Autor: |
Baste JC; Service de Chirurgie générale et vasculaire, hôpital Saint-André, Bordeaux., Midy D, Pheline P, Dassain M, Ghessens B, Alessandrin JF |
Jazyk: |
francouzština |
Zdroj: |
Chirurgie; memoires de l'Academie de chirurgie [Chirurgie] 1994-1995; Vol. 120 (4), pp. 198-200; discussion 201. |
Abstrakt: |
We report two new cases of aneurysms of the sub-renal aorta in which rupture was followed by a chronic clinical course. In the first, there was an atheromatous aneurysm which led to chronic lombo-sciatic pain over a period of 15 months before exact diagnosis. The second concerned an aneurysm probably related to Yersinia enterolitica infection which led to abdominal pain over a period of 3 weeks. In both cases, the diagnosis was made on the CT scan and the operation led to the immediate disappearance of the symptomatology. Although a particular entity of sub-renal aorta aneurysms is still under debate, identifying an identifiable subset appears to be justified. Indeed, cases in which a chronic course follows rupture have particular characteristics including the absence of effect on general haemodynamics and an operative risk identical to nonruptured aneurysms. These characteristics differentiate this subset from non-sealed retroperitoneal aneurysms of the aorta. |
Databáze: |
MEDLINE |
Externí odkaz: |
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