scholarly journals Primary Aortic Aneurysm Characterized by Herald Gastrointestinal Bleeding

2020 ◽  
Author(s):  
yadan wang ◽  
jing wu ◽  
canghai wang ◽  
jing wang ◽  
pengpeng ding ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Aortic Aneurysm ◽  
Gastrointestinal Bleeding ◽  
Case Series ◽  
Massive Hemorrhage ◽  
Accurate Diagnosis ◽  
Gastrointestinal Fistula ◽  
Main Complaint ◽  
Abdominal Aortic ◽  
Medical University

Abstract Objective: We describe a case series of patients diagnosed with Primary aortic aneurysm characterized by herald gastrointestinal bleeding, reviewed the literature, aimed to identify and treat such patients without delay, reduce fatality rate.Materials and methods: We reviewed a case series of Primary aortic aneurysm in the Department of Gastroenterology, Beijing Shijitan Hospital Affliated to the Capital Medical University. Each patient was admitted to hospital with gastrointestinal bleeding as main complaint, and was diagnosed by CT or endoscopy. Then characteristics of endoscopy and CT were analyzed. Results: 3 patients were enrolled. In case 1, hematoma was formed after a ruptured abdominal aortic aneurysm, and compression of the hematoma led to ischemic colitis, abdominal pain and hematochezia were the main symptoms. In case 2 and case 3, aortic gastrointestinal fistula were found in the duodenum and esophagus, respectively, abdominal pain, melena and hematochezia were the main symptoms. Conclusion: A timely and accurate diagnosis of Primary aortic aneurysm may be challenging due to insidious episodes of GI bleeding, which are frequently under-diagnosed until the occurrence of massive hemorrhage. Clinical physicians should keep a high index of awareness for Primary aortic aneurysm.

scholarly journals Primary aortoduodenal fistula without an abdominal aortic aneurysm: A case report

2020 ◽  
Vol 73 (5-6) ◽  
pp. 180-182
Author(s):  
Slobodan Torbica
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Gastrointestinal Bleeding ◽  
Abdominal Ultrasound ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Rate Case

Introduction. Aortoenteric fistula is a communication between the aorta and segments of the gastrointestinal tract. Primary aortoduodenal fistula is an extremely rare cause of gastrointestinal bleeding associated with a high mortality rate. Case Report. We report a case of a 63-year-old man admitted due to abdominal pain lasting for a week. Abdominal ultrasound and computed tomography angiography revealed an aortoduodenal fistula without an aortic aneurysm. Conclusion. This case is an example of a rare cause of gastrointestinal bleeding, as well as presentation of aortoduodenal fistula that was not caused by an abdominal aortic aneurysm.

scholarly journals Carotid surgical cut-down technique for neuroendovascular therapy

2018 ◽  
Vol 25 (3) ◽  
pp. 348-352
Author(s):  
Issei Takano ◽  
Yoshiyuki Matsumoto ◽  
Yoshiko Fujii ◽  
Yuki Inoue ◽  
Yoshiki Sugiura ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Thoracic Aortic Aneurysm ◽  
Case Series ◽  
Aortic Arch Anomaly ◽  
Anticoagulation Agents ◽  
Abdominal Aortic ◽  
Major Vessel ◽  
The Common ◽  
Intracranial Circulation

Background Neuroendovascular therapy is typically performed via the femoral artery, but there are rare cases in which a tortuous upstream angioarchitecture makes it difficult to access the intracranial circulation via this route. Methods In this case series, we describe six cases treated by surgical cut-down in the neck, with puncture of the carotid artery. Antiplatelet and anticoagulation agents were used in all cases. The indications for the technique were postsurgical thoracic aortic aneurysm (two cases), postsurgical abdominal aortic aneurysm (one case), major vessel tortuosity of the common carotid artery (two cases) and aortic arch anomaly (one case). Results The surgical cut-down technique permitted successful neuroendovascular therapy. Although one patient had a small cervical haematoma, he was treated without surgical evacuation. Conclusion Overall, our findings indicate that the surgical cut-down technique is safe and useful for patients in whom the femoral approach is unsuitable.

