Eur J Cardiothorac Surg 2003;24:1035
© 2003 Elsevier Science NL
Images in cardio-thoracic surgery |
Rupture of abdominal aortic aneurysm into duodenum
Christoph Knosalla*,
Miralem Pasic,
Roland Hetzer
Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, D-13353, Berlin, Germany
Received 10 July 2003;
accepted 1 September 2003.
* Corresponding author. Tel.: +49-30-4593-2000; fax: +49-30-4593-2100
e-mail: knosalla{at}dhzb.de
Key Words: Aorta • Abdominal aneurysm • Rupture • Duodenum
A 76-year-old-male was admitted to another hospital with suspicion of abdominal aneurysm. Emergency computed tomography showed an abdominal aortic aneurysm measuring 6x4 cm in diameter ruptured into the duodenum (Fig. 1)
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Fig. 1. CT-scan of the abdomen. Arrow indicates site of aneurysmatic rupture into the duodenum. (A) Abdominal aortic aneurysm; (D) duodenum.
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He was immediately transferred to our institution for emergency surgery. Unfortunately the patient died upon admission despite resuscitative efforts. Autopsy confirmed ruptured infrarenal abdominal aneurysm into the posterior aspect of the transverse portion of the duodenum and measured 2 cm in diameter.
