| A Case of Inflammatory Abdominal
Aortic Aneurysm with Sealed Rupture |
(Second Department of Surgery, Tottori University
Faculty of Medicine, Yonago, Japan)
| Kengo Nishimura |
Masahiko Ikebuchi |
Toru Hiroe |
| Maromi Tachibana |
Yasushi Kanaoka |
Yasushi Ashida |
| Shigetsugu Ohgi |
|
|
|
| A 71-year-old man was referred to
the University Hospital because of left lumbago and a pulsating
mass in his umbilical region. An inflammatory abdominal aortic
aneurysm 5cm in diameter and left hydronephrosis were identified
by enhanced computed tomography (CT). One month after admission,
rapid expansion of the aneurysm with sealed rupture were detected
by follow-up enhanced CT. The patient immediately underwent an
emergency operation. We confirmed fissure on the posterior aneurysmal
wall with a localized hematoma. We replaced the aneurysm with
a straight prosthetic graft and the postoperative course was
uneventful. Jpn. J. Cardiovasc. Surg. 29: 332-334 (2000) |
|
