The rupture of infrarenal abdominal aortic aneurysm is considered a life
threatening serious complication with a mortality rate over 50 %.
The author reviewed in this study 14 patients ( 10 Males/ 4 Females)
presented to Al Mowassat Hospital over
a period of two years 2000-2001
with mean age of 65 years. The diagnosis was confirmed by abdominal
Echography and abdominal contrast Ct-scan in 10 patient while 4
patients had abdominal Echography only preoperatively , a confined
retroperitoneal rupture was confirmed in all patients .
The overall mortality was 42,8% (6 patients) : 4 patients had
intra operative death because of hemodynamic instability at presentation
,one patient died 2 days later because of acute myocardial infarction, one
patient died l week later because of the complication of acute renal failure
The author concludes that early diagnosis and rapid surgical approach
proceeding associated with a good postoperative care can reduce the
mortality of ruptured infrarenal abdominal aortic aneurysms.
