The importance of abdominal aortic aneurysm screening: about a case report
DOI:
https://doi.org/10.32385/rpmgf.v38i2.12972Keywords:
Aortic aneurysm, Abdominal, Mass screening, Lower urinary tract symptomsAbstract
Introduction: Abdominal aortic aneurysm is more common in men aged ≥ 65 years and with smoking habits. The main complication is rupture, which has a high mortality rate.
Case report: This clinical case reports a 75-year-old man, ex-smoker, with benign prostatic hypertrophy, who was observed on a scheduled consultation with relapse of low urinary complaints. A suprapubic vesicoprostatic ultrasound scan was requested, which showed an incidental abdominal aortic aneurysm with about 16cm long and 11cm antero-posterior caliber. The patient was conducted to the emergency department, was hospitalized, and later underwent surgical correction of this aneurysm.
Comment: This case reflects the importance of the early identification of this acquired malformation in men aged ≥ 65 years through the implementation of an ultrasound screening program, not yet implemented in Portugal, but already recommended by several guidelines. Low urinary symptoms may be a presentation of this aneurysm.
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