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Related Experiment Videos

Abdominal aortic aneurysms presenting as renal colic.

S D Eckford1, D A Gillatt

  • 1Department of Urology, Southmead Hospital, Bristol.

British Journal of Urology
|November 1, 1992
PubMed
Summary

Elderly patients with loin pain, often misdiagnosed as renal colic, may have a leaking abdominal aortic aneurysm (AAA). Consider AAA in differential diagnosis, especially when urological causes are absent, prompting further vascular imaging.

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Area of Science:

  • Vascular Surgery
  • Urology
  • Diagnostic Imaging

Background:

  • Renal colic is a common presentation for loin pain.
  • Abdominal aortic aneurysms (AAA) can present with non-specific symptoms.
  • Misdiagnosis can delay critical treatment for AAA.

Purpose of the Study:

  • To highlight the importance of considering leaking abdominal aortic aneurysms (AAA) in patients presenting with renal colic.
  • To emphasize the diagnostic pathway for suspected AAA in this context.

Main Methods:

  • Retrospective review of 9 patients over 6 years.
  • Patients initially diagnosed with renal colic but found to have leaking AAA.
  • Evaluation of diagnostic imaging modalities.

Main Results:

  • Nine patients were referred with suspected renal colic but diagnosed with leaking AAA.
  • Loin pain in elderly patients necessitates consideration of AAA.
  • Ultrasound of aorta-iliac vessels is recommended if urological causes are ruled out.

Conclusions:

  • Leaking AAA should be considered in the differential diagnosis of loin pain, particularly in the elderly.
  • Vascular imaging, including ultrasound, MRI, and CT, is crucial when urological causes are not identified.

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