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Case Reports
Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian.
- Susanne Regus, Hendrik Apel, Peter Dankerl, and Werner Lang.
- Department of Vascular Surgery, University Hospital, Erlangen, Germany. Electronic address: Susanne.regus@uk-erlangen.de.
- Am J Emerg Med. 2015 Aug 1; 33 (8): 1117.e1-2.
AbstractRuptured abdominal aortic aneurysm commonly presents as acute abdominal or lower back pain and hemodynamic instability. We discuss the case of a 90-year-old patient who presented to the emergency unit with a 3-day history of left testicular pain. Ultrasound scan demonstrated and a computed tomography scan confirmed a 6 cm in diameter ruptured abdominal aortic aneurysm with enlargement and hematoma of the left psoas muscle causing the symptoms. This atypical presentation highlights the need for clinical vigilance and emergency physician–performed ultrasound scan in the older patients with seemingly benign testicular symptoms.
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