Massive Vertebral Destruction Associated With Chronic Rupture of Infrarenal Aortic Aneurysm

Abstract

The presence of aortic abdominal aneurysm is always to be considered in the evaluation of an elderly patient complaining lower back pain or lower limb neuropathy of recent onset, especially in the presence of a degenerative process of the spine.

Vertebral Body Erosion in Geriatric Patient: Case Reports and Systematic Review of Literature

“…For this reason, there is a risk of misdiagnosis and hazard of delayed diagnosis. In the literature, 16 CCAA [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17], 7 aortic aneurysms [18][19][20][21] and 1 pseudoaneurysm [19] were defined. Vertebral erosions associated with false aneurysm at prosthetic graft junction in three patients [22,23], and one patient with widespread vertebral lysis associated with Coxiella burnetti infection related with vascular surgery was also reported in the literature [24].…”

“…Affected vertebra Saiki, et al [3] chronic contained rupture aortic aneurysm unknown Arıci, et al [4] chronic contained rupture aortic aneurysm L2-L3 Aydogan, et al [5] chronic contained rupture aortic aneurysm L3-L4-L5 Caynak, et al [2] chronic contained rupture aortic aneurysm L4 Bansal, et al [6] chronic contained rupture aortic aneurysm unkown Lai, et al [7] chronic contained rupture aortic aneurysm L3 Lombardi, et al [8] chronic contained rupture aortic aneurysm T11-T12-L1 Kapoor, et al [9] chronic contained rupture aortic aneurysm L3 Erdogan, et al [10] chronic contained rupture aortic aneurysm L3 Gandini, et al [11] chronic contained rupture aortic aneurysm L4 Nakano, et al [12] chronic contained rupture aortic aneurysm unkown Matsunaga, et al [13] chronic contained rupture aortic aneurysm T6-T7 Yuksekkaya, et al [14] chronic contained rupture aortic aneurysm T11 Alshafei, et al [15] chronic contained rupture aortic aneurysm L4-L5 Sakai, et al [16] chronic contained rupture aortic aneurysm unkown Jukovic, et al [17] chronic contained rupture aortic aneurysm L3 Takahashi, et al [18] thoracic aortic aneurysm T8-T9-T10 Gonzalez Gay, et al [19] 4 aortic aneurysm +1 pseudoaneurysm (5 patients) L2-L3-L4 Farhan-Alanie, et al [20] abdominal aortic aneurysm unkown Jang, et al [21] abdominal aortic aneurysm L3-L4 Diekerhof, et al [22] postoperative false aneurysm (2 patients) unkown Mancini, et al [23] postoperative false aneurysm L2-L3 O'Donnell, et al [24] postoperative aortic aneurysm with Coxiella Burnetti infection L1-L2-L3 El Maghraoui, et al [25] abdominal aortic aneurysm with Behçet disease L2 Örücü, et al [26] chronic contained rupture aortic aneurysm with Behçet disease L3 Barros, et al [27] pseudoaneurysm with Behçet disease L3 Ahn, et al [28] chronic contained rupture aortic aneurysm with Behçet disease L3…”

Radiological Findings in Chronic Contained Rupture of Abdominal Aortic Aneurysm in a Patient Presenting with Lower Back Pain

“…The clinical picture of AAA may present as the classical triad of pain, shock and pulsatile abdomi-nal mass, which in few cases can affect the vertebral integrity [3]. Other symptoms, like obturator neuropathy, obstructive jaundice and groin herniation, sometimes occur [4].…”

Endoleak after endovascular aortic repair and lumbar vertebral erosion

“…This is probably the first case secondary to EVAR. With growing numbers of interventional abdominal aortic procedures and increasing follow-up periods, complications of EVAR have become increasingly evident over time [2–5]. …”