Patient With Unexplained Weight Loss, Anorexia, and Back Pain

Hans, Sachinder Singh; Acho, Robert

doi:10.1001/jamasurg.2018.3191

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…Furthermore, low back pain has been a well-documented presentation of an unruptured AAA in several case reports. [19][20][21][22][23][24][25] Our case report emphasizes the necessity of extracting a thorough HPI and performing a holistic physical exam in the orthopedic clinic. Orthopedic providers should consider an unruptured AAA as an atypical differential diagnosis when a patient presents with hip and/or low back pain.…”

Section: Discussionmentioning

confidence: 80%

“…Our case is unique in this regard. Furthermore, low back pain has been a well‐documented presentation of an unruptured AAA in several case reports 19–25 …”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, low back pain has been a well‐documented presentation of an unruptured AAA in several case reports. 19 , 20 , 21 , 22 , 23 , 24 , 25 …”

Section: Discussionmentioning

confidence: 99%

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Abdominal aortic aneurysm presenting to the orthopedic clinic as posterior hip and low back pain

Marcel

Jovan

Myrick

2023

Clinical Case Reports

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An abdominal aortic aneurysm (AAA) is a permanent dilatation of the infrarenal aorta that is 3 cm or greater in diameter or equivalent to 1.5 times the normal anteroposterior diameter. 1,2 Risk factors for AAA include smoking, male sex, age greater than 65 years old, high systolic blood pressure, high body mass index, high serum triglycerides, high lowdensity lipoprotein, family history of AAA, coronary artery disease (CAD), atherosclerosis, stroke, and diabetes mellitus with concomitant CAD and peripheral artery disease (PAD). [3][4][5][6][7][8] Of these, smoking is the greatest contributor to the development of AAA. 3,4,9 In smokers, growth rate increases by an additional 0.35 mm/year and rupture rate doubles. 7 Most unruptured AAAs are asymptomatic and are found incidentally while investigating some other pathology. 4,5,7,10 However, when symptomatic, unruptured AAA may present with unexplained abdominal discomfort and pain that radiates to the back, flank, or groin, as well as a pulsatile abdominal mass with or without a bruit heard at the mass. 4,11 The generalized pain from a symptomatic AAA may be confused with an orthopedic etiology. A patient presenting with what seems to be a musculoskeletal (MSK)

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Section: Discussionmentioning

confidence: 80%

“…Our case is unique in this regard. Furthermore, low back pain has been a well‐documented presentation of an unruptured AAA in several case reports 19–25 …”

Section: Discussionmentioning

confidence: 99%