[Spinal destruction caused by chronic contained rupture of an infra-renal abdominal aortic aneurysm]

J Mal Vasc. 2006 Jul;31(3):143-5. doi: 10.1016/s0398-0499(06)76533-7.
[Article in French]

Abstract

The erosion of the lumbar vertebral bodies by a chronic contained rupture of an infra-renal abdominal aortic aneurysm is a rare event. Chronic contained rupture can cause diagnostic difficulties as there are many clinical presentations, such as: back pain, sciatic pain or an expansive abdominal mass. The diagnosis is sometimes made following an incidental finding on radiological examination. Currently a CT scan is the gold standard diagnostic tool. The outcome following urgent surgical or endovascular repair is equivalent to that of an elective aneurysm repair. We report a case of a 59 year old man admitted for septic rupture of a cutaneous fistula resulting from a false aneurysm in the left groin. Pre-operative CT scan revealed a 6 cm abdominal aortic aneurysm, with chronic contained rupture. This had caused bone erosion of the vertebral body of the third lumbar vertebrae.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, Ruptured / diagnostic imaging*
  • Aneurysm, Ruptured / surgery
  • Aortic Aneurysm, Abdominal / diagnostic imaging*
  • Aortic Aneurysm, Abdominal / surgery
  • Chronic Disease
  • Humans
  • Male
  • Spinal Diseases / etiology*
  • Tomography, X-Ray Computed
  • Treatment Outcome