What are the signs and symptoms of abdominal aortic aneurysms (AAAs)?

Updated: Apr 02, 2021
  • Author: Elaine Tseng, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM  more...
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Answer

Patients with a variant of AAA may present with fever and a painful aneurysm with or without an obstructive uropathy. These patients may have an inflammatory aneurysm that can be treated with surgical repair.

Other presentations of AAA include lower-extremity ischemia, duodenal obstruction, ureteral obstruction, erosion into adjacent vertebral bodies, aortoenteric fistula (ie, gastrointestinal [GI] bleeding), and aortocaval fistula (caused by spontaneous rupture of aneurysm into the adjacent inferior vena cava [IVC]). Patients with aortocaval fistula present with abdominal pain, venous hypertension (ie, leg edema), hematuria, and high-output cardiac failure.


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