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Vertebral erosion resulting from a 'non-ruptured' abdominal aortic aneurysm: case report and literature review.
MedLine Citation:
PMID:  22859811     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The natural history of abdominal aortic aneurysms (AAAs) renders them clinically silent for much of their evolution. These aneurysms will inevitably expand with time and, although surveillance programmes exist, an acutely ruptured AAA is still a relatively common clinical scenario. The classical presentation is with rapid haemodynamic deterioration with accompanying severe abdominal or back pain. Less commonly, patients may present with a stable haemodynamic profile and vague symptomatology; they are usually found to have a chronic contained rupture with a defect in the vascular wall with co-existent pseudoaneurysm and retroperitoneal haematoma formation. We report a rare case of AAA with posterior wall defect and erosion into the vertebral body with no accompanying pseudoaneurysm or haematoma and discuss the clinical implications of such a presentation.
Authors:
O M Farhan-Alanie; Z Ahmed; W Stuart
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scottish medical journal     Volume:  57     ISSN:  0036-9330     ISO Abbreviation:  Scott Med J     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2983335R     Medline TA:  Scott Med J     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  182     Citation Subset:  IM    
Affiliation:
Wishaw General Hospital, Wishaw, Scotland, UK.
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