CHRONIC CONTAINED RUPTURE OF THE INFRAREN AL AORTA WITHOUT ANEURYSM -A CASE-REPORT

We report a case of chronic rupture of the infra-renal aorta into the left psoas 6 years after implantation of an aorto-bifemoral prosthesis . There was no aneurysm nor false anastomotic aneurysm. The initially suspected diagnosis was acute sigmoiditis. We emphasize the polymorpho us nature of clinical manifestations of chronic contained ruptures of the infra-renal aorta. Abdominal CT-scan is important for diagnosis. S trongly suspected, but not proven, sepsis led us to perform extra-anat omic revascularization after resection of the earlier prosthesis and l igature of the infra-renal aorta (J Mal Vase 1997; 22: pages 40-42).