Sulkowski Kathryn, Young Christian
University of Nevada, Department of Emergency Medicine, Las Vegas, Nevada.
Clin Pract Cases Emerg Med. 2020 Nov;4(4):607-609. doi: 10.5811/cpcem.2020.9.48629.
Spontaneous rupture of an inferior epigastric artery aneurysm is rare with very few cases reported in the medical literature. Although surgical options are available, this case was managed conservatively with outpatient management.
A 29-year-old male presented with right groin pain and swelling that was initially felt to be consistent with an incarcerated inguinal hernia. Further evaluation revealed spontaneous rupture of an inferior epigastric artery aneurysm. The patient was treated conservatively and was ultimately discharged home from the emergency department.
Due to the similar clinical presentations, it was important to consider a broad differential to ultimately arrive at the correct diagnosis. In some reported cases of spontaneous epigastric artery aneurysm, surgical intervention was required for control of the bleeding. In our patient, however, conservative management was employed, and the patient was able to be safely discharged with close outpatient follow-up.
腹壁下动脉瘤自发性破裂极为罕见，医学文献中报道的病例极少。尽管有手术治疗方案，但该病例采用门诊保守治疗。
一名29岁男性因右腹股沟疼痛和肿胀就诊，最初被认为与嵌顿性腹股沟疝相符。进一步检查发现为腹壁下动脉瘤自发性破裂。患者接受了保守治疗，最终从急诊科出院回家。
由于临床表现相似，进行广泛的鉴别诊断对于最终得出正确诊断很重要。在一些报道的腹壁下动脉瘤自发性破裂病例中，需要手术干预来控制出血。然而，在我们的患者中，采用了保守治疗，患者在门诊密切随访下得以安全出院。
