Abdominal aneurysm diagnosed by plain radiograph
نویسنده
چکیده
A 75-year-old male with a history of hypertension and diabetes presented with severe, progressive low back pain over the past 6 months after a fall. His examination was significant for tenderness to his lower back bilaterally, no abdominal tenderness, and a normal neurovascular exam. His vital signs were stable with a blood pressure of 168/97. A radiograph of his lumbar spine was obtained showing no acute injury, but a large saccular aneurysm (Fig. 1). A computed tomography scan was obtained showing an 8-cm abdominal aortic aneurysm (Fig. 2). Diagnosing an abdominal aortic aneurysm (AAA) can be challenging and requires a heightened sense of awareness. Most patients are asymptomatic, but can present with abdominal pain, groin pain or back pain [1]. While aneurysms
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