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Abdominal aortic aneurysm (AAA) is a localized enlargement of the abdominal aorta such that the diameter is greater than 3 cm or more than 50% larger than normal. [1] An AAA usually causes no symptoms, except during rupture. [ 1 ]
Aortic rupture is the breakage of all walls of the aorta, the largest artery in the body. Aortic rupture is a rare, extremely dangerous condition that is considered a medical emergency . [ 1 ] The most common cause is an abdominal aortic aneurysm that has ruptured spontaneously.
Rupture may be the first sign of AAA. Once an aneurysm has ruptured, it presents with classic symptoms of abdominal pain which is severe, constant, and radiating to the back. [8] The diagnosis of an abdominal aortic aneurysm can be confirmed by the use of ultrasound. Rupture may be indicated by the presence of free fluid in the abdomen.
The blue scrotum sign of Bryant, also known as Bryant's blue sign, is bruising of the scrotum, typically associated with a ruptured abdominal aortic aneurysm (AAA). [1] It generally appears three or four days after first experiencing pain, though may occur hours after and sometimes weeks after the rupture.
Name Triad Disease Abdominal aortic aneurysm rupture Triad: hypotension, pulsatile abdominal mass, flank pain: Abdominal aortic aneurysm: Achalasia Triad: increased lower esophageal sphincter (LES) tone, decreased LES relaxation, aperistalsis
In fact, aortic disruption due to blunt chest trauma is the second leading cause of injury death behind traumatic brain injury. [3] [4] Aortic rupture can also be caused by non-traumatic mechanisms, particularly abdominal aortic aneurysm rupture.
Inflammatory Aortic Aneurysms occur typically in a younger population compared to the typical Abdominal Aortic Aneurysm group. Risk of rupture for the IAA group, due to thinning of aneurysm walls, are also rare due to inflammation and fibrosis [4] Unruptured inflammatory AAAs are usually symptomatic: [citation needed] abdominal or back pain (70 ...
Abdominal pain can be characterized by the region it affects. Specialty: Gastroenterology, general surgery: Causes: Serious: Appendicitis, perforated stomach ulcer, pancreatitis, ruptured diverticulitis, ovarian torsion, volvulus, ruptured aortic aneurysm, lacerated spleen or liver, ischemic colitis, ischaemic myocardial conditions [1]