Ruptured abdominal aortic aneurysm in a young male patient, a rare case report

Kush Raj Lohani; Geraldine Wong Yan Xin; Jiaqian Cui; Vikram Vijayan Sannasi

doi:10.1016/j.ijscr.2021.106713

Ruptured abdominal aortic aneurysm in a young male patient, a rare case report

Int J Surg Case Rep. 2022 Jan:90:106713. doi: 10.1016/j.ijscr.2021.106713. Epub 2021 Dec 22.

Authors

Kush Raj Lohani¹, Geraldine Wong Yan Xin², Jiaqian Cui², Vikram Vijayan Sannasi²

Affiliations

¹ Division of Vascular Surgery, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore. Electronic address: Lohani_Kush_Raj@nuhs.edu.sg.
² Division of Vascular Surgery, Department of General Surgery, Ng Teng Fong General Hospital, National University Health System, Singapore.

Abstract

Introduction and importance: Abdominal aortic aneurysm (AAA) is commonly a disease of the elderly population with an atherosclerotic aorta. We present a rare case scenario of a large ruptured AAA in a young patient.

Case presentation: A 32-year-old man presented to the Emergency Department with abdominal pain. On examination he had hypotension with a severely tender abdomen. Imaging revealed a ruptured 10 cm abdominal aortic aneurysm (AAA). He underwent an emergency open aneurysm repair and was discharged well on post-operative day 12. Apart from smoking, he had no known significant risk factors contributing to an AAA of such size. Clinical features and family history suggested a possible underlying connective tissue disorder.

Clinical discussion: A painful abdomen and hypotension in a young patient should prompt investigations to rule out a rare but life-threatening diagnosis of a ruptured AAA.

Conclusion: A possible underlying connective tissue disorder should be investigated for in any young patient presenting with an AAA.

Keywords: Abdominal aortic aneurysm; Case report; Connective tissue disorder; Early onset aortic aneurysm.