Klein HJ, Becker D, Rancic Z. Diagnosis and perioperative management of ruptured AAA mimicking symptomatic groin hernia.
Int J Surg Case Rep 2015;
18:1-4. [PMID:
26656148 PMCID:
PMC4701875 DOI:
10.1016/j.ijscr.2015.11.020]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2015] [Revised: 11/21/2015] [Accepted: 11/21/2015] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION
Ruptured abdominal aortic aneurysm (RAAA) can infrequently present as symptomatic groin hernia. This misleading form of presentation often leads to erroneous preoperative management resulting in poor survival.
CASE PRESENTATION
Two patients with RAAA mimicking symptomatic groin hernia underwent different preoperative managements pointing out the importance of the principles of hypotensive haemostasis in the scope of this emergency scenario.
CONCLUSION
Computed Tomography Angiography (CTA) remains the recommended diagnostic tool-for both safe diagnosis of the ruptured aneurysm and precise preoperative planning. Endovascular aortic repair of the RAAA-if feasible-is the treatment of choice. This rare form of RAAA manifestation should call physicians attention-especially in patients with known abdominal aortic aneurysms in their preceding medical history.
Collapse