Life-Threatening Upper Gastrointestinal Bleeding Secondary to Aortoenteric Fistula

2008 ◽  
Vol 2 ◽  
pp. CCRPM.S376
Author(s):  
Tasbirul Islam ◽  
George Hines ◽  
Douglas S. Katz ◽  
William Purtil ◽  
Francis Castiller
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Gastrointestinal Bleeding ◽  
Surgical Repair ◽  
Upper Gastrointestinal Bleeding ◽  
Aortoduodenal Fistula ◽  
Open Surgical Repair ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Upper Gastrointestinal

We present a patient with gastrointestinal bleeding secondary to an aortoduodenal fistula. The patient had undergone an open surgical repair of an abdominal aortic aneurysm five years prior to admission.

scholarly journals Ruptured Abdominal Aortic Aneurysm Treated by Double-Balloon Technique and Endovascular Strategy: Case Series

2018 ◽  
Vol 25 (4) ◽  
pp. 211-214 ◽  
Author(s):  
Hiroyuki Nakayama ◽  
Masanao Toma ◽  
Taishi Kobayashi ◽  
Nobuhisa Ohno ◽  
Tatsuji Okada ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Case Series ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Double Balloon ◽  
Abdominal Aortic ◽  
Balloon Technique

scholarly journals Case Series of Patients with Ruptured Abdominal Aortic Aneurysm

2015 ◽  
Vol 16 (3) ◽  
pp. 367-371 ◽  
Author(s):  
Taylor Spencer ◽  
Rushad Juyia ◽  
Robyn Parks ◽  
Matthew Hodapp
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Case Series ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Abdominal Aortic

scholarly journals Picture Quiz Answer: A Life-Threatening Cause of Abdominal Pain

2014 ◽  
Vol 13 (2) ◽  
pp. 77-77
Author(s):  
Fahd Rana ◽  
◽  
Muddassir Muhammad Shaikh ◽  
Priya Rajyaguru ◽  
◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Surgical Repair ◽  
X Ray ◽  
Abdominal Aortic ◽  
Life Threatening

Following review of the abdominal x-ray, an urgent CT aortogram was undertaken which showed an abdominal aortic aneurysm (AAA) measuring 13 cm in width and 18.9 cm in length (Figure 2 and 3). Furthermore there was some stranding of tissue around the margins of the aorta superiorly consistent with an early leak of the aneurysm. Surgical repair of the giant AAA was carried out; however two days after operation the patient deteriorated suddenly and despite all attempts at resuscitation, he passed away.

scholarly journals Post-Endovascular Abdominal Aortic Aneurysm Repair Abdominal Pain: A Learning Experience

2019 ◽  
Vol 7 ◽  
pp. 232470961986557
Author(s):  
Asim Kichloo ◽  
M. Zatmar Khan ◽  
El-Amir Zain ◽  
Navya Sree Vipparla ◽  
Farah Wani
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Abdominal Aorta ◽  
Abdominal Aortic Aneurysm Repair ◽  
Abdominal Aortic ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Abdominal aortic aneurysm (AAA) is one of the important pathologies involving the abdominal aorta, as it can have adverse consequences if it goes unnoticed or untreated. AAA is defined as an abnormal dilation of the abdominal aorta 3 cm or greater. Endovascular abdominal aortic aneurysm repair (EVAR) has recently emerged as a treatment modality for AAA. It does have a few inherent complications that include endoleak, endograft migration, bleeding, ischemia, and compartment syndrome. This case report discusses a patient who came in with abdominal pain and a pulsatile mass, which raised concerns regarding endoleak. The patient had a 9.9-cm AAA, which was repaired in the past, as was made evident by computed tomography findings of the stent graft in the aneurysmal segment. This case stands out because it highlights the importance of comparing the size of the AAA at the time of the EVAR to the current scenario where the patient presents with abdominal pain of unknown etiology. Also, this case report highlights the importance of computed tomography and other imaging forms in following-up with patients who have EVAR for AAAs.

Sign in / Sign up

Export Citation Format

Share Document