Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction

Changal, Khalid; Lim, Francis Pol; Sunkara, Tejasvi; Hamdani, Syed Uzair

doi:10.1136/bcr-2017-220539

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…7 Jaundice has been reported in the literature as a rare presentation of abdominal aortic aneurysm (not TAAs) because of compression and obstruction of biliary ducts. 16 Right ventricular failure may precipitate liver congestion, while congestion reduces hepatic blood flow, decreases arterial oxygen saturation, and increases hepatic venous pressure. 19 Laboratory abnormalities include elevated serum aminotransferase level to two to three times the upper limit of normal and hyperbilirubinemia.…”

Section: Discussionmentioning

confidence: 99%

Huge Thoracic Aortic Aneurysm Presenting with Jaundice: A Case Report

Mulhim¹

2022

VHRM

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Introduction: Thoracic aortic aneurysms (TAA) are encountered frequently in the emergency department with an obscure presentation. Most of these aneurysms are incidentally discovered while doing routine imaging studies. This report describes a case of unusual presentation of TAAs. Case Presentation: A 37-year-old male presented to the emergency department with jaundice, shortness of breath, abdominal swelling, and lower limb edema, which worsened during the previous month. The patient was worked up and diagnosed with an ascending aortic aneurysm measuring 6.9 cm associated with severe aortic insufficiency and heart failure. Conclusion:TAA is a life-threatening condition with indistinct signs and symptoms. A high index of suspicion and early implementation of radiological studies are prerequisites to reach a diagnosis.

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Section: Discussionmentioning

confidence: 99%

Huge Thoracic Aortic Aneurysm Presenting with Jaundice: A Case Report

Mulhim¹

2022

VHRM

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“…Due to biliary ducts compression and obstruction, jaundice also has been described as a rare presentation of abdominal aortic aneurysm (not TAAs). [19] Failure of right ventricle may precipitate liver congestion, as result hepatic blood flow will be reduced, arterial oxygen saturation will be decreased, and hepatic venous pressure will be increased. [20] Abnormalities of laboratory parameters include elevated serum aminotransferase levels (2 to 3 times of normal reference range) and hyperbilirubinemia [20] .…”

Section: Discussionmentioning

confidence: 99%

Ruptured thoracic aortic aneurysm in young male patient: A rare case report

Pravinkumar¹,

Priya²,

Praveenkumar³

et al. 2022

Int. J. Radiol. Diagn. Imaging

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Thoracic aortic aneurysm (TAA) is the ballooning of the upper aspect of the aorta above the diaphragm. We herein present a rare case of a massive ruptured TAA in a young male patient. A 30year-old male patient diagnosed with massive descending TAA with rupture Crawford Type I showing widening of the superior mediastinum with homogenous round opacity with regular smooth margins observed in left midzone silhouetting the aortic knuckle causing massive hemothorax with the passive collapse of the lung and mediastinal shift to the right. On color doppler it showed typical yin-yang sign.The patient underwent open chest repair with a graft. This case study demonstrated that TAA warrants an early diagnosis because the majority of patients exhibit no symptoms until the aorta ruptures or is dissected, which worsens patient morbidity and mortality. Furthermore, it prompts the necessity of early intervention like either endovascular stent placement or thoracotomy with grafting on the basis of CT angiography findings.

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“…Biliary stasis can promote infection of the biliary tract with both Gram-negative and Gram-positive bacteria that can lead to severe complications, such as ascending cholangitis and systemic sepsis. Blood tests usually reveal changes specific for biliary obstruction: increased levels of bilirubin, aminotransferases and alkaline phosphatase, as well as leukocytosis and increased values of inflammatory markers (19).…”

Section: Clinical Manifestationsmentioning

confidence: 99%

Impact of retroperitoneal tumors on the digestive tract (Review)

Marcu¹,

Iorga²,

Diaconu

et al. 2022

Exp Ther Med

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Primary retroperitoneal tumors are a rare group of neoplasms that often prove to be a real therapeutic challenge. The clinical picture is in most cases nonspecific, being the result of nearby tissue and organ compression, displacement and/or invasion, and it usually includes a variety of deceiving signs and symptoms that may lead to diagnostic errors. During the course of the disease, up to half of the patients diagnosed with retroperitoneal tumors can develop gastrointestinal symptoms, the incidence of such symptoms significantly increasing with tumor size. Therefore, symptoms such as abdominal distension, diffuse abdominal pain or epigastric pain mimicking acute pancreatitis, diarrhea, constipation, jaundice, hematemesis, melena and hematochezia can be found. The mainstream treatment for primary retroperitoneal tumors is surgical excision, chemotherapy and radiotherapy but associated with poor results. Due to their rarity, as well as to the complexity of these tumors, patients should be managed in high volume centers that allow the possibility of a multidisciplinary approach.

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Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction

Cited by 5 publications

References 19 publications

Huge Thoracic Aortic Aneurysm Presenting with Jaundice: A Case Report

Huge Thoracic Aortic Aneurysm Presenting with Jaundice: A Case Report

Ruptured thoracic aortic aneurysm in young male patient: A rare case report

Impact of retroperitoneal tumors on the digestive tract (Review)

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