Case Study

Clinical Case Study from Dr.T.B.S.BUXI

Case Presentation :

Mrs. Mukesh, 22 yrs., female presented to us with a painful mass in the abdomen. On admission she was cachetic, toxic, febrile, dehydrated and had a tender pulsatile and expansile mass in the epigastrium which clinically appeared to be a tender Abdominal Aortic Aneurysm. Clinically, she was labeled as a leaking Aortic Aneurysm confirmed by an ultrasound done outside which revealed a supracoeliac involvement. Her ESR was 75mm in first hour and TLC was 18,000. She was referred for a Spiral CT 0Angiography.

Radiological Findings :

• Thoraco-abdominal incision.
• Supra-coeliac Aortic Aneurysm with occluded origin of Superior Mesentric Artery and Rt Renal Artery and was extending upto the aortic bifurcation.
• 18x20cm PTFE graft replacement was done which incorporated the celiac axis in the proximal anastomosis and the Left Renal Artery was implanted into the graft.

Postoperatively :