Acute Abdominal Aortic Occlusion in a Paraplegic Patient: Case Report

Year 2024, Volume: 3 Issue: 2, 63 - 65, 30.06.2024

Gözde Yılmaz , İsmail Furkan Şimşek , Rukiye Aytekin , Ayşegül Eylem Özer , Necmi Baykan

https://doi.org/10.59518/farabimedj.1419909

Abstract

Acute total occlusion of the abdominal aorta is a rare and life-threatening clinical condition. Thrombus is the most common etiology. Associated morbidity and mortality remain high, with high rates of limb loss, acute kidney injury, rhabdomyolysis, and death. Diagnosis is based on the physical examination at the time of presentation. Findings include absent pulses in the lower extremities, pale and cold skin, and neurological deficits. With this case, we aimed to remind that aortic total occlusion, a rare diagnosis, can also be present in patients who present to the emergency department with paraplegia.

Keywords

Aortic occlusion, Paraplegia, Thrombosis

Paraplejik Hastada Akut Abdominal Aort Oklüzyonu: Olgu Sunumu

Abstract

Abdominal aortada gelişen akut total oklüzyon oldukça nadir görülen ve hayatı tehdit eden klinik bir durumdur. Akut arteryel oklüzyon gelişen bir hastanın fizik muayenesinde genellikle etkilenen bölgede ağrı, soğukluk, solukluk, nabızsızlık ve parestezi tespit edilir. Bizim olgumuz daha nadir görülen bir semptom olan her iki bacakta kuvvet kaybı ile başvurdu. Genç yaşta olduğu ve ek hastalığı bulunmadığı halde kritik boyutta ve seviyede bir oklüzyonu mevcuttu. Bu olgu ile parapleji ile acil servise başvuran hastada nadir bir tanı olan aort total oklüzyonunun da olabileceğini hatırlatmayı amaçladık.

Keywords

Aort oklüzyonu, Parapleji, Tromboz

References

• Riccioni G, Bucciarelli V, Bisceglia N, et al. Acute abdominal aortic thrombosis caused by paroxysmal atrial fibrillation. J Biol Regul Homeost Agents. 2013;27(2):607-609.
• Wu MT, Beringer C, Mahomed Z. A case report on the diagnosis of acute abdominal aortic occlusion using point-of-care ultrasound in the emergency department. Cureus. 2023;15(9):e44686. Published 2023 Sep 4. doi:10.7759/cureus.44686
• Crawford JD, Perrone KH, Wong VW, et al. A modern series of acute aortic occlusion. J Vasc Surg. 2014;59(4):1044-1050. doi:10.1016/j.jvs.2013.10.080
• Fujimura N, Takahara M, Obara H, et al. Comparison of aortobifemoral bypass and endovascular treatment for chronic infrarenal abdominal aortic occlusion from the CHAOS (CHronic Abdominal Aortic Occlusion, ASian Multicenter) registry. J Endovasc Ther. 2023;30(6):828-837. doi:10.1177/15266028221098710
• Zhang X, Zou H, Rong Y. Acute occlusion of the abdominal aorta associated with left ventricular thrombus: A case report. Am J Case Rep. 2023;24:e939095. Published 2023 Apr 3. doi:10.12659/AJCR.939095
• Lei Y, Chen J, Chen Q, et al. Total suprarenal aortic occlusion with cardiac disease: a case series of three cases. World J Emerg Med. 2024;15(1):59-61. doi:10.5847/wjem.j.1920-8642.2024.004
• Almadwahi NY, Alshujaa MA, Al-Hashedi AA, Jowah HM. Rare presentation of acute lower limb ischemia: saddle aortic embolus with paraplegia-Case report. 2024. doi:10.21203/rs.3.rs-3949717/v1
• Yamamoto H, Nishimaki H, Imai N, Nitta M, Daimaru O. Aortic thrombus in a patient with myeloproliferative thrombocytosis, successfully treated by pharmaceutical therapy: a case report. J Med Case Rep. 2010;4:219. Published 2010 Jul 21. doi:10.1186/1752-1947-4-219
• Mandegar MH, Saidi B, Roshanali F. Extensive arterial thrombosis in a patient with factor V Leiden mutation. Interact Cardiovasc Thorac Surg. 2010;11(1):127-129. doi:10.1510/icvts.2010.232710