Chronic contained rupture of an abdominal aortic aneurysm presenting as a Grynfeltt lumbar hernia. A case report.
We report a unique case of chronic contained thoraco-abdominal aneurysm rupture presenting as a Grynfeltt lumbar hernia. A 79-year-old man presented with backpain and a bluish swelling in the left lumbar region in the presence of a non tender aortic aneurysm. CT scan confirmed contained rupture of a type IV thoraco-abdominal aortic aneurysm. The peri-aortic haematoma protruded through the lumbar wall causing a Grynfeltt lumbar hernia. The aneurysm was replaced through a thoraco-phreno-lumbotomy. The patient survived and is doing well six months postoperatively.
Center for Vascular Diseases, University Hospital Gasthuisberg, Leuven, Belgium.
J
J
Dobbeleir
I
I
Fourneau
G
G
Maleux
K
K
Daenens
J
J
Vandekerkhof
A
A
Nevelsteen
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging* / Q000601:surgery; D001019:Aortic Rupture / Q000000981:diagnostic imaging* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006547:Hernia / Q000000981:diagnostic imaging*; D059685:Herniorrhaphy; D006801:Humans; D017116:Low Back Pain / Q000000981:diagnostic imaging* / Q000601:surgery; D008161:Lumbosacral Region / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed