Abdominal aneurysm diagnosed by plain radiograph
© The Author(s) 2010
Received: 10 October 2009
Accepted: 18 August 2010
Published: 28 October 2010
Diagnosing an abdominal aortic aneurysm (AAA) can be challenging and requires a heightened sense of awareness. Most patients are asymptomatic, but can present with abdominal pain, groin pain or back pain . While aneurysms over 5 cm are palpable on examination, 76% of the time, physical examination is not reliable in ruling out AAA .
Bedside ultrasound and computed tomography have been shown to be very accurate in diagnosing AAA. Plain radiographs have limited usefulness in the diagnosis of a ruptured AAA, with characteristic findings of calcified aneurysm, loss of psoas or renal outline, or renal displacement . Treatment is based on stability as well as anatomical considerations. Recent advances utilizing endovascular repair have been shown to be as effective as open repair, with decreased complications associated with endovascular repair .
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