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Case Report

Open Access

Misleading presentation of ruptured abdominal aortic aneurysm and the role of point-of-care ultrasound for diagnosis


1Faculty of Medicine University of Maribor, Slovenia

2Department of Internal Medicine, General Hospital Slovenj Gradec, Slovenia

DOI: 10.22514/SV152.092019.10 Vol.15,Issue 2,September 2019 pp.65-66

Published: 20 September 2019

*Corresponding Author(s): MANJA KRAŠEVEC E-mail:


If not recognized and treated early enough, the rupture of abdominal aortic aneurysm (rAAA) embodies a devastating medi-cal emergency. It is associated with high morbidity and mortality which can reach up to 100 % in untreated individuals. Pa-tients are usually hypotensive, shocked, complain of pain in the abdomen or back, and can have a palpable pulsatile abdomi-nal mass. rAAA can be misdiagnosed due to patient’s comorbidities, site of rupture, or unusual presentations. Unusual clini-cal presentations include transient lower limb paralysis, right hypochondrial pain, groin pain, testicular pain, iliofemoral ve-nous thrombosis, and others. When rup-tured abdominal aneurysm is suspected an emergency ultrasound should be per-formed. In this article we are going to pre-sent a patient with unusual presentation of ruptured abdominal aneurysm and the importance of point-of-care ultrasound in similar cases.


abdominal aortic aneurysm, rupture, point-of-care ultrasound

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MANJA KRAŠEVEC,TAJDA KEBER. Misleading presentation of ruptured abdominal aortic aneurysm and the role of point-of-care ultrasound for diagnosis. Signa Vitae. 2019. 15(2);65-66.


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