Perianal Hematoma — A Sign of Leakage after Rupture of Aortic Aneurysm

Tamvakopoulos, S.K.; Corvese, William P.; Vargas, Lester L.

doi:10.1056/nejm196903062801007

Cited by 9 publications

(2 citation statements)

References 3 publications

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“…This may, in part, explain why, in cases involving ecchymosis as an initial presenting sign of ruptured AAA, the diagnosis was often not considered initially, resulting in a delay in definitive management or consultation with an inappropriate specialist (14,15,18,19). In the rare case where ecchymosis was observed and the patient was promptly diagnosed and treated, the patient often presented with more than one of the classic features of AAA, allowing the condition to be more easily recognized (11)(12)(13). In atypical patients with none of the classic features of ruptured AAA, unexplained ecchymosis may become an important diagnostic clue to ruptured AAA, as our case illustrates.…”

Section: Discussionmentioning

confidence: 73%

Ruptured Abdominal Aortic Aneurysm Presenting as Painless Testicular Ecchymosis: The Scrotal Sign of Bryant Revisited

Dargin¹,

Lowenstein²

2011

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 73%

Ruptured Abdominal Aortic Aneurysm Presenting as Painless Testicular Ecchymosis: The Scrotal Sign of Bryant Revisited

Dargin¹,

Lowenstein²

2011

The Journal of Emergency Medicine

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“…Although this sign is rare, it can be extremely useful in establishing an early diagnosis. 11 The pelvic location of IIAA also often causes urinary tract symptoms. Acute renal failure was precipitated by bilateral compression of the ureters in our patient, whose renal function returned to normal after decompression of the aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Bleeding Prolapsed Hemorrhoids as a Presentation of Ruptured Internal Iliac Artery Aneurysm: Report of a Case

et al. 2005

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Internal iliac artery aneurysms (IIAAs) are rare and their concealed location in the pelvis presents a diagnostic challenge. We report a case of a 79-year-old man who presented 12 years after an abdominal aortic aneurysm repair, with signs of prolapse, bleeding, hemorrhoids, and a deep vein thrombosis. His condition rapidly deteriorated, with the development of acute renal failure and obvious perianal and perineal ecchymoses, within a few days. Abdominal ultrasound and computed tomography showed a ruptured IIAA. His renal function returned to normal after surgical decompression of the aneurysm.

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