Moulakakis Konstantinos G, Maras D, Bountouris I, Pomoni M, Georgakis P, Andrikopoulos V
Department of Vascular Surgery, Red Cross Hospital, Athens-Greece, Athens, Greece.
Vasa. 2010 Aug;39(3):265-7. doi: 10.1024/0301-1526/a000040.
Thrombosis of an abdominal aortic aneurysm is a rare devastating complication with an estimated mortality rate of 50%. Simultaneous acute pain, pallor and coldness of the lower limbs, mottling from the level of iliac crests or umbilicus, paraplegia and absence of femoral pulses are all manifestations of a sudden and acute interruption of blood flow through the aneurysmatic aorta. We report a case of an occlusion of an abdominal aortic aneurysm during hospitalization which was not manifested with symptoms of limb ischemia. In this case we feature the rare and unusually "silent" presentation of the event.
腹主动脉瘤血栓形成是一种罕见的灾难性并发症，估计死亡率为50%。同时出现急性疼痛、下肢苍白和发冷、从髂嵴或脐水平开始的皮肤斑纹、截瘫以及股动脉搏动消失，均是流经动脉瘤性主动脉的血流突然急性中断的表现。我们报告一例住院期间腹主动脉瘤闭塞但未表现出肢体缺血症状的病例。在本病例中，我们重点介绍了该事件罕见且异常“隐匿”的表现。
