Inflammatory abdominal aortic aneurysm: a persistent painful hip. (13th September 2013)

• Record Type: Journal Article
• Authors: Baskaran, Dinnish; Ashraf, Nadeem; Ahmad, Adil; Menon, Jay
• Is Part Of: BMJ case reports. Volume 2013
• Publication Date: 2013-09-13
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-009150
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : The presentation of an abdominal aortic aneurysm (AAA) with isolated hip pain is a rare phenomenon. We present an atypical case of a 58-year-old previously fit man who presented with a 6-month history of progressively worsening left hip pain associated with unintentional weight loss, tender bilateral testicular swellings and a large non-tender palpable mass on abdominal examination. Urgent abdominal CT scan findings revealed a 15 cm infrarenal abdominal aortic aneurysm extending to the aortic bifurcation associated with an extensive left hydronephrosis. In theatre, the diagnosis of inflammatory AAA (IAAA) was confirmed following the presence of pyuria and a successful repair with an open approach using a bifurcated dacron graft was performed.