title: Contained ruptured abdominal aortic aneurysm presenting as cauda equina syndrome.
abstract: This is the case report of a contained ruptured aortic aneurysm presenting with acute cauda equina syndrome. The patient was a 79-year-old man. A literature search revealed various unusual presentations of abdominal aortic aneurysm (AAA), including femoral neuropathy, hip pain and others; however, there are no other reports of cauda equina-like syndrome. The present case is therefore another unusual presentation of ruptured abdominal aortic aneurysm and reiterates the utmost importance of careful history taking and clinical examination. Abdominal aortic aneurysm rupture should always be considered in the differential diagnosis of sudden onset isolated lower limb neuropathies and or pain.
authors.affiliation: Department of Accident and Emergency, Norfolk and Norwich University Hospital, Norwich, UK.|Department of Accident and Emergency, James Paget Hospital, Great Yarmouth, UK.|University of East Anglia, Norwich Research Park, Norwich, UK.
authors.forename: Serge A
authors.identifier: http://orcid.org/0000-0002-4937-0104
authors.initials: SA
authors.lastname: Engamba
authors.affiliation: Department of Accident and Emergency, Norfolk and Norwich University Hospital, Norwich, UK.
authors.forename: Dovile
authors.initials: D
authors.lastname: Garaleviciene
authors.affiliation: Department of Accident and Emergency, Norfolk and Norwich University Hospital, Norwich, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Baldry
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000000981:diagnostic imaging; D001019:Aortic Rupture / Q000150:complications* / Q000000981:diagnostic imaging; D000072226:Computed Tomography Angiography; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011128:Polyradiculopathy / Q000175:diagnosis / Q000209:etiology*