Low Back Pain: A Pain That May Not Be Harmless

  • Ana Catarina Lucas Serviço de Medicina Interna B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Joana Costa Serviço de Medicina Interna B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Joana Paixão Serviço de Medicina Interna B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Pedro Ribeiro Serviço de Medicina Interna B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Fatima Silva Serviço de Medicina Interna B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Adriano Rodrigues Serviço de Medicina Interna B, Hospital Geral, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal

Keywords

Abdominal aneurysm, vascular aneurysm, aortic aneurysm, iliac artery aneurysm, aortic rupture, lumbar pain, low back pain

Abstract

Abdominal aortic aneurysms are defined as vascular dilatations greater than 50% of the normal proximal segment or those that have a maximum diameter above 3 cm. Risk factors include male gender, age over 75 years, history of vascular pathology, hypertension and arteriosclerosis. The Authors describe a case of a 74-year-old man, evaluated in an emergency setting for right lumbar pain lasting 4 days. The pain did not respond to analgesia and became progressively worse. Due to the severity of symptoms, CT angiography was performed, which showed an active rupture of a partially contained aneurysm associated with aortic dissection. Early diagnosis and timely management of aortic aneurysms are essential in preventing complications, namely rupture (50-83% patients die after rupture and before receiving medical care). Acute aortic dissection is a surgical emergency and the risk of rupture is proportional to the size of the aneurysm and its rate of growth.

References

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  • Published: 2018-01-24

    Issue: Vol 5 No 3 (view)

    Section: Articles

    How to cite:
    Lucas, A., Costa, J., Paixão, J., Ribeiro, P., Silva, F., & Rodrigues, A. (2018). Low Back Pain: A Pain That May Not Be Harmless. European Journal of Case Reports in Internal Medicine, 5(3). https://doi.org/https://doi.org/10.12890/2018_000834