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Query: UMLS:C0162871 (abdominal aortic aneurysm)
 8,664 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Abdominal aortic aneurysm (AAA) rupture commonly presents with abdominal or lower back pain and haemodynamic instability. There have been case reports of co-existing left testicular pain;(1) however, very few cases describe right testicular pain as the sentinel symptom. We discuss the case of a 75-year-old man who presented to the on-call urologists with a 6-day history of right testicular pain. On examination, a painless AAA was detected. The patient was stable and a CT scan demonstrated a large AAA extending into the right iliac vessels, with suggestion of leakage. Attempted emergency repair was unsuccessful and the patient died in theatre. This atypical presentation of occult aneurysm leak highlights the need for clinical vigilance in the older patient with seemingly benign groin symptoms, including isolated right testicular pain.
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PMID:Isolated right testicular pain for six days: an unusual presentation of occult abdominal aortic aneurysm leak. 2194 82

We report a patient who was known to have an abdominal aortic aneurysm and was being assessed for endovascular repair by calibrated angiogram, who developed back pain and cardiovascular collapse, where a computed tomography scan proved essential in establishing the correct diagnosis - bleed from an accessory renal artery branch.
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PMID:The value of computed tomography scans in the diagnosis and management following invasive arterial investigation. 2196 May 5

Long-term outcomes after endovascular aneurysm repair (EVAR) for inflammatory aneurysms are unknown. We present a young patient with new-onset back pain and failure to thrive 6 years after EVAR for an inflammatory abdominal aortic aneurysm (AAA). Endograft explanation was performed with a presumed diagnosis of infection. Pathology revealed intimal sarcoma in the excluded aneurysm sac with liver metastasis. This report presents a detailed review of literature regarding potential association of prosthetic implantation and carcinogenesis.
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PMID:Intimal sarcoma in an inflammatory aneurysm after endovascular aneurysm repair. 2205 65

A 79-year-old woman presented with sustained thoracolumbar back pain. Contrasted computed tomography (CT) showed a thoracoabdominal aortic aneurysm (TAAA: type I of Crawford classification) and an abdominal aortic aneurysm (AAA) that were not ruptured. Considering her age, the placement of an endovascular stent graft was performed for TAAA at the possible sacrifice of the celiac (CA) and superior mesenteric arteries (SMA). In order to prevent ischemic events, it was necessary that blood supply to the CA and SMA was maintained by placing a graft to each artery from the Y-shaped graft for replacement of AAA. Actually, only CA was sacrificed and coil embolization of CA was needed because of type 2 endoleak. The patient was discharged 17 days after surgery. A hybrid technique, endovascular repair with reconstruction of abdominal branches for TAAA and AAA, can be an alternative procedure for such high-risk operation with multiple aortic aneurysms including TAAA.
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PMID:[Hybrid endovascular repair with reconstruction of superior mesenteric and celiac arteries for thoracoabdominal and abdominal aortic aneurysms]. 2224 94

The high prevalence of neck and low back pain in the rapidly aging population is associated with significant increases in health care expenditure. While spinal imaging can be useful to identify less common causes of neck and back pain, overuse and misuse of imaging services has been widely reported. This narrative review aims to provide primary care providers with an overview of available imaging studies with associated potential benefits, adverse effects, and costs for the evaluation of neck and back pain disorders in the elderly population. While the prevalence of arthritis and degenerative disc disease increase with age, fracture, infection, and tumor remain uncommon. Prevalence of other conditions such as spinal stenosis and abdominal aortic aneurysm (AAA) also increase with age and demand special considerations. Radiography of the lumbar spine is not recommended for the early management of non-specific low back pain in adults under the age of 65. Aside from conventional radiography for suspected fracture or arthritis, magnetic resonance imaging (MRI) and computed tomography (CT) offer better characterization of most musculoskeletal diseases. If available, MRI is usually preferred over CT because it involves less radiation exposure and has better soft-tissue visualization. Use of subspecialty radiologists to interpret diagnostic imaging studies is recommended.
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PMID:Diagnostic imaging for spinal disorders in the elderly: a narrative review. 2262 68

