A case of abdominal aortic aneurysm presenting with multiple organs embolization.

IF 0.7 Q4 SURGERY Surgical Case Reports Pub Date : 2024-08-26 DOI:10.1186/s40792-024-01999-3

Shinichi Tanaka, Takahiro Ohmine, Takashi Maeda

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Abstract

Background: Distal embolization as the first manifestation of an abdominal aortic aneurysm (AAA) is relatively rare. AAAs presenting with multiple organs embolization are rarer and serious systemic conditions. There are no reports of life-saving outcomes in patients with AAAs presenting with multiple organs embolization prior to surgery.

Case presentation: A 78-year-old man presented with right acute lower limb ischemia (ALLI) and ischemic enteritis coexisting with an 83-mm AAA with a large mural thrombus. Although the patient underwent successful revascularization with endovascular treatment for right ALLI, the manifestation of ischemia of the calf muscles and infection forced right above-knee amputation. The patient also presented with ischemic colitis that resolved with conservative treatment. After receiving appropriate medical therapy and rehabilitation, the patient was successfully treated with open aortic repair for the AAA.

Conclusion: We successfully performed open aortic surgery for a rare case of AAA presenting with multiple organs embolization.

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一例伴有多器官栓塞的腹主动脉瘤。

背景：腹主动脉瘤（AAA）以远端栓塞为首发表现的情况相对罕见。出现多器官栓塞的 AAA 更为罕见，是严重的全身性疾病。目前还没有关于在手术前出现多器官栓塞的 AAA 患者的抢救结果的报道：一名 78 岁的男性患者因右侧急性下肢缺血（ALLI）和缺血性肠炎并发 83 毫米 AAA 且伴有大面积壁层血栓而就诊。虽然患者成功接受了右侧急性下肢缺血的血管内治疗，但由于小腿肌肉缺血和感染，患者不得不接受右膝以上截肢手术。患者还伴有缺血性结肠炎，经保守治疗后缓解。在接受了适当的药物治疗和康复治疗后，患者成功接受了 AAA 主动脉切开修补术：我们成功地为一例罕见的伴有多脏器栓塞的 AAA 患者实施了主动脉开放手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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