Aneurysm rupture from blunt abdominal trauma after endovascular repair

Vascular
Ilknur G BaharMustafa Ozdemir

Abstract

We present a case of aneurysm rupture from severe blunt abdominal trauma due to fight in a patient who had endovascular aneurysm repair. The patient presented to the emergency service with computed tomography evidence of an endoleak and a large retroperitoneal hematoma. The contrast abdominal computed tomography demonstrated a type Ib endoleak, increase in the aneurysm diameter and hematoma in the retroperitoneum. The patient has been taken under interventional procedure for endovascular aneurysm repair revision under urgent condition. Type Ib endoleak was treated by placement of a covered iliac extension limb, but a second leakage from graft body was found in control computed tomography images and open surgical conversion was necessary. Operative findings included a type III endoleak from graft body, defect on fabric. It was seen that the aneurysm sac anterior and posterior parts were ruptured. Upon reviewing the literature, we found that it was an interesting case as the first rupture case which had been developed after severe blunt abdominal trauma during the follow-up period of a patient on which endovascular aneurysm repair procedure had been performed and progressed in this manner.

References

Jul 31, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J C BreekD P van Berge Henegouwen
May 11, 2000·Journal of Vascular Surgery·C K ZarinsT J Fogarty
Jun 4, 2002·Journal of Vascular Surgery·Victor M BernhardJack Collin
Oct 9, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G A J FransenUNKNOWN EUROSTAR
Sep 16, 2011·Journal of Vascular Surgery·Dave KooleUNKNOWN European Collaborators on Stent-Graft Techniques for Aortic Aneurysm Repair (EUROSTAR)

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