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Chronic Contained Rupture of the Abdominal Aortic Aneurysm.
Nabil A Al-Zoubi1, Mahmoud R Mahafdah1, Omar Albawaih1
1Department of General Surgery, Vascular Surgery, Jordan University of Science and Technology, Irbid, Jordan.
Open Access Emergency Medicine : OAEM
|October 1, 2021
Summary
Chronic contained rupture of abdominal aortic aneurysms (CCR-AAA) is a rare but serious complication. Increased awareness is crucial for early diagnosis and management, especially in older males presenting with abdominal or back pain.
Area of Science:
- Vascular Surgery
- Aortic Aneurysm Research
- Emergency Medicine
Background:
- Abdominal aortic aneurysm (AAA) rupture is a life-threatening complication.
- Classic symptoms of AAA rupture may be absent or atypical, complicating diagnosis.
- Chronic contained rupture of AAA (CCR-AAA) is a rare but recognized presentation requiring specific diagnostic considerations.
Purpose of the Study:
- To investigate the incidence of CCR-AAA.
- To emphasize the clinical significance of CCR-AAA.
- To improve diagnostic and management strategies for this condition.
Main Methods:
- Prospective data collection of infra-renal AAA patients from January 2014 to April 2021.
- Identification and evaluation of patients diagnosed with CCR-AAA.
- Analysis of demographic data, comorbidities, presentation, treatments, and outcomes.
Main Results:
- Out of 85 infra-renal AAA patients, 17 (20.0%) had AAA rupture (rAAA).
- Five patients (29.4% of rAAA cases) were diagnosed with CCR-AAA, representing 5.9% of all AAA cases.
- CCR-AAA patients were all male, mean age 73.1±8.3 years; symptoms included abdominal pain (40.0%) and back pain (40.0%).
Conclusions:
- CCR-AAA constitutes 5.9% of all AAAs and 29.4% of ruptured AAAs.
- Early recognition of CCR-AAA is vital for preventing fatal outcomes.
- Heightened clinical suspicion in elderly males with abdominal or back pain is essential.
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