Year 2023 / Volume 30 / Number 1

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Cilinical Note

Not just low back pain: atypical manifestation of aortic aneurysm

Rev. Soc. Esp. Dolor. 2023; 30(1): 60-62 / DOI: 10.20986/resed.2022.3983/2022

Paula Juárez, Javier Sánchez, Guillermo Miguel


ABSTRACT

Aortic aneurysm rupture is the main symptom in up to 25 % of cases of aortic aneurysm pathology, which is a life-threatening disease. It may appear less frequently as low back pain, coxalgia and even gonalgia, not as vertebral or neuropathic pain, but as irritation at the level of the iliac psoas as the first symptomatology.
It is estimated that only in 50 % of cases the classic aneurysm triad appears, being necessary to have a high level of alertness to suspect it, since hypovolemia may be contained by a peritoneal hematoma.



RESUMEN

La rotura de aneurisma de aorta supone el síntoma principal en hasta un 25 % de los casos de la patología de aneurisma de aorta, que constituye una entidad potencialmente mortal. También puede aparecer con menor prevalencia como lumbalgia, coxalgia e, incluso, gonalgia, no comentándolo como dolor vertebral o neuropático, sino como irritación a nivel de psoas ilíaco como primera sintomatología.
Se estima que solo en un 50 % de los casos aparece la triada clásica del aneurisma, por lo que es necesario tener un alto nivel de alerta para sospecharlo, ya que la hipovolemia puede estar contenida por un hematoma peritoneal.





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Bibliografía

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Juárez P, Sánchez J, Miguel G. Not just low back pain: atypical manifestation of aortic aneurysm. Rev Soc Esp Dolor 2023; 30(1): 60-62 / DOI: 1020986/resed20223983/2022


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Ficha Técnica

Recibido: 12/04/2022

Aceptado: 13/12/2022

Prepublicado: 16/12/2022

Publicado: 23/05/2023

Tiempo de revisión del artículo: 201 días

Tiempo de prepublicación: 248 días

Tiempo de edición del artículo: 406 días


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