Cases reported "Aortic Rupture"

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1/6. Chronic-contained rupture of an infected aneurysm of the abdominal aorta due to listeria monocytogenes.

    We report a case of chronic-contained rupture of an infected aneurysm of the abdominal aorta, from which listeria monocytogenes was cultured. The diagnosis of rupture and retroperitoneal mass was made by computed tomography, whereas FDG -PET diagnosed vessel wall inflammation. The infectious nature only became apparent at surgery.
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2/6. An unusual presentation of salmonellal aortitis.

    Our patient represents what we believe to be the first documented case of salmonella choleraesuis aortitis presenting as a salmonellal empyema in an elderly diabetic man. Although S choleraesuis often causes septicemia, its absence should not lead one to forget the pathogenic nature of and high mortality associated with this organism. Aggressive efforts must be made to search for endovascular infection, because cures can be achieved only with surgical intervention and prolonged antibiotic therapy.
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3/6. Traumatic fracture of the abdominal aorta. rupture of a calcified abdominal aorta with minimal trauma.

    We report the case of an elderly man whose infrarenal abdominal aorta ruptured when the patient fell getting out of bed. Unique features of this case are the lack of aneurysmal disease, the insignificant nature of the trauma, and the severe, rigid atherosclerotic plaque in the infrarenal aorta. Pathologic examination of the resected aorta demonstrated the point of rupture to be at the junction of atherosclerotic plaque and normal aorta, suggesting that atherosclerosis is a predisposing factor in traumatic rupture of the abdominal aorta.
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4/6. Ruptured inflammatory abdominal aortic aneurysm due to acute myelomonoblastic leukemia.

    The extremely rare case of ruptured abdominal aortic aneurysm of inflammatory nature in patient with discovered acute myelomonoblastic leukemia is presented. The difficult problems arising from these, frequently terminal diseases, are discussed.
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5/6. Sealed rupture of abdominal aortic aneurysm imitating metastatic carcinoma.

    We report the case of a 53-year-old man in whom rupture of an abdominal aortic aneurysm associated with a large retroperitoneal hematoma caused pressure erosion and destruction of lumbar vertebrae. The bone destruction was thought to represent metastasis from a bronchogenic carcinoma. Only after 18 months of gradual clinical deterioration with presumed metastatic cancer to the lumbar spine was the true nature of his disease recognized. After the ruptured aortic aneurysm was repaired, rapid recovery occurred and the retroperitoneal hematoma gradually was resorbed.
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6/6. Fortuitous rupture of aortic aneurysm: a catastrophic event affording time for surgical cure.

    The rupture of an aortic aneurysm is generally a fatal event, but occasionally the rupture will occur into an adjacent vascular structure, thereby preventing exsanguination and affording temporary survival. Three cases are presented illustrating the fortuitous nature of the rupture of an aortic aneurysm into a vascular structure. The first patient had an atherosclerotic abdominal aortic aneurysm that ruptured into the inferior vena cava and was successfully repaired. The second case demonstrates the formation of a fistula from the aorta to the left pulmonary artery in a patient with a syphilitic thoracic aortic aneurysm. In the third patient a dissecting aneurysm of the aortic root that communicated with the right ventricle after coronary bypass surgery was successfully repaired. Rarely, aortic aneurysms will rupture fortuitously into vascular capacitance structures. These three cases emphasize the need for early accurate diagnosis and the institution of appropriate surgical measures.
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