Loading…

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:
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!
cited_by cdi_FETCH-LOGICAL-b3719-ce7728e5f6fd58ba841b75912892c46771680c4eb273ee82af37a00fb3b4dc293
cites cdi_FETCH-LOGICAL-b3719-ce7728e5f6fd58ba841b75912892c46771680c4eb273ee82af37a00fb3b4dc293
container_end_page
container_issue
container_start_page bcr-2017-220539
container_title BMJ case reports
container_volume 2017
creator Changal, Khalid Hamid
Lim, Francis
Sunkara, Tejasvi
Hamdani, Syed Uzair
description 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.
doi_str_mv 10.1136/bcr-2017-220539
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5747632</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1942475803</sourcerecordid><originalsourceid>FETCH-LOGICAL-b3719-ce7728e5f6fd58ba841b75912892c46771680c4eb273ee82af37a00fb3b4dc293</originalsourceid><addsrcrecordid>eNqFkc1r3DAQxUVp6C5Jzr0VQy8l4ERf9siXQAj5goVcGuipQtLKWy22tZGslv3vI2fTJcklukiDfvN4Mw-hrwSfEsLqM21CSTGBklJcseYTmhOooIQG__r86j1DxzGucT6McMHZFzSjouHAKZ-j3w9Dikl1xSbYaIdRjc4PhW-L6LpcdttiFfw_N6wKpZe-d0NGlQ-jM4UabArb2BdGpTgR2nVOhW3hdRxDMpPSETpoVRft8ct9iB6ur35e3paL-5u7y4tFqRmQpjQWgApbtXW7rIRWghMNVUOyT2p4DUBqgQ23mgKzVlDVMlAYt5ppvjS0YYfofKe7Sbq3S5OtB9XJTXB9diS9cvLtz-D-yJX_KyvgUDOaBX68CAT_mGwcZe-isV2Xp_QpStJwRgUAntDv79C1TyEv5pmiHCqBWabOdpQJPsZg270ZguUUn8zxySk-uYsvd3x7PcOe_x9WBk52gO7XH6o9AdkRpUc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1942475803</pqid></control><display><type>article</type><title>Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction</title><source>PubMed Central</source><creator>Changal, Khalid Hamid ; Lim, Francis ; Sunkara, Tejasvi ; Hamdani, Syed Uzair</creator><creatorcontrib>Changal, Khalid Hamid ; Lim, Francis ; Sunkara, Tejasvi ; Hamdani, Syed Uzair</creatorcontrib><description>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.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2017-220539</identifier><identifier>PMID: 28947424</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>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</subject><ispartof>BMJ case reports, 2017-09, Vol.2017, p.bcr-2017-220539</ispartof><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Copyright: 2017 © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b3719-ce7728e5f6fd58ba841b75912892c46771680c4eb273ee82af37a00fb3b4dc293</citedby><cites>FETCH-LOGICAL-b3719-ce7728e5f6fd58ba841b75912892c46771680c4eb273ee82af37a00fb3b4dc293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747632/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747632/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28947424$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Changal, Khalid Hamid</creatorcontrib><creatorcontrib>Lim, Francis</creatorcontrib><creatorcontrib>Sunkara, Tejasvi</creatorcontrib><creatorcontrib>Hamdani, Syed Uzair</creatorcontrib><title>Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>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.</description><subject>Abdomen</subject><subject>Aged</subject><subject>Aneurysms</subject><subject>Aortic Aneurysm, Abdominal - complications</subject><subject>Aortic Aneurysm, Abdominal - diagnostic imaging</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic aneurysms</subject><subject>Bile</subject><subject>Case reports</subject><subject>Common Bile Duct - diagnostic imaging</subject><subject>Common Bile Duct - physiopathology</subject><subject>Common Bile Duct Diseases - diagnostic imaging</subject><subject>Common Bile Duct Diseases - surgery</subject><subject>Computed Tomography Angiography</subject><subject>Constriction, Pathologic - diagnostic imaging</subject><subject>Constriction, Pathologic - surgery</subject><subject>Humans</subject><subject>Jaundice, Obstructive - diagnostic imaging</subject><subject>Jaundice, Obstructive - etiology</subject><subject>Jaundice, Obstructive - surgery</subject><subject>Liver</subject><subject>Male</subject><subject>Treatment