Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian

Regus S, Apel H, Dankerl P, Lang W (2015)

Publication Type: Journal article, Medical case study

Publication year: 2015

Journal

American Journal of Emergency Medicine WB Saunders

Book Volume: 33

Pages Range: 1117.e1-2

Journal Issue: 8

DOI: 10.1016/j.ajem.2015.01.038

Abstract

Ruptured 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.

Authors with CRIS profile

Susanne Regus Department of Vascular Surgery Hendrik Apel Urologische Klinik Peter Dankerl Lehrstuhl für Diagnostische Radiologie Werner Lang Department of Vascular Surgery

How to cite

APA:

Regus, S., Apel, H., Dankerl, P., & Lang, W. (2015). Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian. American Journal of Emergency Medicine, 33(8), 1117.e1-2. https://doi.org/10.1016/j.ajem.2015.01.038

MLA:

Regus, Susanne, et al. "Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian." American Journal of Emergency Medicine 33.8 (2015): 1117.e1-2.

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