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Pulsating Evidence: Clinical Visualization of an Abdominal Aortic Aneurysm
Bhavya Gandhi1, Morgan Rosenberg2, Jane Y Wang3
1School of Medicine, McMaster University, Hamilton, CAN.
Cureus
|August 27, 2025
Summary
A visible, pulsating abdominal aortic aneurysm was observed during physical examination in an elderly male patient. This case highlights the importance of physical exams in diagnosing abdominal aortic aneurysms, complementing imaging techniques.
Area of Science:
- Vascular Surgery
- Diagnostic Medicine
- Clinical Case Reports
Background:
- Abdominal aortic aneurysm (AAA) is a life-threatening condition.
- Diagnosis typically relies on imaging like CT scans or ultrasonography.
- Physical examination is often deemed insufficient for definitive AAA diagnosis.
Observation:
- A unique case involving a male patient in their 70s presented with a large, externally visible abdominal aortic aneurysm.
- The aneurysm was identified as a pulsating mass upon abdominal inspection.
- This finding was noted despite the typical reliance on advanced imaging.
Findings:
- The physical examination, specifically visual inspection, revealed a significant abdominal aortic aneurysm.
- The pulsating mass was a key indicator, supporting the diagnosis.
- This case challenges the notion that physical examination is unreliable for AAA diagnosis.
Implications:
- Physical examination can play a crucial role in the initial diagnosis and management of abdominal aortic aneurysms.
- Clinicians should consider the value of thorough physical assessment alongside imaging.
- This case underscores the continued relevance of traditional diagnostic methods in modern medicine.
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