Abstract

JUAREZ-MAYOR, P; SANCHEZ-IBANEZ, J  and  MIGUEL-BIELSA, G. Not just low back pain: atypical manifestation of aortic aneurysm. Rev. Soc. Esp. Dolor [online]. 2023, vol.30, n.1, pp.60-62.  Epub Feb 05, 2024. ISSN 1134-8046.  https://dx.doi.org/10.20986/resed.2022.3983/2022.

Aortic aneurysm rupture is the main symptom in up to 25 % of cases of aortic aneurysm pathology, which is a life-threatening disease. It may appear less frequently as low back pain, coxalgia and even gonalgia, not as vertebral or neuropathic pain, but as irritation at the level of the iliac psoas as the first symptomatology.

It is estimated that only in 50 % of cases the classic aneurysm triad appears, being necessary to have a high level of alertness to suspect it, since hypovolemia may be contained by a peritoneal hematoma.

Keywords : Aortic aneurysm; low back pain; differential diagnosis.

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