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Pain in the stomach: take it seriously
Fifty-two-year old Mrs S. Kaur (name changed) suddenly woke up one morning with an acute abdominal pain and blood in her vomiting. She also experienced sweating, clamminess, dizziness, low blood pressure and a very fast pulse. When her family rushed her to the patient was on the verge of losing consciousness.
After a quick examination and ultrasound, it was diagnosed that she was suffering from an abdominal aortic aneurysm with a serious complication. The aortic aneurysm had ruptured into the stomach because of which the patient was having pain and vomiting blood. An aneurysm means an area of a localised widening (dilation) of a blood vessel. An aortic aneurysm involves the aorta, one of the large arteries that carries blood from the heart to the rest of the body. The most common cause of aortic aneurysms is hardening of the arteries through the accumulation of fatty deposits and other substances in the arteries called arteriosclerosis. There are various other lifestyle causes that lead to an aortic aneurysm. Cigarette smoking increases the risk of developing an abdominal aortic aneurysm and the chance of aneurysm rupture (a life-threatening complication of abdominal aneurysm) is also more common among active smokers. Hypertension and diabetes are other medical causes that can lead to this disorder. There is also a familial tendency to develop abdominal aortic aneurysm. People with close family members suffering from abdominal aortic aneurysm are at higher risk of developing this disease. Though this disease is related to old age, individuals with family history of abdominal aortic aneurysm also tend to develop the aneurysms at younger age and have a higher tendency to suffer aneurysm rupture than individuals without family history. In rare cases, aortic aneurysm may also be caused by an infection, inflammation (vasculitis) or traumatic injury that weakens a section of the aorta wall. Click on "Full Story" for more... By Dr arvind, Section Health Posted on Thu Sep 21, 2006 at 07:08:41 AM EST
Unfortunately, aortic aneurysm is mainly a symptom-less disease and not diagnosed until the complication has already occurred. Most intact aortic aneurysms do not produce any symptoms, but when they begin to grow bigger, symptoms such as abdominal pain and back pain may develop.
However, not all aortic aneurysms reach the point of rupture. Many start small and stay small. Others slowly expand over time like a balloon that's slowly being overinflated, increasing little by little each year typically about 1/8 inch (3 to 4 millimetres). Age plays an important role in aorta aneurysm. sixty plus males are more prone to this disease. The main risk of an abdominal aortic aneurysm is that, like a balloon that's blown up too far, it may rupture. This results in life-threatening internal bleeding. Symptoms that an aortic aneurysm has ruptured include sudden, intense and persistent abdominal pain that may radiate to your back or legs, with sweating, clamminess, dizziness, low blood pressure, fast pulse and possible loss of consciousness. Till now the only method to treat an aortic aneurysm was surgery, which in any case is a high-risk option because the surgeon has to remove the dilated segment and put a graft there. But we used a non-invasive procedure to repair the aorta from inside by passing the catheter from the artery of the leg up to the point of aneurysm. The advantage of this non-invasive method was that the patient did not require general aneasthesia and was hospitalised for only three days.
Source- The writer is Chief Cardiologist and Interventionist, Shriram Cardiac Centre, Jalandhar
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