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pmid: 17685264
We report a unique case of chronic contained thoraco-abdominal aneurysm rupture presenting as a Grynfeltt lumbar hernia. A 79-year-old man presented with backpain and a bluish swelling in the left lumbar region in the presence of a non tender aortic aneurysm. CT scan confirmed contained rupture of a type IV thoraco-abdominal aortic aneurysm. The peri-aortic haematoma protruded through the lumbar wall causing a Grynfeltt lumbar hernia. The aneurysm was replaced through a thoraco-phreno-lumbotomy. The patient survived and is doing well six months postoperatively.
Male, Hernia, Aortic Rupture, Lumbosacral Region, Diagnosis, Differential, Blood Vessel Prosthesis Implantation, Postoperative Complications, Chronic Disease, Humans, Tomography, X-Ray Computed, Low Back Pain, Herniorrhaphy, Aged, Aortic Aneurysm, Abdominal, Follow-Up Studies
Male, Hernia, Aortic Rupture, Lumbosacral Region, Diagnosis, Differential, Blood Vessel Prosthesis Implantation, Postoperative Complications, Chronic Disease, Humans, Tomography, X-Ray Computed, Low Back Pain, Herniorrhaphy, Aged, Aortic Aneurysm, Abdominal, Follow-Up Studies
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