Vertebral erosion due to chronic contained rupture of an abdominal aortic aneurysm.
Künye
Caynak B, Onan B, Sanisoglu I, Akpinar B. Vertebral erosion due to chronic contained rupture of an abdominal aortic aneurysm. Journal of Vascular Surgery. 2008; 48(5): 1342. doi: 10.1016/j.jvs.2008.05.034.Özet
A 75 year-old man presented to an orthopedic clinic with chronic lower back pain that
had gradually increased for 1 year. A computed tomography (CT) scan revealed
destruction of the corpus of the L4 vertebra from a contained posterior rupture of an
abdominal aortic aneurysm (AAA) with a 10-cm maximum diameter (A). His medical
history included controlled hypertension, hyperlipidemia, and prior cigarette use.
A vascular surgeon evaluated the patient, and a CT angiography confirmed an
infrarenal AAA with contained retroperitoneal rupture (B). The AAA was easily
palpable on examination, but had not been previously noticed. During open
surgical repair, a chronic, organized hematoma was found within the destroyed
vertebral corpus as well as the adjacent retroperitoneum. An infrarenal polyester
tube graft (22 mm) interposition was performed (Cover).
The patient had an uneventful postoperative course. The orthopedic surgeons
did not recommend vertebra repair. The patient remains well 18 months after
vascular surgery, without progression of the vertebral defect (C).
Kaynak
Journal of Vascular SurgeryCilt
48Sayı
5Bağlantı
https://hdl.handle.net/11446/621http://www.sciencedirect.com/science/article/pii/S0741521408007283