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Hematuria associated with ruptured abdominal aortic aneurysms
S R Pomper1, M A Fiorillo, C W Anderson
1Department of Surgery and Medicine of Staten Island University Hospital, New York, USA.
International Surgery
|July 1, 1995
Summary
Hematuria, or blood in urine, is common in ruptured abdominal aortic aneurysms (AAA). While gross hematuria can delay diagnosis, it does not appear to impact patient survival in ruptured AAA cases.
Area of Science:
- Vascular Surgery
- Urology
- Emergency Medicine
Background:
- Ruptured abdominal aortic aneurysms (AAA) are a critical surgical emergency.
- The presence of hematuria in AAA patients is not well understood.
- Investigating hematuria's role in AAA diagnosis and outcomes is crucial.
Purpose of the Study:
- To determine the incidence of hematuria in ruptured AAA.
- To assess if hematuria delays the diagnosis of ruptured AAA.
- To evaluate the impact of hematuria-induced diagnostic delay on patient survival.
Main Methods:
- Retrospective study design.
- Analysis of 30 patients with ruptured AAA over 58 months.
- Review of patient records for hematuria and diagnostic timelines.
Main Results:
- An 87% incidence of hematuria was observed in ruptured AAA patients.
- Gross hematuria was associated with a statistically significant delay in diagnosis.
- No adverse effect on patient survival was demonstrated due to diagnostic delay.
Conclusions:
- Hematuria is a frequent finding in ruptured AAA.
- Gross hematuria can impede timely diagnosis of ruptured AAA.
- Despite diagnostic delays, hematuria did not negatively affect survival in this cohort.