Abstract
A 22 year old woman presented with a one month history of progressive abdominal pain. She had undergone laparoscopic appendicectomy two months previously, during which a tiny retroperitoneal haematoma was found but not explored following Trocar insertion. Clinical examination revealed a pulsatile mass. Computed tomographic angiography noted a large pseudoaneurysm measuring 5.5×4.7×10.6 cm caused by a small perforation at the aortic bifurcation (A, arrow). Emergency open surgery was performed, during which the small perforation was confirmed (B, arrow) and repaired simply with a standard 5-0 polypropylene suture. The patient made an uneventful recovery at two month follow up.Image 1
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
