{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:47:32Z","timestamp":1785764852361,"version":"3.56.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Importance:<\/jats:title>\n                    <jats:p>Abdominal aortic aneurysm (AAA) is a potentially fatal condition characterized by full-thickness dilation of the abdominal aorta, most commonly in the infrarenal segment. While rupture usually occurs spontaneously, trauma can act as a precipitating factor in predisposed individuals. Early recognition and timely surgical intervention are vital to survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>A 70-year-old hypertensive male with a 45-pack-year smoking history presented in shock with acute abdominal pain following a low-impact fall. Examination revealed a pulsatile abdominal mass. CT showed a 5.5\u00a0\u00d7\u00a03.5 cm infrarenal fusiform aneurysm with focal outpouching and mural thrombus suggestive of contained rupture. The patient underwent emergency open repair using an inverted Y-shaped PTFE graft. Intraoperatively, a retroperitoneal rupture with organized intraluminal clot and about 300\u00a0ml of blood-stained fluid was noted. Recovery and 6-month follow-up were uneventful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Discussion:<\/jats:title>\n                    <jats:p>This case illustrates that even minor blunt trauma can precipitate rupture in a vulnerable aneurysm. The intraluminal thrombus can act as a transient mechanical tamponade, temporarily sealing the rupture site and delaying fatal hemorrhage. This contained rupture provides a narrow but critical window for diagnosis and intervention. CT angiography plays a pivotal role in confirming aneurysm morphology, detecting retroperitoneal hematoma, and guiding operative planning. Recognition of this phenomenon is vital for timely surgical decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Low-impact trauma can trigger a contained rupture of AAA. The life-saving tamponade effect of intraluminal clot highlights the importance of rapid diagnosis and prompt surgical management in improving outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/rc9.0000000000000031","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T11:00:09Z","timestamp":1769166009000},"page":"124-128","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The life-saving role of intraluminal clot tamponade in contained rupture of abdominal aortic aneurysm following low-impact trauma: a case report"],"prefix":"10.1097","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3150-8937","authenticated-orcid":false,"given":"Pratiksha","family":"Paudel","sequence":"first","affiliation":[{"name":"Department of Medicine, Bharatpur Hospital, Bharatpur, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0371-4821","authenticated-orcid":false,"given":"Srikant","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, National Academy of Medical Sciences, NAMS, Bir Hospital, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9153-3418","authenticated-orcid":false,"given":"Samrat","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Bharatpur Hospital, Bharatpur, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4650-889X","authenticated-orcid":false,"given":"Bidur","family":"Khatiwada","sequence":"additional","affiliation":[{"name":"Nepalese Army Institute of Health Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of General Surgery, National Academy of Medical Sciences, NAMS, Bir Hospital, Kathmandu, Nepal"},{"name":"Nepalese Army Institute of Health Sciences, Kathmandu, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"R1-20260803","first-page":"e37351","article-title":"Intraoperative Abdominal Aortic Aneurysm Repair and Its Complications From an Anesthesia Perspective: A Case Report","volume":"15","author":"Alanzi","year":"2023","journal-title":"Cureus"},{"key":"R2-20260803","first-page":"61\u201368","article-title":"Evaluating the prevalence of abdominal aortic aneurysms in the United States through a national screening database","volume":"73","author":"Summers","year":"2020","journal-title":"J Vasc Surg"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"256","DOI":"10.21037\/atm.2017.04.32","article-title":"Abdominal aortic aneurysm: pictorial review of common appearances and complications","volume":"5","author":"Kumar","year":"2017","journal-title":"Ann Transl Med"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"128\u201338","DOI":"10.1111\/acem.12080","article-title":"Systematic review: emergency department bedside ultrasonography for diagnosis of suspected abdominal aortic aneurysm","volume":"20","author":"Rubano","year":"2013","journal-title":"Acad Emerg Med"},{"key":"R5-20260803","doi-asserted-by":"crossref","DOI":"10.70389\/PJS.100079","article-title":"Revised Surgical CAse REport (SCARE) guideline: An update for the age of Artificial Intelligence","author":"Kerwan","year":"2025","journal-title":"Premier J Sci"},{"key":"R6-20260803","doi-asserted-by":"crossref","first-page":"1746\u201355","DOI":"10.1161\/ATVBAHA.115.305269","article-title":"Inflammatory cell phenotypes in AAAs: their role and potential as targets for therapy","volume":"35","author":"Dale","year":"2015","journal-title":"Arterioscler Thromb Vasc Biol"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"242\u201352","DOI":"10.1161\/CIRCULATIONAHA.107.690982","article-title":"3rd. 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