Giant mycotic abdominal aneurysm and massive vertebral erosion. Still not a tale from the past

Hapka, Łukasz; Halena, Grzegorz; Pytka, Maciej

doi:10.5603/cj.2018.0151

Cited by 3 publications

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“…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 weakness – enlisted in Table 2. AAA compressing intra-abdominal organs such as the duodenal obstruction seen in patients presented by Quigley et al, 35 Newman et al, 47 Deitch et al, 48 duodenal and ureter displacement – Schubert, 49 biliary dilatations and cholangitis as presented by Sakakura et al 50 Vertebral erosions were seen intraoperatively as presented in four cases, 36,41,51,52 aorto-caval fistula in three cases, 5,53,54 aorto enteric fistula in 2 cases. 15,55 Open laparotomy is the preferred operative method in 82.3% of cases with seven EVAR cases (11.2%).…”

Section: Discussionmentioning

confidence: 97%

A systematic review and case presentation: Giant abdominal aortic aneurysm

et al. 2023

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Objective An abdominal aortic aneurysm is considered giant when its transverse diameter is greater than 10–13 cm in diameter. A giant abdominal aortic aneurysm is rare but with a significant risk of rupture if it is not diagnosed or left untreated. Method The authors have performed a systematic review of the evidence that has looked into the clinical presentations, and management methods employed and have presented a 14 cm giant abdominal aortic aneurysm patient. Results The systematic review has been based on level-IV evidence due to the rarity of the condition. The final analysis included 61 relevant reported cases. The mean age was 72.4 years, the male to female ratio was 52: 8, and the average size of a giant abdominal aortic aneurysm was 14.7 cm. These were mostly infra renal (72.58%). Rupture of these aneurysms was found in 23 (37.1%) patients, and was treated by laparotomy in 51 (82.25%) cases. There were 11 (17.74%) mortalities. Conclusion The size of an abdominal aortic aneurysm is known to be the biggest factor in the rupture of an aneurysm. The reason abdominal aortic aneurysms can reach such size without rupturing is unclear but needs further exploring. Early diagnosis with effective screening programmes is essential to diagnose in a timely manner to avoid life-threatening consequences.

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