Hostname: page-component-84b7d79bbc-g7rbq Total loading time: 0 Render date: 2024-07-30T06:32:38.775Z Has data issue: false hasContentIssue false
  • English
  • Français

A rare case of leaking abdominal aneurysm presenting as isolated right testicular pain

Published online by Cambridge University Press:  21 May 2015

P.A. Sufi
P.A. Sufi*
Affiliation:
Department of Surgery, Royal Free and University College Medical School, London, UK
*
Department of Surgery, Royal Free and University College Medical School, Pond Street, London UK NW3 2QG; pasufi@netscape.net

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

An abdominal aortic aneurysm (AAA) is not usually considered in the differential diagnosis of isolated right testicular pain. We describe a patient who did present with isolated acute right testicular pain as the sentinel feature of a leaking AAA. In the patient group with right testicular pain, consideration of a leaking AAA should be added to the differential diagnosis. An adverse outcome can be avoided by timely diagnosis and intervention.

Keywords

right testicular painleaking aortic aneurysm
Type
Case Reports • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 9 , Issue 2 , March 2007 , pp. 124 - 126
Copyright
Copyright © Canadian Association of Emergency Physicians 2007

References

1.Klapman, MJ. Ruptured abdominal aneurysm with pain in the testicle. Calif Med 1960;92:163–4.Google ScholarPubMed
2.Artman, MR, Burkle, FM Jr., Acute abdominal aortic aneurysm presenting as isolated testicular pain. Am J Emerg Med 1987;5: 45–7.CrossRefGoogle ScholarPubMed
3.O’Keefe, KP, Skiendzielewski, JJ. Abdominal aortic aneurysm rupture presenting as testicular pain. Ann Emerg Med 1989;18: 1096–8.Google Scholar
4.Cawthorn, SJ, Giddings, AE, Taylor, RS, et al. Isolated testicular pain: an unrecognized symptom of the leaking aortic aneurysm. Br J Surg 1991;78:886–7.CrossRefGoogle ScholarPubMed
5.Chan-Tack, KM. Aortic dissection presenting as bilateral testicular pain. N Engl J Med 2000;343:1199.CrossRefGoogle ScholarPubMed
6.Ratzan, RM, Donaldson, MC, Foster, JH, et al. The blue scrotum sign of Bryant: a diagnostic clue to ruptured abdominal aortic aneurysm. J Emerg Med 1987;5:323–9.Google Scholar
7.Koester, MC. Initial evaluation and scrotal pain. J Athl Train 2000;35:76–9.Google Scholar
8.Venketraman, S, Gray, JP, Evans, PA. Scrotal pain in the absence of torsion; need for vigilance. Emerg Med J 2003;20:104–5.Google Scholar
9.Marston, WA, Ahlquist, R, Johnson, G Jr, et al. Misdiagnosis of ruptured abdominal aortic aneurysm. J Vasc Surg 1992;16:17–22.Google Scholar
10.Acheson, AG, Graham, AN, Weir, C, et al. Prospective study on factors delaying surgery in abdominal aortic aneurysm. J R Coll Surg Edinb. 1998;43:182–4.Google Scholar
11.Borrero, E, Queral, LA. Symptomatic abdominal aortic aneurysm misdiagnosed as nephrolithiasis. Ann Vasc Surg. 1988;2:145–9.Google Scholar
12.Scherf, FG, Karger, B, Pastor, J, et al. Left-sided flank pain in coincident infrarenal aortic aneurysm and left-sided nephropathy. Urologe A 1996;35:342–4.Google ScholarPubMed
13.Mahmood, F, Ahsan, F, Hockey, M. Ruptured abdominal aortic aneurysm presenting as buttock pain. Emerg Med J 2005;22:453–4.CrossRefGoogle ScholarPubMed