[Spinal destruction caused by chronic contained rupture of an infra-renal abdominal aortic aneurysm].
The erosion of the lumbar vertebral bodies by a chronic contained rupture of an infra-renal abdominal aortic aneurysm is a rare event. Chronic contained rupture can cause diagnostic difficulties as there are many clinical presentations, such as: back pain, sciatic pain or an expansive abdominal mass. The diagnosis is sometimes made following an incidental finding on radiological examination. Currently a CT scan is the gold standard diagnostic tool. The outcome following urgent surgical or endovascular repair is equivalent to that of an elective aneurysm repair. We report a case of a 59 year old man admitted for septic rupture of a cutaneous fistula resulting from a false aneurysm in the left groin. Pre-operative CT scan revealed a 6 cm abdominal aortic aneurysm, with chronic contained rupture. This had caused bone erosion of the vertebral body of the third lumbar vertebrae.
Penard
J
J
Service de Chirurgie Cardiovasculaire et Thoracique, 4 rue Larrey, CHU, 49033, Angers Cedex 01. julienpenard@hotmail.com
Picquet
J
J
Jousset
Y
Y
Blin
V
V
Papon
X
X
Enon
B
B
D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging* / Q000601:surgery; D002908:Chronic Disease; D006801:Humans; D008297:Male; D013122:Spinal Diseases / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome