What are the symptoms and treatments of abdominal aortic aneurysm?

What are the symptoms of abdominal aortic aneurysm? What are the treatments?

We need to understand the symptoms of abdominal aortic aneurysm so that we can understand it.

Now let's look at its symptoms:

1. Most cases of celiac artery aneurysms are asymptomatic. A few may present with upper abdominal pain and discomfort radiating to the back, which is often mistaken for pancreatitis or peptic ulcer disease. In 1976, Haimovici et al. reported a case of celiac artery aneurysm with symptoms similar to those of peptic ulcer disease. The patient underwent partial gastrectomy, but the abdominal pain did not ease. The pain was relieved only after the aneurysm was removed. The rupture of the aneurysm caused intra-abdominal bleeding, which first entered the lesser omental sac and then the peritoneal cavity. At this time, upper abdominal pain and back pain accompanied by nausea and vomiting may occur.

2. Upper abdominal pain, pulsating mass, gastrointestinal bleeding, shock, and occasionally obstructive jaundice are often manifestations of ruptured celiac artery aneurysm.

In addition to the symptoms, let's take a look at its treatment methods:

1. Surgical route

For ruptured or threatened ruptured celiac artery aneurysms, a good surgical field can be obtained by using a combined thoracoabdominal incision starting from the left anterior axillary line through the seventh intercostal space and then opening the chest and making a midline incision in the abdomen. For most non-ruptured celiac artery aneurysms, transabdominal resection can be used.

2. Surgical method

It mainly depends on the size and location of the aneurysm. After aneurysm resection, if the proximal and distal blood vessels are normal and of sufficient length, direct end-to-end anastomosis can be performed. If the length is insufficient, after the aneurysm is removed, autologous great saphenous vein or artificial blood vessels can be used for abdominal aorta-celiac artery interposition transplantation to reconstruct the blood vessels.

According to literature reports, more than 35% of patients can undergo aneurysm resection and celiac trunk ligation without causing liver necrosis. Abdominal aneurysms often compress the splenic vein, and clinical signs of portal hypertension and highly distended splenic veins should be noted.