Outcome</subject><subject>Unusual Presentation of More Common Disease/Injury</subject><subject>USA/Canada</subject><subject>White</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqFkc1r3DAQxUVp6C5Jzr0VQy8l4ERf9siXQAj5goVcGuipQtLKWy22tZGslv3vI2fTJcklukiDfvN4Mw-hrwSfEsLqM21CSTGBklJcseYTmhOooIQG__r86j1DxzGucT6McMHZFzSjouHAKZ-j3w9Dikl1xSbYaIdRjc4PhW-L6LpcdttiFfw_N6wKpZe-d0NGlQ-jM4UabArb2BdGpTgR2nVOhW3hdRxDMpPSETpoVRft8ct9iB6ur35e3paL-5u7y4tFqRmQpjQWgApbtXW7rIRWghMNVUOyT2p4DUBqgQ23mgKzVlDVMlAYt5ppvjS0YYfofKe7Sbq3S5OtB9XJTXB9diS9cvLtz-D-yJX_KyvgUDOaBX68CAT_mGwcZe-isV2Xp_QpStJwRgUAntDv79C1TyEv5pmiHCqBWabOdpQJPsZg270ZguUUn8zxySk-uYsvd3x7PcOe_x9WBk52gO7XH6o9AdkRpUc</recordid><startdate>20170925</startdate><enddate>20170925</enddate><creator>Changal, Khalid Hamid</creator><creator>Lim, Francis</creator><creator>Sunkara, Tejasvi</creator><creator>Hamdani, Syed Uzair</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170925</creationdate><title>Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction</title><author>Changal, Khalid Hamid ; Lim, Francis ; Sunkara, Tejasvi ; Hamdani, Syed Uzair</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b3719-ce7728e5f6fd58ba841b75912892c46771680c4eb273ee82af37a00fb3b4dc293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdomen</topic><topic>Aged</topic><topic>Aneurysms</topic><topic>Aortic Aneurysm, Abdominal - complications</topic><topic>Aortic Aneurysm, Abdominal - diagnostic imaging</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Aortic aneurysms</topic><topic>Bile</topic><topic>Case reports</topic><topic>Common Bile Duct - diagnostic imaging</topic><topic>Common Bile Duct - physiopathology</topic><topic>Common Bile Duct Diseases - diagnostic imaging</topic><topic>Common Bile Duct Diseases - surgery</topic><topic>Computed Tomography Angiography</topic><topic>Constriction, Pathologic - diagnostic imaging</topic><topic>Constriction, Pathologic - surgery</topic><topic>Humans</topic><topic>Jaundice, Obstructive - diagnostic imaging</topic><topic>Jaundice, Obstructive - etiology</topic><topic>Jaundice, Obstructive - surgery</topic><topic>Liver</topic><topic>Male</topic><topic>Treatment Outcome</topic><topic>Unusual Presentation of More Common Disease/Injury</topic><topic>USA/Canada</topic><topic>White</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Changal, Khalid Hamid</creatorcontrib><creatorcontrib>Lim, Francis</creatorcontrib><creatorcontrib>Sunkara, Tejasvi</creatorcontrib><creatorcontrib>Hamdani, Syed Uzair</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Changal, Khalid Hamid</au><au>Lim, Francis</au><au>Sunkara, Tejasvi</au><au>Hamdani, Syed Uzair</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2017-09-25</date><risdate>2017</risdate><volume>2017</volume><spage>bcr-2017-220539</spage><pages>bcr-2017-220539-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>28947424</pmid><doi>10.1136/bcr-2017-220539</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1757-790X
ispartof BMJ case reports, 2017-09, Vol.2017, p.bcr-2017-220539
issn 1757-790X
1757-790X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5747632
source PubMed Central
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
title Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T04%3A26%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Unusual%20presentation%20of%20silently%20growing%20abdominal%20aortic%20aneurysm%20causing%20biliary%20obstruction&rft.jtitle=BMJ%20case%20reports&rft.au=Changal,%20Khalid%20Hamid&rft.date=2017-09-25&rft.volume=2017&rft.spage=bcr-2017-220539&rft.pages=bcr-2017-220539-&rft.issn=1757-790X&rft.eissn=1757-790X&rft_id=info:doi/10.1136/bcr-2017-220539&rft_dat=%3Cproquest_pubme%3E1942475803%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-b3719-ce7728e5f6fd58ba841b75912892c46771680c4eb273ee82af37a00fb3b4dc293%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1942475803&rft_id=info:pmid/28947424&rfr_iscdi=true