Catena F, Agrusti S, Gazzotti F, Taffurelli M
U.O. Chirurgia d'Urgenza, Policlinico S. Orsola Malpighi, Università di Bologna.
Ann Ital Chir. 2004 Sep-Oct;75(5):579-81.
Ruptured aortic aneurysm can be a cause of acute abdomen. Nowadays using modern diagnostic techniques diagnosis is very easy. We report a particular case of a misdiagnosed ruptured aortic aneurysm.
Man 65 y.o. admitted to hospital for abdominal pain and stipsis. After 1 week he developed acute abdomen with muscular rigidity and mild acute anemia. Few days before contrast studies showed a sigmoid diverticular disease. At laparotomy a ruptured aortic aneurysm sealed from retroperitoneal fascia and extended to abdominal walls up to rectus abdominis muscles was found.
In case of acute abdomen with muscular rigidity and acute anemia the diagnosis of rectus abdominis muscles hematoma caused by ruptured aortic aneurysm must be considered.
主动脉瘤破裂可能是急腹症的一个病因。如今，借助现代诊断技术，诊断非常容易。我们报告一例主动脉瘤破裂误诊的特殊病例。
一名65岁男性因腹痛和便秘入院。1周后，他出现了伴有肌肉强直和轻度急性贫血的急腹症。造影检查前几天显示为乙状结肠憩室病。剖腹手术时发现一个主动脉瘤破裂，被腹膜后筋膜封闭，并延伸至腹壁直至腹直肌。
对于伴有肌肉强直和急性贫血的急腹症，必须考虑由主动脉瘤破裂引起的腹直肌血肿的诊断。
