Asymptomatic complete distal abdominal aortic occlusion with initial presentation of ruptured intracranial aneurysm

Chandran Nadarajan and Amirah Abdul Wahid and Chiak Yot Ng and Juhara Haron and Jeremiah Sunderaj Peter and Mohd Fariq Mohd Yusof (2021) Asymptomatic complete distal abdominal aortic occlusion with initial presentation of ruptured intracranial aneurysm. Radiology Case Reports, 16. pp. 1993-1998. ISSN 1930-0433

	Text Asymptomatic complete distal abdominal aortic occlusion with initial presentation of ruptured intracranial aneurysm-ABSTRACT.pdf Download (59kB)
	Text Asymptomatic complete distal abdominal aortic occlusion with initial presentation of ruptured intracranial aneurysm.pdf Restricted to Registered users only Download (1MB) \| Request a copy

URL: https://www.sciencedirect.com/science/article/pii/...

Abstract

Aortoilliac occlusive disease is occlusive atherosclerosis disease involving the distal aorta and bifurcation of iliac arteries and it is a subtype of peripheral arterial disease. Total occlusion of the abdominal aorta is a rare occurrence with an incidence of 3% -8.5% among the aortoiliac occlusive disease patients. We present a case of a 53 years old patient with a background history of hypertension and ex intravenous drug abuser with negative retroviral screening status, with no previous complaints who was brought to the Emergency Department with sudden onset of altered sensorium and 1 episode of seizure. Computed tomography angiogram of the brain showed a ruptured anterior communicating artery aneurysm. Diagnostic conventional angiogram of the brain was planned; however, difficulty was encountered during bilateral femoral artery cannulation with the abrupt termination of bilateral common iliac arteries. Computed tomography angiogram of the abdomen showed incidental finding of total occlusion of the abdominal aorta. As a conclusion, total occlusion of abdominal aorta secondary to aortoiliac occlusive disease with an associated intracranial aneurysm is never reported in the literature to date. This case highlights the possibility of association in between these two conditions which may benefit from further research.

Item Type:	Article
Keyword:	Abdominal aorta abnormalities , Abdominal aorta diagnostic imaging , Abdominal aorta pathology , Aortography
Subjects:	Q Science > QM Human anatomy > QM1-695 Human anatomy R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC581-951 Specialties of internal medicine > RC666-701 Diseases of the circulatory (Cardiovascular) system
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	29 Oct 2021 14:35
Last Modified:	29 Oct 2021 14:35
URI:	https://eprints.ums.edu.my/id/eprint/30916

Actions (login required)

View Item