAA ruptures open into the retroperitoneal space, and are recognized by the classical triad of pain, hypotension, and a pulsatile mass. Unfortunately, only 25% to 50% of patients present with this triad; thus, many patients with ruptured AAA either remain undiagnosed or are falsely diagnosed with other diseases. Case: A 75-year-old man presented to the emergency department (ED) with sudden-onset dyspnea, nausea, and left pelvic pain. Imaging studies revealed aneurysmal dilation of abdominal aorta, inferior to the origin of the renal artery, and intraabdominal free fluid. The patient was consulted with the department of cardiovascular surgery and urgently taken to operating room with the preliminary diagnosis of an AAA rupture. Conclusion: Our report presents an unusually rare presentation of a life-threatening disorder. Early diagnosis, referral to vascular surgery, and possible open or endovascular repair are key to limiting AAA-related morbidity and mortality.