Ruptured Abdominal Aortic Aneurysm Presenting as Painless Testicular Ecchymosis: The Scrotal Sign of Bryant Revisited

Dargin, James; Lowenstein, Robert A.

doi:10.1016/j.jemermed.2007.11.066

Cited by 13 publications

(15 citation statements)

References 15 publications

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“…A rupture or dissection (in which hemorrhage into the media separates the layers of the vessel) causes more acute pain and has a sudden onset. 6,7 The patient described in this case did have low back pain radiating into the leg, but did not show any signs of thrombosis as described above.…”

Section: Discussionsupporting

confidence: 50%

“…8 Abdominal aortic aneurysm is 5 to 10 times more common in men than in women. 2,6,7 This particular patient matches the criteria for risk factors of age, sex, and history of smoking. A history of smoking, defined as a consumption of more than 100 cigarettes in a lifetime, is a significant risk factor.…”

Section: Discussionmentioning

confidence: 98%

“…This results in a misdiagnosis in 20% to 30% of cases. 7 Patients may mention hip, flank, groin, or buttock pain in addition to their back or abdominal pain. 6,8 The pain is often vague; but when there is compression of an AAA on an adjacent structure such as a vertebral end plate, the pain may be described as sharp or stabbing.…”

Section: Discussionmentioning

confidence: 99%

“…6 Patients may also report nausea, weight loss, early satiety, or a feeling of fullness. 7,8 Distal embolization or aortic occlusion due to thrombosis may give leg symptoms, with symptoms of sudden ischemia, painful cyanotic toes, and palpable pedal pulses. A rupture or dissection (in which hemorrhage into the media separates the layers of the vessel) causes more acute pain and has a sudden onset.…”

Section: Discussionmentioning

confidence: 99%

“…In the case of AAA, a prominent and often nontender, strong, pulsatile mass is felt. 7,8 The accuracy of detecting AAA is dependent upon the patient's girth as well as the size of the aneurysm. When the patient's girth is 100 cm or greater, very few AAAs are palpable.…”

Section: Discussionmentioning

confidence: 99%

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Clinical detection of abdominal aortic aneurysm in a 74-year-old man in chiropractic practice

Boer

Knaap²,

Zoete³

2010

Journal of Chiropractic Medicine

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Objective: The purpose of this article is to present a case of abdominal aortic aneurysm to illustrate its clinical detection through history and physical examination and the importance of this condition to the chiropractic clinical setting. Clinical Features: A 74-year-old retired man consulted a doctor of chiropractic for chronic low back pain. The history and physical examination confirmed chronic sacroiliac and a lumbar facet dysfunction. After 5 weeks, the patient stated he had stomach cramps. After this, a more thorough abdominal examination was done. The doctor of chiropractic detected an enlarged pulsatile mass upon abdominal palpation. Intervention and outcome: The patient was sent to the cardiologist and had successful surgery within weeks. Conclusion: An abdominal aortic aneurysm has specific symptoms and associated risk factors. If known risk factors are present, a clinical examination needs to be carried out, even though sensitivity of the clinical examination may be low. It should be a differential diagnosis in every male patient older than 50 years with low back pain. In case of suspicion, the patient should be referred for advanced imaging.

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical detection of abdominal aortic aneurysm in a 74-year-old man in chiropractic practice

Boer

Knaap²,

Zoete³

2010

Journal of Chiropractic Medicine

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The Skin and Disorders of the Digestive System

Molin

Ruzicka

2016

Rook's Textbook of Dermatology, Ninth Edition

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This chapter concentrates on bowel, hepatic and pancreatic diseases in which cutaneous signs or symptoms are prominent. It also discusses situations either where the skin and the digestive system are affected by the same disease process or where a skin disease itself has an effect on the digestive system. Special attention is paid to cutaneous involvement in inflammatory bowel disease and skin signs of liver disease.

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The Skin and Disorders of the Digestive System

Molin,

Ruzicka

2024

Rook's Textbook of Dermatology

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This chapter concentrates on bowel, hepatic and pancreatic diseases in which cutaneous signs or symptoms are prominent, but also discusses situations either where the skin and the digestive system are affected by the same disease process or where a skin disease itself has an effect on the latter one. Special attention is paid to cutaneous involvement in inflammatory bowel disease and skin signs of liver disease.

show abstract

Ruptured Abdominal Aortic Aneurysm Presenting as Painless Testicular Ecchymosis: The Scrotal Sign of Bryant Revisited

Cited by 13 publications

References 15 publications

Clinical detection of abdominal aortic aneurysm in a 74-year-old man in chiropractic practice

Clinical detection of abdominal aortic aneurysm in a 74-year-old man in chiropractic practice

The Skin and Disorders of the Digestive System

The Skin and Disorders of the Digestive System

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