Med.Inter.Rev. 2015, 104, 159-163.

Abdominal Aortic thrombosis in the emergency department. A case report


Giada MELIS 1., Upinder Kaur Mattar DIAL 2., Laura SINI 3., Mario Costante OPPES 4., Maria Immacolata MELE 4., Massimo TUSCONI 5.

1.M.D., Ph.D Training Program in Biomedical Sciences, University of Sassari, Italy,
2.M.D., Specialty School of Internal Medicine, University of Sassari, Italy
3.M.D., Specialty School of Emergency Medicine, University of Sassari, Italy
4.M.D., Emergency Department Blessed Annunciation Hospital, Local Health Unit No. 1, Sassari, Italy
5.M.D., Department of Public Health, Clinical and Molecular Medicine – Section of Psychiatry, University of Cagliari, Italy


Abstract
The complete obstruction of a large artery, including the aorta, is a serious event which, as a general rule, has devastating effects. Sometimes symptoms may be ambiguous and the diagnosis may not be immediate. Prompt recognition of this condition provides the only hope of survival from this rare and catastrophic disease. A 52-year-old man was well until an episode of sudden low back pain and paresis of the legs resulted in admission to the Emergency Department (ED). The entire process of management, from admission to ED until the end of surgical operation, took about 4 hours. After 4 days the patient was discharged, in good clinical conditions. This case report highlights the importance of rapid management of this rare clinical condition for optimal outcome. Early diagnosis is essential for effective treatment.
Keywords: Acute Thrombosis; Abdominal Aorta; Treatment; Emergency Department


Oryginal language: English

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