Sınırlanmış Abdminal Aort Anevrizma Rüptürü Olan 44 Yaşında

Sınırlanmış Abdminal Aort Anevrizma Rüptürü Olan 44 Yaşında

Sınırlanmış Abdminal Aort Anevrizma Rüptürü Olan 44 Yaşında Erkek Hasta
A 54 Year Old Male Patient With A Contained Rupture Of Abdominal Aortic Aneurysm
Uzm. Dr. Ahmet Çağrı Aykan TRABZON AHİ EVREN GÖĞÜS KALP VE DAMAR CERRAHİSİ EĞİTİM VE
ARAŞTIRMA HASTANESİ TRABZON TÜRKIYE
Dr. Engin Hatem Trabzon Ahi Evren Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi ADANA
TÜRKIYE
Uzm. Dr. Faruk Boyacı TRABZON AHİ EVREN GÖĞÜS KALP VE DAMAR CERRAHİSİ EĞİTİM VE ARAŞTIRMA
HASTANESİ TRABZON TÜRKIYE
Makale Özeti
Anahtar Kelimeler: Aort, anevricma, rüptür
Manuscript Abstract
Keywords: aorta, aneurysm, rupture
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Sınırlanmış abdminal aort anevrizma rüptürü olan 44 yaşında erkek hasta
A 44 year old male patient with a contained rupture of abdominal aortic aneurysm
Clinical presentation:
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A 44-year-old man admitted to the emergency department for intermittent sharp abdominal
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pain, fatigue and dizziness which was progressively worsened over the last 3 months. He
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denied fever, chills, nausea, vomiting, diarrhea, or constipation. The pain started after a elbow
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blow in football match. He had controlled hypertension for 2 years. He was afebrile, with a
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blood pressure of 100/65 mm Hg and had an oxygen saturation of 94% on room air. He had
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tachycardia ( 110 beats/minute). His lungs were clear and his abdomen was not tender. The
laboratory data was significant for decreased hemoglobin (7.6mg/dl) and hematocrite values
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(22). Electrocardiography was normal except slight tachycardia. Left ventricular hypertrophy
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was evident in transthoracic echocardiography. A contrast enhanced multislice computed
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tomography (CT) scan revealed contained rupture of an abdominal aortic aneurysm (AAA)
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with a 7.2 cm maximum diameter (Figure-1). The patient underwent successful operation and
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uneventfully discharged.
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Figure Legends:
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Figure-1: A- Contrast enhancement in abdominal aneurysm wall was evident. B- Ruptured
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abdominal aneurysm with true and false lumens surrounded by hematoma was shown in
computed tomography. C- Calcium deposition in peripheral vessels was also evident. D-
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Volume rendering image of ruptured abdominal aortic aneurysm.
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Figure 1