A Case of Impending Ruptured Aneurysm of the Common Iliac Artery; Regarded as Being Associated with Serous Leakage in Retroperitoneal Space.
10.4326/jjcvs.22.49
- VernacularTitle:血しょう成分が後腹膜腔へ漏出貯留したと考えられる総腸骨動脈りゅう切迫破裂の１症例
- Author:
Makoto YAMADA
;
Makoto FUNAMI
;
Hideo YOKOKAWA
;
Toshitaka KASHIMA
;
Kouichi INOUE
;
Toshihiro TAKABA
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1993;22(1):49-53
- CountryJapan
- Language:Japanese
-
Abstract:
We have recently experienced a case of impending ruptured aneurysm of the common iliac artery associated with a gelatinous substance in the retroperitoneal space. A 69 year-old male had been diagnosed as a left common iliac aneurysm at another hospital by CTscan during the examination of lower abdominal pain. At the midnight of the day he admitted, the severity of pain gradually intensified. But there was no sign of anemia nor hypotension. Next morning CTscan showed low density left retroperitoneal mass. The patient underwent emergency laparotomy. The further inspection revealed about 600cm3 of gelatinous substance in left retroperitoneal space without the sign of aneurysmal rupture. A bifurcated graft replacement was performed. The low density mass was not recognized by CTscan done 42 days postoperatively. Electrolyte study of the gelatinous substance indicated its serous leakage through the impending ruptured aneurysm. Our present report constitutes a completely distinct variety of common iliac aneurysm, associated with a gelatinous substance in retroperitoneal space without a major rent of the aneurysmal wall.
