Surgical Repair of a Ruptured Giant Abdominal Aortic Aneurysm in a 16-Year-Old with Takayasu’s Arteritis: Case Report and Etiological Review

Abstract

Takayasu's arteritis is a type of primary systemic vasculitis that affects medium and large arteries, including the aorta and its main branches, as well as the pulmonary and coronary arteries. Although rare in children, it is the third most common vasculitis in the pediatric population, often with delayed diagnosis due to the nonspecific presentation of clinical symptoms in its initial phase. This is a case of a 16-year-old girl with a giant ruptured abdominal aortic aneurysm, who needed surgery on an emergency basis. The etiological aspects involved in aneurysms in young patients are also addressed.

A systematic review and case presentation: Giant abdominal aortic aneurysm

“…Known factors to be associated with increased prevalence of AAA are age, male sex, family history of AAA, tobacco use, hypertension, and atherosclerosis. [39][40] Other associated factors observed are inflammatory AAA, [41][42] Takayasu arteritis, [43][44] Behçet disease, 45 and Marfans syndrome. 46 Chronic back pain is one of the common symptoms of AAA 41 as shown in this study abdominal pain or/and back pain were the most common presentation of the patients -40 (64.5%), other presentations are nausea and vomiting, painless abdominal pulsatile mass, melena and anaemia, lower limb weaknessenlisted in Table 2.…”