PMID: 3761483Oct 1, 1986Paper

Ruptured abdominal aortic aneurysm presenting as symptomatic inguinal mass: report of six cases

Journal of Vascular Surgery
H KhawR C Batson

Abstract

Six elderly male patients (mean age, 73 years; range, 66 to 78 years) were admitted with groin masses caused by ruptured abdominal aortic aneurysms. A palpable abdominal mass was present in 33%. All patients eventually underwent abdominal aortic aneurysmectomy with a resultant mortality rate of 50%. Delayed diagnosis, preoperative hypotension, advanced age, poor nutritional status, and excessive intraoperative blood loss were factors contributing to this high mortality rate. In this unusual clinical presentation of ruptured abdominal aortic aneurysm, a high index of suspicion by the emergency room staff and prompt surgical intervention are mandatory to improve mortality rates. The anatomy of the retroperitoneal space and the phylogenetic development of a channel between the scrotum and the kidney are important factors in the development of this symptom complex.

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Citations

Dec 15, 2015·International Journal of Surgery Case Reports·Holger Jan KleinZoran Rancic
Dec 1, 1991·European Journal of Vascular Surgery·A M AbulafiB J Pardy
Apr 1, 1988·Annals of Vascular Surgery·E Borrero, L A Queral
Feb 1, 2017·Acta chirurgica Belgica·J ColpaertY Van Molhem
Dec 2, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M S NairA Athow

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