Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction

Khalid Hamid Changal; Francis Lim; Tejasvi Sunkara; Syed Uzair Hamdani

doi:10.1136/bcr-2017-220539

Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction

BMJ Case Rep. 2017 Sep 25:2017:bcr2017220539. doi: 10.1136/bcr-2017-220539.

Authors

Khalid Hamid Changal¹, Francis Lim¹, Tejasvi Sunkara¹, Syed Uzair Hamdani²

Affiliations

¹ Department of Internal Medicine, Mercy St. Vincent's Medical Center, Toledo, Ohio, USA.
² Department of Gastroenterology, Mercy St. Vincent's Medical Center, Toledo, Ohio, USA.

Abstract

Biliary obstruction is a rare presentation of abdominal aortic aneurysm (AAA). The most common symptoms of AAA are abdominal or back pain and limb ischaemia from thromboembolism. We report a case of a 67-year-old male who was diagnosed with obstructive jaundice secondary to an AAA. CT angiogram revealed compression of the common bile duct by the large AAA, causing diffuse intrahepatic and extrahepatic ductal dilatation. Surgical repair of the aortic aneurysm was successful, and patient's symptoms improved.

Keywords: biliary intervention; pancreas and biliary tract.

Publication types

Case Reports

MeSH terms

Aged
Aortic Aneurysm, Abdominal / complications
Aortic Aneurysm, Abdominal / diagnostic imaging*
Aortic Aneurysm, Abdominal / surgery
Common Bile Duct / diagnostic imaging*
Common Bile Duct / physiopathology
Common Bile Duct Diseases / diagnostic imaging*
Common Bile Duct Diseases / surgery
Computed Tomography Angiography*
Constriction, Pathologic / diagnostic imaging*
Constriction, Pathologic / surgery
Humans
Jaundice, Obstructive / diagnostic imaging*
Jaundice, Obstructive / etiology
Jaundice, Obstructive / surgery
Male
Treatment Outcome