Saccular abdominal aortic aneurysms: A case series

Abstract

This case report describes a 44-year-old male presenting with acute abdominal pain due to multiple saccular abdominal aortic aneurysms. The patient had a history of left-leg ischemia and tuberculous lymphadenopathy. Despite previous advice for open repair, the patient deferred treatment. Upon admission, CT angiography revealed multiple saccular aneurysms in the infrarenal aorta and the right common iliac artery. Due to the unsuitable anatomy and suspected inflammatory etiology, endovascular repair was not considered. Open aneurysm repair was performed using a Rifampicin-soaked Dacron graft followed by omentoplasty. A ruptured saccular aneurysm was observed intraoperatively. The patient's postoperative recovery was uneventful, and he was discharged on day 7. Histopathology of the sac and thrombus revealed nonspecific changes. The patient was maintained on oral penicillin post-surgery and was doing well at the weeks follow-up. This case highlights the importance of timely intervention in the management of complex aortic aneurysms and the potential complications associated with delayed treatment.