UMEM Educational Pearls

Category: Vascular

Title: AAA Presentation

Keywords: AAA (PubMed Search)

Posted: 6/9/2008 by Rob Rogers, MD (Updated: 12/9/2019)
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Clinical Presentation of AAA

Everyone is familiar with the "classic," textbook, presentation of AAA:

  • Abdominal pain
  • Pulsatile mass
  • Hypotension

This presentation, however, is not all that common. Many patients simply present with unexplained abdominal and/or flank pain.

Consider the diagnosis in anyone with risk factors (i.e. older folks, family history, etc) who presents with abdominal and/or flank pain. In most cases, CT scanning of this group of patients is the way to go.

And, one last pearl: put the US probe on early. May make a huge difference in time to diagnosis.

Be afraid, be very afraid.

References

J Vasc Surg, 2007