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Ruptured abdominal aortic aneurysm masquerading as isolated hip pain: an unusual presentation
Sriram Vaidyanathan1, Himanshu Wadhawan, Pedro Welch
1Emergency Medicine, Bassetlaw District General Hospital, Nottinghamshire, UK. srivaidyanathan@gmail.com
Abstract:
The rupture of an abdominal aortic aneurysm (AAA) is a catastrophic event. Misdiagnosis by first-contact emergency physicians remains a serious concern. Varied and frequently nonspecific presentations lead to erroneous diagnostic impressions and cause significant delays in definitive intervention. We report the case of a 73-year-old man with a ruptured AAA presenting with isolated acute right hip pain without any classical features such as truncal pain or hypotension. Despite major advances in imaging and definitive treatment, a heightened awareness among emergency physicians remains the only effective means of improving detection and thereby survival.
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