Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction

Biliary obstruction is a rare presentation of abdominal aortic aneurysm (AAA). The most common symptoms of AAA are abdominal or back pain and limb ischaemia from thromboembolism. We report a case of a 67-year-old male who was diagnosed with obstructive jaundice secondary to an AAA. CT angiogram reve...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2017-09, Vol.2017, p.bcr-2017-220539
Main Authors: Changal, Khalid Hamid, Lim, Francis, Sunkara, Tejasvi, Hamdani, Syed Uzair
Format: Article
Language:English
Subjects:
Abdomen
Aged
Aneurysms
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - diagnostic imaging
Aortic Aneurysm, Abdominal - surgery
Aortic aneurysms
Bile
Case reports
Common Bile Duct - diagnostic imaging
Common Bile Duct - physiopathology
Common Bile Duct Diseases - diagnostic imaging
Common Bile Duct Diseases - surgery
Computed Tomography Angiography
Constriction, Pathologic - diagnostic imaging
Constriction, Pathologic - surgery
Humans
Jaundice, Obstructive - diagnostic imaging
Jaundice, Obstructive - etiology
Jaundice, Obstructive - surgery
Liver
Male
Treatment Outcome
Unusual Presentation of More Common Disease/Injury
USA/Canada
White
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Biliary obstruction is a rare presentation of abdominal aortic aneurysm (AAA). The most common symptoms of AAA are abdominal or back pain and limb ischaemia from thromboembolism. We report a case of a 67-year-old male who was diagnosed with obstructive jaundice secondary to an AAA. CT angiogram revealed compression of the common bile duct by the large AAA, causing diffuse intrahepatic and extrahepatic ductal dilatation. Surgical repair of the aortic aneurysm was successful, and patient’s symptoms improved.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-220539