Summary
Expanding abdominal aortic aneurysms have been reported to produce compression of several vital abdominal structures. A 67-year-old man who developed common bile duct obstruction with jaundice from a contained rupture of an abdominal aortic aneurysm is presented. Diagnosis was made preoperatively with the aid of several modern radiographic techniques. This case illustrates an additional consideration in the differential diagnosis of extrahepatic biliary tract obstruction-expanding or ruptured abdominal aortic aneurysm.
Similar content being viewed by others
References
Enselberg C: The clinical picture of the aneurysm of the abdominal aorta. Ann Intern Med 44:1163–1181, 1956
Gore I, Hirst A: Arteriosclerotic aneurysms of the abdominal aorta: A review. Prog Cardiovasc Dis 16:113–150, 1973
Shafer N: Abdominal aortic aneurysm. NY State J Med 78:1727–1738, 1978
Thompson J, Hollier L, Patman R, Persson A: Surgical management of abdominal aortic aneurysms. Ann Surg 181:654–661, 1975
Szilagyi D, Smith R, Macksood A, Whitcomb J: Expanding and ruptured abdominal aortic aneurysms. Arch Surg 83:395–408, 1961
Sondheimer F, Steinberg I: Gastrointestinal manifestations of abdominal aortic aneurysms. Am J Roentgenol 92:1110–1122, 1964
Moore W, Preger L, Hall A, Maddison F: Abdominal aortic aneurysms: Unusual clinical manifestations. Calif Med 108:345–349, 1968
Dickinson W: Aneurysm of abdominal aorta compressing common bile duct and rupturing into duodenu. Trans Pathol Soc 42:77–78, 1891
Mannick J, Brooks J, Bosher L, Hume D: Ruptured aneurysms of the abdominal aorta. N Engl J Med 271:915–920, 1964
Stoney R, Wylie E: Surgical treatment of ruptured abdominal aneurysms. Calif Med 111:1–4, 1969
Askew A, Wilmshurst C: Abdominal aortic aneurysms presenting with splenic rupture and subsequent paraplegia. Vasc Surg 7:253–257, 1973
Newmeyer W, Royster T, Antenucci A: Duodenal compression by abdominal aortic aneurysms. Am J Gastroenterol 48:63–66, 1967
Panaro V, Melzer M: Duodenal obstruction from abdominal aortic aneurysm. NY State J Med 70:673–676, 1970
Kilgore T, Johnston J: Aneurysm of the abdominal aorta with special problems. Am Surg 37:238–244, 1971
Nixon J: Abdominal aneurysm in a girl aged twenty due to congenital syphilis with tables of collected cases of abdominal aneurysm. St Bartholomew's Rep 47:43–64, 1911
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Lieberman, D.A., Keeffe, E.B., Rahatzad, M. et al. Ruptured abdominal aortic aneurysm causing obstructive jaundice. Digest Dis Sci 28, 88–93 (1983). https://doi.org/10.1007/BF01393366
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01393366