Case Report
 
Mechanical ileus following a ruptured abdominal aneurysm
Margaretha M Tjeenk Willink1, Robert Haverlag1, Robert C Minnee2
1MD, Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam.
2MD, PhD, Department of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam.

doi:10.5348/ijcri-201464-CR-10375

Address correspondence to:
Margaretha M Tjeenk Willink
MD, Department of Surgery
Onze Lieve Vrouwe Gasthuis, Oosterpark 9
1091 AC Amsterdam
The Netherlands
Phone: 31-20-5108911
Email: m.tjeenkwillink@slaz.nl

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How to cite this article
Tjeenk Willink MM, Haverlag R, Minnee RC. Mechanical ileus following a ruptured abdominal aneurysm. International Journal of Case Reports and Images 2014;5(4):61–63.


Abstract
Introduction: Many different factors are known to be able to cause an ileus.
Case Report: A 72-year-old male underwent an endovascular procedure to treat his ruptured abdominal aneurysm. He developed a mechanical ileus five days after surgery. During re-operation an enormous retroperitoneal hematoma was revealed, causing the obstruction.
Conclusion: Radiological re-evaluation can be useful and operative exploration must be considered in case of imminent perforation and/or after unsuccessful (conservative) therapy of an ileus. One should be aware that a retroperitoneal hematoma following a ruptured abdominal aneurysm can, in rare cases, cause a large bowel obstruction and therefore may need surgical intervention.

Keywords: Ileus, Abdominal aneurysm, Bowel obstruction, Retroperitoneal hematoma


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Author Contributions
Margaretha M Tjeenk Willink – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Robert Haverlag – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Robert C Minnee – Substantial contributions to conception and design, acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Margaretha M Tjeenk Willink et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)