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Chronic contained rupture of an abdominal aortic aneurysm presenting as a Grynfeltt lumbar hernia. A case report.

作者信息

Dobbeleir J, Fourneau I, Maleux G, Daenens K, Vandekerkhof J, Nevelsteen A

机构信息

Center for Vascular Diseases, University Hospital Gasthuisberg, Leuven, Belgium.

出版信息

Acta Chir Belg. 2007 Jun;107(3):325-7. doi: 10.1080/00015458.2007.11680067.

DOI:10.1080/00015458.2007.11680067
PMID:17685264
Abstract

We report a unique case of chronic contained thoraco-abdominal aneurysm rupture presenting as a Grynfeltt lumbar hernia. A 79-year-old man presented with backpain and a bluish swelling in the left lumbar region in the presence of a non tender aortic aneurysm. CT scan confirmed contained rupture of a type IV thoraco-abdominal aortic aneurysm. The peri-aortic haematoma protruded through the lumbar wall causing a Grynfeltt lumbar hernia. The aneurysm was replaced through a thoraco-phreno-lumbotomy. The patient survived and is doing well six months postoperatively.

摘要

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