Abdominal aortic aneurysm rupture masquerading as strangulated inguinal hernia
Section snippets
To the editor:
—The diagnosis of ruptured abdominal aortic aneurysm (AAA) is not uncommonly delayed or initially missed.1, 2, 3, 4, 5 Patients present with atypical manifestations, in the absence of the classical diagnostic triad of abdominal and back pain, hypotention, and a pulsatile abdominal mass. We report an elderly patient who at urgent inguinal exploration of a possibly strangulated left inguinal scrotal hernia was found to have inguinal extension of a retroperitoneal hematoma secondary to abdominal
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Cited by (15)
Diagnosis and perioperative management of ruptured AAA mimicking symptomatic groin hernia
2016, International Journal of Surgery Case ReportsCitation Excerpt :Rarely, RAAA can mimic incarcerated inguinal hernia, typically presenting as painful lump in the groin [7]. Literature search reveals in total 18 patients with ruptured aortoiliac aneurysms initially presenting as symptomatic/incarcerated hernia [2–4,8–12]. The fact that rupture of abdominal aneurysm appears as symptomatic hernia should not be surprising: First, there is increased activity of matrix metalloproteinases and their inhibitors in both abdominal wall (responsible for weakness of abdominal wall with subsequent hernia) and aortic walls (responsible for weakness of aortic wall and subsequent aneurysm formation) [13].
Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian
2015, American Journal of Emergency MedicineCitation Excerpt :In presence of these symptoms, an emergency ultrasonic scan should be performed immediately to confirm the diagnosis. Isolated testicular and groin pain are rare and underestimated symptoms of rAAA; there are less than 15 cases reported in the literature [7]. To our knowledge, this is the first case of a nonagenarian who survived an atypical-presenting rAAA.
Inguinal herniae: Valuable clues to concurrent abdominal pathology A series of case studies describing unusual findings in 'routine' hernia operations which demonstrate the need for thorough surgical training
2011, International Journal of Surgery Case ReportsCitation Excerpt :Occasionally an acutely symptomatic inguinal hernia may lead to timely intervention with a significant reduction in morbidity and mortality, for instance with an AAA rupture masquerading as a symptomatic inguinal hernia, which is rare, but well described in the literature.1,2 However, the presence of blood/haematoma in the inguinal canal should alert the surgeon to the possibility of significant intra-abdominal haemorrhage and prompt investigation is required to avoid poor outcome.1 In general, atypical tissues and fluid encountered during elective or emergency hernia repair should always be sent for histological and cytological evaluation.
Ruptured abdominal aortic aneurysm with incidental large splenic artery aneurysm: An unusual case report
2020, Vascular Disease ManagementAneurysm code, a necessary reality?
2019, AngiologiaA review of aortic disease research in malaysia
2019, Medical Journal of Malaysia