Abdominal Aortic Aneurysm Presenting as Back Pain to a Chiropractic Clinic: A Case Report

Patel, Sanjay N.; Kettner, Norman W.

doi:10.1016/j.jmpt.2006.04.004

Cited by 19 publications

(36 citation statements)

References 18 publications

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“…A rupture or dissection (in which hemorrhage into the media separates the layers of the vessel) causes more acute pain and has a sudden onset. 6,7 The patient described in this case did have low back pain radiating into the leg, but did not show any signs of thrombosis as described above.…”

Section: Discussionsupporting

confidence: 52%

“…8 Abdominal aortic aneurysm is 5 to 10 times more common in men than in women. 2,6,7 This particular patient matches the criteria for risk factors of age, sex, and history of smoking. A history of smoking, defined as a consumption of more than 100 cigarettes in a lifetime, is a significant risk factor.…”

Section: Discussionmentioning

confidence: 98%

“…Abdominal aortic aneurysm is uncommon before 50 years of age and is asymptomatic in 66% to 75% of cases. 4,6 When there are signs, the classic complaints are back ache and abdominal pain. 1 It is important to know the signs and symptoms and the risk factors because the diagnosis is often not obvious.…”

Section: Discussionmentioning

confidence: 99%

“…7 Patients may mention hip, flank, groin, or buttock pain in addition to their back or abdominal pain. 6,8 The pain is often vague; but when there is compression of an AAA on an adjacent structure such as a vertebral end plate, the pain may be described as sharp or stabbing. 6 Patients may also report nausea, weight loss, early satiety, or a feeling of fullness.…”

Section: Discussionmentioning

confidence: 99%

“…6,8 The pain is often vague; but when there is compression of an AAA on an adjacent structure such as a vertebral end plate, the pain may be described as sharp or stabbing. 6 Patients may also report nausea, weight loss, early satiety, or a feeling of fullness. 7,8 Distal embolization or aortic occlusion due to thrombosis may give leg symptoms, with symptoms of sudden ischemia, painful cyanotic toes, and palpable pedal pulses.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Clinical detection of abdominal aortic aneurysm in a 74-year-old man in chiropractic practice

Boer

Knaap²,

Zoete³

2010

Journal of Chiropractic Medicine

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Objective: The purpose of this article is to present a case of abdominal aortic aneurysm to illustrate its clinical detection through history and physical examination and the importance of this condition to the chiropractic clinical setting. Clinical Features: A 74-year-old retired man consulted a doctor of chiropractic for chronic low back pain. The history and physical examination confirmed chronic sacroiliac and a lumbar facet dysfunction. After 5 weeks, the patient stated he had stomach cramps. After this, a more thorough abdominal examination was done. The doctor of chiropractic detected an enlarged pulsatile mass upon abdominal palpation. Intervention and outcome: The patient was sent to the cardiologist and had successful surgery within weeks. Conclusion: An abdominal aortic aneurysm has specific symptoms and associated risk factors. If known risk factors are present, a clinical examination needs to be carried out, even though sensitivity of the clinical examination may be low. It should be a differential diagnosis in every male patient older than 50 years with low back pain. In case of suspicion, the patient should be referred for advanced imaging.

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Section: Discussionsupporting

confidence: 52%