Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian.
Ruptured abdominal aortic aneurysm commonly presents as acute abdominal or lower back pain and hemodynamic instability. We discuss the case of a 90-year-old patient who presented to the emergency unit with a 3-day history of left testicular pain. Ultrasound scan demonstrated and a computed tomography scan confirmed a 6 cm in diameter ruptured abdominal aortic aneurysm with enlargement and hematoma of the left psoas muscle causing the symptoms. This atypical presentation highlights the need for clinical vigilance and emergency physician–performed ultrasound scan in the older patients with seemingly benign testicular symptoms.
Department of Vascular Surgery, University Hospital, Erlangen, Germany. Electronic address: Susanne.regus@uk-erlangen.de.
Susanne
S
Regus
Department of Urology, University Hospital, Erlangen, Germany.
Hendrik
H
Apel
Institute of Radiology, University Hospital, Erlangen, Germany.
Peter
P
Dankerl
Department of Vascular Surgery, University Hospital, Erlangen, Germany.
Werner
W
Lang
D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis*; D001019:Aortic Rupture / Q000150:complications / Q000175:diagnosis*; D006406:Hematoma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology*; D016658:Psoas Muscles; D013733:Testicular Diseases / Q000209:etiology*