Sınırlanmış Abdminal Aort Anevrizma Rüptürü Olan 44 Yaşında
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Sınırlanmış Abdminal Aort Anevrizma Rüptürü Olan 44 Yaşında
Sınırlanmış Abdminal Aort Anevrizma Rüptürü Olan 44 Yaşında Erkek Hasta A 54 Year Old Male Patient With A Contained Rupture Of Abdominal Aortic Aneurysm Uzm. Dr. Ahmet Çağrı Aykan TRABZON AHİ EVREN GÖĞÜS KALP VE DAMAR CERRAHİSİ EĞİTİM VE ARAŞTIRMA HASTANESİ TRABZON TÜRKIYE Dr. Engin Hatem Trabzon Ahi Evren Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi ADANA TÜRKIYE Uzm. Dr. Faruk Boyacı TRABZON AHİ EVREN GÖĞÜS KALP VE DAMAR CERRAHİSİ EĞİTİM VE ARAŞTIRMA HASTANESİ TRABZON TÜRKIYE Makale Özeti Anahtar Kelimeler: Aort, anevricma, rüptür Manuscript Abstract Keywords: aorta, aneurysm, rupture 1 2 3 Sınırlanmış abdminal aort anevrizma rüptürü olan 44 yaşında erkek hasta A 44 year old male patient with a contained rupture of abdominal aortic aneurysm Clinical presentation: 4 A 44-year-old man admitted to the emergency department for intermittent sharp abdominal 5 pain, fatigue and dizziness which was progressively worsened over the last 3 months. He 6 denied fever, chills, nausea, vomiting, diarrhea, or constipation. The pain started after a elbow 7 blow in football match. He had controlled hypertension for 2 years. He was afebrile, with a 8 blood pressure of 100/65 mm Hg and had an oxygen saturation of 94% on room air. He had 9 10 11 tachycardia ( 110 beats/minute). His lungs were clear and his abdomen was not tender. The laboratory data was significant for decreased hemoglobin (7.6mg/dl) and hematocrite values 12 (22). Electrocardiography was normal except slight tachycardia. Left ventricular hypertrophy 13 was evident in transthoracic echocardiography. A contrast enhanced multislice computed 14 tomography (CT) scan revealed contained rupture of an abdominal aortic aneurysm (AAA) 15 with a 7.2 cm maximum diameter (Figure-1). The patient underwent successful operation and 16 uneventfully discharged. 17 18 Figure Legends: 19 Figure-1: A- Contrast enhancement in abdominal aneurysm wall was evident. B- Ruptured 20 21 abdominal aneurysm with true and false lumens surrounded by hematoma was shown in computed tomography. C- Calcium deposition in peripheral vessels was also evident. D- 22 Volume rendering image of ruptured abdominal aortic aneurysm. 23 24 25 26 27 28 Figure 1