Publicação
The importance of abdominal aortic aneurysm screening: about a case report
| Resumo: | Abstract 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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| Autores principais: | Teles,João |
| Outros Autores: | Teles-Pinto,Nuno; Sousa,Hélder |
| Assunto: | Aortic aneurysm, Abdominal Mass screening Lower urinary tract symptoms |
| Ano: | 2022 |
| País: | Portugal |
| Tipo de documento: | relatório |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| Resumo: | Abstract 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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