title: [Unruptured symptomatic abdominal aortic aneurysms].
abstract: OBJECTIVE
  The authors aim to present a case series of patients with unruptured symptomatic abdominal aortic aneurysms with atypical presentation or clinical manifestations.
  
  
  METHODS
  A retrospective analysis from 2010 to 2013 of unruptured symptomatic abdominal aortic aneurysms was made in a Vascular Surgery department.
  
  
  RESULTS
  4 clinical cases were selected, all male, mean age of 72.2 years, with a history of smoking (75 %), hypertension (50 %), dyslipidemia (25 %) , DM (25 %) and CRI (25 %). Abdominal aortic aneurysms were diagnosed with unusual forms of presentation, from those associated to local events (venous or spinal compression), to infectious processes "in situ", complete thrombosis of the aneurysmal sac, to those with remotely manifestations (peripheral embolization). Medical and surgical treatments are described in this paper, taking into account the particularities of each patient.
  
  
  CONCLUSIONS
  Rupture is the most common manifestation of abdominal aortic aneurysms. Although more rare, symptomatic unruptured AAA require a higher degree of suspicion, with some specific features to be considered, as we intend to demonstrate.
authors.affiliation: Serviço de Angiologia e Cirurgia Vascular do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Vasconcelos
authors.forename: Victor
authors.initials: V
authors.lastname: Martins
authors.forename: Ricardo
authors.initials: R
authors.lastname: Gouveia
authors.forename: Jacinta
authors.initials: J
authors.lastname: Campos
authors.forename: Pedro
authors.initials: P
authors.lastname: Sousa
authors.forename: Miguel
authors.initials: M
authors.lastname: Lobo
authors.forename: José
authors.initials: J
authors.lastname: Meira
authors.forename: Alexandra
authors.initials: A
authors.lastname: Canedo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies