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Article Abstract
Unlabelled: Abdominal aortic aneurysms are defined as vascular dilatations greater than 50% of the normal proximal segment or those that have a maximum diameter above 3 cm. Risk factors include male gender, age over 75 years, history of vascular pathology, hypertension and arteriosclerosis. The Authors describe a case of a 74-year-old man, evaluated in an emergency setting for right lumbar pain lasting 4 days. The pain did not respond to analgesia and became progressively worse. Due to the severity of symptoms, CT angiography was performed, which showed an active rupture of a partially contained aneurysm associated with aortic dissection. Early diagnosis and timely management of aortic aneurysms are essential in preventing complications, namely rupture (50-83% patients die after rupture and before receiving medical care). Acute aortic dissection is a surgical emergency and the risk of rupture is proportional to the size of the aneurysm and its rate of growth.
Learning Points: This article shows how difficult it is sometimes to make the right diagnosis in an emergency department.Although a very common symptom, low back pain should not be regarded as harmless.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346959 | PMC |
| http://dx.doi.org/10.12890/2018_000834 | DOI Listing |
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