RUPTURED ILIAC AND AORTIC ANEURYSM IN A PATIENT WITH IVC THROMBOSIS-A RARE CASE PRESENTATION

Abdominal aortic aneurysms in the infrarenal aorta are the commonest of all the arterial aneurysms. Ruptured aortic aneurysm is a surgical emergency and carries a very high risk of mortality and morbidity irrespective of the site of aortic aneurysm. Most patients usually die before they are operated upon. In an abdominal aortic aneurysm, a contained rupture refers to blood outside the aneurysm sac that is confined to the retroperitoneal space, tamponaded by the surrounding tissues. A free rupture refers to bleeding into the peritoneal cavity, without tamponade. This is a case of ruptured , inflammatory infrarenal abdominal aortic aneurysm with a ruptured iliac artery aneurysm. Though ,ruptured inflammatory aneurysms are not rare, this case is being presented for its rarity as the patient was a known case of IVC thrombosis and was on anticoagulation for the same. Ruptured aortic aneurysm causing IVC compression has been reported, but ruptured aortic aneurysm in a known case of IVC thrombosis has not been reported in literature. This case was operated and managed successfully at our institute and the patient is on a 2 year post op follow up.