title: Lower limb myalgias in a man who used to "climb the stairs": an atypical abdominal aortic aneurysm.
abstract: Atypical presentation of emergency abdominal aortic aneurysm comprises a wide spectrum of symptoms. Lower limbs' involvement is infrequent, usually monolateral and with clear vascular features. We report the case of a 58-year-old patient who complained exclusively about symmetric lower limb myalgias without vascular features, after having repeatedly climbed the stairs of the school he worked in. The surprising final diagnosis was of rupturing abdominal aortic aneurysm; the patient was sent to emergency surgery and survived.
authors.affiliation: Medical Department, Treviglio Hospital (BG), Italy. Giuseppina_dognini@ospedale
authors.forename: Giuseppina Patrizia
authors.initials: GP
authors.lastname: Dognini
authors.forename: Gianluca
authors.initials: G
authors.lastname: Cadeo
authors.forename: Luigi
authors.initials: L
authors.lastname: Dolcino
authors.forename: Lodovico
authors.initials: L
authors.lastname: Gilardoni
authors.forename: Enrico
authors.initials: E
authors.lastname: Stringhi
authors.forename: Franco
authors.initials: F
authors.lastname: Forloni
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000175:diagnosis; D001019:Aortic Rupture / Q000150:complications* / Q000175:diagnosis; D004636:Emergency Service, Hospital; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000209:etiology*