title: Aneurysm rupture from blunt abdominal trauma after endovascular repair.
abstract: We present a case of aneurysm rupture from severe blunt abdominal trauma due to fight in a patient who had endovascular aneurysm repair. The patient presented to the emergency service with computed tomography evidence of an endoleak and a large retroperitoneal hematoma. The contrast abdominal computed tomography demonstrated a type Ib endoleak, increase in the aneurysm diameter and hematoma in the retroperitoneum. The patient has been taken under interventional procedure for endovascular aneurysm repair revision under urgent condition. Type Ib endoleak was treated by placement of a covered iliac extension limb, but a second leakage from graft body was found in control computed tomography images and open surgical conversion was necessary. Operative findings included a type III endoleak from graft body, defect on fabric. It was seen that the aneurysm sac anterior and posterior parts were ruptured. Upon reviewing the literature, we found that it was an interesting case as the first rupture case which had been developed after severe blunt abdominal trauma during the follow-up period of a patient on which endovascular aneurysm repair procedure had been performed and progressed in this manner.
authors.affiliation: Cardiovascular Surgery Clinic, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey ilknurkvc@hotmail.com.
authors.forename: Ilknur G
authors.initials: IG
authors.lastname: Bahar
authors.affiliation: Cardiovascular Surgery Clinic, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey.
authors.forename: Ufuk
authors.initials: U
authors.lastname: Tutun
authors.affiliation: Cardiovascular Surgery Clinic, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey.
authors.forename: Zafer
authors.initials: Z
authors.lastname: Iscan
authors.affiliation: Cardiovascular Surgery Clinic, Kastamonu Government Hospital, Ankara, Turkey.
authors.forename: Nurcan
authors.initials: N
authors.lastname: Ayabakan
authors.affiliation: Radiology Clinic, Turkey Yuksek Ihtisas Hospital, Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ozdemir
mesh_terms: D000007:Abdominal Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D000072226:Computed Tomography Angiography; D057867:Endoleak / Q000000981:diagnostic imaging / Q000209:etiology; D057510:Endovascular Procedures; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D012086:Reoperation; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014754:Violence; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery
keywords: Endovascular abdominal aortic repair; endoleak; ruptured abdominal aortic aneurysm after endovascular repair