What is the treatment of suspected abdominal aortic aneurysm (AAA) when a pulsatile abdominal mass is present?

Updated: Jan 08, 2019
  • Author: Saum A Rahimi, MD, FACS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

The presence of a pulsatile abdominal mass in a patient suspected of having an AAA mandates immediate surgical intervention. Hemorrhagic shock is managed by means of fluid resuscitation, blood transfusion, and immediate surgical consultation. The concept of permissive hypotension, whereby aggressive fluid resuscitation is avoided so as not to aggravate bleeding by raising the blood pressure too much, should be taken into consideration. Treatment for coagulopathy may be initiated in the ED for patients who are receiving warfarin or heparin.


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