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Chronic Paraspinal Pain due to Multiple Aortic Aneurysms.
The Journal of the Association of Physicians of India
|November 24, 2015
Summary
Multiple aortic aneurysms, affecting both the thoracic and abdominal aorta, were found in a 46-year-old smoker. This case highlights incidental diagnosis during investigation for chronic back pain.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Radiology
Background:
- Aortic aneurysms, affecting the thoracic or abdominal aorta, are relatively common.
- Associated conditions include congenital aortic valve disease, cystic medial necrosis, connective tissue disorders (Marfan's, Ehlers-Danlos syndromes), and atherosclerosis.
- Aortic aneurysms can be asymptomatic and discovered incidentally.
Observation:
- A 46-year-old male smoker presented with chronic back pain.
- Physical examination revealed venous prominence on the left side of the chest and left arm.
- Imaging work-up for back pain led to the incidental diagnosis.
Findings:
- The patient was diagnosed with multiple aneurysms of the aorta.
- Aneurysms were identified in both the thoracic and abdominal aorta.
- The diagnosis was incidental to the investigation of unrelated symptoms.
Implications:
- This case underscores the importance of considering aortic pathology in patients with nonspecific symptoms.
- Incidental findings during diagnostic workups can reveal serious vascular conditions.
- Early detection of multiple aortic aneurysms is crucial for timely intervention and management to prevent rupture.
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