{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:17:05Z","timestamp":1762867025746,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,1,12]]},"abstract":"<jats:p>Post-traumatic abdominal aortic pseudoaneurysms remain a rare yet severe complication of aortic injuries and may present many years later. Clinical presentations vary, from the traditional aneurysmal symptoms of abdominal and\/or back pain with or without a pulsatile mass, to a fatal rupture. We present the case of a man aged 42 years, with a history of blunt abdominal trauma 14 years ago, presenting with symptoms of non-specific lower abdominal pain and a recent history of straining due to constipation. Clinical examination revealed umbilical bruising, in keeping with Cullen's sign, and extensive postsacral bruising. This case highlights some of the atypical manifestations of aneurysmal rupture and the importance of early recognition and management.<\/jats:p>","DOI":"10.1136\/bcr-2016-218356","type":"journal-article","created":{"date-parts":[[2017,1,27]],"date-time":"2017-01-27T09:30:45Z","timestamp":1485509445000},"page":"bcr2016218356","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Very late rupture of a post-traumatic abdominal aortic pseudoaneurysm"],"prefix":"10.1136","volume":"2017","author":[{"given":"Haneen","family":"Abed","sequence":"first","affiliation":[{"name":"Keele University School of Medicine, Staffordshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William Robert","family":"Ball","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Shrewsbury Hospital, Shrewsbury, Shropshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy","family":"Stone","sequence":"additional","affiliation":[{"name":"Department of Radiology, Royal Shrewsbury Hospital, Shrewsbury, Shropshire, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Houghton","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Royal Shrewsbury Hospital, Shrewsbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,27]]},"reference":[{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.1","first-page":"312","article-title":"Posttraumatic infrarenal abdominal aortic pseudoaneurysm","volume":"26","author":"Borioni","year":"1999","journal-title":"Tex Heart Inst J"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800082917"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70226-X"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.4","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1590\/S1807-59322011000600034","article-title":"Abdominal aortic pseudoaneurysm diagnosed 42 years after abdominal gunshot wound","volume":"66","author":"Queiroz","year":"2011","journal-title":"Clinics (Sao Paulo)"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.5","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.69.807.6"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.6","first-page":"457","article-title":"A new sign in ruptured extra-uterine pregnancy","volume":"78","author":"Cullen","year":"1918","journal-title":"Am J Obstet Dis Women"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.7","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800650517"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.8","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1969.01340170064014"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.9","first-page":"826","article-title":"Perianal ecchymoses. A clinical sign of ruptured abdominal aortic aneurysm","volume":"136","author":"Roed-Petersen","year":"1974","journal-title":"Ugeskr Laeger"},{"key":"2025082803301193000_2017.jan27_1.bcr2016218356.10","doi-asserted-by":"publisher","DOI":"10.1177\/153857440604000210"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218356","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:30:17Z","timestamp":1756377017000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218356"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,27]]},"references-count":10,"alternative-id":["10.1136\/bcr-2016-218356"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218356","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,1,27]]}}}