VITAL EMERGENCY IN A PATIENT WITH COVID-19 DUE TO ABDOMINAL ANEURYSM WITH CONTAINED RUPTURE: CASE REPORT AND REVIEW OF THE LITERATURE
Abstract
Introduction
Abdominal aortic aneurysms are dilatations of a segment of the vascular wall and are classified as surgical when they are greater than 5 cm in diameter. In 90% of cases they are located between the renal artery and the aortoiliac bifurcation. Mortality can reach 70-90% when it ruptures, so it is a surgical emergency. For this reason, we present the case of a patient with covid-19 infection who was concomitantly diagnosed with an abdominal aneurysm with contained rupture, for which it was treated as a vital emergency.
Clinical case
This is a 78-year-old male patient with no significant history, who presented a clinical picture of chest pain radiating to the left arm, associated with nausea, diaphoresis, and syncope. On physical examination, he reported long-standing left lumbar pain. On admission with normal EKG and troponins, he blood count with hemoglobin anemia of 9.8 mg/dl and positive covid pcr. In urinary tract tomography and thoraco-abdominal angiotomography with 3D reconstruction, the image of an abdominal aneurysm measuring 73 x 68 mm in transverse and anteroposterior diameter, with a length of 79 mm, with contained rupture, was evidenced as an incidental finding. It was classified as a vital emergency despite the Covid-19 infection and was operated on endovascularly. After 14 days of isolation, he was discharged.
Conclusions
Abdominal aneurysms with findings suggestive of rupture on diagnostic images should be classified as a vital emergency, due to their high mortality, and therefore surgical intervention should be performed immediately regardless of the underlying pathologies.
Keywords: Abdominal Aortic Aneurysm; Ruptured Aneurysm; Coronavirus infections; Endovascular Procedures; Mortality
Downloads
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Annals of Mediterranean Surgery
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors who publish in this journal accept the following conditions:
- The authors retain the copyright and give the magazine the right of the first publication, with the work registered with the Creative Commons Attribution License, which allows third parties to use what is published whenever they mention the authorship of the work already The first publication in this magazine.
- Authors may make other independent and additional contractual arrangements for non-exclusive distribution of the version of the article published in this journal (eg, include it in an institutional repository or publish it in a book) provided they clearly state that Work was first published in this journal.
- Authors are encouraged and encouraged to publish their work on the Internet (eg on institutional or personal pages) before and during the review and publication process, as it can lead to productive exchanges and greater and faster dissemination of the work. Published work (see The Effect of Open Access).
