Pseudoaneurysm of the abdominal aorta due to a needle-like osteophyte on the first lumbar vertebra
| Autor: | Audun Braaten, Torbjørn Jonung, Guttorm Jenssen, Einar Dregelid |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Perforation (oil well) Spinal Osteophytosis Pseudoaneurysm Suture (anatomy) medicine.artery medicine Humans Aorta Abdominal Superior mesenteric artery First lumbar vertebra Aorta Lumbar Vertebrae business.industry Abdominal aorta Anatomy Middle Aged medicine.disease Surgery medicine.anatomical_structure cardiovascular system Abdomen Female Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Aneurysm False Aortic Aneurysm Abdominal |
| Zdroj: | Journal of Vascular Surgery. 45:1059-1061 |
| ISSN: | 0741-5214 |
| Popis: | A 46-year-old woman was admitted with acute abdominal pain radiating to the back. Computed tomography examinations showed a needle-thin perforation of the aorta, opposite the origin of the superior mesenteric artery, with a pseudoaneurysm. A needle-sharp spinal osteophyte was located exactly opposite the perforation. There was no sign of infection, and the perforation seemed to have been caused by the osteophyte. This aortic perforation occurred without any major trauma, but repeated minor occupational trauma to her abdomen may have played an etiologic role. The pseudoaneurysm and adjacent aorta were exposed through a thoracolaparotomy. The aortic wall was normal, with good tensile strength; therefore, the perforation in the aortic wall was sutured with a double vascular suture, and the osteophyte was resected. To our knowledge, aortic perforation due to a vertebral osteophyte in the absence of major trauma has not previously been described. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|