Kurnianingsih Kurnianingsih
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya / Dr. Saiful Anwar General Hospital.

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

Deteksi Dini dan Intervensi Aneurisma Aorta Abdominalis Sakular dengan Hematoma Intramural Ary Kurniawan; Kurnianingsih Kurnianingsih
Jurnal Klinik dan Riset Kesehatan Vol 5 No 3 (2026): Volume 5 No 3, June 2026 Edition
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.05.3.9

Abstract

Background: Saccular Abdominal Aortic Aneurysm with intramural hematoma carries a high risk of rupture, often presenting with atypical clinical manifestations that lead to delayed diagnosis. Case Illustration: A 68-year-old male presented with progressive abdominal pain over 4 months, diagnosed as gastritis. After 3 months without improvement, subsequently duplex ultrasonography and CT-Angiography confirmed a saccular AAA with intramural hematoma. The patient underwent EVAR with Stent Graft implantation. Case Discussion: This case highlights the diagnostic challenges of atypical AAA presentation, the importance of appropriate vascular imaging, and the significance of saccular morphology and intramural hematoma as high-risk factors for rupture. EVAR was selected for its lower perioperative mortality and morbidity compared to open surgery. Conclusion: Clinical vigilance for atypical AAA presentations, appropriate diagnostic imaging, and early endovascular intervention enable optimal management of this potentially fatal vascular condition.