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Various complications of abdominal aortic aneurysm : CT findings

Journal Article:

Abstract

To evaluate on abdominal CT the type and incidence of various complications of abdominal aortic aneurysm (AAA). Twenty six suspected cases of AAA were confirmed by operation(n=21) and by CT(n=5). The etiology, size, shape and incidence of various complications of AAA were then retrospectively evaluated. In addition, post-operative complications were also evaluated in five cases. The etiology of the aneurysm was atherosclerotic in 18 cases and mycotic in three;it showed the presence of Behcet disease in three cases, of tuberculosis in one, and of Marfan syndrome in one. Among the 18 fusiform AAA, the mean maximum diameter of ruptured AAA(7.5{+-}3cm, n=3) was significantly larger than that of unruptured AAA(4.9{+-}1.6cm, n=15) (p<0.05). The saccular type was much more likely to rupture than the fusiform type(p<0.00001). Out of the eight saccular AAA, seven ruptured ; their mean maximum diameter was 3.9{+-}1.3cm This was significantly smaller than that of ruptured fusiform aneurysm(p<0.05). The most common complication was rupture, and occurred ten of 26 cases(38%). Others included hydronephrosis in three cases, bowel infarction in one, and perianeurysmal retroperitoneal fibrosis in one case. Various post-oper-ative complications developed in five patients; these comprised periprosthetic pseudoaneurysm with hematoma (two cases), bowel ischemia (one), focal renal infarction (one),  More>>
Authors:
Lee, Sang Hoon; Byun, Jae Young; Kim, Bum Soo; Kim, Euy Neyung; Yoon, Yeo Dong; Kim, Ki Tae; Lee, Jae Mun; Shinn, Kyung Sub [1] 
  1. The Catholic Univ. of Korea, College of Medicine, Seoul (Korea, Republic of)
Publication Date:
Mar 01, 1997
Product Type:
Journal Article
Reference Number:
EDB-01:064479
Resource Relation:
Journal Name: Journal of the Korean Radiological Society; Journal Volume: 36; Journal Issue: 3; Other Information: 34 refs., 6 figs; PBD: Mar 1997
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABDOMEN; AORTA; COMPUTERIZED TOMOGRAPHY; DIAGNOSIS; ETIOLOGY; MYOCARDIAL INFARCTION; OPERATION; PATIENTS; RUPTURES; THERAPEUTIC USES; TUBERCULOSIS
OSTI ID:
20176144
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 0301-2867; DBSHAH; TRN: KR0100590033699
Submitting Site:
KRN
Size:
page(s) 477-482
Announcement Date:

Journal Article:

Citation Formats

Lee, Sang Hoon, Byun, Jae Young, Kim, Bum Soo, Kim, Euy Neyung, Yoon, Yeo Dong, Kim, Ki Tae, Lee, Jae Mun, and Shinn, Kyung Sub. Various complications of abdominal aortic aneurysm : CT findings. Korea, Republic of: N. p., 1997. Web.
Lee, Sang Hoon, Byun, Jae Young, Kim, Bum Soo, Kim, Euy Neyung, Yoon, Yeo Dong, Kim, Ki Tae, Lee, Jae Mun, & Shinn, Kyung Sub. Various complications of abdominal aortic aneurysm : CT findings. Korea, Republic of.
Lee, Sang Hoon, Byun, Jae Young, Kim, Bum Soo, Kim, Euy Neyung, Yoon, Yeo Dong, Kim, Ki Tae, Lee, Jae Mun, and Shinn, Kyung Sub. 1997. "Various complications of abdominal aortic aneurysm : CT findings." Korea, Republic of.
@misc{etde_20176144,
title = {Various complications of abdominal aortic aneurysm : CT findings}
author = {Lee, Sang Hoon, Byun, Jae Young, Kim, Bum Soo, Kim, Euy Neyung, Yoon, Yeo Dong, Kim, Ki Tae, Lee, Jae Mun, and Shinn, Kyung Sub}
abstractNote = {To evaluate on abdominal CT the type and incidence of various complications of abdominal aortic aneurysm (AAA). Twenty six suspected cases of AAA were confirmed by operation(n=21) and by CT(n=5). The etiology, size, shape and incidence of various complications of AAA were then retrospectively evaluated. In addition, post-operative complications were also evaluated in five cases. The etiology of the aneurysm was atherosclerotic in 18 cases and mycotic in three;it showed the presence of Behcet disease in three cases, of tuberculosis in one, and of Marfan syndrome in one. Among the 18 fusiform AAA, the mean maximum diameter of ruptured AAA(7.5{+-}3cm, n=3) was significantly larger than that of unruptured AAA(4.9{+-}1.6cm, n=15) (p<0.05). The saccular type was much more likely to rupture than the fusiform type(p<0.00001). Out of the eight saccular AAA, seven ruptured ; their mean maximum diameter was 3.9{+-}1.3cm This was significantly smaller than that of ruptured fusiform aneurysm(p<0.05). The most common complication was rupture, and occurred ten of 26 cases(38%). Others included hydronephrosis in three cases, bowel infarction in one, and perianeurysmal retroperitoneal fibrosis in one case. Various post-oper-ative complications developed in five patients; these comprised periprosthetic pseudoaneurysm with hematoma (two cases), bowel ischemia (one), focal renal infarction (one), and secondary aorticoduodenal fistula (one). The most common complication of AAA was rupture, the rate of which was much higher in the saccular type with smaller size than the fusiform type. Other various and uncommon complications were observed. CT was helpful in detecting complications arising from AAA and in planning its treatment.}
journal = {Journal of the Korean Radiological Society}
issue = {3}
volume = {36}
journal type = {AC}
place = {Korea, Republic of}
year = {1997}
month = {Mar}
}