Chronic contained rupture of an abdominal aortic aneurysm presenting as a lower extremity neuropathy

Robert Higgins, Andrew B. Peitzman, Margaret Reidy, Stephen Stapczynski, David L. Steed, Marshall W. Webster

Research output: Contribution to journalArticlepeer-review

Abstract

Rupture of an abdominal aortic aneurysm often presents with a pulsatile abdominal mass, abdominal pain, and hypotension. Recent clinical reports describe patients with less apparent clinical signs and symptoms who were found later in their evaluation to have a contained rupture of an abdominal aortic aneurysm. Even more unusual is a chronic contained rupture of an abdominal aortic aneurysm. Our patient had a chronic contained rupture of an abdominal aortic aneurysm that presented with erosion into the lumbar vertebral bodies and subsequent lumbar neuropathy. CT scan confirmed the contained rupture of the aortic aneurysm and the patient underwent successful repair of his aortic aneurysm. Our report discusses the significance of atypical presentations of abdominal aortic aneurysm rupture and the importance of prompt diagnosis and definitive repair.

Original languageEnglish (US)
Pages (from-to)284-287
Number of pages4
JournalAnnals of emergency medicine
Volume17
Issue number3
DOIs
StatePublished - Mar 1988
Externally publishedYes

Keywords

  • abdominal
  • aneurysm
  • aortic

ASJC Scopus subject areas

  • Emergency Medicine

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