title: Retroperitoneal haematoma causing gastric outflow obstruction following endovascular repair of a ruptured abdominal aortic aneurysm.
abstract: A 74-year-old man presented with back pain and collapse. A ruptured infrarenal abdominal aortic aneurysm was successfully managed by endovascular aneurysm repair. Postoperatively, he developed gastric outlet obstruction owing to duodenal compression from the unevacuated retroperitoneal haematoma. In the absence of abdominal compartment syndrome, conservative management with gastric decompression and parenteral nutrition led to a full recovery.
authors.affiliation: Department of Vascular Surgery, University Hospital of South Manchester, Manchester, UK.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Hunter
authors.forename: Laura
authors.initials: L
authors.lastname: Tod
authors.forename: Jonathan
authors.initials: J
authors.lastname: Ghosh
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery*; D057510:Endovascular Procedures; D017219:Gastric Outlet Obstruction / Q000209:etiology* / Q000628:therapy; D005774:Gastrostomy; D006406:Hematoma / Q000150:complications* / Q000209:etiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D012187:Retroperitoneal Space