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  • Title: Chronic contained rupture of an abdominal aortic aneurysm with vertebral erosion: report of a case.
    Author: Saiki M, Urata Y, Katoh I, Hamasaki T.
    Journal: Ann Thorac Cardiovasc Surg; 2006 Aug; 12(4):300-2. PubMed ID: 16977306.
    Abstract:
    A 73-year-old man had lumbago of unknown cause for several months prior to presentation. At examination prior to surgery for gastric cancer, an abdominal aortic aneurysm (AAA) of 6 cm in maximum diameter, retroperitoneal hematoma and vertebral erosion were found on abdominal computed tomography (CT). Hematological examination revealed mild anemia and stable hemodynamics. A diagnosis of chronic contained rupture of an AAA was made and knitted Dacron bifurcated graft replacement was performed. When an intraluminal thrombosis at the posterior wall was removed, a punched-out defect (3 x 2 cm) was discovered. When the old hematoma was removed, a destroyed vertebral body was found. After surgery, the lumbago was alleviated. The patient was transferred to the Department of Surgery and a gastrectomy was performed. The patient's postoperative course was uneventful.
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