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Vascular and Endovascular Surgery
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Abdominal Aortic Aneurysms Mimicking Acute Intraperitoneal Inflammation

A. Bass

Departments of General and Vascular Surgery and Diagnostic Radiology, the Chaim Sheba Medical Center, Tel-Hashomer, Tel-Aviv University Sackler Medical School, Israel

Y. Rosenman

Departments of General and Vascular Surgery and Diagnostic Radiology, the Chaim Sheba Medical Center, Tel-Hashomer, Tel-Aviv University Sackler Medical School, Israel

R. Adar

Departments of General and Vascular Surgery and Diagnostic Radiology, the Chaim Sheba Medical Center, Tel-Hashomer, Tel-Aviv University Sackler Medical School, Israel

Four cases of abdominal aortic aneurysm misdiagnosed as acute intraperitoneal in flammation secondary to cholecystitis or di verticulitis are presented. Three were rup tured, and in the fourth there was impending rupture. The presentation of ruptured ab dominal aortic aneurysm as intraperitoneal inflammation with fever has been described, but it is rare and scarcely reported. This mis diagnosis tends to delay diagnosis and treat ment and compounds the poor prognosis of these patients.

Angiography led to the correct diagnosis in all cases but was done only 5 days after presentation in 2 of the patients. One patient (Case 4) died from complication of a septic graft, and 2 of the other 3 had markedly pro longed hospitalizations and stormy post operative courses. Physician awareness of this possibility may help prevent this misdi agnosis or reduce its future occurrence.

Vascular and Endovascular Surgery, Vol. 14, No. 5, 334-337 (1980)
DOI: 10.1177/153857448001400506
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