Key result
Acute right buttock pain represents an unusual presentation of a ruptured AAA.
Why the study?
Ruptured abdominal aortic aneurysm can present with unusual symptoms such as acute buttock pain, which may delay diagnosis without careful clinical evaluation.
Case Report (n=1)
Ruptured abdominal aortic aneurysm can present unusually as acute right buttock pain, requiring a high index of suspicion in elderly patients.
May warrant consideration of ruptured AAA in elderly patients with acute buttock pain; leaves open impact on diagnostic algorithms.
This is the first case report of a ruptured aortic aneurysm presenting with acute right buttock pain. The patient was an 80 year old man. A literature search revealed one report of ruptured internal iliac artery aneurysm presenting with acute hip pain and another of an unruptured aortic aneurysm presenting with chronic hip pain. Thus the present case is another unusual presentation of ruptured abdominal aortic aneurysm and highlights the importance of careful history taking and clinical examination. A high index of clinical suspicion of aneurysm rupture should be maintained in elderly patients presenting with a history of collapse.
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Feroze Mahmood (2005) conducted a case report in Ruptured abdominal aortic aneurysm (n=1). An 80-year-old man presented with acute right buttock pain, representing an unusual presentation of a ruptured abdominal aortic aneurysm.
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