ruptured aortic aneurysm

ruptured aortic aneurysm

The transmural disruption of the integrity of the aorta, which usually occurs in a background of aortic dissection.
 
Clinical findings
Onset may be abrupt or gradual; pulsatile abdominal mass, early satiety, nausea, vomiting, constipation, pain or claudication, waxing and waning abdominal paining that may remit spontaneously, rebound tenderness.
 
Lab
Decreased red cells and haematocrit.

Diagnosis
History, abdominal film, arteriography, ultrasound, CT.

Management
Surgery is mandatory.
 
Prognosis
May be fatal if untreated.

ruptured aortic aneurysm

Surgery The transmural disruption of the integrity of the aorta, which usually occurs in a background of aortic dissection Clinical Onset may be abrupt or gradual; pulsatile abdominal mass, early satiety, N&V, constipation, pain or claudication, waxing and waning abdominal paining which may remit spontaneously, rebound tenderness Lab ↓ RBCs, ↓ hematocrit Diagnosis Hx, abdominal film, arteriography, ultrasound, CT Management Surgery is mandatory Prognosis May be fatal if untreated. See Dissecting aneurysm.
References in periodicals archive ?
Even for those who reach hospital alive, it says about 30-75% of people with ruptured aortic aneurysm will die as a result.
Ruptured Aortic Aneurysm Complicated by Aortocaval Fistula due to Salmonella Infection.
Caption: FIGURE 1: (a) Enhanced computed tomography revealing a ruptured aortic aneurysm measuring 7.9 x 7.6 cm in diameter in the right retroperitoneal region.
These signs and symptoms of more common surgical conditions often mislead the initial treating clinician hence making the early diagnosis of ruptured aortic aneurysm difficult.
Ruptured aortic aneurysm has a higher mortality rate than heart attacks.
In patients suffering a ruptured aortic aneurysm, the mortality is up to 80%.
(1) 90% of massive hemoptysis is due to involvement of bronchial circulation, pulmonary circulation is involved in 5 % and in remaining 5% it originates from the aorta i.e., from aortobronchial fistula, ruptured aortic aneurysm. (6)
TOKYO - Yasutaka Okamura, a former public prosecutor general who led investigations into a series of major political scandals in the early 1990s, died of ruptured aortic aneurysm Thursday afternoon at a Tokyo hospital, his family said.
According to a study published in the Annals of the Royal College of Surgeons of England, out of 182 cases of ruptured aortic aneurysm that were examined retrospectively, the days on which these patients presented had a significantly lower average atmospheric pressure than days on which no rupture occurred.
After a three day inquest at Teesside Coroners' Court, the cause of death was recorded as being due to shock and haemorrhaging, as a result of a ruptured aortic aneurysm, which was brought on by stenosing atherosclerosis and impaired cardiac function.
Age-standardized incidence of ruptured aortic aneurysm in a defined Swedish population between 1952 and 1988: mortality rate and operative results.
In a Cochrane review of screening trials involving a total of 127 891 men and 9 342 women it was found that men aged 65-79 years could benefit from screening, but that there were insufficient data on women (whose risk of death from ruptured aortic aneurysm is much lower than the risk in men) to ascertain their effectiveness.