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Abdominal Aortic Thrombosis

Thrombosis Aorta Abdominal


Presentation

  • Abdominal aortic thrombosis needs to be considered in a patient who presents with an anterior spinal artery syndrome, which, if present, must be treated as rapidly as possible to preserve motor and sensory function.[ncbi.nlm.nih.gov]
  • We present the case of a 72-year-old-man, who referred to the emergency Department of our hospital because of persistent severe abdominal and perineal pain.[ncbi.nlm.nih.gov]
  • We present a complicated case of an otherwise healthy neonate who developed thrombosis of abdominal aorta with renal failure.[ncbi.nlm.nih.gov]
  • Case Presentation: We report a case of young male suffering from AIDS, presented with chronic diarrhea and abdominal pain. Patient was diagnosed as a case of partial abdominal aortic thrombosis.[nigjcardiol.org]
  • Though he presented to us after a week, on presentation to the initial health facility, he was drowsy and had slurred speech.[cureus.com]
Coronary Artery Disease
  • Mathews MJ, Liebenberg L, Mathews EH: The mechanism by which moderate alcohol consumption influences coronary artery disease.[cureus.com]
  • artery disease should always be considered in such patients according to the available guidelines, despite of being asymptomatic. [5], [6] Conclusion Abdominal symptoms are amongst the most frequent complaints of patients with AIDS.[nigjcardiol.org]
  • artery disease (n 3).[kjim.org]
Perineal Pain
  • We present the case of a 72-year-old-man, who referred to the emergency Department of our hospital because of persistent severe abdominal and perineal pain.[ncbi.nlm.nih.gov]
Vascular Disease
  • You are more likely to have vascular disease as you get older.[icdlist.com]
  • diseases I73.89 Other specified peripheral vascular diseases I73.9 Peripheral vascular disease, unspecified I74 Arterial embolism and thrombosis I74.0 Embolism and thrombosis of abdominal aorta I74.01 Saddle embolus of abdominal aorta I74.09 Other arterial[icd10data.com]
  • Search strategy: The Cochrane Peripheral Vascular Diseases Group searched their trials register (last searched 13 July 2009) and the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library, (last searched Issue 3, 2009).[cochrane.org]
  • Systemic diseases such as Marfan’s, Ehler Danlos and collagen vascular diseases may also be complicated by aneurysms. The inflammatory damage causes loss of structural integrity of the aorta leading to luminal dilatation.[sonoworld.com]
  • With regard to late cardiovascular problems, cisplatin is thought to initiate degenerative processes of vessel walls, thus causing occlusive vascular disease in the long run.[bmccancer.biomedcentral.com]
Venous Insufficiency
  • Aortic arch syndrome (Medical Encyclopedia) Arterial embolism (Medical Encyclopedia) Arteriogram (Medical Encyclopedia) Cerebral angiography (Medical Encyclopedia) Duplex ultrasound (Medical Encyclopedia) Venous insufficiency (Medical Encyclopedia) Venous[icdlist.com]
Slurred Speech
  • Though he presented to us after a week, on presentation to the initial health facility, he was drowsy and had slurred speech.[cureus.com]

Workup

  • Workup for autoimmune diseases and inherited and acquired thrombotic diseases was all negative.[cureus.com]
  • A thorough workup of his past medical history revealed that the patient was admitted previously 22 nd August 2012, prior to current admission.[nigjcardiol.org]

Treatment

  • The treatment of abdominal aortic thrombosis in neonates should be considered on a case-by-case basis because the available data on the condition are limited to case report and series.[ncbi.nlm.nih.gov]
  • Other treatments include medicines and surgery.[icdlist.com]
  • Early diagnosis is essential for effective treatment.[psjd.icm.edu.pl]
  • Heart stoppage occurred and lifesaving treatment was ineffective. A large thrombus from the abdominal aorta to both common iliac arteries was observed by aortography.[casereports.bmj.com]
  • Clinicians should be aware and alert of unprovoked thrombosis to promote timely treatment and prophylaxis.[nigjcardiol.org]

