Author/Editor		Brecelj, Aleš; Mušič, Mark
Title		Razpoke anevrizme abdominalne aorte v spodnjo veno kavo: primer iz klinične prakse
Translated title		Rupture of abdominal aortic aneurysm with aortocaval fistula: case report
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 37, št. 3
Publication year		1998
Volume		str. 413-8
Language		slo
Abstract		Rupture of abdominal aortic aneurysm is a potentially fatel event, occuring quite frequently in older men with uncontrolled hypertension. Because of nonspecific symptoms such as abdominal and back pain, the diagnosis is difficult to make, particulary in patients with no previous history of aneurysm. We report on a patient with a ruptured abdominal aortic aneurysm and massive retro and paraaortic haematoma, who developed a rare complication fistula communicating with the inferior vena cava. The patient, who was in haemorrhagic shock, requierd an emergency operation. He was discharged from the hospital affer 16 days of treatment.
Summary		Razpoka anevrizme abdominalne aorte je pri starejših moških z neurejeno arterijsko hipertenzijo v zadnjem času pogost pojav, ki se lahko tragično konča. Začetni znaki, kot so bolečine v trebuhu in križu, so neznačilni in predstavljajo diagnostični problem predvsem pri bolnikih, ki anevrizme še nimajo ugotovljene. Opisan je primer bolnika, pri katerem je prišlo do razpoke anevrizme abdominalne aorte z obsežnim retro in paraaortnim hematomom ter do redkega zapleta, fistule v spodnjo veno kavo, ki je bila ugotovljena z aortografijo. Bolnik je bil v hemoragičnem šoku urgentno operiran, po šestnajst dnevnem zdravljenju na oddelku pa odpuščen domov.
Descriptors		AORTIC ANEURYSM, ABDOMINAL AORTIC RUPTURE ARTERIOVENOUS FISTULA VENA CAVA, INFERIOR AGED HYPERTENSION