Abdominal aortic aneurysm history and symptoms: Difference between revisions
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==Symptoms== | ==Symptoms== | ||
Abdominal aortic aneurysms are usually asymptomatic until they expand or rupture. The following symptoms may be present: | Abdominal aortic aneurysms are usually asymptomatic until they expand or rupture. The following symptoms may be present: | ||
*[[Abdominal pain]], radiating to the back, flank, and groin | * [[Abdominal pain]], radiating to the back, flank, and groin | ||
* | * [[Clammy skin]] | ||
*[[ | * [[Early satiety]] | ||
* | * [[Flank pain]] | ||
* | * Groin [[pain]] | ||
*[[ | * Lower [[back pain]] | ||
*[[Nausea and vomiting]] | * [[Nausea and vomiting]] | ||
* Peripheral [[embolism|embolization]] (rare with abdominal aortic aneurysms in contrast to popliteal artery aneurysms in which distal embolization is common) | |||
* Pulsating [[abdominal mass]] | |||
* [[Syncope]] | |||
*Peripheral [[embolism|embolization]] (rare with abdominal aortic aneurysms in contrast to popliteal artery aneurysms in which distal embolization is common) | * Urinary symptoms | ||
*[[Syncope]]<ref name="Chaikof-2009">{{Cite journal | last1 = Chaikof | first1 = EL. | last2 = Brewster | first2 = DC. | last3 = Dalman | first3 = RL. | last4 = Makaroun | first4 = MS. | last5 = Illig | first5 = KA. | last6 = Sicard | first6 = GA. | last7 = Timaran | first7 = CH. | last8 = Upchurch | first8 = GR. | last9 = Veith | first9 = FJ. | title = The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. | journal = J Vasc Surg | volume = 50 | issue = 4 Suppl | pages = S2-49 | month = Oct | year = 2009 | doi = 10.1016/j.jvs.2009.07.002 | PMID = 19786250 }}</ref> | * Venous [[thrombosis]] from venous compression | ||
<ref name="Chaikof-2009">{{Cite journal | last1 = Chaikof | first1 = EL. | last2 = Brewster | first2 = DC. | last3 = Dalman | first3 = RL. | last4 = Makaroun | first4 = MS. | last5 = Illig | first5 = KA. | last6 = Sicard | first6 = GA. | last7 = Timaran | first7 = CH. | last8 = Upchurch | first8 = GR. | last9 = Veith | first9 = FJ. | title = The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. | journal = J Vasc Surg | volume = 50 | issue = 4 Suppl | pages = S2-49 | month = Oct | year = 2009 | doi = 10.1016/j.jvs.2009.07.002 | PMID = 19786250 }}</ref> | |||
==References== | ==References== |
Revision as of 19:40, 29 April 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Hardik Patel, M.D.
Overview
Abdominal aortic aneurysms (AAA) are usually asymptomatic until they expand or rupture. Spontaneous abdominal pain in a patient with a pulsatile epigastric mass or a known AAA may signal a rupture into the retroperitoneum or leakage within the aneurysm wall. If a patient does develop symptoms, the risk of rupture is quite high, which is why symptoms are considered an indication for surgery. Pain is the most common symptomatic manifestation.
History
Given that smoking increases the risk of developing an abdominal aortic aneurysm (AAA), a smoking history should be obtained in elderly men. If a male over the age of 65 has a history of smoking, he should undergo ultrasonography to screen for an AAA.
Symptoms
Abdominal aortic aneurysms are usually asymptomatic until they expand or rupture. The following symptoms may be present:
- Abdominal pain, radiating to the back, flank, and groin
- Clammy skin
- Early satiety
- Flank pain
- Groin pain
- Lower back pain
- Nausea and vomiting
- Peripheral embolization (rare with abdominal aortic aneurysms in contrast to popliteal artery aneurysms in which distal embolization is common)
- Pulsating abdominal mass
- Syncope
- Urinary symptoms
- Venous thrombosis from venous compression
References
- ↑ Chaikof, EL.; Brewster, DC.; Dalman, RL.; Makaroun, MS.; Illig, KA.; Sicard, GA.; Timaran, CH.; Upchurch, GR.; Veith, FJ. (2009). "The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines". J Vasc Surg. 50 (4 Suppl): S2–49. doi:10.1016/j.jvs.2009.07.002. PMID 19786250. Unknown parameter
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