Paul Saptarshi, Nagre Suraj Wasudeo
Department of Cardiovascular and Thoracic Surgery, Grant Government Medical College and Sir Jamshedjee Jeejebhoy Group of Hospitals, Mumbai 400008, India India.
J Saudi Heart Assoc. 2019 Apr;31(2):75-77. doi: 10.1016/j.jsha.2018.10.002. Epub 2018 Nov 5.
Rupture of an abdominal aortic aneurysm is readily diagnosed when the triad of abdominal or back pain, shock and a pulsatile abdominal mass are present. However in a few cases, a chronic contained ruptured abdominal aortic aneurysm can present in a multitude of manners rather than as life threatening haemorrhage. In our case we are reporting a 41 year old hypertensive female who developed claudication pain in both her lower limbs. Imaging later revealed that she had a contained ruptured abdominal aortic aneurysm, a thing she was previously unaware of, with collaterals from the bilateral subclavian arteries supplying her femorals.
当出现腹痛或背痛、休克和搏动性腹部肿块这三联征时,腹主动脉瘤破裂很容易被诊断出来。然而,在少数情况下,慢性局限性破裂的腹主动脉瘤可能以多种方式表现,而不是危及生命的出血。在我们的病例中,我们报告了一名41岁的高血压女性,她双下肢出现间歇性跛行疼痛。后来的影像学检查显示,她患有局限性破裂的腹主动脉瘤,这是她之前不知道的情况,双侧锁骨下动脉的侧支循环为她的股动脉供血。