A 81 year-old diabetic woman with abdominal aortic stent graft came into emergency as epigastric pain. TA:160/100 mmHg; HR: 100p/min. The woman was in uneasiness and throwing.
Ultrasound B-mode detected stent leak into the repaired AAA. Doppler technic showed aliasing in the stent graft and in the AAA which means that any rupture of the repaired AAA may appear soon [endoleak type II].
No free fluid outside the repaired AAA and in the abdominal cavity.
MSCT confirmed the endoleak AAA.
Lab data was stable.
As the risk of AAA rupture a scenario of repaired AAA rupture was planned.
