UMEM Educational Pearls

Category: Vascular

Title: Unusual Presentations of AAA

Keywords: AAA (PubMed Search)

Posted: 8/24/2009 by Rob Rogers, MD (Updated: 10/18/2019)
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Unusual Presentations of AAA

Many unusual presentations of AAA have been reported in the literature and include:

  • Musculoskeletal complaints (thigh or groin pain)
  • Bilateral testicular pain
  • Unexplained inguinal pain-VERY well described
  • Femoral neuropathy
  • Abdominal pain and urge to deficate (and, NO, I am not making that one up)

One more note on the whole urge to deficate thing: any thing that leads to hemoperitoneum may cause this strange complaint (ruptured AAA, ruptured ectopic pregnancy).