The authors describe a patient who survived an unrecognized rupturing ab dominal aortic aneurysm for two months, the only symptoms being a combined left femoral and obturator neuropathy. After reviewing the literature, the au thors conclude that a rupturing aneurysm can present with only mild transitory or atypical symptoms, which, if not recognized, cause an unwarranted delay in diagnosis and operative treatment. Furthermore it is recommended that retro peritoneal hemorrhage from a ruptured aneurysm be included in the diagnostic checkup of patients with femoral neuropathy.
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References
1.
Szilagyi DE, Smith RF, Macksoon AJ, et al: Expanding and ruptured abdominal aortic aneurysm. Arch Surg83:83, 1961.
2.
Darling RC: Ruptured arteriosclerotic abdominal aortic aneurysms: A pathologic and clinical study. Am J Surg119:397, 1970.
3.
Lieberman DA, Keeffe EB, Rahatzad M., et al: Ruptured abdominal aortic aneurysm causing obstructive jaundice . Dig Dis Sci28:88, 198.
4.
Razzuk MD, Linton RR, Darling RC: Femoral neuropathy secondary to ruptured abdominal aortic aneurysms with false aneurysms. JAMA201:817, 1967.
5.
Jones CS, Reilly MK, Dalsing MC, et al: Chronic contained rupture of abdominal aortic aneurysms. Arch Surg121:542, 1986.
6.
Lodder J., Cheriex E., Oosterbrook R., et al: Ruptured abdominal aortic aneurysms presenting as radicular compression syndrome. J Neurol227:121, 1982.
7.
Grabowski EW , Pilcher DB: Ruptured abdominal aortic aneurysm manifesting as symptomatic inguinal hernia. Am Surg47:311, 1981.
8.
Armour RH: Survivors of ruptured abdominal aortic aneurysms: The iceberg's tip. Br Med J2:1055, 1977.
9.
Barratt-Boyes BG: Symptomatology and prognosis of abdominal aortic aneurysm. Lancet2:716, 1957.
