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Published on: September 19, 2018
Diagnosis and perioperative management of ruptured AAA mimicking symptomatic groin hernia
Holger Jan Klein1, Daniel Becker1, Zoran Rancic1
1Division of Cardiovascular Surgery, University Hospital Zurich, Switzerland.
Introduction:
Ruptured abdominal aortic aneurysm (RAAA) can infrequently present as symptomatic groin hernia. This misleading form of presentation often leads to erroneous preoperative management resulting in poor survival.
Case Presentation:
Two patients with RAAA mimicking symptomatic groin hernia underwent different preoperative managements pointing out the importance of the principles of hypotensive haemostasis in the scope of this emergency scenario.
Conclusion:
Computed Tomography Angiography (CTA) remains the recommended diagnostic tool-for both safe diagnosis of the ruptured aneurysm and precise preoperative planning. Endovascular aortic repair of the RAAA-if feasible-is the treatment of choice. This rare form of RAAA manifestation should call physicians attention-especially in patients with known abdominal aortic aneurysms in their preceding medical history.
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