title: Jaundice as a Rare Indication for Aortic Aneurysm Repair.
abstract: Compression of adjacent anatomic structures by an abdominal aortic aneurysm (AAA) can result in a variety of symptoms. We describe the case of an 88-year-old Caucasian woman with jaundice, elevated laboratory parameters for extrahepatic and intrahepatic cholestasis, and concomitant juxtarenal AAA compressing the liver hilum. Following exclusion of other common causes for cholestasis, the patient was considered to have a symptomatic AAA. Open abdominal aortic surgery revealed a contained rupture and was repaired. Obstructive jaundice secondary to a compromising AAA is a rare condition and to the best of our knowledge has not been reported to date.
authors.affiliation: Department of Vascular Medicine, University Heart Center Hamburg, Hamburg, Germany. Electronic address: h.riess@uke.de.
authors.forename: Henrik C
authors.initials: HC
authors.lastname: Rieß
authors.affiliation: Department of Vascular Medicine, University Heart Center Hamburg, Hamburg, Germany.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Tsilimparis
authors.affiliation: Department of Vascular Medicine, University Heart Center Hamburg, Hamburg, Germany.
authors.forename: Christian A
authors.initials: CA
authors.lastname: Behrendt
authors.affiliation: Department of Vascular Medicine, University Heart Center Hamburg, Hamburg, Germany.
authors.forename: Sabine
authors.initials: S
authors.lastname: Wipper
authors.affiliation: Department of Vascular Medicine, University Heart Center Hamburg, Hamburg, Germany.
authors.forename: Eike S
authors.initials: ES
authors.lastname: Debus
authors.affiliation: Department of Vascular Medicine, University Heart Center Hamburg, Hamburg, Germany.
authors.forename: Axel
authors.initials: A
authors.lastname: Larena-Avellaneda
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D002763:Cholecystectomy; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002780:Cholestasis, Intrahepatic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007565:Jaundice / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome