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[Ruptured aortic aneurysm presenting as acute abdomen: particular case report]
F Catena1, S Agrusti, F Gazzotti
1U.O. Chirurgia d'Urgenza, Policlinico S. Orsola Malpighi, Università di Bologna.
Annali Italiani Di Chirurgia
|June 18, 2005
Summary
A ruptured aortic aneurysm can mimic acute abdomen symptoms. This case highlights the importance of considering aortic aneurysm rupture in patients with acute abdomen, muscular rigidity, and anemia, even with other suspected diagnoses.
Area of Science:
- Vascular Surgery
- Abdominal Surgery
- Diagnostic Imaging
Background:
- Ruptured aortic aneurysm is a critical condition that can present as acute abdomen.
- Modern diagnostic techniques usually facilitate prompt diagnosis.
- Misdiagnosis can occur, delaying essential treatment.
Observation:
- A 65-year-old male presented with abdominal pain and constipation, later developing acute abdomen with muscular rigidity and mild anemia.
- Initial contrast studies suggested sigmoid diverticular disease.
- Laparotomy revealed a ruptured aortic aneurysm sealed by retroperitoneal fascia, extending into the abdominal wall and rectus abdominis muscles.
Findings:
- The ruptured aortic aneurysm was initially misdiagnosed.
- The presentation mimicked other acute abdominal conditions.
- The aneurysm's extension into the rectus abdominis muscles contributed to the diagnostic challenge.
Implications:
- Acute abdomen with muscular rigidity and anemia necessitates consideration of rectus abdominis muscle hematoma secondary to ruptured aortic aneurysm.
- Diagnostic vigilance is crucial in complex abdominal presentations.
- Early recognition of ruptured aortic aneurysm is vital for patient survival.