Rüptüre Abdominal Aort Anevrizmasının Olağandışı Bir Sunumu: Bir Olgu Sunumu

Abstract

ABSTRACT 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 conditions. Case Report: 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. Conclusions: Our report documents an unusually rare mode of presentation of a life-threatening disorder. A thorough understanding of alternative presentations enables physicians to promptly diagnose and appropriately manage AAA rupture, thereby lowering morbidity and mortality rates of this fatal condition.