[Regional ischemia/necrosis after surgery of lumbal aortic aneurysm].
Following operation for aneurysm of the abdominal aorta two patients developed buttock necrosis. One procedure was elective and one was an emergency procedure. Patient 1 in addition developed paralysis of the leg on the same side as the buttock necrosis, while patient 2 in addition developed colon ischemia. Both patients died from these complications. Buttock necrosis and paralysis are rare complications after operation for abdominal aortic aneurysm. Regional ischemia of the left colon is a more common complication. The case report illustrates the importance of the pelvic-femoral collaterals. In addition we emphasize the importance of maintaining or restoring hypogastric circulation in order to prevent these complications.
Mjåset
B
B
Brøyn
T
T
Høivik
B
B
D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D002081:Buttocks / Q000473:pathology; D003106:Colon / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000209:etiology; D007866:Leg; D008297:Male; D009336:Necrosis; D010243:Paralysis / Q000209:etiology; D011183:Postoperative Complications / Q000473:pathology
Regional ischemi/nekrose etter operasjon for lumbalt aortaaneurisme.