Abdominal aortic and iliac aneurysm presented as lower limb deep vein thrombosis: case report
| Autor: | Inga Dakovic Bacalja, Ana Borovecki, Vedran Pazur, Ivan Cvjetko |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Abdominal aortic aneurysm iliac artery aneurysm inferior caval vein compression deep vein thrombosis Lower limb deep vein thrombosis Iliac Vein 03 medical and health sciences 0302 clinical medicine Rare case medicine Humans cardiovascular diseases Iliac Aneurysm Iliac artery aneurysm Venous Thrombosis business.industry Endovascular Procedures General Medicine Middle Aged medicine.disease Surgery Lower Extremity 030220 oncology & carcinogenesis cardiovascular system 030211 gastroenterology & hepatology Presentation (obstetrics) Abdominal aneurysm business Aortic Aneurysm Abdominal |
| Zdroj: | Acta Chirurgica Belgica. 120:271-273 |
| ISSN: | 0001-5458 |
| Popis: | Introduction:We report a rare case of a symptomatic abdominal aneurysm presented as a lower limb deep vein thrombosis (DVT). Case presentation:A 63-year old male presented to our hospital with a recent progressive onset of the right lower limb swelling and pain. The patient had a history of a previous cardiovascular disease. A Duplex ultrasound was performed, which confirmed a right lower limb DVT extending to the right iliac vein. The patient had a pulsatile abdominal mass. Computed tomography scan of the abdomen showed an abdominal aortic and a right iliac artery aneurysm compressing the thrombosed inferior caval and the right iliac vein. The patient was treated with low molecular weight heparin. After resolution of the DVT on day 3 of hospitalization, a surgery on the abdominal and iliac artery aneurysm was performed. The aneurysm was resected and an aortobifemoral bypass was placed using a Dacron prosthesis. The patient remained to be asymptomatic for 6 months after the surgery. Follow up computed tomography demonstrated a fully patent inferior caval and iliac vein and the absence of the aneurysmal disease. Conclusion:Although rare, our case confirms that the DVT should be considered as a possible symptom of an abdominal aneurysm in selected patients. |
| Databáze: | OpenAIRE |
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