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Case Report
Abdominal aortic aneurysm: Let us recall the old physical examination
1 School of Medicine – UNIG and Master's Program in Neurology – University of Vassouras, Brazil
2 Radiologist – Radiology Institute – IRSA, Brazil
3 Hospital Geral da Nova Iguaçu – Nova Iguaçu – RJ, Brazil
4 Hospital Geral da Nova Iguaçu – Nova Iguaçu – RJ, Brazil; School of Medicine – UNIG – RJ, Brazil
5 School of Medicine – São Paulo Federal University - UNIFESP, Brazil
Address correspondence to:
Antônio Marcos da Silva Catharino
Hospital Geral da Nova Iguaçu – Nova Iguaçu – RJ, Brazil; School of Medicine – UNIG – RJ,
Brazil
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Article ID: 101258Z01MO2021
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How to cite this article
Orsini M, Alves S, Vianna JAS, Reis CHM, da Silva Catharino AM, Oliveira AB. Abdominal aortic aneurysm: Let us recall the old physical examination. Int J Case Rep Images 2021;12:101258Z01MO2021.ABSTRACT
Introduction: Abdominal aortic aneurysms often surreptitiously expand and sometimes rupture. In most cases they cause a pulsing sensation in the abdomen. In cases of rupture, arterial grave hypotension occurs, sometimes followed by death. Physical examination is important and commonly directs physicians to perform Computed Tomography.
Case Report: We report a case of a 79-year-old woman, who reported that for approximately two years she has been suffering from expressive weight loss and discomfort due to a palpable “mass” in the abdominal region.
Conclusion: The long time elapsed between the complaints reported by the patient and the clinical and imaging diagnosis caught our attention. It is imperative for physicians, of any specialty, to assess patients globally and not only by subspecialty models.
Keywords: Abdominal, Aneurysm, Aorta, Dilation, Rupture
SUPPORTING INFORMATION
Author Contributions
Marco Orsini - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Silvia Alves - Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
João Alberto Silveira Vianna - Acquisition of data, Analysis of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Carlos Henrique Melo Reis - Acquisition of data, Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Antônio Marcos da Silva Catharino - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Acary Bulle Oliveira - Analysis of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Marco Orsini et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
