title: Diagnosis and perioperative management of ruptured AAA mimicking symptomatic groin hernia.
abstract: BACKGROUND
  Ruptured abdominal aortic aneurysm (RAAA) can infrequently present as symptomatic groin hernia. This misleading form of presentation often leads to erroneous preoperative management resulting in poor survival.
  
  
  METHODS
  Two patients with RAAA mimicking symptomatic groin hernia underwent different preoperative managements pointing out the importance of the principles of hypotensive haemostasis in the scope of this emergency scenario.
  
  
  CONCLUSIONS
  Computed Tomography Angiography (CTA) remains the recommended diagnostic tool-for both safe diagnosis of the ruptured aneurysm and precise preoperative planning. Endovascular aortic repair of the RAAA-if feasible-is the treatment of choice. This rare form of RAAA manifestation should call physicians attention-especially in patients with known abdominal aortic aneurysms in their preceding medical history.
authors.affiliation: Division of Cardiovascular Surgery, University Hospital Zurich, Switzerland. Electronic address: klein.holger@googlemail.com.
authors.forename: Holger Jan
authors.initials: HJ
authors.lastname: Klein
authors.affiliation: Division of Cardiovascular Surgery, University Hospital Zurich, Switzerland. Electronic address: daniel.becker@usz.ch.
authors.forename: Daniel
authors.initials: D
authors.lastname: Becker
authors.affiliation: Division of Cardiovascular Surgery, University Hospital Zurich, Switzerland. Electronic address: zoran.rancic@usz.ch.
authors.forename: Zoran
authors.initials: Z
authors.lastname: Rancic
keywords: EVAR; Inguinal hernia; Ruptured abdominal aortic aneurysm