Prognosis

  • Prognosis of abdominal aortic aneurysms: a population-based study. N Engl J Med 1989; 321:1009-1014. ‎[books.google.de]
  • […] aortic injury Long-term surveillance in traumatic aortic injury Iatrogenic aortic dissection Aortic aneurysms Thoracic aortic aneurysms Abdominal aortic aneurysm Definition Risk factors Natural history Diagnosis Abdominal aortic aneurysm repair Long-term prognosis[escardio.org]
  • Case presentation A 49 year old patient presented with advanced seminoma by bulky retroperitoneal disease and left-sided supraclavicular lymphadenopathy, corresponding to stage III (Lugano classification) and to the good prognosis group according to IGCCCG[bmccancer.biomedcentral.com]
  • […] external iliac artery (EIA) for the planning of endovascular treatment presence of aberrant renal veins (e.g. retroaortic or circumaortic left renal vein ) presence of accessory renal arteries Also see: reporting tips for aortic aneurysms Treatment and prognosis[radiopaedia.org]
  • There was also a significantly higher risks of reintervention and aneurysm rupture after endovascular repair. [ 15 ] Prognosis Natural history The risk of rupture is mainly determined by aneurysm diameter.[patient.info]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Clinicians should also consider etiologies other than infectious as cause of abdominal pain to prevent any catastrophe. Clinicians should be aware and alert of unprovoked thrombosis to promote timely treatment and prophylaxis.[nigjcardiol.org]
  • […] aorto-left renal vein fistula (very rare) distal thromboembolism thrombotic occlusion of a branch vessel infection/ mycotic aneurysm (actually a pseudoaneurysm) compression of adjacent structures from large aneurysms (rare) anterior vertebral scalloping Etiology[radiopaedia.org]
  • Other etiologic factors including atrial myxoma, vegetations in bacterial or fungal endocarditis, prosthetic valve thrombus may be infrequently seen [ 2 - 5 ] Its diagnosis depends on the clinical presentation including acute hypertension, abdominal symptoms[pulsus.com]

Epidemiology

  • […] aortic repair Abdominal endovascular aortic repair Surgery Ascending aorta Aortic arch Thoracoabdominal aorta Abdominal aorta Acute thoracic aortic syndromes Definition Pathology and classification Acute aortic dissection Definition and classification Epidemiology[escardio.org]
  • ODERICH * The Journal of Cardiovascular Surgery 2017 December;58(6):848-53 Changes in abdominal aortic aneurysm epidemiology Fredrik LILJA, Anders WANHAINEN, Kevin MANI * The Journal of Cardiovascular Surgery 2019 February;60(1):152-4 Abnormal blood flow[minervamedica.it]
  • The risk of rupture is also greater for women. [ 2 ] Epidemiology The prevalence of AAAs is estimated at 1.3-12.7% in the UK. [ 3 ] Symptomatic AAA in men has an incidence of 25 per 100,000 at age 50, which increases markedly to 78 per 100,000 in those[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • Thromboembolic complications in the nephrotic syndrome: Pathophysiology and clinical management. Thromb Res 2006;118:397-407. 4. Gargah T, Abidi K, Nourchene K, Zarrouk C, Lakhoua MR. Thromboembolic complications of childhood nephrotic syndrome.[sjkdt.org]
  • Of note – there are clinicians who claim that anticoagulation has no place in the treatment of mural thrombus as the pathophysiology is not one of hypercoagulability.[angiologist.com]

Prevention

  • Background: Deep vein thrombosis ( DVT ) is one of the most common, preventable complications of surgery.[cochrane.org]
  • Many conditions can cause the blood to clot too much or prevent blood clots from dissolving properly.[icdlist.com]
  • Present case justifies that vascular thrombosis should also be considered in differential diagnosis and a timely workup to be done to prevent any catastrophe. References 1. Mulaudzi TV. HIV associated vasculopathy.[nigjcardiol.org]
  • In conclusion the early haemofiltration applied in this case provided clear beneficial effects, probably preventing the evolution towards multiple organ dysfunction syndrome.[ncbi.nlm.nih.gov]
  • Arterial thrombosis is rare and must be prevented. How to cite this article: Labidi J, Selmi Y, Ariba YB, Elloumi Z, Othmani S. A case of abdominal aortic thrombosis associated with the nephrotic syndrome.[sjkdt.org]

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