# A case of abdominal aortic aneurysm presenting with multiple organs embolization

## TL;DR

A rare case of abdominal aortic aneurysm caused multiple organ embolization, and the patient was successfully treated with surgery and medical care.

## Contribution

This paper reports a successful treatment of a rare case of AAA with multiple organ embolization.

## Key findings

- The patient had an 83-mm AAA with mural thrombus and presented with limb ischemia and ischemic enteritis.
- Successful endovascular treatment and open aortic repair were performed, leading to recovery.
- This is the first reported case of life-saving treatment for AAA with multiple organ embolization.

## Abstract

Distal embolization as the first manifestation of an abdominal aortic aneurysm (AAA) is relatively rare. AAAs presenting with multiple organs embolization are rarer and serious systemic conditions. There are no reports of life-saving outcomes in patients with AAAs presenting with multiple organs embolization prior to surgery.

A 78-year-old man presented with right acute lower limb ischemia (ALLI) and ischemic enteritis coexisting with an 83-mm AAA with a large mural thrombus. Although the patient underwent successful revascularization with endovascular treatment for right ALLI, the manifestation of ischemia of the calf muscles and infection forced right above-knee amputation. The patient also presented with ischemic colitis that resolved with conservative treatment. After receiving appropriate medical therapy and rehabilitation, the patient was successfully treated with open aortic repair for the AAA.

We successfully performed open aortic surgery for a rare case of AAA presenting with multiple organs embolization.