Abstract

GINER-RUIZ, S et al. Abdominal aortic aneurysm. A disloyal pain. Sanid. Mil. [online]. 2022, vol.78, n.1, pp.30-32.  Epub Sep 19, 2022. ISSN 1887-8571.  https://dx.doi.org/10.4321/s1887-85712022000100006.

Abdominal aortic aneurysm (AAA) is a vascular pathology that consists of a dilation greater than 50% of the normal diameter of the vessel or a diameter greater than or equal to 3 cm, due to a weakening of its vascular wall. Its most frequent location is in the infrarenal portion of the aorta since it is an area subjected to important hemodynamic forces1,2.

Prevalence varies depending on age, sex (6 times more frequent in males), family history of aneurysm (increases the risk of AAA 2 times), smoking (up to 7 times more risk), high blood pressure, dyslipidemia and peripheral artery disease. There are studies that suggest that type 2 diabetes mellitus has a protective effect and that weight and some respiratory pathologies, such as chronic obstructive pulmonary disease (COPD), do not influence aneurysmal growth3,4.

Below we present the case of a patient with a remarkable oncological history who presented an abdominal aortic aneurysm manifesting itself through low back pain. This is a clinical case that forces us to establish a wide range of differential diagnoses of low back pain and how to approach an abdominal aortic aneurysm with new therapeutic techniques.

Keywords : back pain; aortc aneurysm; surgical procedures.

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