Case Report
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Acute Abdominal Aortic Occlusion in a Paraplegic Patient: Case Report

Year 2024, Volume: 3 Issue: 2, 63 - 65, 30.06.2024
https://doi.org/10.59518/farabimedj.1419909

Abstract

Acute total occlusion of the abdominal aorta is a rare and life-threatening clinical condition. Thrombus is the most common etiology. Associated morbidity and mortality remain high, with high rates of limb loss, acute kidney injury, rhabdomyolysis, and death. Diagnosis is based on the physical examination at the time of presentation. Findings include absent pulses in the lower extremities, pale and cold skin, and neurological deficits. With this case, we aimed to remind that aortic total occlusion, a rare diagnosis, can also be present in patients who present to the emergency department with paraplegia.

References

  • Riccioni G, Bucciarelli V, Bisceglia N, et al. Acute abdominal aortic thrombosis caused by paroxysmal atrial fibrillation. J Biol Regul Homeost Agents. 2013;27(2):607-609.
  • Wu MT, Beringer C, Mahomed Z. A case report on the diagnosis of acute abdominal aortic occlusion using point-of-care ultrasound in the emergency department. Cureus. 2023;15(9):e44686. Published 2023 Sep 4. doi:10.7759/cureus.44686
  • Crawford JD, Perrone KH, Wong VW, et al. A modern series of acute aortic occlusion. J Vasc Surg. 2014;59(4):1044-1050. doi:10.1016/j.jvs.2013.10.080
  • Fujimura N, Takahara M, Obara H, et al. Comparison of aortobifemoral bypass and endovascular treatment for chronic infrarenal abdominal aortic occlusion from the CHAOS (CHronic Abdominal Aortic Occlusion, ASian Multicenter) registry. J Endovasc Ther. 2023;30(6):828-837. doi:10.1177/15266028221098710
  • Zhang X, Zou H, Rong Y. Acute occlusion of the abdominal aorta associated with left ventricular thrombus: A case report. Am J Case Rep. 2023;24:e939095. Published 2023 Apr 3. doi:10.12659/AJCR.939095
  • Lei Y, Chen J, Chen Q, et al. Total suprarenal aortic occlusion with cardiac disease: a case series of three cases. World J Emerg Med. 2024;15(1):59-61. doi:10.5847/wjem.j.1920-8642.2024.004
  • Almadwahi NY, Alshujaa MA, Al-Hashedi AA, Jowah HM. Rare presentation of acute lower limb ischemia: saddle aortic embolus with paraplegia-Case report. 2024. doi:10.21203/rs.3.rs-3949717/v1
  • Yamamoto H, Nishimaki H, Imai N, Nitta M, Daimaru O. Aortic thrombus in a patient with myeloproliferative thrombocytosis, successfully treated by pharmaceutical therapy: a case report. J Med Case Rep. 2010;4:219. Published 2010 Jul 21. doi:10.1186/1752-1947-4-219
  • Mandegar MH, Saidi B, Roshanali F. Extensive arterial thrombosis in a patient with factor V Leiden mutation. Interact Cardiovasc Thorac Surg. 2010;11(1):127-129. doi:10.1510/icvts.2010.232710

Paraplejik Hastada Akut Abdominal Aort Oklüzyonu: Olgu Sunumu

Year 2024, Volume: 3 Issue: 2, 63 - 65, 30.06.2024
https://doi.org/10.59518/farabimedj.1419909

Abstract

Abdominal aortada gelişen akut total oklüzyon oldukça nadir görülen ve hayatı tehdit eden klinik bir durumdur. Akut arteryel oklüzyon gelişen bir hastanın fizik muayenesinde genellikle etkilenen bölgede ağrı, soğukluk, solukluk, nabızsızlık ve parestezi tespit edilir. Bizim olgumuz daha nadir görülen bir semptom olan her iki bacakta kuvvet kaybı ile başvurdu. Genç yaşta olduğu ve ek hastalığı bulunmadığı halde kritik boyutta ve seviyede bir oklüzyonu mevcuttu. Bu olgu ile parapleji ile acil servise başvuran hastada nadir bir tanı olan aort total oklüzyonunun da olabileceğini hatırlatmayı amaçladık.

References

  • Riccioni G, Bucciarelli V, Bisceglia N, et al. Acute abdominal aortic thrombosis caused by paroxysmal atrial fibrillation. J Biol Regul Homeost Agents. 2013;27(2):607-609.
  • Wu MT, Beringer C, Mahomed Z. A case report on the diagnosis of acute abdominal aortic occlusion using point-of-care ultrasound in the emergency department. Cureus. 2023;15(9):e44686. Published 2023 Sep 4. doi:10.7759/cureus.44686
  • Crawford JD, Perrone KH, Wong VW, et al. A modern series of acute aortic occlusion. J Vasc Surg. 2014;59(4):1044-1050. doi:10.1016/j.jvs.2013.10.080
  • Fujimura N, Takahara M, Obara H, et al. Comparison of aortobifemoral bypass and endovascular treatment for chronic infrarenal abdominal aortic occlusion from the CHAOS (CHronic Abdominal Aortic Occlusion, ASian Multicenter) registry. J Endovasc Ther. 2023;30(6):828-837. doi:10.1177/15266028221098710
  • Zhang X, Zou H, Rong Y. Acute occlusion of the abdominal aorta associated with left ventricular thrombus: A case report. Am J Case Rep. 2023;24:e939095. Published 2023 Apr 3. doi:10.12659/AJCR.939095
  • Lei Y, Chen J, Chen Q, et al. Total suprarenal aortic occlusion with cardiac disease: a case series of three cases. World J Emerg Med. 2024;15(1):59-61. doi:10.5847/wjem.j.1920-8642.2024.004
  • Almadwahi NY, Alshujaa MA, Al-Hashedi AA, Jowah HM. Rare presentation of acute lower limb ischemia: saddle aortic embolus with paraplegia-Case report. 2024. doi:10.21203/rs.3.rs-3949717/v1
  • Yamamoto H, Nishimaki H, Imai N, Nitta M, Daimaru O. Aortic thrombus in a patient with myeloproliferative thrombocytosis, successfully treated by pharmaceutical therapy: a case report. J Med Case Rep. 2010;4:219. Published 2010 Jul 21. doi:10.1186/1752-1947-4-219
  • Mandegar MH, Saidi B, Roshanali F. Extensive arterial thrombosis in a patient with factor V Leiden mutation. Interact Cardiovasc Thorac Surg. 2010;11(1):127-129. doi:10.1510/icvts.2010.232710
There are 9 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Case Reports
Authors

Gözde Yılmaz 0009-0003-0032-4398

İsmail Furkan Şimşek 0009-0007-4523-3667

Rukiye Aytekin 0009-0007-7139-1562

Ayşegül Eylem Özer 0009-0001-8041-9770

Necmi Baykan 0000-0002-6845-9550

Publication Date June 30, 2024
Submission Date January 15, 2024
Acceptance Date March 1, 2024
Published in Issue Year 2024 Volume: 3 Issue: 2

Cite

AMA Yılmaz G, Şimşek İF, Aytekin R, Özer AE, Baykan N. Acute Abdominal Aortic Occlusion in a Paraplegic Patient: Case Report. Farabi Med J. June 2024;3(2):63-65. doi:10.59518/farabimedj.1419909

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