Open AccessAbdominal Aortic Aneurysm
Author(s) -
Mahbub Ahsan,
Lutfur Rahman,
Asm Shariful Islam
Publication year - 2021
Publication title -
kyamc journal
Language(s) - English
Resource type - Journals
eISSN - 2308-2860
pISSN - 2308-2720
DOI - 10.3329/kyamcj.v12i1.53370
Subject(s) - medicine , laparotomy , umbilicus (mollusc) , surgery , aneurysm , inferior mesenteric artery , clamp , abdominal aorta , common iliac artery , aorta , radiology , mechanical engineering , clamping , engineering
Abdominal aortic aneurysm is usually found incidentally. Patient may have vague symptoms of backache, anorexia, dyspepsia. Our patient presented with abdominal pain, dyspepsia, backache. CT scan revealed saccular aneurysm from infrarenal aorta. We decided for laparotomy. A long upper midline incision extending 2.5 cm below umbilicus was made. Gut was mobilized to right side. Inferior mesenteric artery (IMA), the right and left common iliac was taken control. A straight clamp was applied proximal to aneurysm, sac was opened, clot removed. The neck was found and trimmed up to healthy margin. The rent was repaired by a piece of vascular graft. The overlying sac was closed after keeping a drain. Her post operative period was uneventful. She came for follow up with no complain.
KYAMC Journal.2021;12(1): 53-55