A Case of Giant Aortic Abdominal Aneurysm with Symptoms of Duodenal Obstruction

(Department of Cardiovascular Surgery, Nagoya Medical Center, Nagoya, Japan)

Masaya Nakashima Shin Morita Katsuhito Teranishi
Kazuo Yamaguchi Eiji Takeuchi
A 66-year-old man had presented with nausea and vomiting at a neighboring hospital. Abdominal CT scan revealed a giant aortic abdominal aneurysm accompanied by duodenal obstruction. Y-graft replacement operation was performed in our hospital. Although aortic abdominal aneurysm is often unexpectedly diagnosed by abdominal CT scan, very few cases of aortic abdominal aneurysm have been diagnosed in association with ileac abdominal symptoms; for example vomiting and abdominal pain. We report a case of giant aortic abdominal aneurysm with symptoms of duodenal obstruction, describing pathophysiologic aspects.
@Jpn. J. Cardiovasc. Surg. 37: 181-184 (2008)