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Diagnosis and perioperative management of ruptured AAA mimicking symptomatic groin hernia


Klein, Holger Jan; Becker, Daniel; Rancic, Zoran (2016). Diagnosis and perioperative management of ruptured AAA mimicking symptomatic groin hernia. International Journal of Surgery Case Reports, 18:1-4.

Abstract

INTRODUCTION: Ruptured abdominal aortic aneurysm (RAAA) can infrequently present as symptomatic groin hernia. This misleading form of presentation often leads to erroneous preoperative management resulting in poor survival.
CASE PRESENTATION: Two patients with RAAA mimicking symptomatic groin hernia underwent different preoperative managements pointing out the importance of the principles of hypotensive haemostasis in the scope of this emergency scenario.
CONCLUSION: Computed Tomography Angiography (CTA) remains the recommended diagnostic tool-for both safe diagnosis of the ruptured aneurysm and precise preoperative planning. Endovascular aortic repair of the RAAA-if feasible-is the treatment of choice. This rare form of RAAA manifestation should call physicians attention-especially in patients with known abdominal aortic aneurysms in their preceding medical history.

Abstract

INTRODUCTION: Ruptured abdominal aortic aneurysm (RAAA) can infrequently present as symptomatic groin hernia. This misleading form of presentation often leads to erroneous preoperative management resulting in poor survival.
CASE PRESENTATION: Two patients with RAAA mimicking symptomatic groin hernia underwent different preoperative managements pointing out the importance of the principles of hypotensive haemostasis in the scope of this emergency scenario.
CONCLUSION: Computed Tomography Angiography (CTA) remains the recommended diagnostic tool-for both safe diagnosis of the ruptured aneurysm and precise preoperative planning. Endovascular aortic repair of the RAAA-if feasible-is the treatment of choice. This rare form of RAAA manifestation should call physicians attention-especially in patients with known abdominal aortic aneurysms in their preceding medical history.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Reconstructive Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:EVAR; Inguinal hernia; Ruptured abdominal aortic aneurysm
Language:English
Date:2016
Deposited On:23 Mar 2016 15:46
Last Modified:21 Sep 2017 14:34
Publisher:Elsevier
ISSN:2210-2612
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1016/j.ijscr.2015.11.020
PubMed ID:26656148

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