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J Korean Soc Emerg Med > Volume 28(2); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(2): 208-212.
Acute Thrombosis of an Abdominal Aortic Aneurysm Followed by Direct Abdominal Trauma: A Case Report
Young Sun Yoo1, Kyung Hoon Sun2*, Yong Jin Park2, Tae Hoon Kim3
1Department of General Surgery, College of Medicine, Chosun University, Gwangju, Korea
2Department of Emergency Medicine, College of Medicine, Chosun University, Gwangju, Korea
3Department of Emergency Medicine, Busan Paik Hospital, Inje University, Busan, Korea
Correspondence  Kyung Hoon Sun ,Tel: 062-220-3285, Fax: 062-224-3501, Email: skhkorea@hanmail.net,
Received: November 24, 2016; Revised: November 29, 2016   Accepted: December 21, 2016.  Published online: April 30, 2017.
ABSTRACT
An abdominal aortic aneurysm (AAA) is a regional dilatation diameter of greater than 3 cm of the abdominal aorta. Clinical manifestations include abdominal pain with a pulsatile mass, back and/or leg pain; however, AAA is typically asymptomatic. A ruptured AAA can result in severe abdominal pain, back pain, and hypovolemic shock, and may result in eventual death. Cases of ruptured AAAs have been reported frequently and are typically encountered in emergency departments. However, acute occlusion of AAA is an uncommon vascular emergency with a high mortality rate. We encountered a patient with sudden-onset abdominal and back pain, coldness, paresthesia, and loss of motor function in both lower extremities after experiencing sustained abdominal compression for 3 minutes. Despite rapid diagnosis and treatment, the patient died 2 days post-operation due to reperfusion injury. This report discusses the rare occurrence of an acute occlusion of AAA due to thrombosis; our aim is to increase awareness of this diagnosis in emergency departments.
Key words: Aortic Aneurysm, Abdominal, Thrombosis, Reperfusion injury
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