Abdominal Aortic Aneurysm in a Patient With Low Back Pain

Wyngaarden, Joshua J Van; Ross, Michael D.; Hando, Ben R

doi:10.2519/jospt.2014.4935

Cited by 10 publications

(8 citation statements)

References 40 publications

(66 reference statements)

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“…Our case is unique in this regard. Furthermore, low back pain has been a well‐documented presentation of an unruptured AAA in several case reports 19–25 …”

Section: Discussionmentioning

confidence: 99%

Abdominal aortic aneurysm presenting to the orthopedic clinic as posterior hip and low back pain

Marcel

Jovan

Myrick

2023

Clinical Case Reports

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An abdominal aortic aneurysm (AAA) is a permanent dilatation of the infrarenal aorta that is 3 cm or greater in diameter or equivalent to 1.5 times the normal anteroposterior diameter. 1,2 Risk factors for AAA include smoking, male sex, age greater than 65 years old, high systolic blood pressure, high body mass index, high serum triglycerides, high lowdensity lipoprotein, family history of AAA, coronary artery disease (CAD), atherosclerosis, stroke, and diabetes mellitus with concomitant CAD and peripheral artery disease (PAD). [3][4][5][6][7][8] Of these, smoking is the greatest contributor to the development of AAA. 3,4,9 In smokers, growth rate increases by an additional 0.35 mm/year and rupture rate doubles. 7 Most unruptured AAAs are asymptomatic and are found incidentally while investigating some other pathology. 4,5,7,10 However, when symptomatic, unruptured AAA may present with unexplained abdominal discomfort and pain that radiates to the back, flank, or groin, as well as a pulsatile abdominal mass with or without a bruit heard at the mass. 4,11 The generalized pain from a symptomatic AAA may be confused with an orthopedic etiology. A patient presenting with what seems to be a musculoskeletal (MSK)

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“…Our case is unique in this regard. Furthermore, low back pain has been a well‐documented presentation of an unruptured AAA in several case reports 19–25 …”

Section: Discussionmentioning

confidence: 99%

Abdominal aortic aneurysm presenting to the orthopedic clinic as posterior hip and low back pain

Marcel

Jovan

Myrick

2023

Clinical Case Reports

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“…El aneurisma de aorta presenta un espectro clínico muy amplio, pudiendo ser desde asintomático, siendo en efecto su forma más frecuente de presentación (hasta en el 75 % de los casos), hasta constituir un cuadro potencialmente mortal en caso de rotura (1,4).…”

Section: Discussionunclassified

“…De hecho, cabe destacar que hasta un 8 % de los dolores lumbares atendidos no son de origen osteomuscular (9). Por ello, ante la sospecha de un cuadro de origen no mecánico, es aconsejable la búsqueda de masa pulsátil a nivel abdominal, además de una exploración física exhaustiva por aparatos (4,8).…”

Section: Discussionunclassified

No es solo dolor lumbar: manifestación atípica del aneurisma de aorta.

Mayor¹,

Ibáñez²,

Bielsa³

2022

Rev. Soc. Esp. Dolor.

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La rotura de aneurisma de aorta supone el síntoma principal en hasta un 25 % de los casos de la patología de aneurisma de aorta, que constituye una entidad potencialmente mortal. También puede aparecer con menor prevalencia como lumbalgia, coxalgia e, incluso, gonalgia, no comentándolo como dolor vertebral o neuropático, sino como irritación a nivel de psoas ilíaco como primera sintomatología.Se estima que solo en un 50 % de los casos aparece la triada clásica del aneurisma, por lo que es necesario tener un alto nivel de alerta para sospecharlo, ya que la hipovolemia puede estar contenida por un hematoma peritoneal.

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“…When it comes to clinical manifestations, AAAs are often asymptomatic and diagnosed as an incidentaloma [10]. AAAs represent an infrequent cause of low back [11,12].…”

Section: Discussionmentioning

confidence: 99%