isdiagnosis and mistherapy of ruptured abdominal aortic Aneurysms
Jing Zaiping
FENG Rui
FENG Xiang
Abstract：Rupture of abdominal aortic aneurysm(RAAA)is a catastrophic complication of AAA with a high mortality.The most common initial physical findings are abdominal pain,back pain,shock and pulsatile abdominal mass.Ultrasound and spiral CT are sensitive in identifying the presence of RAAA and in common use.Confusing symptoms often lead to a variety of misdiagnosis in RAAA,such as renal colic,gastrointestinal hemorrhage or perforation,bowel obstruction,sigmoid diverticulitis,acute cholecystitis,acute pancreatitis,incarcerated inguinal hermia,acute myocardial infarction and abdominal blunt trauma.The mortality in misdiagnosed RAAA is significantly higher than that in correctly diagnosed RAAA.Early emergent surgical repair or endovascular graft exclusion is therapeutic method for RAAA,but its benefit can be lowered due to misdiagnosis,poor operational skill and delay in the CT scanning or unreasonable preparation for surgery.
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Publication Date：2001-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1-4 )