This study reports on a contained rupture of mycotic abdominal aortic aneurysm secondary to coagulase negative staph successfully repaired with aorto bi-iliac polytetrafluoroethylene (PTFE) Gor-Tex graft. An 8-year-old Saudi male patient was found to have infective endocarditis by coagulase negative staph with mitral valve (MV) leaflet damage, which was repaired with mechanical MV. Post-cardiac surgery, he complained of intermittent abdominal and back pain, until he became more symptomatic and had a sudden abdominal pain. Ultrasound showed abdominal aortic aneurysm (AAA), as well as the CT scan showed contained posterior rupture of AAA. He was operated immediately and the aorta was repaired with bifurcated PTFE Gor-Tex graft. He tolerated the operation, and he was given antibiotic coverage according to sensitivity. Tissue culture of the aorta confirmed coagulase negative staph. The strong relation between infective endocarditis and mycotic aneurysm should make a high index of suspicion of developing abdominal aortic aneurysm in children. Utilizing the PTFE graft with an omental patch is safe and life saving.
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PMID:Successful repair of a contained rupture of mycotic aortic aneurysm in an 8-year-old child using polytetrafluoroethylene graft. 2282 15

A 66-year-old man with an abdominal aortic aneurysm previously repaired with an endovascular stent graft presented to our facility with worsening midabdominal and back pain. Previous postoperative surveillance computed tomography scans were unremarkable, showing excellent stent-wall apposition and a shrinking aneurysm sac; however, imaging done on his arrival identified a contained rupture at the level of the celiac artery containing a perforating suprarenal stent. We repaired this rupture with a surgeon-modified fenestrated stent graft. To our knowledge, this is the first reported case of penetration of the native aorta by a suprarenal stent in the absence of infection or trauma.
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PMID:Suprarenal stent perforation after endovascular abdominal aortic aneurysm repair. 2283 65

The natural history of abdominal aortic aneurysms (AAAs) renders them clinically silent for much of their evolution. These aneurysms will inevitably expand with time and, although surveillance programmes exist, an acutely ruptured AAA is still a relatively common clinical scenario. The classical presentation is with rapid haemodynamic deterioration with accompanying severe abdominal or back pain. Less commonly, patients may present with a stable haemodynamic profile and vague symptomatology; they are usually found to have a chronic contained rupture with a defect in the vascular wall with co-existent pseudoaneurysm and retroperitoneal haematoma formation. We report a rare case of AAA with posterior wall defect and erosion into the vertebral body with no accompanying pseudoaneurysm or haematoma and discuss the clinical implications of such a presentation.
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PMID:Vertebral erosion resulting from a 'non-ruptured' abdominal aortic aneurysm: case report and literature review. 2285 11

The abdominal aortic aneurysm (AAA) is defined as increasing the diameter of the aorta in more than 50 % of its original size and the infra-renal location is the most common (90 %). AAA disease mainly affects older men and white smokers, and has a male: female ratio of 4:1, as well the diagnosis is rare in women under age 55. Aneurysm rupture is the most common complication and cause of death in the general population, its etiology is unclear, but is commonly associated with atherosclerosis. The AAA do not exhibit rupture and it is usually asymptomatic diagnosed incidentally, however, as the aneurysm grows, appears symptoms such as back pain, abdominal or groin pain, well as palpation of a pulse mass on umbilical and supra-umbilical region. Imaging study such as ultrasound and CT scan are the mainstay of diagnosis. We present a case of 52 years old patient with no history related to the diagnosis, who presented sudden and severe abdominal pain. She was admitted to the emergency room with a diagnosis of acute cholecystitis vs. acute pancreatitis. After ultrasound and CT studies, the diagnosis was a complicated abdominal aortic aneurysm.
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PMID:[Ultrasound diagnosis of an abdominal aortic aneurysm in a 52 year old woman]. 2288 88

A 74-year-old man presented with back pain and collapse. A ruptured infrarenal abdominal aortic aneurysm was successfully managed by endovascular aneurysm repair. Postoperatively, he developed gastric outlet obstruction owing to duodenal compression from the unevacuated retroperitoneal haematoma. In the absence of abdominal compartment syndrome, conservative management with gastric decompression and parenteral nutrition led to a full recovery.
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PMID:Retroperitoneal haematoma causing gastric outflow obstruction following endovascular repair of a ruptured abdominal aortic aneurysm. 2316 28


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