We report a case of ruptured abdominal aortic aneurysm complicated with occlusion of bilateral common iliac arteries. A 68-year-old man complained of sudden onset of lower abdominal and back pain. A contrast-enhanced computed tomography showed ruptured abdominal aortic aneurysm of about 80 mm in diameter and a giant retroperitoneal hematoma, as well as occlusion of both common iliac arteries. We performed Y-grafting, concomitant with thrombectomy of both iliac arteries from inside the aneurysm. Postoperative course was uneventful without ischemic findings of the legs and the patient was discharged on the 17th postoperative day.
SkagiusESiegbahnABergqvistDHenrikssonA. Activated coagulation in patients with shock due to ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg. 2008;35:37-40.
2.
SkagiusESiegbahnABergqvistDHenrikssonAE. Fibrinolysis in patients with an abdominal aortic aneurysm with special emphasis on rupture and shock. J Thromb Haemost. 2008;6:147-150.
3.
VollmarJFPaesEHPauschingerPGrossP. Aneurysm of the abdominal aorta and leg amputation. A chance coincidence or a pathogenetic correlation?Dtsch Med Wochenschr. 1988;113:1795-1800.
4.
VatankhahNBohannanCJMonetaGL, et al.Aortic outflow occlusion predicts rupture of abdominal aortic aneurysm. J Vasc Surg. 2016;64:1623-1628.
5.
ZhangSFengJLiHZhangYLuQJingZ. (OS) versus endovascular aneurysm repair (EVAR) for hemodynamically stable and unstable ruptured abdominal aortic aneurysm (rAAA). Heart Ves. 2016;31:1291-1302.
6.
Oliveira-PintoJSousaJMansilhaA. Treatment of ruptured abdominal aortic aneurysms: state of the art. Acta Med Port. 2018;31:213-218.
7.
YashiroHShibutaniSInoueM, et al.Retroperitoneal hematoma volume is a good predictor of perioperative mortality after endovascular aneurysm repair for ruptured abdominal aortic aneurysm. J Vasc Surg. 2018;68:998-1006.
