Document Detail

Ruptured abdominal aortic aneurysm: a surgical emergency with many clinical presentations.
MedLine Citation:
PMID:  19520879     Owner:  NLM     Status:  MEDLINE    
Ruptured abdominal aortic aneurysm (AAA) is one of the most fatal surgical emergencies, with an overall mortality rate of 90%. Most AAAs rupture into the retroperitoneal cavity, which results in the classical triad of pain, hypotension, and a pulsatile mass. However, this triad is seen in only 25-50% of patients, and many patients with ruptured AAA are misdiagnosed. It is likely that different sites of rupture of AAA determine a variety of common and uncommon clinical presentations, the recognition of which can save many lives. This article reviews the different sites of rupture of infrarenal AAA and explores the evidence behind the various clinical presentations seen in patients with ruptured AAA.
A N Assar; C K Zarins
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Postgraduate medical journal     Volume:  85     ISSN:  1469-0756     ISO Abbreviation:  Postgrad Med J     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-06-12     Completed Date:  2009-10-15     Revised Date:  2009-10-22    
Medline Journal Info:
Nlm Unique ID:  0234135     Medline TA:  Postgrad Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  268-73     Citation Subset:  IM    
Department of Surgery, Stanford University School of Medicine, California 94305-5431, USA.
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MeSH Terms
Aortic Aneurysm, Abdominal / diagnosis*,  surgery
Aortic Rupture / diagnosis*,  surgery
Arteriovenous Fistula / etiology
Chronic Disease
Duodenal Diseases / etiology
Intestinal Fistula / etiology
Renal Veins / surgery
Vena Cava, Inferior / surgery

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