Abdominal aortic aneurysm history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
Abdominal aortic aneurysms (AAA) are usually asymptomatic until they expand or rupture. Spontaneous [[abdominal pain]] in a patient with a pulsatile epigastric mass or a known AAA may signal a rupture into the retroperitoneum or leakage within the aneurysm wall. If a patient does develop symptoms, the risk of rupture is quite high, which is why symptoms are considered an indication for surgery. Pain is the most common symptomatic manifestation. | Abdominal aortic aneurysms (AAA) are usually asymptomatic until they expand or rupture. Spontaneous [[abdominal pain]] in a patient with a [[Pulsatile flow|pulsatile]] [[epigastric]] mass or a known AAA may signal a rupture into the [[retroperitoneum]] or leakage within the [[aneurysm]] wall. If a patient does develop symptoms, the risk of rupture is quite high, which is why symptoms are considered an indication for [[surgery]]. Pain is the most common symptomatic manifestation. | ||
==History== | ==History and Symptoms== | ||
== | === History === | ||
* [[ | * Given that [[smoking]] increases the risk of developing an abdominal aortic aneurysm (AAA), a [[smoking]] history should be obtained in elderly men. If a male over the age of 65 has a history of [[smoking]], he should undergo [[ultrasonography]] to screen for an AAA.<ref name="Isselbacher2005">{{cite journal|last1=Isselbacher|first1=Eric M.|title=Thoracic and Abdominal Aortic Aneurysms|journal=Circulation|volume=111|issue=6|year=2005|pages=816–828|issn=0009-7322|doi=10.1161/01.CIR.0000154569.08857.7A}}</ref> | ||
=== Symptoms === | |||
* Abdominal aortic aneurysms are usually asymptomatic until they expand or rupture. The following symptoms may be present:<ref>{{cite book | last = Ferri | first = Fred | title = Ferri's clinical advisor 2015 : 5 books in 1 | publisher = Elsevier/Mosby | location = Philadelphia, PA | year = 2015 | isbn = 978-0323083751 }}</ref> | |||
**[[Abdominal pain]], radiating to the back, flank, and groin | |||
**[[Clammy skin]] | |||
**[[Early satiety]] | |||
**[[Flank pain]] | |||
** Groin [[pain]] | |||
** Lower [[back pain]] | |||
**[[Nausea and vomiting]] | |||
**[[Syncope]] | |||
===Associated Symptoms=== | ===Associated Symptoms=== | ||
* [[Hematemesis]] (when associated with aortoenteric [[fistula]]s) | * [[Hematemesis]] (when associated with aortoenteric [[fistula]]s) | ||
* Lower extremity pain and discoloration (when associated with [[thromboembolization]]) | * Lower extremity pain and discoloration (when associated with [[thromboembolization]]) | ||
* [[Melena]] (when associated with aortoenteric [[fistula]]s) | * [[Melena]] (when associated with aortoenteric [[fistula]]s)<ref>{{cite book | last = Ferri | first = Fred | title = Ferri's clinical advisor 2015 : 5 books in 1 | publisher = Elsevier/Mosby | location = Philadelphia, PA | year = 2015 | isbn = 978-0323083751 }}</ref> | ||
* Urinary symptoms (when associated with [[ureteral obstruction]])<ref name="Chaikof-2009">{{Cite journal | last1 = Chaikof | first1 = EL. | last2 = Brewster | first2 = DC. | last3 = Dalman | first3 = RL. | last4 = Makaroun | first4 = MS. | last5 = Illig | first5 = KA. | last6 = Sicard | first6 = GA. | last7 = Timaran | first7 = CH. | last8 = Upchurch | first8 = GR. | last9 = Veith | first9 = FJ. | title = The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. | journal = J Vasc Surg | volume = 50 | issue = 4 Suppl | pages = S2-49 | month = Oct | year = 2009 | doi = 10.1016/j.jvs.2009.07.002 | PMID = 19786250 | * Urinary symptoms (when associated with [[ureteral obstruction]])<ref name="Chaikof-2009">{{Cite journal | last1 = Chaikof | first1 = EL. | last2 = Brewster | first2 = DC. | last3 = Dalman | first3 = RL. | last4 = Makaroun | first4 = MS. | last5 = Illig | first5 = KA. | last6 = Sicard | first6 = GA. | last7 = Timaran | first7 = CH. | last8 = Upchurch | first8 = GR. | last9 = Veith | first9 = FJ. | title = The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines. | journal = J Vasc Surg | volume = 50 | issue = 4 Suppl | pages = S2-49 | month = Oct | year = 2009 | doi = 10.1016/j.jvs.2009.07.002 | PMID = 19786250 }}</ref> | ||
==References== | ==References== | ||
Latest revision as of 13:37, 7 January 2020
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Abdominal Aortic Aneurysm Microchapters |
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Differentiating Abdominal Aortic Aneurysm from other Diseases |
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Abdominal aortic aneurysm history and symptoms On the Web |
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Directions to Hospitals Treating Abdominal aortic aneurysm history and symptoms |
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Risk calculators and risk factors for Abdominal aortic aneurysm history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Hardik Patel, M.D.
Overview
Abdominal aortic aneurysms (AAA) are usually asymptomatic until they expand or rupture. Spontaneous abdominal pain in a patient with a pulsatile epigastric mass or a known AAA may signal a rupture into the retroperitoneum or leakage within the aneurysm wall. If a patient does develop symptoms, the risk of rupture is quite high, which is why symptoms are considered an indication for surgery. Pain is the most common symptomatic manifestation.
History and Symptoms
History
- Given that smoking increases the risk of developing an abdominal aortic aneurysm (AAA), a smoking history should be obtained in elderly men. If a male over the age of 65 has a history of smoking, he should undergo ultrasonography to screen for an AAA.[1]
Symptoms
- Abdominal aortic aneurysms are usually asymptomatic until they expand or rupture. The following symptoms may be present:[2]
- Abdominal pain, radiating to the back, flank, and groin
- Clammy skin
- Early satiety
- Flank pain
- Groin pain
- Lower back pain
- Nausea and vomiting
- Syncope
Associated Symptoms
- Hematemesis (when associated with aortoenteric fistulas)
- Lower extremity pain and discoloration (when associated with thromboembolization)
- Melena (when associated with aortoenteric fistulas)[3]
- Urinary symptoms (when associated with ureteral obstruction)[4]
References
- ↑ Isselbacher, Eric M. (2005). "Thoracic and Abdominal Aortic Aneurysms". Circulation. 111 (6): 816–828. doi:10.1161/01.CIR.0000154569.08857.7A. ISSN 0009-7322.
- ↑ Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.
- ↑ Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.
- ↑ Chaikof, EL.; Brewster, DC.; Dalman, RL.; Makaroun, MS.; Illig, KA.; Sicard, GA.; Timaran, CH.; Upchurch, GR.; Veith, FJ. (2009). "The care of patients with an abdominal aortic aneurysm: the Society for Vascular Surgery practice guidelines". J Vasc Surg. 50 (4 Suppl): S2–49. doi:10.1016/j.jvs.2009.07.002. PMID 19786250. Unknown parameter
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