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Rupture of the Abdominal Aortic Aneurysm in Young Adult: Is it a Real Emergency

Ramzi Asrial1*, Arip Heru Tripana2

Background: Abdominal aortic aneurysm is a rare and life-threatening case. Clinical manifestations and symptoms vary, appropriate diagnosis and treatment can improve patient outcomes.

Case Description: A 28 years old man underwent intraoperative bleeding when a mass was removed from the lumbar spine. After that, decompression of the bleeding was carried out and suturing, CT angiography was carried out and an abdominal aortic aneurysm was found. The next action, namely further surgery in the cathlab with EVAR (Endovascular Aneurysm Repair) after a follow-up of 21 days after surgery, gave satisfactory results. Patients who initially experienced pain in the lumbar spine, now the pain in the spine has improved. In this case report we review the diagnostic procedure that we carried out in accordance with several existing literature.

Conclusion: In this case report, we present a 28 years old man with an initial diagnosis of spinal tumor and during surgery a ruptured abdominal aortic aneurysm was found. Next, EVAR was carried out in the Cathlab room and gave satisfactory results.

Keywords: Abdominal aortic aneurysm, Aneurysm rupture, EVAR.

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