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Related Experiment Video

Updated: May 14, 2026

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition

Published on: June 21, 2024

Elderly patient with ureteric colic: suspect leaking aneurysm.

Yashashwi Sinha¹

¹Keele, Stoke-on-Trent, England, UK. yashashwisinha@hotmail.com

BMJ Case Reports

|February 20, 2013

Summary

Elderly patients with abdominal pain may have a leaking abdominal aortic aneurysm (AAA), not just renal colic. Early diagnosis via imaging like ultrasound or CT is crucial for survival.

Area of Science:

Vascular Surgery
Diagnostic Imaging
Emergency Medicine

Background:

Abdominal aortic aneurysm (AAA) rupture is a life-threatening condition.
Misdiagnosis of AAA can lead to delayed treatment and increased mortality.
Renal colic is a common differential diagnosis for abdominal pain in the elderly.

Observation:

A 72-year-old male presented with symptoms mimicking renal colic.
Initial investigations included urinalysis and intravenous urogram (IVU).
Microscopic haematuria and a dilated ureter were noted on IVU.

Findings:

The patient was diagnosed with a leaking abdominal aortic aneurysm (AAA).
Symptoms of renal colic can overlap with those of a leaking AAA.
IVU was insufficient for definitive AAA diagnosis.

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Implications:

A high index of suspicion for AAA is vital in elderly patients with abdominal pain.
Diagnostic imaging modalities like ultrasound or CT are preferred for AAA evaluation.
Prompt surgical intervention for AAA significantly improves patient outcomes.