Abdominal aortic pseudoaneurysm diagnosed 42 years after abdominal gunshot wound

Queiroz, André Brito; Silva, Erasmo Simão da; Aun, Ricardo; Benitti, Daniel Augusto; Bertoldi, Vinicius; Puech-Leão, Pedro

doi:10.1590/s1807-59322011000600034

Cited by 12 publications

(7 citation statements)

References 9 publications

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“…Other presentations include thromboembolism, compression of adjacent structures, gastrointestinal bleeding and sudden rupture. Clinical signs can be detected from a few days to many years following the initial injury, with the longest reported time interval from injury to diagnosis being 42 years 4. The patient in the case reported here presented 14 years after a road traffic injury with symptoms of abdominal pain and clinical signs of a retroperitoneal bleed, indicative of rupture.…”

Section: Discussionmentioning

confidence: 80%

Very late rupture of a post-traumatic abdominal aortic pseudoaneurysm

Abed¹,

Ball

Stone

et al. 2017

BMJ Case Reports

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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.

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Section: Discussionmentioning

confidence: 80%

Very late rupture of a post-traumatic abdominal aortic pseudoaneurysm

Abed¹,

Ball

Stone

et al. 2017

BMJ Case Reports

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“…Most of the cases were because of penetrating trauma (60%). 12 13 14 15 16 There are several other reports in the literature describing posttraumatic spinal pseudoaneurysms with most patients manifesting their symptoms within 1 year. 5 , 6 , 17 18 19 20 …”

Section: Discussionmentioning

confidence: 99%

Spinal Pseudoaneurysms Mimicking an Osteogenic Tumor: A Case Report

Alsalman

Aleissa²,

Alhandi³

et al. 2020

JAAOS Glob Res Rev

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Aim: This study presents a rare case of pseudoaneurysm mimicking a tumor on the back, with no history of fever, trauma, or surgical intervention. In which no identifiable symptoms or warning signs were present. This pseudoaneurysm arises from intercostal arteries and segmental arteries. Both of which, to the limit of our knowledge, have not been discussed before. Method: This study was done using chart and literature review. We present a case of a 46-year-old man with a known case of left-sided intracranial hemorrhage due to hypertension and an old cerebrovascular accident. The patient has a positive history of hypertension, which could have attributed to the pseudoaneurysm; however, he has no history of vascular disease otherwise. The patient reports of back swelling and intermittent back pain for the past 3 years. On MRI, the mass showed a pulsating pattern around it. It also showed a layering effect because of different wall thicknesses and enhanced patterns, and the enhancement ratio was increased. In addition, it showed flow artifacts with T1 hyperintense areas because of associated thrombus and blood products. These changes noted on the MRI prompted the team to do a color Doppler study to confirm the presence of an aneurysm and if present, to do a CT angiography. The color Doppler showed a turbulent flow, that is, there was a bidirectional pulsatile flow which further confirms the presence of a pseudoaneurysm. Spine CT with contrast showed a right paraspinal lesion at the T9-T11 level. It had contrast enhancement and flow inside, consistent with a partially thrombosed aneurysm. The CT also showed evidence of bone remodeling in the adjacent thoracic vertebrae. The patient opted for spinal vascular emobilization and vascular sheath removal. The right and left intercostal arteries were selected at the level of left and right T4, left T8, bilateral T9, and bilateral T10. Conclusion: Differentiating between pseudoaneurysms and osteogenic tumors is essential to target later investigations accordingly. In addition, if pseudoaneurysms are left untreated, they could cause bony erosions of the vertebra, which lead to compression fractures. They can further compress the adjacent neurovasculature, which worsens the morbidity.

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“…The time interval from initial trauma to diagnosis of the pseudoaneurysm varies from days to years. The longest time interval to diagnosis is 42 years [ 6 ]. Since Makins reported the first case of a traumatic pseudoaneurysm of the abdominal aorta in 1920 [ 7 ], a small number of cases have been reported.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic infrarenal abdominal aortic pseudoaneurysm treated with bifurcated endovascular graft stent

Oner¹,

Erkanlı²,

Aktürk³

et al. 2015

pwki

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Posttraumatic infrarenal aortic pseudoaneurysms are rare and potentially lethal lesions. We report the case of a 32-year-old man presenting with infrarenal aortic pseudoaneurysm eight months after being stabbed in the back and right flank. His pseudoaneurysm was close to the iliac bifurcation, so we decided to deploy a bifurcated endovascular graft stent, the TriVascular Ovation endovascular stent. Imaging one month after the procedure revealed no endoleak and slight shrinkage of the pseudoaneurysm.

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Abdominal aortic pseudoaneurysm diagnosed 42 years after abdominal gunshot wound

Cited by 12 publications

References 9 publications

Very late rupture of a post-traumatic abdominal aortic pseudoaneurysm

Very late rupture of a post-traumatic abdominal aortic pseudoaneurysm

Spinal Pseudoaneurysms Mimicking an Osteogenic Tumor: A Case Report

Posttraumatic infrarenal abdominal aortic pseudoaneurysm treated with bifurcated endovascular graft stent

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