Year 2023 / Volume 30 / Number 1

Abstract PDF HTML

Cilinical Note

Not just low back pain: atypical manifestation of aortic aneurysm

Rev. Soc. Esp. Dolor. 2023; 30(1): 60-62 / DOI: 10.20986/resed.2022.3983/2022

Paula Juárez, Javier Sánchez, Guillermo Miguel


ABSTRACT

Aortic aneurysm rupture is the main symptom in up to 25 % of cases of aortic aneurysm pathology, which is a life-threatening disease. It may appear less frequently as low back pain, coxalgia and even gonalgia, not as vertebral or neuropathic pain, but as irritation at the level of the iliac psoas as the first symptomatology.
It is estimated that only in 50 % of cases the classic aneurysm triad appears, being necessary to have a high level of alertness to suspect it, since hypovolemia may be contained by a peritoneal hematoma.



RESUMEN

La rotura de aneurisma de aorta supone el síntoma principal en hasta un 25 % de los casos de la patología de aneurisma de aorta, que constituye una entidad potencialmente mortal. También puede aparecer con menor prevalencia como lumbalgia, coxalgia e, incluso, gonalgia, no comentándolo como dolor vertebral o neuropático, sino como irritación a nivel de psoas ilíaco como primera sintomatología.
Se estima que solo en un 50 % de los casos aparece la triada clásica del aneurisma, por lo que es necesario tener un alto nivel de alerta para sospecharlo, ya que la hipovolemia puede estar contenida por un hematoma peritoneal.





Complete Article

Nuevo comentario

Security code:
CAPTCHA code image
Speak the codeChange the code
 

Comentarios

No comments in this article

Bibliografía

1. García Martos A, de Los Riscos Álvarez M, Fernández-Espartero C. Abdominal aneurysm: Anuncommon cause of low back pain. Reumatol Clin. 2018;14(5):307-8.
DOI: 10.1016/j.reuma.2017.02.003
2. Hocaoglu S, Kaptanoglu E, Hocaoglu S. Low-back pain in geriatric patients: remember abdominal aortic aneurysm! J Clin Rheumatol. 2007;13(3):171-2.
3. Zúñiga Cedó E, Vico Besó L. Lumbalgia crónica y aneurisma de aorta abdominal. Semergen. 2013;39(7):e47-9.
DOI: 10.1016/j.semerg.2012.07.002
4. Van Wyngaarden JJ, Ross MD, Hando BR. Abdominal aortic aneurysm in a patient with low back pain. J Orthop Sports Phys Ther. 2014;44(7):500-7.
DOI: 10.2519/jospt.2014.4935
5. Szilagyi DE. Clinical diagnosis of intact and ruptured abdominal aortic aneurysms. In: Bergan JJ YJ, eds, editor. Aneurysms: Diagnosis and treatment. New York: Grune& Stratton;1982. p. 205-16.
6. Al-Koteesh J, Masannat Y, James NV, Sharaf U. Chronic contained rupture of abdominal aortic aneurysm presenting with longstanding back pain. Scott Med J. 2005;50(3):122-3.
DOI: 10.1177/003693300505000310
7. Arici V, Rossi M, Bozzani A, Moia A, Odero A. Massive vertebral destruction associated with chronic rupture of infrarenal aortic aneurysm: case report and systematic review of the literature in the English language. Spine. 2012;37(26):E1665-71.
DOI: 10.1097/BRS.0b013e318273dc66
8. González Gay M, Alonso Pérez M, Adeba Vallina E. Erosión vertebral en aneurismas de aorta abdominal como causa de dolor lumbar crónico. Serie de 5 casos. Rev Esp Cir Ortop Traumatol. 2012;56(6):478-81.
9. Tsuchie H, Miyakoshi N, Kasukawa Y, Nishi T, Abe H, Takeshima M, et al. High prevalence of abdominal aortic aneurysm in patients with chronic low back pain. Tohoku J Exp Med. 2013;230(2):83-6.
DOI: 10.1620/tjem.230.83
10. National Institute for Health and Clinical Excellence. Abdominal aortic aneurysm: diagnosis and management. ClinicalGuidelines; 2020. Disponible en: https://www.nice.org.uk/guidance/ng156/resources/abdominal-aortic-aneurysm-diagnosis-and-management-pdf-66141843642565. Acceso el 14/04/2021

Artículos relacionados

Effect of therapeutic exercise in persons with sacroiliac joint dysfunction: a systematic review and meta-analysis

Rev. Soc. Esp. Dolor. 2023; 30(2): 95-108 / DOI: 10.20986/resed.2023.4034/2022

Effectiveness of cluneal nerve block for the treatment of chronic low back pain

Rev. Soc. Esp. Dolor. 2023; 30(1): 30-35 / DOI: 10.20986/resed.2023.4023/2022

Long-term effectiveness of epidural steroid injections after new episodes of low back pain in older adults

