Very late rupture of a post-traumatic abdominal aortic pseudoaneurysm

Post-traumatic abdominal aortic pseudoaneurysms remain a rare yet severe complication of aortic injuries and may present many years later. Clinical presentations vary, from the traditional aneurysmal symptoms of abdominal and/or back pain with or without a pulsatile mass, to a fatal rupture. We pres...

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Bibliographic Details
Published in:BMJ case reports 2017-01, Vol.2017, p.bcr2016218356
Main Authors: Abed, Haneen, Ball, William Robert, Stone, Timothy, Houghton, Andrew
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Injuries - complications
Adult
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Aneurysms
Aorta - injuries
Aorta, Abdominal - diagnostic imaging
Aortic Diseases - diagnostic imaging
Aortic Diseases - etiology
Aortic Rupture - diagnostic imaging
Aortic Rupture - etiology
Back pain
Case reports
Coronary vessels
Humans
Irritable bowel syndrome
Lifesaving
Male
Medical imaging
Pseudoaneurysm
Rare Disease
Signs
Tomography, X-Ray Computed
Trauma
United Kingdom
White
Wounds, Nonpenetrating - complications
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Summary:Post-traumatic abdominal aortic pseudoaneurysms remain a rare yet severe complication of aortic injuries and may present many years later. Clinical presentations vary, from the traditional aneurysmal symptoms of abdominal and/or back pain with or without a pulsatile mass, to a fatal rupture. We present the case of a man aged 42 years, with a history of blunt abdominal trauma 14 years ago, presenting with symptoms of non-specific lower abdominal pain and a recent history of straining due to constipation. Clinical examination revealed umbilical bruising, in keeping with Cullen's sign, and extensive postsacral bruising. This case highlights some of the atypical manifestations of aneurysmal rupture and the importance of early recognition and management.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-218356