Abdominal Pain and Hemoperitoneum: Sole Presenting Symptoms for “Leaking AAA” after Endovascular Repair

Purpose: To describe an unusual presentation of impending aortic endograft rupture and successful endovascular rescue. Case Report: A 77-year-old man with an enlarging aortic aneurysm was treated with a Talent bifurcated endoprosthesis; a moderate endoleak that appeared to be related to either proxi...

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Bibliographic Details
Published in:Journal of endovascular therapy 2001-04, Vol.8 (2), p.131-134
Main Authors: White, Rodney A., Donayre, Carlos E., Walot, Irwin, Kopchok, George, Woody, Jonathan
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Aged
Angioplasty
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - surgery
Hemoperitoneum - etiology
Humans
Male
Vascular Surgical Procedures
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Summary:Purpose: To describe an unusual presentation of impending aortic endograft rupture and successful endovascular rescue. Case Report: A 77-year-old man with an enlarging aortic aneurysm was treated with a Talent bifurcated endoprosthesis; a moderate endoleak that appeared to be related to either proximal or distal fixation sites was noted in the body of the aneurysm. The patient was observed for 1 month, and repeat imaging demonstrated persistent endoleak without major increase in the aneurysm diameter. Another examination was scheduled for 3 months hence, but, 2 months later, the patient presented with abdominal pain and a hemoperitoneum. A proximal extension cuff resolved the leak and led to resolution of the hemoperitoneum. Conclusions: A leaking aneurysm can be repaired using endovascular techniques in patients with an existing endograft. The need for frequent imaging surveillance of patients with endoleak is underscored.
ISSN:1526-6028
1545-1550
DOI:10.1177/152660280100800205