Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian
Ruptured abdominal aortic aneurysm commonly presents as acute abdominal or lower back pain and hemodynamic instability. We discuss the case of a 90-year-old patient who presented to the emergency unit with a 3-day history of left testicular pain. Ultrasound scan demonstrated and a computed tomograph...
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| Veröffentlicht in: | The American journal of emergency medicine 2015-08, Vol.33 (8), p.1117.e1-1117.e2 |
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| container_end_page | 1117.e2 |
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| container_issue | 8 |
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| container_title | The American journal of emergency medicine |
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| creator | Regus, Susanne, MD Apel, Hendrik, MD Dankerl, Peter, MD Lang, Werner, MD |
| description | Ruptured abdominal aortic aneurysm commonly presents as acute abdominal or lower back pain and hemodynamic instability. We discuss the case of a 90-year-old patient who presented to the emergency unit with a 3-day history of left testicular pain. Ultrasound scan demonstrated and a computed tomography scan confirmed a 6 cm in diameter ruptured abdominal aortic aneurysm with enlargement and hematoma of the left psoas muscle causing the symptoms. This atypical presentation highlights the need for clinical vigilance and emergency physician–performed ultrasound scan in the older patients with seemingly benign testicular symptoms. |
| doi_str_mv | 10.1016/j.ajem.2015.01.038 |
| format | Article |
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We discuss the case of a 90-year-old patient who presented to the emergency unit with a 3-day history of left testicular pain. Ultrasound scan demonstrated and a computed tomography scan confirmed a 6 cm in diameter ruptured abdominal aortic aneurysm with enlargement and hematoma of the left psoas muscle causing the symptoms. 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| subjects | Abdomen Aged, 80 and over Aneurysms Aortic Aneurysm, Abdominal - complications Aortic Aneurysm, Abdominal - diagnosis Aortic Rupture - complications Aortic Rupture - diagnosis Back pain Computed tomography Emergency Emergency medical care Family medical history Hematoma - diagnosis Hematoma - etiology Humans Hypertension Male Medical prognosis Mortality Pain - etiology Psoas Muscles Surgery Testicular Diseases - etiology Tomography Ultrasonic imaging |
| title | Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian |
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