Ruptured abdominal aortic aneurysm presenting as buttock pain. Issue 6 (23rd May 2005)

• Record Type: Journal Article
• Authors: Mahmood, F; Ahsan, F; Hockey, M
• Is Part Of: Emergency medicine journal. Volume 22:Issue 6(2005)
• Page Start: 453
• Page End: 454
• Publication Date: 2005-05-23
• Subjects: ruptured abdominal aortic aneurysm -- back of hip pain -- buttock pain -- retroperitoneal haematoma; Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1136/emj.2004.018523
• Languages: English
• ISSNs: 1472-0205

Abstract

Abstract : This is the first case report of a ruptured aortic aneurysm presenting with acute right buttock pain. The patient was an 80 year old man. A literature search revealed one report of ruptured internal iliac artery aneurysm presenting with acute hip pain and another of an unruptured aortic aneurysm presenting with chronic hip pain. Thus the present case is another unusual presentation of ruptured abdominal aortic aneurysm and highlights the importance of careful history taking and clinical examination. A high index of clinical suspicion of aneurysm rupture should be maintained in elderly patients presenting with a history of collapse.