Abdominal Aortic Aneurysms Mimicking Acute Intraperitoneal Inflammation.

Autor: Bass, A., Rosenman, Y., Adar, R.
Předmět:
Zdroj: Vascular Surgery; Sep/Oct1980, Vol. 14 Issue 5, p334-337, 4p
Abstrakt: Four cases of abdominal aortic aneurysm misdiagnosed as acute intraperitoneal inflammation secondary to cholecystitis or diverticulitis are presented. Three were ruptured, and in the fourth there was impending rupture. The presentation of ruptured abdominal aortic aneurysm as intraperitoneal inflammation with fever has been described, but it is rare and scarcely reported. This misdiagnosis tends to delay diagnosis and treatment and compounds the poor prognosis of these patients. Angiography led to the correct diagnosis in all cases but was led to the correct diagnosis in all cases but was done only 5 days after presentation in 2 of the patients. One patient (Case 4) died from a complication of a septic graft, and 2 of the other 3 had markedly prolonged hospitalizations and stormy postoperative courses. Physician awareness of this possibility may help prevent his misdiagnosis or reduce its future occurrence. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index