Öz
Abdominal aortic aneurysm (AAA) is a common chronic
degenerative disease of the abdominal aorta leading to progressive dilatation,
thrombosis, rupture and distal embolization. It is defined as exceed 30 mm or 50% increase in the normal diameter
of the vessel and it is an important cause of morbidity and mortality. We
report an exceptional case of an isolated AAA rupture in a 56 years old male with
a previously undiagnosed AAA. The AAA rupture appeared during abdominal
examination in the emergency department. It could be incidentally but also we want to
emphasise that phsical examination or manuplation of abdomen should be done
carefully if there are suspicion of AAA.
Anahtar Kelimeler
Abdominal aortic aneurysms abdominal aortic aneurysms complications abdominal pain
Kaynakça
- 1. Hellenthal FA, Pulinx B, Welten RJ, Teijink JA, van Dieijen-Visser MP, Wodzig WK, Schurink GW. Circulating Biomarkers and Abdominal Aortic Aneurysm Size. J Surg Res 2012; 176: 672-8.
- 2. Fedakar A, Fındık O, Kalender M, Balkanay M. Unusual emergent presentations of abdominal aortic aneurysm: can simple blood tests predict the state of emergency? Ulus Travma Acil Cerrahi Derg. 2011; 17: 525-32.
- 3. Aggarwal S, Qamar A, Sharma V, Sharma A. Abdominal aortic aneurysm: A comprehensive review. Exp Clin Cardiol 2011; 16: 11-5.
- 4. Sakalihasan N, Limet R, Defawe OD. Abdominal aortic aneurysm. Lancet 2005; 365: 1577-89.
- 5. Balm R. Endovascular repair of ruptured abdominal aortic aneurysm. Br J Surg 2008; 95: 133-4.
- 6. Patel SN, Kettner NW. Abdominal aortic aneurysm presenting as back pain to a chiropractic clinic: a case report. J Manipulative Physiol Ther 2006; 29: 409.e1-7
- 7. Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 1991; 13: 452-8.
- 8. Koen M van de Luijtgaarden, Ellen V Rouwet, Sanne E Hoeks, Robert J Stolker, Hence JM Verhagen and Danielle Majoor-Krakauer. Risk of abdominal aortic aneurysm (AAA) among male and female relatives of AAA patients. Vascular Medicine 2017; 22: 112-8.
- 9. Cornuz J, Sidoti Pinto C, Tevaearai H, Egger M. Risk factors for asymptomatic abdominal aortic aneurysm: Systematic review and meta-analysis of population-based screening studies. Eur J Public Health 2004; 14: 343-9.
- 10. Linné A, Forsberg J, Lindström D, Ideskog E, Hultgren R. Age at detection of abdominal aortic aneurysms in siblings of patients with abdominal aortic aneurysms. J Vasc Surg 2016; 63: 883-7.
- 11. Brewster DC, Cronenwett JL, Hallett JW Jr, Johnston KW, Krupski WC, Matsumura JS; Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. Guidelines for the treatment of abdominal aortic aneurysms. Report of a subcommittee of the Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. J Vasc Surg 2003; 37: 1106-17.
- 12. Mani K, Lees T, Beiles B, Jensen LP, Venermo M, Simo G, Palombo D, Halbakken E, Troëng T, Wigger P, Björck M. Treatment of abdominal aortic aneurysm in nine countries 2005-2009: a vascunet report. Eur J Vasc Endovasc Surg 2011; 42: 598-607.
Öz
Abdominal aort anevrizması (AAA) progresif genişleme, trombozis,
rüptür ve distal embolizasyona sebep olan abdominal aortanın yaygın kronik
dejeneratif hastalığıdır. Damar çapının 30 mm’den fazla olması veya normal
damar çapının %50 artması olarak tanımlanır. Mortalite ve morbiditenin önemli
bir sebebidir. Burada, daha önce AAA tanısı olmayan ve izole AAA rüptürü tespit
edilen 56 yaşında erkek hasta sunduk. Hasta acil serviste değerlendirilirken
rüptür gerçekleşti. Tesadüf eseri
olabilir, yine de AAA şüphesi varsa karın muayenesinin ve manüplasyonunun
dikkatle yapılması gerektiğini vurgulamak isteriz.
Anahtar Kelimeler
Abdominal aort anevrizması abdominal aort anevrizması komplikasyonları abdominal ağrı
Kaynakça
- 1. Hellenthal FA, Pulinx B, Welten RJ, Teijink JA, van Dieijen-Visser MP, Wodzig WK, Schurink GW. Circulating Biomarkers and Abdominal Aortic Aneurysm Size. J Surg Res 2012; 176: 672-8.
- 2. Fedakar A, Fındık O, Kalender M, Balkanay M. Unusual emergent presentations of abdominal aortic aneurysm: can simple blood tests predict the state of emergency? Ulus Travma Acil Cerrahi Derg. 2011; 17: 525-32.
- 3. Aggarwal S, Qamar A, Sharma V, Sharma A. Abdominal aortic aneurysm: A comprehensive review. Exp Clin Cardiol 2011; 16: 11-5.
- 4. Sakalihasan N, Limet R, Defawe OD. Abdominal aortic aneurysm. Lancet 2005; 365: 1577-89.
- 5. Balm R. Endovascular repair of ruptured abdominal aortic aneurysm. Br J Surg 2008; 95: 133-4.
- 6. Patel SN, Kettner NW. Abdominal aortic aneurysm presenting as back pain to a chiropractic clinic: a case report. J Manipulative Physiol Ther 2006; 29: 409.e1-7
- 7. Johnston KW, Rutherford RB, Tilson MD, Shah DM, Hollier L, Stanley JC. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 1991; 13: 452-8.
- 8. Koen M van de Luijtgaarden, Ellen V Rouwet, Sanne E Hoeks, Robert J Stolker, Hence JM Verhagen and Danielle Majoor-Krakauer. Risk of abdominal aortic aneurysm (AAA) among male and female relatives of AAA patients. Vascular Medicine 2017; 22: 112-8.
- 9. Cornuz J, Sidoti Pinto C, Tevaearai H, Egger M. Risk factors for asymptomatic abdominal aortic aneurysm: Systematic review and meta-analysis of population-based screening studies. Eur J Public Health 2004; 14: 343-9.
- 10. Linné A, Forsberg J, Lindström D, Ideskog E, Hultgren R. Age at detection of abdominal aortic aneurysms in siblings of patients with abdominal aortic aneurysms. J Vasc Surg 2016; 63: 883-7.
- 11. Brewster DC, Cronenwett JL, Hallett JW Jr, Johnston KW, Krupski WC, Matsumura JS; Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. Guidelines for the treatment of abdominal aortic aneurysms. Report of a subcommittee of the Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. J Vasc Surg 2003; 37: 1106-17.
- 12. Mani K, Lees T, Beiles B, Jensen LP, Venermo M, Simo G, Palombo D, Halbakken E, Troëng T, Wigger P, Björck M. Treatment of abdominal aortic aneurysm in nine countries 2005-2009: a vascunet report. Eur J Vasc Endovasc Surg 2011; 42: 598-607.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 18 Aralık 2017 |
| Kabul Tarihi | 29 Eylül 2017 |
| Yayımlandığı Sayı | Yıl 2017Cilt: 39 Sayı: 4 |