Abdominal Aortic Aneurysm Causes Symptoms Diagnosis
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An Abdominal Aortic Aneurysm(AAA) is abnormal focal dilatation of the aorta, the main blood vessel that delivers blood to the body, at the level of abdomen
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Abdominal Aortic Aneurysm Causes Symptoms Diagnosis
- 1. en love da Homoeopathy ABDOMINAL AORTIC ANEURYSM
- 3. ABDOMINALAORTIC ANEURYSM(AAA) DEFINITION An enlargement of the aorta, the mainblood vessel that delivers blood to the body , at the level of abdomen CAUSES • Atherosclerosis (as degenerative process) • Familial aorticaneurysm - more females • Cysticmedial necrosis • associationwith Chlamydiapneumoniae
- 4. • Others: • Syphilis • Dissection • Trauma • collagen diseases • Infection • Arteritis CLASSIFICATON • ClassificationI • Infrarenal—most common • Suprarenal—5%. (associatedwiththoracic and or infrarenal types. ) • Isolated
- 5. • ClassificationII • Asymptomatic. • Symptomatic. • Symptomaticruptured ASYMPTAMATICTYPE • It is foundincidentally either on clinical examinationor on angiography or on ultrasound. • Repair is requiredif diameter is over 5.5 cm on ultrasound. • It is identifiedduring routine abdominal palpation or while assessing or operating for some other abdominal conditions.
- 6. SYMPTAMATIC • Backpain, • Abdominal pain • Mass abdomenwhichis smooth, soft, nonmobile, • not moving withrespiration, • vertically placed abovethe umbilical level, • pulsatile both in supine as well as kneeelbowposition with • same intensity • Resonant on percussion.
- 7. • Common in males • commonin smokers. • GIT • urinary, venous symptoms can also occur • Hypertension • Diabetes • Cardiac problems • In infrarenal type upper border is clearlyfelt. • Lower limb ischaemia • embolicepisodes can occur.
- 8. • Being a retroperitoneal mass back painis common - due to retroperitoneal stretching, nerve irritation or vertebral erosion. • inflammatoryaneurysm adherent to ureters • Aortocaval fistula- presenting as GI bleed, malaena, shock. • highoutput cardiacfailure withcontinuous bruitin abdomen • severe lower limb ischaemia • (steal phenomenon).
- 9. INVESTIGATION • Blood urea, • serumCeratinine • CT angiogram • MR angiogram. • Blood sugar • lipid profile • other • ECG • Echocardiography • Cardiac and pulmonary assessment
- 10. COMPLICATION • Rupture • infection • Thrombosis • embolism • Distal ischaemia/gangrene • Aortocaval fistula formation • Aortoenteric fistula • Erosion of vertebra • Spinal cord ischaemia when thrombosis develops
- 11. REFERENCE 1. SRB's Manual of Surgery by SriramBhat M 2. A Manual on Clinical Surgeryby Das 3. A Concise textbookof Surgeryby Das
- 12. A Special Thanks To A Very Special Doctor