Clinical Case Database / Category: Case Based Discussion
Ruptured abdominal aneurysm
Publication details
Mr Shiva Dindyal BSc MBBS MRCS, Mr Constantinos Kyriakides MB ChB MD FRCS
Foundation Years Journal, volume 2, issue 8, p.29 (123Doc Education, London, October 2008)
Abstract
A 65-year-old retired builder was admitted to casualty following a collapse. He was tachycardic and hypotensive with an increasingly distended abdomen. He was becoming drowsier and complaining of generalised abdominal and back pain. Previously he had suffered a myocardial infarction and was diabetic. He smoked 20 cigarettes a day and was clinically obese. On examination, he was cold, clammy and distressed. His abdomen was generally tender, distended, tense and pulsatile.
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Authors
Mr Shiva Dindyal BSc MBBS MRCS (Corresponding author)
General Surgery Specialty Registrar/Vascular
and Endovascular Research Fellow
Barts and The London NHS Trust
Circulatory Sciences Clinical Academic Unit
The Royal London Hospital
London E1 1BB
Mr Constantinos Kyriakides MB ChB MD FRCS
Consultant Vascular and Endovascular Surgeon
Barts and The London NHS Trust
Circulatory Sciences Clinical Academic Unit
London, UK
References
1. EVAR trial participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet, 25 June-1 July 2005, 365(9478):2179-2186.
2. EVAR trial participants. Endovascular aneurysm repair versus open repair and outcome in patients unfi for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial. Lancet, 25 June-1 July 2005, 365(9478):2187-2192.
3. Offie of Population Census and Surveys, Mortality Statistics, England and Wales. London: HMSO, 1989.
4. Fowkes FGC, Maclntyre CCA, Ruckley CV. Increasing incidence of aortic aneurysms in England and Wales. Br Med J, 1989, 298:33-35.
5. Bengtsson H, Bergqvist D. Ruptured abdominal aortic aneurysm: a population-based study. J Vasc Surg, 1993, 18:74-80.
6. Johansson G, Swedenborg J. Ruptured abdominal aortic aneurysms: a study of incidence and mortality. Br J Surg, 1986, 73:101-103.
7. The UK Small Aneurysm Trial Participants. Mortality results for a randomised controlled trial of early elective surgery or ultrasonographic surveillance for small abdominal aortic aneurysms. Lancet, 1998, 352:1649-1655.
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