Abstract
A 69-year-old man was given a diagnosis with rupture of an abdominal aortic aneurysm associated with sigmoid and rectal colons ischemia. He was admitted to our hospital about 30 hours after rupture, and underwent an emergency operation. The infra-renal abdominal aorta was ruptured with a huge hematoma in the retroperitoneal space. Sigmoid and rectal colons were necrotic. The abdominal aortic aneurysm was replaced with a prosthetic Y-graft. The sigmoid and rectal colons were resected and colostomy was performed. He recovered from postoperative complications including acute renal failure, acute respiratory failure, and liver failure and was discharged in good condition 23 days after the operation.
