Early Detection and Intervention of Saccular Abdominal Aortic Aneurysm with Intramural Haematoma
DOI:
https://doi.org/10.11594/jk-risk.05.3.9Keywords:
Aneurysm, aorta, atypical, CT-Angiography, EVARAbstract
Background: Saccular Abdominal Aortic Aneurysm with intramural hematoma carries a high risk of rupture, often presenting with atypical clinical manifestations that lead to delayed diagnosis.
Case Illustration: A 68-year-old male presented with progressive abdominal pain over 4 months, diagnosed as gastritis. After 3 months without improvement, subsequently duplex ultrasonography and CT-Angiography confirmed a saccular AAA with intramural hematoma. The patient underwent EVAR with Stent Graft implantation.
Case Discussion: This case highlights the diagnostic challenges of atypical AAA presentation, the importance of appropriate vascular imaging, and the significance of saccular morphology and intramural hematoma as high-risk factors for rupture. EVAR was selected for its lower perioperative mortality and morbidity compared to open surgery.
Conclusion: Clinical vigilance for atypical AAA presentations, appropriate diagnostic imaging, and early endovascular intervention enable optimal management of this potentially fatal vascular condition.
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