title: An unusual presentation of ruptured abdominal aorta aneurysm.
abstract: METHODS
  Female, 65 FINAL DIAGNOSIS: Ruptured abdominal aorta aneursym Symptoms: -
  
  
  METHODS
  - Clinical Procedure: After surgery the patient was discharged without sequelae Specialty: Surgery.
  
  
  OBJECTIVE
  Unusual clinical course.
  
  
  BACKGROUND
  Rupture of an abdominal aortic aneurysm is the most frightening and potentially life threatening complication of an abdominal aorta aneurysm (AAA). PATIENTs present with atypical symptoms such as abdominal or flank pain, gastrointestinal hemorrhage, or shock.
  
  
  METHODS
  A 65-year-old woman presented to our emergency department with gradually increasing left flank pain for 4-5 days. Her laboratory, radiologic, and physical examination revealed no significant pathology, so she was discharged, but 3 days later she was readmitted because her symptoms returned. Further research revealed a ruptured AAA and the patient was hospitalized for surgical intervention.
  
  
  CONCLUSIONS
  Emergency physicians should keep in mind that AAA and its rupture can present with a wide range of symptoms that appear to be simple.
authors.affiliation: Emergency Department, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Tamer
authors.initials: T
authors.lastname: Durdu
authors.forename: Fevzi
authors.initials: F
authors.lastname: Yilmaz
authors.forename: Bedriye Müge
authors.initials: BM
authors.lastname: Sönmez
authors.forename: Sultan
authors.initials: S
authors.lastname: Ulgen
authors.forename: Ali
authors.initials: A
authors.lastname: Demir
authors.forename: Muhittin Serkan
authors.initials: MS
authors.lastname: Yılmaz
authors.forename: Engin Deniz
authors.initials: ED
authors.lastname: Arslan
authors.forename: Oktay
authors.initials: O
authors.lastname: Hakbilir
keywords: aneursym; flank pain; rupture
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