rss
BMJ Case Reports 2012; doi:10.1136/bcr-2012-007287

Chronic contained aortic rupture presenting as anterior thigh pain

  1. Andrew Keller
  1. Department of Urology, QEII Hospital, Brisbane, Australia
  1. Correspondence to Dr Andrew Keller, frugal_nifty{at}hotmail.com

Summary

An 83-year-old man presented with severe left anterolateral thigh and knee pain for several days. He was completely unable to ambulate owing to the pain. The patient reported no history of acute back pain prior to presentation. His history initially confounded diagnosis. Subsequent investigations demonstrated a chronic contained rupture of an infrarenal aortic aneurysm with significant vertebral body erosion and obliteration of the ipsilateral psoas muscle. Proposed symptomatology was compression of the lateral femoral cutaneous nerve and its roots. The patient had multiple medical comorbidities and died of unrelated causes before his aneurysm was able to be repaired.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article