Isolated testicular pain mimicking ruptured abdominal aortic aneurysm in a nonagenarian

Ruptured abdominal aortic aneurysm (rAAA) commonly presents as acute abdominal or lower back pain and hemodynamic instability. We discuss the case of a 90-years old patient who presented to the emergency unit with a three days history of left testicular pain. Ultrasound scan demonstrated and a computed tomography (CT) scan confirmed a 6cm in diameter rAAA with enlargement and hematoma of the left psoas muscle causing the symptoms. This atypical presentation highlights the need for clinical vigilance and emercency physicians-performed ultrasound scan in the older patients with seemingly benign testicular symptoms.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Case Report Source Type: research