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Case Report
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| Thoracoabdominal aortic aneurysm as a primary cause for mesenteric ischemia: A case report | ||||||
| William A. H. Maclean1, Ian M. Nordon2 | ||||||
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1Surgical Trainee, Cardiovascular & Thoracic Division, University Hospital, Southampton NHS Foundation Trust, Tremona Road, Southampton, Hampshire SO16 6YD, United Kingdom.
2Vascular Consultant Surgeon, Cardiovascular & Thoracic Division University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton, Hampshire, SO16 6YD, United Kingdom. | ||||||
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| How to cite this article |
| Maclean WAH, Nordon IM. Thoracoabdominal aortic aneurysm as a primary cause for mesenteric ischemia: A case report. Edorium J Cardiothorac Vasc Surg 2015;2:1–3. |
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Abstract
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The majority of aortic aneurysms (AAs) are asymptomatic. As AAs expand they may become "symptomatic". This may be a consequence of local pressure effects. In the presence of a known AA, abdominal symptoms of pain, discomfort and bloating are often attributed to the known aneurysm, expediting the aneurysm treatment for fear of impending rupture. However, alternate diagnoses should be considered, these include diverticular disease, cholecystitis and retroperitoneal inflammation.
We report a case, a 70-year-old female presented with progressive epigastric and lower chest pain. This was subsequently confirmed to be as a result of acute mesenteric ischemia directly related to the progressive thrombus load within her thoracoabdominal aortic aneurysm and the atypical behaviour of this thrombus.
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Keywords:
Abdominal symptoms, Aortic aneurysm, Mesenteric ischemia, Thrombus
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Author Contributions
William A. H. Maclean – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ian M. Nordon – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 William A. H. Maclean et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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