Emergency surgery of ruptured abdominal aortic aneurysm

ABSTRACT

A case review of ruptured abdominal aortic aneurysm is presented. The patient was admitted to the hospital for elective resection of the abdominal aotic aneurysm. While he was admitted, the aneurysm ruptured. This was diagnosed both on the clinical grounds and the serially falling haematocrit. An emergency operation was undertaken. The aortic and left iliac aneurysms were resected, with replacement by woven dacron bifurcated Y graft. Catastrophic backbleeding from the lumbar arteries was challenging. The ultimate outcome of operation was encouraging, except a small postoperative leak from the anastomosis with the right femoral artery, which was then dealt with successfully