Abstract
Paraplegia after open repair of infrarenal abdominal aortic aneurysm (AAA) is uncommon. We encountered a case of ruptured AAA associated with postoperative paraplegia. A 60-year-old man suffered right lower abdominal pain and lumbago. Abdominal computed tomography scan revealed an infrarenal AAA and hematoma in the retroperitoneal space. During preparations for operation, his blood pressure suddenly decreased 40 mmHg. Emergency operation was performed as soon as possible. Postoperatively, he developed paraplegia. He was treated with continuous infusion of naloxone hydrochloride, steroid pulse therapy and early rehabilitation. He was subsequently given an ambulation discharged. In this case, low blood pressure during preoperative workup and operation might have caused serious ischemia of the spinal cord.
