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A natural history of aortic aneurysm hygroma
Journal article   Open access   Peer reviewed

A natural history of aortic aneurysm hygroma

Kristine C Orion, Rachael M Nicholson, Melhem J Sharafuddin, Timothy F Kresowik, John Corson and William John Sharp
Journal of vascular surgery, Vol.54(5), pp.1478-1480
2011
DOI: 10.1016/j.jvs.2011.04.060
PMID: 21723067
url
https://doi.org/10.1016/j.jvs.2011.04.060View
Published (Version of record) Open Access

Abstract

A 56-year-old man with a family history of aortic aneurysm underwent routine repair in 2003. A postoperative computed tomography scan showed a 6-cm perigraft hygroma. Sudden onset of abdominal pain 12 months later revealed a larger hygroma, with an additional anterior fluid collection suggestive of contained rupture. The bilobed hygroma remained stable until 2010, when he presented with chills and severe abdominal pain. A computed tomography scan demonstrated free rupture of the sister hygroma, with air pockets observed within the sac. Conservative management was elected. Air pockets as well as the hygroma eventually resolved, and the patient remains well.

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