Computed tomography in a 74-year-old man with intermittent claudication revealed an abdominal aortic aneurysm, retroperitoneal hematoma, vertebral erosion, and total aortic occlusion. Surgery was delayed for 9 months after definitive diagnosis of contained rupture of the aortic aneurysm to allow treatment for ischemic heart disease and cardiac failure. After interposing a Y-shaped woven Dacron graft, the intermittent claudication was alleviated. The postoperative course was uneventful.
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References
1.
GavantMLSalazarJEEllisJ. Intrarenal rupture of the abdominal aorta: CT features. J Comput Assist Tomogr1986;10:516–8.
2.
JonesCSReillyMKDalsingMCGloverJL. Chronic contained rupture of abdominal aortic aneurysms. Arch Surg1986;121:542–6.
3.
SterpettiAVBlairEASchultzRDFeldhausRJCisterninoSChasanP. Sealed rupture of abdominal aortic aneurysms. J Vasc Surg1990;11:430–5.
4.
SzilagyiDESmithRFMacksoodAJWhitcombJG. Expanding and ruptured abdominal aortic aneurysms. Problems of diagnosis and treatment. Arch Surg1961;83:395–408.
5.
SzilagyiDE. Clinical diagnosis of intact and ruptured abdominal aortic aneurysm. In: BerganJJYaoJST, editors. Aneurysms: Diagnosis and Treatment. New York: Grune & Stratton, 1982:205–16.
6.
NonamiYOkazakiYYamashiroTOgoshiS. Chronic contained rupture of an abdominal aortic aneurysm. Cardiovasc Surg1995;3:227–9.
7.
AndoMIgariTYokoyamaHSatokawaH. CT features of chronic contained rupture of an abdominal aortic aneurysm. Am Thorac Cardiovasc Surg2003;9:274–8.
8.
DorrucciVDusiRRombolaGCordianoC. Contained rupture of an abdominal aortic aneurysm presenting as obstructive jaundice: Report of a case. Surg Today2001;31:331–2.
