Khaw H, Sottiurai V S, Craighead C C, Batson R C
J Vasc Surg. 1986 Oct;4(4):384-9. doi: 10.1067/mva.1986.avs0040384.
Six elderly male patients (mean age, 73 years; range, 66 to 78 years) were admitted with groin masses caused by ruptured abdominal aortic aneurysms. A palpable abdominal mass was present in 33%. All patients eventually underwent abdominal aortic aneurysmectomy with a resultant mortality rate of 50%. Delayed diagnosis, preoperative hypotension, advanced age, poor nutritional status, and excessive intraoperative blood loss were factors contributing to this high mortality rate. In this unusual clinical presentation of ruptured abdominal aortic aneurysm, a high index of suspicion by the emergency room staff and prompt surgical intervention are mandatory to improve mortality rates. The anatomy of the retroperitoneal space and the phylogenetic development of a channel between the scrotum and the kidney are important factors in the development of this symptom complex.
六名老年男性患者（平均年龄73岁；范围66至78岁）因腹主动脉瘤破裂导致腹股沟肿块入院。33%的患者可触及腹部肿块。所有患者最终均接受了腹主动脉瘤切除术，结果死亡率为50%。诊断延迟、术前低血压、高龄、营养状况差以及术中失血过多是导致高死亡率的因素。在这种腹主动脉瘤破裂的不寻常临床表现中，急诊室工作人员高度怀疑并及时进行手术干预对于提高死亡率至关重要。腹膜后间隙的解剖结构以及阴囊与肾脏之间通道的系统发育是这种症状复合体发生发展的重要因素。
