You are here

Article Text

Article menu
Download PDFPDF
Unusual presentation of more common disease/injury
CASE REPORT
Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction
  1. Khalid Hamid Changal1,
  2. Francis Lim1,
  3. Tejasvi Sunkara1,
  4. Syed Uzair Hamdani2
  1. 1Department of Internal Medicine, Mercy St. Vincent’s Medical Center, Toledo, Ohio, USA
  2. 2Department of Gastroenterology, Mercy St. Vincent’s Medical Center, Toledo, Ohio, USA
  1. Correspondence to Dr Khalid Hamid Changal, khalidchangal{at}gmail.com

Summary

Biliary obstruction is a rare presentation of abdominal aortic aneurysm (AAA). The most common symptoms of AAA are abdominal or back pain and limb ischaemia from thromboembolism. We report a case of a 67-year-old male who was diagnosed with obstructive jaundice secondary to an AAA. CT angiogram revealed compression of the common bile duct by the large AAA, causing diffuse intrahepatic and extrahepatic ductal dilatation. Surgical repair of the aortic aneurysm was successful, and patient’s symptoms improved.

  • biliary intervention
  • pancreas and biliary tract

https://doi.org/10.1136/bcr-2017-220539

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors KHC: writing the case, corresponding author, editing the case and gathering and editing the radiological pictures. FL: writing the case, editing the case and gathering and editing the radiological pictures. TS: editing the case. SUH: gastroenterologist taking care of the patient and critical review of the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.