Evaluation of abdominal aortic aneurysm rupture in emergency department: Case report

Abdominal aort anevrizması (AAA) progresif genişleme, trombozis, rüptür ve distal embolizasyona sebep olan abdominal aortanın yaygın kronik dejeneratif hastalığıdır. Damar çapının 30 mm'den fazla olması veya normal damar çapının %50 artması olarak tanımlanır. Mortalite ve morbiditenin önemli bir sebebidir. Burada, daha önce AAA tanısı olmayan ve izole AAA rüptürü tespit edilen 56 yaşında erkek hasta sunduk. Hasta acil serviste değerlendirilirken rüptür gerçekleşti. Tesadüf eseri olabilir, yine de AAA şüphesi varsa karın muayenesinin ve manüplasyonunun dikkatle yapılması gerektiğini vurgulamak isteriz.

Cumhuriyet Medical Journal 700-702 December 2017, Volume: 39, Number: 4

Abdominal aortic aneurysm (AAA) is a common chronic degenerative disease of the abdominal aorta leading to progressive dilatation, thrombosis, rupture and distal embolization. It is defined as exceed 30 mm or 50% increase in the normal diameter of the vessel and it is an important cause of morbidity and mortality. We report an exceptional case of an isolated AAA rupture in a 56 years old male with a previously undiagnosed AAA. The AAA rupture appeared during abdominal examination in the emergency department. It could be incidentally but also we want to emphasise that phsical examination or manuplation of abdomen should be done carefully if there are suspicion of AAA.

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