title: Ruptured abdominal aortic aneurysm presenting as painless testicular ecchymosis: the scrotal sign of Bryant revisited.
abstract: The diagnosis of ruptured abdominal aortic aneurysm (AAA) is often missed as a result of an atypical presentation, resulting in increased mortality. Here we present an unusual case of painless scrotal ecchymosis as a presentation of ruptured AAA. We review the origin of the scrotal sign of Bryant and emphasize the importance of this uncommon finding as a diagnostic aid in atypical cases of ruptured AAA.
authors.affiliation: Department of Emergency Medicine, Boston Medical Center, Boston, Massachusetts, USA.
authors.forename: James M
authors.initials: JM
authors.lastname: Dargin
authors.forename: Robert A
authors.initials: RA
authors.lastname: Lowenstein
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D004438:Ecchymosis / Q000209:etiology*; D004638:Emergency Treatment / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012611:Scrotum / Q000503:physiopathology; D012720:Severity of Illness Index; D013733:Testicular Diseases / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods