A Case of Ruptured Abdominal Aortic Aneurysm Induced by a Hard Blow to the Abdomen
- VernacularTitle:腹部殴打による腹部大動脈瘤破裂に対する1手術例
- Author:
Kimihiro KOBAYASHI
1
;
Tetsuro UCHIDA
1
;
Azumi HAMASAKI
1
;
Yoshinori KURODA
1
;
Atsushi YAMASHITA
1
;
Syuto HIROOKA
1
;
Shingo NAKAI
1
;
Mitsuaki SADAHIRO
1
Author Information
- Keywords: blunt abdominal aortic injury; ruptured abdominal aortic aneurysm
- From:Japanese Journal of Cardiovascular Surgery 2020;49(1):35-37
- CountryJapan
- Language:Japanese
- Abstract: A 77-year-old man was transferred to our hospital with a complaint of a sudden abdominal pain after receiving a hard blow to the abdomen. Contrast-enhanced CT revealed rupture of the abdominal aortic aneurysm with a massive retroperitoneal hematoma. Because of severe hemorrhagic shock, he underwent graft replacement with a woven bifurcated graft through a median laparotomy on an emergent basis. His postoperative course was uneventful and now he is doing well 3 years after surgery. Most blunt abdominal aortic injuries are caused by high-energy trauma, such as motor vehicle collisions and fall injuries. Although body blow is considered as a low-energy trauma, abdominal aortic injury could be caused in patients with an abdominal aortic aneurysm.
