Rottura cronica degli aneurismi dell’aorta addominale. (su tre casi osservati)


COD: 2000_02_247-250 Categorie: ,

V. Dorrucci, G.F. Veraldi, R. Dusi, G. Rombolà

Ann. Ital. Chir., LXXI, 2, 2000

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Rupture of an abdominal aortic aneurysm often presents with an abdominal pain, hypotension and a pulsatile abdominal mass. In the last years same clinical reports describe patients with less apparent clinical signs who were found later in their evaluation to have a contained rupture of an abdominal aortic aneurysm. The diagnosis may be delayed by consideration of other disease causing similar symptoms ( herniated disc, renal colic ). In these patients with confusing abdominal symptoms CT scan provides a rapid and noninvasive diagnosis. We report three cases of contained rupture of an abdominal aortic aneurysm evaluated by computed tomography with different clinical presentation: back pain for erosion into the lumbar vertebral bodies, lower extremity neuropathy and obstructive jaundice. All patientswere operated on within 24 hours on admission; there was no operative mortality and survival was 100% at one year.