[Chronic course of rupture of subrenal aortic aneurysms. Apropos of two cases].
We report two new cases of aneurysms of the sub-renal aorta in which rupture was followed by a chronic clinical course. In the first, there was an atheromatous aneurysm which led to chronic lombo-sciatic pain over a period of 15 months before exact diagnosis. The second concerned an aneurysm probably related to Yersinia enterolitica infection which led to abdominal pain over a period of 3 weeks. In both cases, the diagnosis was made on the CT scan and the operation led to the immediate disappearance of the symptomatology. Although a particular entity of sub-renal aorta aneurysms is still under debate, identifying an identifiable subset appears to be justified. Indeed, cases in which a chronic course follows rupture have particular characteristics including the absence of effect on general haemodynamics and an operative risk identical to nonruptured aneurysms. These characteristics differentiate this subset from non-sealed retroperitoneal aneurysms of the aorta.
Baste
J C
JC
Service de Chirurgie générale et vasculaire, hôpital Saint-André, Bordeaux.
Midy
D
D
Pheline
P
P
Dassain
M
M
Ghessens
B
B
Alessandrin
J F
JF
D000368:Aged; D017544:Aortic Aneurysm, Abdominal; D001019:Aortic Rupture / Q000175:diagnosis / Q000503:physiopathology*; D002908:Chronic Disease; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors
Rupture d'évolution chronique des anévrismes de l'aorte sous-rénale. A propos de deux observations.