Lower extremity weakness as the first sign of an abdominal aortic aneurysm

Abstract

Giant aortic aneurysms are rare entities with a high mortality, and only a few cases have been described. Spinal cord ischemia secondary to an aortic aneurysm occurs even more rarely. We present the case of a giant aneurysm of the infrarenal abdominal aorta that was initially manifested through bilateral lower limb weakness.

Giant abdominal aortic aneurysms

“…Unique aneurysm characteristics included cases of aortoenteric fistula, 14 duodenal obstruction, 15 , 16 , 17 , 18 , 19 extrahepatic bile duct compression, 20 and vertebral erosion with associated lower extremity weakness. 21 …”