Tearing low back pain due to a ruptured abdominal aortic aneurysm

Authors

DOI:

https://doi.org/10.32818/reccmi.a8n3a4

Keywords:

abdominal aortic aneurysm, chronic low back pain

Abstract

Abdominal aortic aneurysms (AAA) are usually infrarenal, and they have a slow course. They do not produce obvious symptoms, a segmental dilatation of the infrarenal aorta with a diameter greater than or equal to 3 cm can be diagnosed as an abdominal aortic aneurysm. There are many causes that favor the appearance of this pathology which is historically associated with a high mortality rate that has not changed despite advances in surgical, anesthetic and intensive care management. We report the case of a 78-year-old male, hypertensive, smoker and with chronic low back pain treated as mechanical low back pain for weeks, who suffered a ruptured abdominal aortic aneurysm. He arrived at the emergency room with a tearing low back pain and high blood pressure. We initially thought it to be an aortic dissection, but the abdominal CT-ANGIO reported a ruptured aneurysm of the abdominal aorta. His evolution was torpid finishing in death due to irreversible hypovolemic shock hours after his arrival at the hospital.

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References

Aparicio BS, Santafe-Guerrero M, Pedraza Ciro M, Pulido J, Padilla L, Cabrera LF. Manejo del aneurisma roto de la aorta abdominal: un reto para el cirujano general. Rev Colomb Cir. 2021; 36(2): 366-371. doi: https://doi.org/10.30944/20117582.498 (último acceso sept. 2023). DOI: https://doi.org/10.30944/20117582.498

Alberola Marco M, Esteban García E, Camelia Lugan L, Escribano Poveda J, Garramone Ramírez JE, Martínez Gómez C. Complicaciones de los aneurismas de aorta abdominal. Congreso Nacional SERAM. 2018; 2(1). Accesible en: https://piper.espacio-seram.com/index.php/seram/article/view/7281 (último acceso sept. 2023).

Ballesteros-Pomar M, Maqueda Ara S, Nogal Arias C, Sanz Pastor N, del Barrio Fernández M, Suárez González LA, et al. Actualización y algoritmos de toma de decisión en el manejo del aneurisma aórtico abdominal roto. Angiología. 2020; 72(5): 240-252. doi: https://dx.doi.org/10.20960/angiologia.00138 (último acceso sept. 2023). DOI: https://doi.org/10.20960/angiologia.00138

Chung J. Epidemiology risk factor, pathogenesis and natural history of abdominal aortic aneurysm. UptoDate, Post TW (Ed), Waltham. MA. Accesible en: https://www.uptodate.com/contents/epidemiology-risk-factors-pathogenesis-and-natural-history-of-abdominal-aortic-aneurysm (último acceso sept. 2023).

Seckin H, Bavbek M, Dogan S, Keyik B, Yigitkanlin K. Is every chronic low back pain benign? Case report. Surg Neurol. 2006; 66: 357-360. doi: https://doi.org/10.1016/j.surneu.2006.01.028 (último acceso sept. 2023). DOI: https://doi.org/10.1016/j.surneu.2006.01.028

Ulug P, Powell JT, Martínez M, Ballard DJ, Filardo G. Cirugía para los aneurismas aórticos abdominales pequeños asintomáticos. Biblioteca Cochrane. 2020; 7. Accesible en: https://www.cochrane.org/es/CD001835/PVD_cirugia-para-los-aneurismas-aorticos-abdominales-pequenos-que-no-causan-sintomas (último acceso sept. 2023).

Vos CG, de Vries JP, Werson Da, et al. Evaluation of five different aneurysm scoring systems to predict mortality in ruptured abdominal aortic aneurysms patients. J Vasc Surg. 2016; 64(6): 1609-1616. doi: https://doi.org/10.1016/j.jvs.2016.05.099 (último acceso sept. 2023). DOI: https://doi.org/10.1016/j.jvs.2016.05.099

Published

2023-12-31

How to Cite

1.
Vázquez-Pérez LA. Tearing low back pain due to a ruptured abdominal aortic aneurysm. Rev Esp Casos Clin Med Intern [Internet]. 2023 Dec. 31 [cited 2024 Jul. 3];8(3):120-2. Available from: https://www.reccmi.com/RECCMI/article/view/903