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Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report

INTRODUCTION: It is a controversial and difficult problem for a surgeon to manage the simultaneously occurring diseases divirticular abscess and abdominal aortic aneurysm. Mostly surgeons are not willing to execute a non vascular procedures during the repair of an aneurysm because there can be a ris...

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Autores principales: Al Wahbi, A.M., Tamimi, M. Al
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4336424/
https://www.ncbi.nlm.nih.gov/pubmed/25598400
http://dx.doi.org/10.1016/j.ijscr.2014.10.022
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author Al Wahbi, A.M.
Tamimi, M. Al
author_facet Al Wahbi, A.M.
Tamimi, M. Al
author_sort Al Wahbi, A.M.
collection PubMed
description INTRODUCTION: It is a controversial and difficult problem for a surgeon to manage the simultaneously occurring diseases divirticular abscess and abdominal aortic aneurysm. Mostly surgeons are not willing to execute a non vascular procedures during the repair of an aneurysm because there can be a risk of graft infection. PRESENTATION OF CASE: In this case study, we have explained about the presentation of a huge infrarenal abdominal aortic aneurysm (AAA) that is found to be associated with a divirticular abscess and both needed an intervention. DISCUSSION: It has been suggested by various evidences that a one-stage elective surgical treatment is safer and cost effective for the treatment of patients with an abdominal aortic aneurysm associated with other problems like gastro-intestinal malignancies. However, the high risk of graft infection made the two staged procedure a popular option. CONCLUSION: The major dilemma is in the management of patients with large aneurysm which require an urgent repair and presented with concomitant pathologies that carry a high risk of sepsis. In this case report, we described an unusual presentation of a large aneurysm with a concomitant divirticular abscess where both needed an urgent intervention.
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spelling pubmed-43364242015-03-03 Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report Al Wahbi, A.M. Tamimi, M. Al Int J Surg Case Rep Case Report INTRODUCTION: It is a controversial and difficult problem for a surgeon to manage the simultaneously occurring diseases divirticular abscess and abdominal aortic aneurysm. Mostly surgeons are not willing to execute a non vascular procedures during the repair of an aneurysm because there can be a risk of graft infection. PRESENTATION OF CASE: In this case study, we have explained about the presentation of a huge infrarenal abdominal aortic aneurysm (AAA) that is found to be associated with a divirticular abscess and both needed an intervention. DISCUSSION: It has been suggested by various evidences that a one-stage elective surgical treatment is safer and cost effective for the treatment of patients with an abdominal aortic aneurysm associated with other problems like gastro-intestinal malignancies. However, the high risk of graft infection made the two staged procedure a popular option. CONCLUSION: The major dilemma is in the management of patients with large aneurysm which require an urgent repair and presented with concomitant pathologies that carry a high risk of sepsis. In this case report, we described an unusual presentation of a large aneurysm with a concomitant divirticular abscess where both needed an urgent intervention. Elsevier 2014-12-11 /pmc/articles/PMC4336424/ /pubmed/25598400 http://dx.doi.org/10.1016/j.ijscr.2014.10.022 Text en © 2014 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Case Report
Al Wahbi, A.M.
Tamimi, M. Al
Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report
title Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report
title_full Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report
title_fullStr Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report
title_full_unstemmed Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report
title_short Huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: A case report
title_sort huge infra renal abdominal aortic aneurysm presented with concomitant divirticular abscess: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4336424/
https://www.ncbi.nlm.nih.gov/pubmed/25598400
http://dx.doi.org/10.1016/j.ijscr.2014.10.022
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