Kichloo A, Khan MZ, Zain EA, Vipparla NS, Wani F. Post-Endovascular Abdominal Aortic Aneurysm Repair Abdominal Pain: A Learning Experience.
J Investig Med High Impact Case Rep 2019;
7:2324709619865575. [PMID:
31347409 PMCID:
PMC6661783 DOI:
10.1177/2324709619865575]
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Abstract
Abdominal aortic aneurysm (AAA) is one of the important pathologies involving the
abdominal aorta, as it can have adverse consequences if it goes unnoticed or
untreated. AAA is defined as an abnormal dilation of the abdominal aorta 3 cm or
greater. Endovascular abdominal aortic aneurysm repair (EVAR) has recently
emerged as a treatment modality for AAA. It does have a few inherent
complications that include endoleak, endograft migration, bleeding, ischemia,
and compartment syndrome. This case report discusses a patient who came in with
abdominal pain and a pulsatile mass, which raised concerns regarding endoleak.
The patient had a 9.9-cm AAA, which was repaired in the past, as was made
evident by computed tomography findings of the stent graft in the aneurysmal
segment. This case stands out because it highlights the importance of comparing
the size of the AAA at the time of the EVAR to the current scenario where the
patient presents with abdominal pain of unknown etiology. Also, this case report
highlights the importance of computed tomography and other imaging forms in
following-up with patients who have EVAR for AAAs.
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