Rev. Soc. Esp. Dolor. 2022; 29(3): 175-186 / DOI: 10.1002/ejp.1975

Usefulness of percutaneous basivertebral nerve thermorizotomy for the treatment of chronic low back pain. Literature review

Rev. Soc. Esp. Dolor. 2022; 29(3): 169-174 / DOI: 10.20986/resed.2022.4044/2022

Psychological intervention program to promoted active coping in patients with chronic back pain

Rev. Soc. Esp. Dolor. 2022; 29(3): 149-156 / DOI: 10.20986/resed.2022.3993/2022

Cross-sectional study on factors related to chronic pain and its care, according to sex

Rev. Soc. Esp. Dolor. 2022; 29(2): 61-70 / DOI: 10.20986/resed.2022.3968/2022

Use of 8 % capsaicin patches for the treatment of lumbar neuropathic pain

Rev. Soc. Esp. Dolor. 2022; 29(1): 28-33 / DOI: 10.20986/resed.2022.3995/2022

Evaluation of the analgesic efficacy of lumbar facet block as a function of the imaging technique used: ultrasound versus fluoroscopy

Rev. Soc. Esp. Dolor. 2022; 29(1): 15-20 / DOI: 10.20986/resed.2022.3969/2021

Descriptive study on the profile of patients sent to the Chronic Pain Treatment Unit of the University Hospital of Gran Canaria Dr. Negrín (UTDC-HUGCDN) as a basis for the reorganization of this

Rev. Soc. Esp. Dolor. 2021; 28(5): 254-263 / DOI: 10.20986/resed.2021.3939/2021

Evolution of low back pain in cancer patients treated with interventional pain management

Rev. Soc. Esp. Dolor. 2021; 28(2): 76-81 / DOI: 10.20986/resed.2021.3901/2021

Considerations for clinical examination of nonspecific neurogenic thoracic outlet syndrome

Rev. Soc. Esp. Dolor. 2020; 27(5): 316-323 / DOI: 10.20986/resed.2020.3834/2020

Therapeutic failure of the lumbar medial branch block and its relation to obesity. Retrospective cohort study

Rev. Soc. Esp. Dolor. 2020; 27(5): 298-305 / DOI: 10.20986/resed.2020.3829/2020

Identification of signs and symptoms for the diagnosis of discogenic low back pain: mapping review

Rev. Soc. Esp. Dolor. 2020; 27(5): 292-297 / DOI: 10.20986/resed.2020.3803/2020

Sociodemographic and clinical characterization in patients with chronic back pain, Cienfuegos 2019

Rev. Soc. Esp. Dolor. 2020; 27(4): 239-245 / DOI: 10.20986/resed.2020.3798/2020

Review of the impact of acupuncture treatment on the management of nonspecific low back pain

Rev. Soc. Esp. Dolor. 2020; 27(1): 53-58 / DOI: 10.20986/resed.2020.3762/2019

Quasi-experimental study on effectiveness of music therapy to reduce anxiety before an interventional technique in the pain unit

Rev. Soc. Esp. Dolor. 2020; 27(1): 7-15 / DOI: 10.20986/resed.2020.3767/2019

New ACP guidelines for non-radicular low back pain

Rev. Soc. Esp. Dolor. 2019; 26(4): 254-254 / DOI: 10.20986/resed.2017.3590/2017

Role of depressive symptomatology, catastrophism and expectation in the efficacy of interventional treatment in chronic low back pain

Rev. Soc. Esp. Dolor. 2019; 26(4): 227-232 / DOI: 10.20986/resed.2019.3704/2018

Prevalence of breakthrough pain associated with chronic low back pain in Andalusia (COLUMBUS study)

Rev Soc Esp Dolor 2017; 24(3):116-124 / DOI: 10.20986/resed.2017.3548/2016

Instrucciones para citar

Juárez P, Sánchez J, Miguel G. Not just low back pain: atypical manifestation of aortic aneurysm. Rev Soc Esp Dolor 2023; 30(1): 60-62 / DOI: 1020986/resed20223983/2022


Descargar a un gestores de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica

Este artículo ha sido visitado 3882 veces.
Este artículo ha sido descargado 0 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 12/04/2022

Aceptado: 13/12/2022

Prepublicado: 16/12/2022

Publicado: 23/05/2023

Tiempo de revisión del artículo: 201 días

Tiempo de prepublicación: 248 días

Tiempo de edición del artículo: 406 días


Compartir

Este artículo aun no tiene valoraciones.
Reader rating:
Rate this article:
Send by e-mail
© 2024 Revista de la Sociedad Española del Dolor
ISSN: 1134-8046   e-ISSN: 2254-6189

       Indexada en:
Política de Privacidad