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November 1983

Traumatic Aneurysm of the Abdominal Aorta With Acute Thrombosis of Bilateral Iliac Arteries

Author Affiliations

From the Department of Surgery, Nagoya University Branch Hospital (Drs Matsubara, Seko, Ohta, and Shionoya), and the College of Medical Technology, Nagoya (Dr Ban), Japan.

Arch Surg. 1983;118(11):1337-1339. doi:10.1001/archsurg.1983.01390110083018

• A traumatic aneurysm of the abdominal aorta resulting in acute peripheral thrombosis is rare. A 29-year-old man suffered a sudden occlusion of the terminal abdominal aorta and bilateral iliac arteries. An infrarenal abdominal aortic aneurysm was found, along with destruction of lumbar vertebrae and an aberrant renal artery. The pathogenesis of this false aneurysm was thought to be traumatic rather than inflammatory because the patient's history and laboratory findings showed no signs of inflammatory reactions. He had been in an automobile accident five years previously, resulting in lumbar vertebral injury. Arterial reconstruction and intraoperative perfusion of the aberrant renal artery were performed successfully. To our knowledge, our case is the seventh one reported in the English literature of a traumatic aneurysm of the abdominal aorta successfully repaired by surgery.

(Arch Surg 1983;118:1337-1339)